Visa Screening Tightens: Chronic Diseases May Lead to Denial, Say Recent Reports

Washington D.C., November 2025 —
A recent set of reports from major U.S. and international outlets has sparked global attention after revealing that new U.S. State Department guidance could make it harder for individuals with certain long-term medical conditions to secure American visas.

According to these reports, consular officers have been instructed to consider whether a visa applicant’s health condition could lead to significant medical costs or dependence on public health services. Conditions such as diabetes, heart disease, obesity, cancer, neurological disorders, and chronic respiratory illnesses are specifically mentioned as examples of potential risk factors.

The new directive reportedly falls under the long-standing “public charge” principle, which allows U.S. immigration officials to deny entry or permanent residency to individuals who may become financially dependent on government support. While the rule itself isn’t new, its expanded interpretation — focusing on non-communicable, long-term illnesses — represents a significant shift in how health is evaluated during visa processing.

Experts say this could particularly affect applicants seeking immigrant visas or permanent residency (green cards). Those applying for short-term visas such as student or visitor visas are less likely to be impacted, though they may still face additional scrutiny.

What the Change Means for Applicants

Applicants with chronic health issues are not automatically disqualified, but they may need to demonstrate strong financial stability, comprehensive health insurance, and evidence that their condition is well-managed.

Immigration attorneys have expressed concern about how broadly the rule may be applied. “There’s a lot of discretion given to visa officers,” one attorney noted, “and health assessments can be subjective. Applicants should prepare medical documentation and proof of financial capability.”

Criticism and Reactions

Human rights advocates and medical professionals have criticized the move, calling it discriminatory and potentially harmful to individuals managing treatable conditions. They argue that many people with chronic diseases live fully productive lives and do not necessarily impose a public cost.

The U.S. Department of State has not publicly released the full text of the guidance, and questions remain about how it will be implemented in practice.

Key Takeaways

• Who may be affected: Applicants with chronic, long-term, or costly medical conditions.
• What officers consider: Likelihood of requiring government-funded care or public benefits.
• How to prepare: Present evidence of treatment, financial stability, and private insurance coverage.
• Legal outlook: Experts expect potential legal challenges or policy revisions in the coming months.

As the situation evolves, applicants are encouraged to stay updated through official State Department announcements and seek professional legal advice before applying.