The Trump administration is reportedly planning to tighten U.S. visa rules by denying entry to applicants with obesity and certain health conditions, raising fresh controversy over the country’s immigration policies.
Guidance issued to U.S. consulates reportedly instructs officials to reject applicants whose medical conditions could make them eligible for public benefits or otherwise impose high costs on the taxpayer.
Conditions listed include obesity, high blood pressure, diabetes, sleep apnea, cancers, cardiovascular and respiratory diseases, and some neurological disorders.
The policy aims to reduce potential public healthcare costs, with the National Institutes of Health estimating that obesity alone adds about $2,500 annually to an adult’s medical expenses. The guidance notes that certain medical conditions can require hundreds of thousands of dollars’ worth of care.
The announcement coincided with Trump unveiling cuts to the price of weight-loss treatments in the Oval Office, highlighting the administration’s focus on health and fiscal concerns.
Spokesman Tommy Pigott defended the measure, saying it prioritises “the interests of the American people” and ensures that the immigration system does not become a burden on taxpayers.
Earlier this year, Trump also signed an executive order introducing the so-called “Trump Gold Card” programme, allowing wealthy foreigners to buy U.S. residency for $1 million, with premium options costing up to $2 million to accelerate the visa process.
A “Trump Platinum Card” permitting holders to stay for up to 270 days without paying tax on non-U.S. income is also set to be offered at $5 million.
Commerce Secretary Howard Lutnick emphasised that the programme would attract “extraordinary people at the very top” who would create jobs and businesses rather than compete with American workers.
Trump claims the scheme could raise more than $100 billion for the Treasury, to be used for cutting taxes and reducing national debt.
The new measures are expected to impact many work visas, including the popular H1-B programme, which supports roughly 500,000 foreign workers annually, sparking concerns over stricter restrictions for skilled and highly sought-after applicants.
