OMG, thank you all SO much. All this insight was spot-on! I am in tears at the amount of support here - I guess I didn't realize how stressed I'VE been about my friend and her family. Between helping and putting on a cheerful face for her kids, it's been rougher than I was willing to admit. This friend is like a sister to me, and I've known her kids since birth, so it's like seeing a family member suffer.
The update from yesterday is that another very close friend returned from a trip and called me last night to catch up. I trust her judgment, so I asked if she knew the gifter in question and she basically confirmed that this person is not one to listen to reason. So I let it go and wrote my friend a quick note along the lines of "Sorry I wasn't able to intercept this one, hope you and DH will make the best of things and not let it stress you - get some use out of it."
The gifter also emailed me to gush about how much an iPad helped her to stay connected when she was ill. So I do think it is really well-intentioned but also as Manidipa said, aimed at forcing these friends to be more "connected" than they wish to be rather than honoring who they really are. (After all, they moved out to a remote rural town on purpose!)
I hope it will be a blessing in disguise for them. The last thing they need is to feel like their support network is bickering or needs to be managed somehow.
IK, I've offered to set up a CB site for them but friend's DH wants to keep things under wraps as much as possible for now. I think it would really help my friend, but I'm not about to push anything right now that is not just what they want.
Nancylee, thank you so much for sharing your experience - I thought of you and your situation when this happened. I do hope everything continues to improve for your DH and that you are getting some respite.