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Subject: Filipinos Take 'Going Places' Literally


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Date Posted: 08:42:28 10/16/05 Sun

Filipinos Take 'Going Places' Literally

(Lack of Economic Opportunity Fuels Exodus of Some of the Brightest Prospects)
By Ellen Nakashima and Edward Cody
Washington Post Foreign Service

MANILA -- Born to teachers in a small town in the southern Philippines, Elmer Jacinto wrote poetry in high school, graduated magna cum laude from medical school and then, in February, bested 1,824 other aspiring doctors who took the national medical exam.

This young man wants to go places -- specifically, the United States, where he said he intends to work as a nurse.

Lack of economic opportunity and a sense of being in a nation adrift are driving talented Filipinos abroad in search of their dreams -- and dollars, pounds and yen, according to sociologists and researchers. Many, like Jacinto, accept jobs well beneath their skill level, because the earning power abroad is so tantalizing.

The diaspora is growing, and some lament that the Philippines, a country of more than 84 million people, is being drained of talent. Each year, more than 800,000 people leave, some temporarily, and officially 7 million Filipinos live overseas. What makes the Philippine migration remarkable is its scope. According to experts, no other Asian country has so many types of workers -- from nanny to engineer to circus performer -- in so many different places, from Hong Kong to Italy, Chad to Kazakhstan.

Jacinto's story typifies a perplexing trend in this growing Third World nation: Filipinos harbor a deep desire to rise socially and economically, but many of the country's brightest prospects are finding they can do so only by departing.

The exodus is layered. At the top are people such as Jacinto: doctors, nurses, teachers, lecturers and accountants, all heirs to what sociologists call the revolution of rising expectations. Below them are singers and performers, whose skills earn them far more in Dubai or Beijing than they would in the Philippines. Domestic workers are by far the single largest group. Some have college degrees, but they toil below their station in Italy or Hong Kong, often to support an extended family at home.

Jacinto has become a minor celebrity. His picture is on the front page of a national newspaper, his face is on television. "Sellout," one newspaper editorial branded him. Others said they did not blame him -- not in a country where a doctor earns $400 a month, while a nurse in the United States can earn $4,000 a month on top of a $7,000 signing bonus.

On a recent afternoon, Jacinto, who teaches third-year nursing at Fatima University outside Manila, picked up a syringe and showed several students how to properly draw fluids. Most of his students said they, too, want to go overseas one day.

"I sacrificed a lot to become a doctor," said Jacinto, 28 and single, who studied nursing and medicine on scholarships, borrowing books, photocopying lectures and tutoring Taiwanese students in biochemistry to get by. His parents and brother scrimped to help him.

Jacinto said he wanted to go to the United States because he hoped that he could eventually pass the medical board exam there and become a neuropsychiatrist, treating mental disorders linked to diseases of the nervous system. "The greatest factor that pushed me to go abroad is to help my parents and to establish myself," he said.

Last year, 25,000 nurses left the country -- three times as many as graduated from nursing school, said Jaime Z. Galvez Tan, vice chancellor for research at the University of the Philippines and executive director of the National Institutes of Health Philippines. "This is a brain hemorrhage," he said.

In addition, Galvez Tan said, 2,000 doctors left to become nurses. This year, 4,000 doctors are taking up nursing. The United States will have a shortage of 800,000 nurses by 2020, according to one estimate. Such is the demand that in the Philippines there are now almost 300 nursing schools, up from 127 nine years ago, according to the Philippine Nurses Association.

"It looks to me like we're nursing the whole world," said Joven Cuanang, medical director of the private St. Luke's Medical Center.

Hospitals hire nurses, train them, and then they go to the United States or Canada, making it hard to deliver quality care, Cuanang said.

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