I hate to go out on a limb and say this guys...but some countries do have better medical education than other countries.
There is a reason US residencies don't put foreign medical grads in their most competitive slots, that is just the way it is.
When some rich oil sheik needs a transplant, he is not looking to go to the Dominican Republic, for instance. No offense to Hispaniola.....
Funny, here, we get a lot of Japanese nationals who request a "Japanese doctor only" fairly often, they are not shy about the request either. "I am paying, and I want X"
Plus there are some true stories about foreign medical schools, like my friends in Grenada that had to keep their cadavers for anatomy class in their bathtubs part of the time.
Often, the best specialists go to the most prestigious programs and the folks with the big bucks tend to seek them out.---I am sure that is true in the Phillipines to some degree as well. And once we have socialized medicine here---you watch---medical tourism for our wealthy will be one thing that happens, it is already a booming business and a sign of the times.
As managed care becomes more dominant here , gone are many of the private suites and amenities that people with enough money want to pay for and receive. Americans are finding their dollar goes further in other countries, often places dominantly "haves and have-nots" where it is acceptable to cater to people with the purchasing power.
The most talented physicians will always be found where the money is, in general. They want the most advanced technology for one thing, and it is expensive.