I echo and agree with all that has been mentioned. The family and I just got back from the PI a few weeks ago, it was just another month-long trip to visit relatives and do another visual survey on our property since my youngest son is still in college. Our near future plan is to spend the majority of the year there and a month or 2 stay back in the states for any unforeseen issues that may arise and to visit family here.
My #1 concern is as most have stated, routine medicine or medical emergencies. I have been in 2 small local hospitals in the Cabanatuan area and was in awe of the visual conditions of the facilities, lack of proper lighting, lines of sick or hurting people waiting to be seen, etc. Neither time was the visit for myself but for relatives. Prior to this I once visited a friend in a public hospital in Korea in the early nineties and remember seeing the same thing and stating it was the worse medical facility I've seen. I can no longer say that after being in the PI medical facilities. I guess it is what it is and I'm just stating my opinion of what I've seen just in these two places, I can't attest to anywhere else in the PI.
#2 is the traffic once you leave the province. We only planned & did three big adventures this time as opposed to trying to do 4 or 6 the last time, why? Traffic will eat up much of you time anywhere you travel. The populace congestion of trykes, people, jeepneys, bikes, etc and lack of proper traffic controls will have you scratching your head. Again, it is what it is so just be sure to plan accordingly and expect slow long delays.
Other than the medical concern I am fully content when in the Philippines. I love the people, the geography, the oppressive heat, storms, food and I can look past the traffic since I am retired and really have to be nowhere in a hurry. My family states that I am a much happier person when I am there. I look forward to when we can make the PI home permanently.
/r/