Petty Officer 1st Class Alfred L. Ibinyopakaka, hospital corpsman, assigned to Health Services Support, 31st Marine Expeditionary Unit, gives a medical consultation with Phillipino senior citizens during the annual bilateral exercise Balikatan 2008 between the Republic of the Philippines and the United States. During BK-08, the Republic of the Philippines and the United States work together to improve maritime security humanitarian assistance and disaster relief programs.