Individuals from Saint Lucia and other nations aiming to relocate to the United States may face visa or green card denials if they suffer from chronic health conditions such as diabetes or heart disease. This new directive, issued by the US State Department, has been disseminated to American embassies and consulates globally. The policy broadens the criteria under which visa applicants are evaluated, extending beyond the traditional focus on financial dependency to include a range of health issues. Conditions like cardiovascular and respiratory diseases, diabetes, cancers, neurological disorders, and obesity are now considered potential indicators that an individual might become a long-term burden on public resources. For Saint Lucia, this policy is particularly impactful given the island’s high prevalence of non-communicable diseases (NCDs). In 2021, the adult diabetes rate was approximately 11.7%, and over 80% of deaths were linked to chronic illnesses such as heart disease, cancer, respiratory complications, and diabetes. Consular officers are now mandated to assess an applicant’s long-term health prospects and potential medical needs. While the policy is expected to most affect those seeking permanent migration, its application to temporary visas for tourism or study remains unclear. This development marks a significant shift towards stricter health-based screening in immigration eligibility determinations.