In the wake of a great political victory such as the one that toppled dictatorship in the Philippines in 1986, it is heroic to be in government. Buoyed by acclamation and euphoric hopes, many rally to the task. But it is different when the cheering stops and when many old problems seem intractable after all. In the Philippines, as personal ambition, disillusion, and the frustrations of day-to-day problem solving took their toll of the original crusaders, ALFREDO R. A. BENGZON stayed the course.

Son of a distinguished jurist, BENGZON studied at Ateneo de Manila and earned his medical degree at the University of the Philippines in 1961. Years of specialized training abroad followed. Returning to Manila in 1967, he established a practice in neurology and became a pioneer in medical services management.

Martial law made him a political man. In 1983 he quietly joined others to ponder how government could be recaptured for the people. Later he became part of the brain trust guiding Corazon Aquino's rise to power. After the EDSA Revolution he joined her cabinet.

As secretary of health, BENGZON headed the Philippines' third largest government department. Using his well-honed management skills he launched a thorough reorganization, weeding out corrupt holdovers from the old regime to make way for honest talents from the ranks. By ending institutionalized overpricing of medical supplies sold to his department by favored providers, he saved millions for essential operations. Meanwhile he emphasized public education— noting that it costs less to prevent a disease than to cure one—and mobilized support to make health a national priority.

"In the health sector," he said, "public welfare must have primacy over private interests." He therefore introduced his country's first generic drug law, giving Filipinos an alternative to costly brand-name medicines. The counterattack by pharmaceutical companies and their allies in the medical profession was angry and often personal. BENGZON stood his ground, following his own advice that, in government service, "one must always be willing to pay the price."

In a country where population has more than tripled since independence, BENGZON committed the government to placing both the knowledge and the means for rational family planning in the hands of all Filipinos. Such a stand aroused opposition within the powerful Roman Catholic Church. But BENGZON insists his program meet compelling public health needs and that conscience alone should guide individuals in such intimate family matters.

Known for his acumen and discretion, BENGZON was tasked by the president to guide sensitive negotiations between the government and its armed opponents as head of the Peace Commission. He was also a key figure in formulating the Philippine position in critical military base negotiations with the United States.

As a social reformer determined to place the government squarely on the side of the disadvantaged, BENGZON is persevering, pragmatic, and unfailingly positive. "Government is not merely a necessary evil," he points out, "it is the key to our life as a nation."