THE REAL POOP! VA Manila is only required to cover service connected disablities. They will sometimes treat colds, etc but they are only required and funded for sc only. The Foreign Service Program (FSP) will cover service connected almost anywhere but Guam, Philippines because they have VA facilities. It will also cover items that are not sc if they exacerbate the sc disablility. So, if you live in the Philippines you do not get the same broad based service as you would in America. Nor can you use the FSP. It is a catch 22 that the government has no desire to change. Any medical service received in the Philippines is best to get VA approval if you are wanting them to cover. Don't hold your breath.