This month, Secretary of State Marco Rubio instructed visa officers to consider obesity and other chronic health conditions, such as heart disease, cancer and diabetes, as justification to deny people visas to the United States.
Many were outraged and shocked, observing the Trump administration’s new expansion of the “public charge” rule—directing visa officers to deny entry to people with disabilities, chronic illnesses or age-related conditions—as a modern revival of eugenic immigration policy designed to exclude, control and institutionalize disabled and marginalized people.
When Trump first took office in 2016, the Trump administration broadened the definition of public charge to include people who receive SNAP benefits, medicaid, housing assistance, childcare subsidies and more. This new rule was published in 2019 and went into effect in 2020 and early 2021; President Biden ended the use of this public charge rule definition in March 2021, returning it to the older but still restrictive version. Following Trump’s new rule, visa denials based on the “public charge” rule exploded during Trump’s first residency, rising from just over 1,000 denials in 2016 to over 20,000 in 2019, and it had disastrous effects.
As the Migration Policy Institute (MPI) found, broadening this public charge rule led many people to reduce or stop using benefits or services for themselves.