It seems like in the philippines, surrendering your passport for processing or whatever is normal. My wife has had to do it a couple of times for different things so far, and i also was surprised how nonchalant she was about it - especially since she doesn't have any other government-issued ID (like a driver's license).
However, I wouldn't necessarily consider this mindset strange - the passports are property of the government, aren't they? Even our US ones say that they have to be surrendered immediately if so ordered, if i remember correctly. Then, of course, US driver licenses can also be confiscated as well. The US mentality of "mine mine" isn't necessarily the most accurate here. The government has simply requested that its property is returned.
So it doesn't necessarily seem so unusual to me that a filipino would trust an agent of the government (St. Lukes, the only hospital allowed to do medical exams) to handle government documents. One would have the same issue if the medical exam info didn't get to the embassy as well, right? The applicant would get there and the CO would take issue with no medical exam on record.
Curious, though, what they use for identification to grant access to the US Embassy... I guess we'll find out.
Just a little different angle on your observations... Maybe right... maybe wrong. ttyl,
mich
QUOTE(dantheman @ Jun 21 2006, 07:04 PM)

Well, I just searched the ASAWA website and seems like this is the situation. St. Lukes does keep your passport and sends it with the medical. I wish the U.S. Embassy would clarify this in their K4 packet. I can see situations where the Fiance would not want to give the passport. Very very tricky.
So if for some reason St. Lukes does not send the medical results and your passport - Then you are on automatic A/R. Oh well, guess we just have to cross our fingers and wish that they do their job and deliver on time.