To go along with the OP, I am curious if health care costs have been an issue for any of you who brought a family member over? I know with my wife's rather large and now aging family major healthcare issues for them even in the Philippines has cost us a small fortune in recent years. So if someone you brought over were to have a major healthcare issue, how would that be handled?
When elderly relatives have health problems, you have three options
1. Have health insurance paid for in advance, which can be expensive, with large co-payments and exclusions for pre-existing conditions.
2. Pay cash for medical procedures when they occur, which means that you, the responsible relative, will sign an authorizing form at commencement of services, and could be stuck with serious medical bills afterwards.
3. Find low-cost or free clinics or special programs where parents can receive subsidized treatment. The availability and quality of such options vary with geographic areas. Urban areas in California have many such facilities. I can't speak for Pocatello, Idaho or NYC, but the atmosphere in some of the waiting rooms of such clinics might motivate the parents to return to the Philippines real soon.
Having said all the above, I would add that many sponsoring families send parents back to the Philippines when the shock of high-priced medical services becomes a reality. Back in the late 80's and early 90's when Federal and State benefit programs were being changed to exclude non-citizens, there was a rush to obtain citizenship for many older folks, as well as many families simply sending mom or dad (or both) back to the PI.