[J D Sauser]

1. DNA Test. His Baby? Then proceed to #2. Not his, do what is in his heart as long he does not let himself being milked by the mother/mother's family.
2. Register himself as the father to the baby with local (Dominican authorities).
3. Take the mother, baby, birth certificate and all ID's to the US consulate and apply for citizenship for the baby.
4. As the parents will have joint custody, the mother will have to sign release papers so that the baby can travel with the father only. If the baby travels with a third person, both, the father and the mother have to sign the attorney drafted authorization.
5. Airport immigration may request for "their" resident notary to also do some paperwork, so check a couple of days BEFORE check in time.

That being said. For those who have financial means, there IS reasonably good to very good medical assistance available in this country too, and at a much, much lower price than in the US.

... J-D.