 The Department of Tourism designates Manila as the pioneer of medical tourism , expecting it to generate $ 1 billion in revenue annually . However , lack of progressive health system , inadequate infrastructure and the unstable political environment are seen as hindrances for its growth . 
 The Department of Tourism <a href='uninflect' title='1'><mark>designates</mark></a> Manila as the pioneer of medical tourism , expecting it to generate $ 1 billion in revenue annually . However , lack of progressive health system , inadequate infrastructure and the unstable political environment are seen as hindrances for its growth . 
Da Department of Tourism designate Manila as tdapioneer of medical tourism , expecting it to generate $ 1 billion in revenue annually . However , lack of progressive health system , inadequate infrastructure and the unstable political environment are seen as hindrances for its growth .