Mea culpa. I have been remiss with my blog duties these past 2 weeks. My wife and I just arrived back a few hours ago from our Oklahoma sojourn. Our days in the panhandle were packed full and there was very little time to pause and post an entry. The 30 hour journey provided me with a lot of time to read, think and catch up. Most important was being able to give thanks to the many blessings that remain hidden in an unexamined life.

For 7 days, I started early at 6:30 am and resumed my gastroenterological responsibilities non-stop until 1 in the afternoon. Back to old times, Jody my trusted RN remarked. I really need these breaks, and revert to my subspecialty in order that I may see even more clearly. I am not making a lot of sense. Probably because I haven't slept in 2 days.

Haven't posted an entry in quite some time because in between I have been to Manila, Tokyo and Dallas and now I am back in my beloved Guymon, Oklahoma for 5 days. Talk about on my way home..... I wonder where this journey will lead us. I am now amongst my Oklahoma friends. We had a full day on "Black Friday", the day after Thanksgiving, after lining-up in WalMart at 5 am and we also had another full day yesterday. It is so good to see patients after weeks of reflection. The feeling is akin to a pro golfer practicing a swing-drive early on a dewy morning after a month of inactivity.

I hope to be able to post a video one day and show you the idyllic lifestyle here in the Shangri-La of the panhandle.

Few readers of this blog will recognize this name. Manny is a world champion boxer who won again today in Las Vegas. For the duration of the fight, the Philippines and the Filipinos abroad were united. The crime rate in Manila dwindled to zero, traffic disappeared, church services were poorly attended because most everyone tried to watch the fight live.

We all shared the joy of seeing a countryman do good abroad. We were all happy that he was going to be able to build a mansion in his impoverished province.

Even before the victory, Manny was already being touted to become the vice mayor of Manila. After he won the fight, there was no doubt that he could have easily won the presidential elections if they were held the following day.

Awash in problems, with people dying why is it that there is such a dearth of new leaders willing to make a commitment to work for goals that will produce lasting positive changes that will mainly benefit the weak and the poor?

The political system we have here is lopsidedly stacked against citizens who are not politically-connected and hence politically uncompromised.

There are so many hurdles and legal requirements that effectively disqualify all "non-players". The search will have to center upon this person who made a fortune outside of the Philippines because anyone who has made or inherited big sums in the Philippines will have to have made arrangements with the Internal Revenue Service, agrarian reform, the police, the local city government as well as what seems to be the innumerable licensing agencies that form an impregnable wall of politics/business as usual.

This person must make provisions for the security of his/her family; say goodbye to privacy and be prepared to work harder nonstop and put every material consideration on hold while she or he is fully prepared to part with not part but all the honestly hard-earned money saved.

The Asian Development Bank issued a second warning this year that "Brain drain has an impact on foreign direct investment as capital will flow only into economies with perceived adequate supplies of skilled labor in key sectors." Recall how obsessed I have become with production, production, production. It will be tremendously difficult to attract outside money for capital if we do not have the people trained to compete with the rest of the world.

Likewise, "One of the greatest concerns about brain drain is that the continued migration of skilled workers reduces overall productivity." The conclusion is pretty self-evident. What is needed is to become acutely aware that this bonanza of remittances will not last forever and should serve as a bridge while we emphasize programs that will make us self-sufficient.

Note that these concerns are purely from a financial perspective. The post directly preceding this illustrates another social cost that we will have to deal with in the future.