U.S. Visa Rules Tighten: Diabetes, Obesity Could Affect Approval

The U.S. has quietly updated its visa policies, signaling that applicants with certain medical conditions, including diabetes, obesity, and other chronic illnesses, could face increased scrutiny, according to KFF Health News.

Health Conditions Under Review

A recent cable to visa officers instructs them to consider whether applicants might become a “public charge,” meaning someone who could rely on U.S. government benefits due to health issues. 

Conditions highlighted include cardiovascular disease, cancer, respiratory illnesses, diabetes, obesity, neurological disorders, and mental health conditions.

Family members accompanying applicants may also be assessed, particularly if a child or elderly parent requires ongoing medical care.

What This Means for Visa Seekers

The policy does not automatically bar applicants with these conditions. However, it emphasizes that applicants must demonstrate they can manage medical expenses without relying on U.S. public assistance. 

This adds a new layer of complexity for international applicants, including students, professionals, and families from countries like Pakistan.

Reason Behind the Policy Shift

U.S. officials say the change aligns with broader efforts to protect public programs and reduce potential burdens on taxpayers. While visa officers retain discretion, health status is now explicitly part of their evaluation.

Reactions from International Applicants

The directive has caused concern among prospective immigrants and students:

• Many may need to submit detailed medical records or obtain costly private health insurance.
• Some worry that declaring certain conditions could affect their chances of approval.
• Immigration advisers warn the focus may shift from merit to health-related risk assessment.

How to Navigate the New Rules

Applicants with medical conditions are advised to:

• Collect medical documentation clearly outlining the condition and treatment plan.
• Show financial capacity to cover medical costs without government aid.
• Consider private international health insurance.
• Be transparent during interviews; concealing conditions can lead to visa complications.
• Seek guidance from an immigration lawyer if needed.

Looking Ahead

While the policy stops short of imposing automatic bans, it marks a significant change in U.S. visa processing. Health factors could now weigh as heavily as education, work experience, or financial stability, making thorough preparation essential for international applicants.