Washington: A new directive from President Donald Trump’s administration is set to make it harder for foreigners to obtain US visas if they have certain medical conditions or lack sufficient financial resources. The guidance, issued via a State Department cable last week, instructs consular officials worldwide to rigorously assess applicants’ likelihood of relying on public benefits after entering the country, reported Associated Press.
The expanded criteria include chronic illnesses such as diabetes, obesity, cardiovascular and neurological disorders, as well as mental health conditions like depression and anxiety. Applicants must now provide detailed financial documentation, including bank statements, asset records, and retirement accounts, to prove self-sufficiency.
The directive builds on the administration’s interpretation of the “public charge” rule, which allows denial of entry or residency to individuals deemed likely to depend on government aid. While the rule has long existed in immigration law, Trump’s first term saw a broadening of disqualifying benefits, and the latest guidance appears to extend that scope further.
“This could lead to a substantial narrowing of immigration,” said Julia Gelatt of the Migration Policy Institute, noting the administration’s renewed focus on public charge policies.
Applicants are already required to undergo medical exams by embassy-approved physicians, including screenings for communicable diseases and verification of vaccination status. The new directive adds further scrutiny, requiring consular officers to evaluate age, education, skills, family status, and English proficiency, with interviews potentially conducted in English.
Experts warn the policy could disproportionately affect older adults, low-income applicants, and family members of legal US residents seeking to join them. Adriana Cadena of Protecting Immigrant Families called the move “dangerous,” saying it could deter eligible immigrants from accessing lawful aid.
State Department spokesman Tommy Pigott defended the policy, stating it prioritises American taxpayers and national interest. However, immigration attorney Steven Heller said the guidance marks a shift in tone, encouraging officials to find grounds for denial rather than approval.
The directive applies to immigrant visas, not short-term B-2 visitor visas. Nonetheless, its broad language and discretionary enforcement have raised concerns among immigration advocates and legal experts.