Phoenix, Arizona, USA: A recently issued U.S. government directive could lead to immigrants being denied visas if they have pre-existing health issues such as diabetes, obesity, or heart disease.
According to KFF Health News, the State Department sent guidance last week to embassies and consulates instructing visa officers to consider applicants’ medical conditions, age, and financial situation when determining eligibility. Applicants could be deemed inadmissible if officials believe they might become a “public charge,” potentially relying on U.S. resources. This move represents a broader application of health considerations in the visa approval process.
The instructions specify that conditions including cardiovascular and respiratory diseases, cancers, diabetes, metabolic and neurological disorders, as well as mental health conditions, could result in expensive medical care over time.
Historically, U.S. immigrant health screenings have focused on communicable diseases and vaccination compliance. Under the new guidance, consular officers have greater discretion to deny visas based on chronic or non-infectious illnesses.
The directive reflects broader immigration policies aimed at restricting entry, including refugee caps, increased enforcement, and stricter visa approval processes.
Obesity, which may contribute to asthma, sleep apnea, or high blood pressure, is specifically highlighted as a factor for potential “long-term, costly care.” Officers are also advised to consider the health needs of applicants’ dependents, which may impact their ability to work or financially support themselves.
Immigrant visa applicants already undergo medical checks by approved physicians, screening for communicable diseases like tuberculosis and reviewing vaccination history, substance use, and mental health conditions.
The State Department has not issued any public statement regarding the updated guidance. Experts note that the directive signals a major shift, expanding visa denial criteria to include a wide array of chronic conditions and anticipated medical expenses. Applicants with common health issues could face increased scrutiny or rejection if officials believe they might become a public charge.
