Rule reminder
Backshift is NOT required when: (1) the reporting verb is in the present or future tense; (2) the reported statement refers to a universal or still-true fact; (3) the original speaker's words are very recent and still relevant. In these cases, the original tense is preserved.
A doctor's report from last year states: 'Il medico ha scritto che il paziente ___ in perfetta salute.' The patient is still healthy today.