Trump adds new reasons to deny visas to immigrants: obesity and other health issues

• The Trump administration directs the State Department to deny visas to immigrants with conditions such as diabetes, obesity and cardiovascular disease.
• The new guidelines significantly expand medical screening beyond communicable diseases, giving visa officers broad discretion to reject applicants.
• Legal experts warn the guidance will allow untrained visa officers to speculate on a person’s future medical costs and employment prospects.

Foreigners seeking visas to live in the U.S. might be rejected if they have certain medical conditions, including diabetes or obesity, under a Thursday directive from the Trump administration.

The guidance, issued in a cable the State Department sent to embassy and consular officials and examined by KFF Health News, directs visa officers to deem applicants ineligible to enter the U.S. for several new reasons, including age or the likelihood they might rely on public benefits. The guidance says that such people could become a “public charge” — a potential drain on U.S. resources — because of their health issues or age.

While assessing the health of potential immigrants has been part of the visa application process for years, including screening for communicable diseases such as tuberculosis and obtaining vaccine history, experts said the new guidelines greatly expand the list of medical conditions to be considered and give visa officers more power to make decisions about immigration based on an applicant’s health status.

The directive is part of the Trump administration’s divisive and aggressive campaign to deport immigrants living without authorization in the U.S. and dissuade others from immigrating into the country. The White House’s crusade to push out immigrants has included daily mass arrests, bans on refugees from certain countries, and plans to severely restrict the total number permitted into the U.S.

https://www.latimes.com/california/story/2025-11-07/immigrants-health-conditions-denied-visas-trump