Every citizen needs to feel a stewardship responsibility towards the country. Every citizen must have a stake in a nation's development. The concept of property rights needs to be strictly enforced because without it there will be widespread demoralization and division.

For the longest time, squatters have been untouchable to politicians who need to pander to this vote-rich constituency. Squatting is a felony and this needs to be enforced to effectively disenfranchise offenders. The State has an obligation to relocate these people to places that are healthier and where citizens are more productive. This will immediately result in a net-loss of votes for incumbent elected officials but this is good poltics in the long run. This should discourage just about anybody who wishes to disrespect the rights of others and will ultimately foster a sense of unity towards common goals for the common good.

I arrived three days ago, actually. 34 hours of travel. Still wide awake at 3 in the morning but I am slowly recovering. For the first time my entire family is with me in the Philippines.

In one of my earliest posts, I recalled Buck from "The Call of the Wild". I thought about the old dog again when the sweltering humidity at the airport greeted me when we landed. Now finally with my entire family in tow, I am entirely released.

Big changes invariably bring apprehension. I do not know what is going to happen. Remember "Cast Away"? You never know what the next wave will bring. But I know that when I landed three days ago, my life as I knew it permanently changed. There is a formidable challenge that lies just in front of me and I will see and everyone will soon see just what the Doctor can do.

I go home to the Philippines at least once or twice a year. It's a long, long trip but I have never yet undertaken this journey with two young daughters. All six of us will take a 2 hour drive to Amarillo, TX where we will take our flight to Albuquerque and then on to Los Angeles. We wait in LAX for 5 hours and then we fly for 14 hours to Taipeh where we finally take a 2 hour hop to Manila.

I don't feel tired at all. All the packing and all the reminiscing that follows has only made me more hopeful. It was Vaclav Havel, the Czech playwright and President who wrote that "hope is not the conviction that something will turn out well, but the certainty that something makes sense regardless of how it turns out".

In all my years here in the US, I have never ceased to be amazed with the extraordinary quality of milk (and of course ice cream), the steaks and with medical postgraduate education. I do not think there is any other country on earth that pays top salaries to highly accomplished physicians in order that they may exclusively read and research and teach. In most other nations, physicians need to keep hustling for patients to maintain a viable clinical practice and are thus prevented from assuming a full-time educational position.

I can only wonder what goes on behind the walls of those Ivy League Universities. The fact that I have an idea as to the resources available to students in these exclusive institutions has always served as an inspiration for me to work hard and provide for my daughters so that they may be able to experience something that I would have appreciated immensely.

All these years that my periscope has been up has made me realize that more than the classics, more than cutting-edge science and more than the latest and most clever apologies, I wish my daughters to acquire a social conscience. I strongly hope that they will never become smug and content with leading quiet and comfortable lives while so many many people face unimaginable misery with as much dignity that they can muster. In a major sense, despite the vast beauty as well as the limitless opportunity of America, my wife and I decided that it was time for all of us to go home if we thought that the best value we could impart to our kids was a strong sense of social consciousness.

This is typical of our national sense of humor. This is the reason why there is no question in my mind that the Filipino will never stay down.

A Japanese archeologic contingent was digging in a 5000 yr old site in a remote setting in Japan and found traces of copper. They concluded that the early Japanese had some form of wired technology for communication.

A US archeologic team was digging in a remote part of the Arizona desert on a site said to be 10,000 yrs old and found traces of what appeared to be fiber optic material. From this they concluded that the early US Indians had some form of fiberoptic technology,clearly superior to the Japanese, at a much earlier time.

A Filipino contingent , at the same time,was digging in a remote part of the Mindanao region on a site said to be 100,000 yrs old.From this site they found ABSOLUTELY NOTHING. They concluded that the early Filipinos had wireless technology, beating both the Japanese and American findings.