Trump Administration Moves to Protect U.S. Taxpayers — Foreign Visa Seekers With Costly Medical Conditions Like Diabetes and Obesity May Be Denied Entry Under New Directive

The Trump administration has quietly issued a sweeping directive instructing U.S. embassies and consulates worldwide to tighten visa‐issuance standards for applicants with costly medical conditions.

The new policy will give visa officers discretion to deny individuals with conditions such as diabetes, obesity, cardiovascular disease, and mental‐health disorders if their lifetime care is deemed likely to become a burden on U.S. taxpayers.

According to KFF Health News, the U.S. Department of State reportedly instructs consular officers to assess whether visa applicants, and in some cases, their dependents, could become a “public charge” due to medical costs over their expected lifespan. Conditions flagged in the guidance include, but are not limited to:

  • Cardiovascular diseases
  • Respiratory diseases
  • Cancers
  • Diabetes and metabolic diseases
  • Neurological or mental health disorders
  • Obesity, explicitly mentioned as a red flag due to its connection to sleep apnea, asthma, hypertension, and other expensive conditions.

“Does the applicant have adequate financial resources to cover the costs of such care over his entire expected lifespan without seeking public cash assistance or long-term institutionalization at government expense?” the guidance stated.

“Self-sufficiency has been a long-standing principle of US immigration policy … and the public-charge ground of inadmissibility has been a part of our immigration law for more than 100 years.”

The Trump administration frames this directive as a taxpayer-protection measure.

A spokesperson for the State Department told Fox News, “It’s no secret the Trump administration is putting the interests of the American people first. This includes enforcing policies that ensure our immigration system is not a burden on the American taxpayer.”

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The Obamacare secret at the heart of the shutdown: insurers made billions at taxpayer expense

The 42-day federal shutdown forced by Democrats thrust the economics of Obamacare into the limelight, and exposed an uncomfortable truth: An insurance industry whose executives are increasingly liberal donors has seen its earnings soar with the injection of taxpayer-funded subsidies that propped up Barack Obama’s signature health program from collapse.

The nation’s largest health insurance companies have seen good business since Obamacare was first passed in 2010 and fully implemented in 2014. This has come in no small part because of federal government subsidies to the insurance industry, which government estimates show totaled $1.8 trillion in 2023 alone.

Those subsidies were greatly expanded by the Biden administration during the COVID-19 pandemic as an emergency measure, but Democrats have fought to keep them permanent.    

Obamacare brought health insurance companies historic profits

Just the News analysis of public financial records from four of the nation’s largest health insurance companies found that net earnings ballooned about 216% from 2010 to 2024. UnitedHealth Group in particular, which dominates the industry with a market share of around 15%, saw the largest explosion of profits. The other three companies, Elevance, Centene, and Cigna also experienced a marked growth in net earnings after the implementation of Obamacare. 

The healthcare legislation was also a boon for these companies’ stock prices. One study found the weighted average of health insurance stock prices has grown 1,032% from 2010—when the law was passed—and 448% from 2013—the year the legislation’s key provisions were implemented. 

This performance far outstripped the most popular S&P 500 exchange-traded fund, which grew 251% and 139%, respectively, the Paragon Health Institute reported last year. ETFs are designed to track the performance of specific stock indices and, as such, generally represent average market growth.

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Are ‘trans’ people worrying about biologically impossible diseases yet?

Every one of us has done it, even if it’s just for a fleeting second. It crosses your mind. You have some symptoms that could be anything from a headache to brain cancer, and at some point you doom out, staring at the list of symptoms, thinking that cancer doesn’t care who you are, anyone could get it. You think you’re being reasonable, after all. “Who am I to think I’m immune?” Right?

Then, having deemed yourself reasonable and rational to boot, you click back to your search results and check another website other than WebMD just to be sure. Something a little more academic, more…medical. More professional. After all, you don’t want to go off half-cocked. It’s about then, when you start hitting the NIH/PubMed or NEJM articles that are published by doctors for doctors, that you realize you’re in waaaaay over your head, being ridiculous, take a couple of aspirin and calm down. The whole thing lasts a couple of minutes.

Right? Who among us hasn’t done it?

Now, knowing what we know about lefties, how much do you want to bet that one of them, a “trans” person, born female but masquerading as male, is out there thinking she has prostate cancer? She has no prostate, of course, but that doesn’t stop her from thinking…maybe?

You know they’re out there. Because they’re insane, as we’ve amply proved again, and again. If it hasn’t happened already, you know it will. A born female will make an appointment with a urologist. It’s bound to happen.

We know the reverse is true. There are people born men who have been surgically given a cavity where their penis used to be, then demanded a gynecological exam. The title of this piece from a couple of years ago gets right to the point: “A Cavity is not a Vagina.”

If you Google “Do trans (men masquerading as) women need a gynecologist,” you get a mish-mash of answers, some yes, some no, and some, frankly, are you insane? A common related question that pops up when you do these kinds of searches is whether a person born male but pretending to be a female needs a pap smear.

I can answer that! Of course not. Where there is no cervix, there is no need for a pap smear! That doesn’t mean they won’t ask, though, based on some articles I’ve found of trans patients (a.k.a. men going to the gynecologist) and being completely unreasonable, here and here.

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The Fraud That Won’t Die: Obamacare’s Endless Deceptions

While the government shutdown continues and health-care reform remains gridlocked, Obamacare (the Affordable Care Act) burdens taxpayers with out-of-control costs. For more than a decade, Obamacare has been riddled with systemic fraud that has been denied by Democratic Party bureaucrats, ignored by much of the media, and paid for by weary taxpayers.

Built on lies including “if you like your doctor, you can keep your doctor,” Catholics continue to bitterly recall the duplicitous role that Sr. Carol Keehan, CEO of the Catholic Healthcare Association, played in passing Obamacare—despite the pushback by the Catholic bishops because of its inclusion of abortion funding and the contraception mandate. Sr. Keehan’s mendacious shepherding of the health-care program was rewarded with a silver signing pen from President Obama.

Intensifying the pressure today on an already overburdened health-care system, the influx of several million undocumented immigrants has pushed government-funded health care to a breaking point. According to an October 2024 CBO report to Rep. Jodey Arrington, federal and state governments spent $27 billion on Emergency Medicaid for noncitizens ineligible for full Medicaid coverage between 2017 and 2023. In 2023, the estimated cost of health care for undocumented immigrants in the United States was approximately $3.8 billion, specifically for Emergency Medicaid services.

Hospitals are bound by law to provide emergency services to undocumented patients under the Emergency Medical Treatment and Labor Act (EMTALA), enacted in 1986. This is a federal law that requires hospitals to provide emergency medical care to all individuals, regardless of immigration status or ability to pay. Under EMTALA, any hospital that receives Medicare funding must conduct a medical screening exam for anyone who arrives at the emergency department and must provide stabilizing treatment for emergency medical conditions, including active labor. This mandate applies to undocumented immigrants as well as uninsured citizens and legal residents—and most of us strongly support the provision of this care to all on an emergency basis.

Unfortunately, such care is costly. According to the Trump administration, the estimated cost of emergency health care in 2024—including labor and delivery and postnatal care of the mothers and newborn babies—of undocumented immigrants in the United States rose 142 percent from the year before to an astonishing 9.1 billion dollars of taxpayer funds to pay for the emergency health care of those in the country illegally. Between 2020 to 2024, Medicaid taxpayer health-care dollars provided to illegal immigrants tripled.

Though critics argue that the Trump administration’s numbers are inflated, few challenge the fact that the nation’s hospitals are facing a fiscal crisis. In January 2024, Dr. Donna Lynne, CEO of Denver Health, publicly voiced concern over the financial strain caused by uncompensated care for undocumented individuals. Speaking at a finance and governance committee meeting, she stated, “Where do you think the migrants are getting care? They are getting care at Denver Health…It’s going to break Denver Health in a way that we didn’t even anticipate.” Her remarks highlighted the hospital system’s mounting fiscal challenges, noting that Denver Health treated over 8,000 undocumented immigrants in 2023, accounting for approximately 20,000 visits. Uncompensated care costs surged from $60 million in 2020 to $136 million in 2023.

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Some Kids Getting Double or Triple Vaccinated, California Nurse Says

Babies and children who lack paper vaccination records sometimes receive two or three times the number of vaccines recommended by the Centers for Disease Control and Prevention (CDC), according to experts who spoke with The Defender. Children whose parents immigrated to the U.S. and who don’t speak English are at the greatest risk.

Many medical providers assume that if there’s no record of a vaccination, the best way to ensure that a child receives the recommended vaccine is to readminister it, according to Rena Maculans, a registered nurse in California. “That’s the mentality of the providers,” she said.

Maculans — who spent 10 years as an emergency department (ER) nurse and later processed autism treatment claims — said urgent care and ER staff typically follow protocols that tell them to vaccinate a child if there’s no documentation of a prior vaccination.

Maculans said she followed those protocols before she realized that vaccines can cause harm. “We were all under the impression, well, if you double up on it, it’s a good thing. You have extra protection.”

Now, Maculans, whose daughter was injured by a COVID-19 vaccine, urges people to carry their immunization record with them. “That’s why I tell people, anytime you go to the doctor or urgent care, bring your immunization records with you.”

Maculans said she began piecing things together while processing medical claims for Partnership HealthPlan of California, a healthcare provider that serves over 900,000 Medi-Cal members in Northern California.

Medi-Cal is the state’s Medicaid program that provides free or low-cost health coverage for low-income individuals and families.

Maculans was a “utilization management nurse coordinator,” which meant she processed medical claims for continuation of services, including autism treatment services. It was her job to determine whether a patient should continue receiving autism treatments, including speech therapy visits, or whether the patient no longer needed the treatments.

She noticed that a highly disproportionate number of the claims were submitted by families that spoke only Spanish. In other words, more Spanish-speaking children reported having continued or increased autism symptoms that required treatment, compared to English-speaking or bilingual kids.

Knowing the link between certain vaccine ingredients and increased autism risk, she suspected that Spanish-speaking Medi-Cal families — such as migrant workers — may experience increased vaccinations due to language barriers and not having their children’s immunization records on hand to prove prior vaccination to medical staff.

California has among the highest autism rates in the country — 1 in 12.5 boys, according to the latest available CDC data.

Maculans acknowledged that she is speculating and that, under HIPAA laws that protect patients’ private health records, she could not take screenshots of the claims that she said would reveal the trends she observed.

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Woman Exposes Massive Medicaid Fraud Scheme in Democrat-Run Minnesota

Medicaid’s collapse into waste and fraud hit home for Erna Hammerschmidt, exposing how career politicians built a system they can no longer control.

After overcoming years of addiction and rebuilding her life, Erna discovered that her name had been used to bill the government for services she never received. 

A company she had never even met was charging taxpayers nearly $200 several times a week, claiming to have provided “mental health services.” 

It is one of countless examples of how America’s welfare bureaucracy—especially under Democrat-led states such as Minnesota—has turned into a money pipeline for fraudsters.

The Minnesota Department of Human Services has been under fire for years for failing to detect and stop widespread Medicaid and housing assistance scams. 

Under failing Governor Tim Walz, the department has wasted millions through weak oversight, political favoritism, and bloated contracts handed to “community care” groups that exist only on paper. 

These programs were meant to help people like Erna, not exploit them. 

But instead of accountability, taxpayers received excuses, “internal reviews,” and bureaucrats promising to “expand data analytics.” That means more consultants, more red tape, and no real results.

Donald Trump warned about this years ago. He is the only national leader with the courage to say what others were afraid to admit—the welfare bureaucracy in America is corrupt from top to bottom. 

It is not a matter of a few “bad actors”; rather, it is a system designed to enrich politically connected insiders. 

While Democrats in Minnesota pretend that fraud is a “racial issue,” as the owner of the company claimed, Trump’s message is clear: every dollar stolen from Medicaid is a dollar stolen from honest taxpayers and families who truly need help.

The Republican establishment deserves no credit either. 

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MAHA: Monitoring Americans’ Health Attributes — or CCP-style Digital Control Grid?

This summer, President Donald Trump unveiled a sweeping plan to “bring healthcare into the digital age.” He calls it the “Digital Health Tech Ecosystem.” Health and Human Services Secretary Robert F. Kennedy, Jr. also announced the launch of a digital health ID initiative in conjunction with Amazon, Apple, Google, OpenAI, and Anthropic. The latter is an AI startup that received most of its $580 million seed funding from the now-bankrupt FTX under convicted fraudster Sam Bankman-Fried.

This “Ecosystem” is part of the artificial intelligence (AI) venture Stargate Project, which Trump excitedly announced on his first day in office. Stargate is the reason you may have noticed large AI facilities springing up across the country, driving up energy prices with their unprecedented demand for electricity, and threatening aquifers with their unprecedented demand for water.

Trump declared Texas-based Stargate to be a $500 billion collaboration between leading tech companies that will make the United States the global leader in AI. Among investors are OpenAI CEO Sam Altman and Oracle chairman Larry Ellison. During the White House unveiling, Ellison bragged that Stargate’s AI would be able to produce cancer vaccines in 48 hours.

Microsoft and NVIDIA are two other U.S.-based investors, while Emirati state-owned MGX of Abu Dhabi and U.K.-based Arm Holdings, Inc. are also involved. Stargate’s chairman is Japanese billionaire Masayoshi Son, who also chairs Stargate investor SoftBank.

Data Not Secure

Naturally, the healthcare component of this technological boom is supposed to help the little guy: improving patient care through earlier disease detection and — you guessed it — vaccinations. But are we to believe that this international consortium of businesses has our best interests at heart?

For that matter, do our own politicians? During testimony before Congress earlier this year, Kennedy admitted: “My vision is that every American is wearing a wearable [health-related monitor] within four years.” But he dodged a follow-up question about plans to secure that personal health data. That’s disconcerting, considering the vulnerability of personal information in federal hands. Remember the early 2025 reveal that Elon Musk’s Department of Government Efficiency gained illicit access to 19 sensitive U.S. Health and Human Services databases, exposing everything from electronic health records to Social Security and bank details? 

Wearables

The “wearable” health monitors would expand that data collection astronomically, creating a “digital twin” of yourself as government officials harvest vital signs, movement and sleep patterns, and other physical metrics in real time.

Moreover, Trump signed an executive order in March calling for data-sharing of personal information about Americans across federal agencies. His administration has since awarded more than $900 million in contracts to Peter Thiel’s data analytics company, Palantir, while even current and former employees have petitioned the company to pull out of the plans.

The HopeGirl Alternative News channel on Rumble depicts what healthcare in this modern Fourth Industrial Revolution will look like. Healthcare 4.0 works with a constant stream of data from wearable devices to analyze us — individually and population-wide — at every hour of the day in all settings. This system is already in operation. Starting in 2020, U.S. hospitals implemented “body area networks” (BAN) to deliver real-time vitals to the Pentagon’s Project Salus during the Covid “public health emergency.”

The REAL ID Connection

This helps explain why U.S. Homeland Security Secretary Kristi Noem finally enforced the REAL ID Act of 2005 this year. (Right now, it’s mandatory for domestic air travel and entering federal buildings, but the legislation allows for unlimited expansion of REAL ID requirements.) Until this year, various states stymied REAL ID, correctly labeling it a gross violation of Americans’ constitutionally protected rights. Now, the U.S. Transportation Security Administration boasts on its website about its biometric overhaul.

Indeed, the REAL ID Act allows states to collect biometric data (fingerprints, facial geometry, triangulated body measurements) on each of us. The Citizens’ Council for Health Freedom (CCHF) explains that the “purposes could include banking, employment or health care.”

CCHF warns: “REAL ID provides the digital and biometric infrastructure to implement a China-like control grid, where your access to services could depend on behavior, beliefs or health status.”

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Map Shows 14 States Offering Health Coverage To Undocumented Migrants

Part of President Donald Trump‘s budget legislation, the “Big Beautiful Bill,” will seek to punish the 14 states that currently offer health coverage to people in the U.S. regardless of immigration status, including undocumented migrants.

The 14 states, most of which are Democratic-led, would see the federal Medicaid matching rate for the Affordable Care Act (ACA) expansion in their states cut from 90 percent to 80 percent, ramping up how much they would have to pay to run their service.

Why It Matters

Immigrants without legal status typically do not qualify for federal benefits, however, more than a dozen states offer various forms of health coverage to undocumented migrants.

While advocates of such services argue these programs promote public health, reduce long-term costs, and align with moral obligations to care for vulnerable populations, critics contend that such efforts strain budgets and could incentivize illegal immigration.

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Report: Health Insurance Fraud Pervasive Among Trans Medical Industry

Trans activists have drilled vulnerable children and their parents into believing there’s nothing wrong with being trans.

Children, they claim, were incorrectly “assigned” a sex at birth, or were simply born with the “wrong body” or go through the “wrong puberty.”

And any distress over birth sex experienced by young people, they assert, is due to the lack of “affirmation” of their true gender identity by their families.

The problem with that approach, the trans medical industry found, is that families can’t afford the costly drugs and surgeries required to have their children live out their delusion as the opposite sex.

An easy fix would be to have trans drugs and surgeries for minors covered by health insurance. But, how to get health insurance to pay for these expenses when a “diagnostic code” is required – all the while gender ideologues claim there is nothing at all to diagnose?

According to Leor Sapir, prominent expert in the field of pediatric gender medicine, the answer to gender medicine’s puzzle was health insurance fraud – a “widespread” practice, he says, and now one the Trump administration is addressing.

“A common form of potential billing fraud involves use of the diagnosis ‘Endocrine Disorder Not Otherwise Specified’ (E34.9 in the International Classification of Diseases handbook), instead of ‘Gender Identity Disorders’ (F64), for patients who do not have or are not being treated for endocrine disorders,” Sapir wrote Thursday in a column at City Journal.

The Trump administration launched its attack on so-called “gender-affirming care” for children and teens on January 28 with the executive order “Protecting Children from Chemical and Surgical Mutilation.”

The order directed the U.S. Department of Justice to “prioritize investigations and take appropriate action to end deception of consumers, fraud, and violations of the Food, Drug, and Cosmetic Act by any entity that may be misleading the public about long-term side effects of chemical and surgical mutilation.”

The U.S. Department of Justice announced in July it had sent more than 20 subpoenas to gender medicine doctors and clinics that perform so-called “gender-affirming care” procedures on children. The investigations include issues of “healthcare fraud, false statements, and more,” the announcement said.

“Medical professionals and organizations that mutilated children in the service of a warped ideology will be held accountable by this Department of Justice,” Attorney General Pamela Bondi said in a statement.

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White House to Launch Website Exposing Criminal Illegal Aliens Who Have Received Medicaid

The White House will launch a website on Monday night exposing criminal illegal aliens, including murderers, rapists, and burglars, who have received taxpayer-funded Medicaid benefits, Breitbart News has learned.

The website features mugshots and photos of dozens of illegal aliens convicted of brutal crimes, undercutting Democrat claims that illegal aliens have not received healthcare benefits.

The top of the page chronicles the Trump administration’s efforts to crack down on illegal aliens convicted of crimes who have received Medicaid benefits, as well as Democrats’ efforts to restore Medicaid benefits to illegal aliens and noncitizens:

The Trump administration has intensified enforcement against criminal illegal aliens receiving taxpayer-funded Medicaid benefits, arresting hundreds of unauthorized individuals since taking office, including those with serious criminal records who exploited taxpayer-funded Medicaid illegally or through loopholes. This crackdown, driven by executive orders prioritizing public safety and fiscal responsibility, has led to the swift deportation of many individuals convicted of heinous acts, ensuring that previous resources meant for American citizens are no longer diverted to subsidize violent criminals.

Compounding the crisis, Democrats have refused to pass a clean budget bill to end the shutdown unless Republicans concede to their demands for $1.5 trillion in new spending, including restorations to Medicaid expansions that would effectively extend coverage to over 1 million illegal aliens, funneling an additional $200 billion to such programs over the next decade at the expense of U.S. families.

At least five of the two dozen individuals listed on a glimpse of the page reviewed by Breitbart News were arrested for either murder or manslaughter.

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