According to a VA rep I spoke with today the foreign medical program(FMP) is going into effect soon. They are waiting for notification from Washington. Also they are going to stop reimbursing for travel exspenes. For those who do not want to use the FMP the outpatient clinic will still be open. You will not be reimbursed for travel though. So you can either use the FMP and wait several months to be reimbursed or travel to Manila at your exspense. On top of that according to VFW post 2485 in Angeles anyone who is scheduled for a compensation and pension(C&P) exam through the newly contracted Veterans Examination Service (VES) will have to travel 2 hours north of Angeles City to the only hospital that is approved by VES. In lieu of scheduling a C&P exam throuh VES you can go to a private specialist and have them fill out the disability questionaire form (DBQ) and have them fax it to VA Regional Office in Manila. Just be sure that it includes a medical opinion stating that your condition is either less likely than not, atleast as likely as not or more likely than not a result of a service incurred injury. Claims for disabilities secondary to a service connected disability should also include a medical opinion that the secondary disability was the result of a service connected disability. For obvious reasons a less likely than not opinion will not help getting a service connected disability. So this is how the Trump administration is going to help improve service for the vets in the Philippines. What a crock of sh*t.