Because they are the only VA outside of the United States. They were originally here as per their special/unique charter to assist Filipino scouts who fought with the American forces against the Japanese in WWII and their families (spouse, children etc.). They assist Americans here because they can, but they are limited as they are only a clinic/pharmacy and not a full VA Hospital. IMPO in the near future the VA will eventually be phased out and we will be handed over to the FMP (Foreign Medical Program) but because there are so many Americans here who are being serviced by VARO/OPC Manila they are doing it in phases. There are approx 6000 disabled veterans enrolled in VA just in the Angeles/Subic areas and somewhere in the neighborhood of approx 10,000 in the PI according to VARO.
Healthcare Best Posts in Thread: VA Certified Doctors in Dumaguete
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I am on the email lists for American Legion, Veterans of Foreign Wars and Disabled American Veterans all from Angeles City, Pampanga. All the service organizations in Angeles and Subic have a very good working relationship with VA Manila and are kept abreast of all upcoming changes and have a monthly online call to address any/all issues brought up by the service organization members. I will post here as soon as I know any updates. (That's where I got the info I posted yesterday)
As of now (to the best of my knowledge) You can still get LOA's (letter of approval) to see local physicians for service connected injuries if you are enrolled in Fee based care at VARO Manila as I am. Problem is not too many Doctors want to work with the VA or Tricare anymore as they are both notorious for late payments to service providers.- Informative x 2