A brand new directive to U.S. embassies and consulates instructs officers to contemplate denying visas for individuals who undergo from persistent well being points.
It additionally reportedly encourages visa officers to contemplate situations corresponding to weight problems.
TRUMP STATE DEPARTMENT ORDERS GLOBAL VISA CRACKDOWN UNDER REVIVED ‘PUBLIC CHARGE’ RULE
“Does the applicant have adequate financial resources to cover the costs of such care over his entire expected lifespan without seeking public cash assistance or long-term institutionalization at government expense?” the cable allegedly says.
“Self-sufficiency has been a long-standing principle of US immigration policy … and the public-charge ground of inadmissibility has been a part of our immigration law for more than 100 years,” it continues.
U.S. embassies are being directed to contemplate denying visas to these with persistent well being situations, together with weight problems, to forestall public price burdens. (Stefan Zaklin/Getty Photographs)
“It’s no secret the Trump administration is putting the interests of the American people first,” mentioned Pigott in a press release. “This includes enforcing policies that ensure our immigration system is not a burden on the American taxpayer.”
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Non-citizen immigrants are considerably extra more likely to be uninsured in comparison with U.S. residents, in keeping with the Kaiser Household Basis (KFF).
In 2023, about one in 5 lawfully current immigrant adults have been uninsured, in keeping with KFF.

“It’s no secret the Trump administration is putting the interests of the American people first,” mentioned a spokesperson. “This includes enforcing policies that ensure our immigration system is not a burden on the American taxpayer.” (Tim Boyle/Getty Photographs)
There isn’t a federal insurance coverage mandate for work visas corresponding to H-1B, whereas protection usually depends upon the employer or particular person.
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“The public charge determination is ‘in the opinion of the consular officer,’” the cable despatched in January says — putting the burden of proof completely on the applicant.
Officers are instructed to conduct a “comprehensive and thorough vetting” of every case and to evaluate “the totality of the applicant’s circumstances” earlier than issuing any visa.
Visa candidates might be denied in the event that they’re more likely to change into a public cost beneath the present legislation.
“There is no ‘bright-line’ test,” the cable provides. “You must consider all aspects of the case and determine whether the applicant’s circumstances… suggest that he is more likely than not to become a public charge at any time.”
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“If an applicant is uninsured and unable to show they can cover potential medical costs, like those associated with a chronic condition, that can indicate a high risk of becoming a public charge and make them a strong candidate for visa refusal,” mentioned Ries.

“Obesity is connected directly to other costly chronic health problems including type 2 diabetes, heart disease, high blood pressure, stroke, high cholesterol and mostly inflammation in the body,” mentioned a doctor. (iStock)

“If an applicant is uninsured and unable to show they can cover potential medical costs, like those associated with a chronic condition, that can indicate a high risk of becoming a public charge and make them a strong candidate for visa refusal,” mentioned a Heritage Basis official. (iStock)
“The solution,” he additionally mentioned, “is probably not a ban but an advisory or the need for further scrutiny or documentation to avoid the excess costs.”
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Siegel additionally mentioned, “In other words, obesity is a signal for increased risks — it doesn’t mean they are there in each case.”
A medical examination is already required for all immigrants and refugees coming into the nation, as famous by the CDC — and it’s widespread for visa officers to display for contagious illnesses corresponding to tuberculosis or ask for a vaccination historical past.