Private sector In addition to his medical practice, Macias served as president and chairman of the Rural Bank of Siaton from 1974 to 1975 and from 1978 to 1980. He also founded the Manuel L. Teves Memorial Hospital School of Midwifery, where he sat as a director until 1996. Macias was elected Governor in 1988 and continued to hold on to the post for three consecutive terms until 1998. After the expiration of his term, he ran for
Congress and was elected as a Representative of the 2nd District of the Province. He served for three consecutive terms until 2007 when in the same year he was again elected as Governor of the Province. In the 2010 May elections, Macias won a second term but died of liver cancer before taking his oath of office. His body was cremated and the ashes flown to
Dumaguete where a three-day wake was held in the Provincial Capitol. His ashes were subsequently brought to the
Municipality of Siaton, Macias' hometown. Macias was succeeded in office by outgoing vice governor Jose Baldado in an interim capacity for the remainder of his term until then vice governor-elect
Agustin Perdices took office. ==References==