The "Health Wealth" Test: Why Your BMI Could Now Deny Your Green Card

Officers are now instructed to predict your "lifetime medical costs"—turning a visa interview into a forensic accounting audit.

The definition of "Public Charge" has just expanded from your bank account to your body. A leaked State Department cable reveals that U.S. consular officers are now instructed to deny visas based on chronic health conditions—including obesity, diabetes, and anxiety—if they believe you cannot pay for "lifetime care" out of pocket.

Consular Officers Are Now "Financial Doctors"

Previously, medical denials were largely limited to infectious diseases (like tuberculosis). Under the new 2025 guidance, officers are instructed to consider predicted "future lifetime medical costs".

The cable flags conditions like Sleep Apnea, Hypertension, Diabetes, and Obesity as potential financial liabilities. The Standard: You must prove you have the resources to cover these hypothetical costs for decades without ever touching U.S. benefits.

The "Guilty by Association" Rule

Shockingly, the cable also suggests officers can consider the health of your family members (even those not applying for visas) if caring for them would impact your ability to work or drain your savings.

Your Best Evidence

In this new landscape, Earning Potential is your best defense.

Prove "Super-Sufficiency": Mere solvency isn't enough. You need to demonstrate high income potential and robust private health insurance coverage.

The O-1/EB-1 Advantage: These merit-based visas are designed for individuals at the top of their field. By definition, O-1 and EB-1 applicants typically command higher salaries, making them the easiest group to defend against "Public Charge" claims.

If you’re extraordinary, you can overcome high medical estimates. Prove to the government that your talent is a net asset to the U.S. economy. Check your eligibility for the EB-1 "Extraordinary Ability" Green Card today at https://EB1Quiz.com.

Disclaimer: This content is for informational purposes only and does not constitute legal advice. Each case is unique. For specific legal guidance, contact Global Talent Immigration Law Group at info@globaltalentlaw.com.