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State Department Directs Visa Officers to Weigh Obesity, Chronic Illness and Lifetime Medical Costs

The new guidance shifts consular reviews toward chronic health risks and proof of private ability to pay for long-term care.

Overview

  • An internal memo instructs all U.S. embassies and consulates to consider applicants’ health status when deciding visas, citing obesity and related chronic diseases.
  • Officers are told to assess whether an applicant can cover expected lifetime medical expenses without public assistance, effectively favoring those with substantial private means.
  • The guidance expands medical scrutiny beyond communicable diseases, listing cardiovascular and respiratory conditions, diabetes, cancer, neurological and mental health disorders.
  • Immigration lawyers, including Sophia Genovese, warn the policy is overly broad and could create significant problems during consular interviews.
  • Which visa categories will be affected remains unclear, with some attorneys saying it may be applied chiefly to people seeking permanent residence as implementation details are worked out.