Thank you for your thoughtful letter and for engaging critically with our perspective on the economic potential of meditation and mindfulness practices in mental healthcare. We appreciate your insights into the context of the Philippines and the broader consideration of cultural and structural challenges to integrating these practices as mainstream interventions.

Your letter also draws attention to the pressing mental health challenges in the Philippines, including low mental health quotient scores, stigma, resource constraints, and low rates of formal help-seeking. The points you raised regarding feasibility and acceptability are crucial.