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America has enforced public charge laws for over 100 years to protect taxpayers from bearing the medical costs of immigrants. This policy ensures visa applicants can support themselves without burdening an already strained healthcare system. The guidance simply reinforces existing law requiring immigrants to demonstrate financial self-sufficiency rather than relying on government resources.
This discriminatory policy targets vulnerable immigrants based on common health conditions that affect millions of Americans. The guidance asks untrained consular officers to make medical predictions about future costs, contradicting the State Department's own handbook that prohibits 'what if' scenarios. This creates an impossible standard where only billionaires could meet the financial requirements for lifetime medical care.