The United States is tightening its visa approval process. New guidelines allow officers to deny applications based on certain health conditions. This policy shift was detailed in a recent State Department cable.

According to KFF Health News, the directive aims to prevent foreigners from becoming a public charge. Officials are instructed to assess if an applicant’s health could lead to significant healthcare costs. This represents a major expansion of medical inadmissibility criteria.
Broad Range of Medical Conditions Now Under Scrutiny
The State Department cable lists several specific conditions. These include cardiovascular diseases, cancers, and diabetes. Neurological and mental health conditions are also mentioned.
The guidance explicitly notes obesity as a concern. It states obesity can lead to expensive secondary conditions like asthma and sleep apnea. Visa officers must now consider the potential lifetime cost of an applicant’s care.
Policy Shift Sparks Concerns Over Immigration Fairness
This new approach significantly widens the scope of medical review. Previously, screenings focused on communicable diseases like tuberculosis. Now, chronic, non-communicable conditions are central to the assessment.
Immigration experts warn this could create significant barriers. Charles Wheeler of the Catholic Legal Immigration Network noted the policy’s broad application. It primarily targets those seeking permanent residence, potentially affecting family reunification and skilled worker visas.
The new US visa medical conditions policy marks a substantial change in immigration practice. It places long-term health costs at the forefront of admissibility decisions. This approach could reshape the demographic of future immigrants to the United States.
Info at your fingertips
What medical conditions can affect a US visa application now?
The new guidelines list cardiovascular disease, cancer, diabetes, and obesity. Neurological and mental health conditions are also included. Officers assess the potential for high healthcare costs.
Does this apply to tourist visas or only permanent residency?
The policy technically applies to nearly all visa categories. However, experts believe it will be used primarily for permanent residency applications. Short-term visitors are less likely to face this level of scrutiny.
How are visa officers determining the cost of care?
Officers are instructed to estimate potential lifetime healthcare expenses. They must judge if an applicant can cover these costs without public assistance. The cable does not specify exact financial thresholds.
Can family members’ health affect an applicant’s visa?
Yes, the health of dependents is also a consideration. Officers must assess if a family member’s condition would prevent the applicant from working. This includes children and older parents.
Why has the US government implemented this change now?
The stated goal is to protect public resources. The administration believes some immigrants might rely on government benefits due to medical costs. This aims to ensure immigrants are financially self-sufficient.
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