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Trump directive could deny more visas based on health and finances

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Trump directive could deny more visas based on health and finances

WASHINGTON (AP) — A new directive by President Donald Trump’s administration could make it more difficult for foreigners to visit or live in the United States if they have certain medical conditions such as diabetes or obesity or lack the economic resources and assets to support themselves.

The guidance, issued last week in a cable from the State Department and obtained by The Associated Press, directs embassy and consular officials to comprehensively and thoroughly vet visa applicants to demonstrate that they will not need to rely on public benefits from the government any time after their admission in the U.S. Experts say it could further limit who gets to enter the country at a time when the Republican administration is already tightening those rules.

The directive reveals how the Trump administration interprets public chargethe concept in immigration law that foreigners can be refused entry or permanent residency status if they are likely to rely on U.S. government resources, such as certain types of cash and food aid.

While federal law already required those seeking permanent residency or legal status to prove they wouldn’t be a public charge, Trump in his first term widened the range of benefit programs that could disqualify applicants, and the guidelines in the cable appear to go further in scope.

“This could lead to a substantial narrowing of immigration,” said Julia Gelatt, associate director of the U.S. immigration policy program at the Migration Policy Institute. “The Trump administration is trying to go back to the policies that it worked to implement in its first term related to public charge.”

New directive goes further on health requirements

Since returning to office in January, Trump has pursued a government-wide immigration crackdown that has involved tightening rules on foreigners being let into the country and those already in it. Immigration policy experts say the latest guidance could reduce the number of immigrant and non-immigrant visas granted and could disproportionately affect some groups of foreigners seeking access to the U.S., such as older adults and people with low incomes.

The cable was sent from State Department headquarters to every U.S. Embassy and U.S. Consulate around the world.

“The Trump Administration is putting the interests of the American people first,” State Department spokesman Tommy Pigott said Tuesday. “This includes enforcing policies that ensure our immigration system is not a burden on the American taxpayer.”

Immigrants seeking entry into the U.S. already undergo a medical exam by a physician who’s been approved by a U.S. Embassy. They are screened for communicable diseases, like tuberculosis, and asked to disclose any history of drug or alcohol use, mental health conditions or violence. They’re also required to have a number of vaccinations.

The new directive goes further with more specific requirements. The cable says consular officials must consider a range of specific details about people seeking visas, including their age, health, family status, finances, education, skills and any past use of public assistance regardless of the country. It also says they should assess applicants’ English proficiency and can do so by conducting interviews in English.

Experts say the directive could broaden who gets denied a visa

Among the medical conditions that could disqualify a visa applicant are chronic conditions; obesity; high blood pressure; cardiovascular, metabolic and neurological diseases; depression; anxiety; and mental health conditions that can require “hundreds of thousands of dollars’ worth of care,” the cable says.

It also tells consular officials that whenever an applicant is seeking to use finances to satisfy public charge requirements, they should request to view the applicant’s bank and financial documents, evidence of their assets, checking, savings, brokerage, trust funds and retirement accounts.

Although the guidelines primarily impact people outside the United States or those seeking to renew their visas, some experts warn that they could also affect family members of people already living in the U.S. who would like to come to visit or live with them.

Adriana Cadena, executive director at Protecting Immigrant Families, said the policy is “dangerous” and impacts immigrant families living legally in the U.S.

“Its reported breadth and secrecy drive confusion and concern that deter lawfully present immigrants and U.S. citizens in immigrant families from getting help and care for which they qualify under federal law,” Cadena said.

U.S officials familiar with the new guidelines said that the change applied to immigrant visas and not to non-immigrant visas known as B-2s, which allows for short-term stays that include personal visits and medical treatment.

Much discretion is left to consular officers to interpret the guidance as they see fit, immigration attorney Steven Heller said. But he added that the guidance represents a messaging shift, from approaching visa applications in a favorable light toward considering all circumstances to find reasons to deny them.

“The new guidance is about messaging,” Heller said. “They are being given clearance to use the ‘totality of the circumstances’ as a sword, rather than a shield.”

Fox News first reported on the cable.

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Salomon reported from Miami. Associated Press writer Rebecca Santana contributed to this report.

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The Dictatorship

White House hall of shame targets news outlets

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White House hall of shame targets news outlets

NEW YORK (AP) — President Donald Trump’s White House is taking on the role of media critic and asking for help from “everyday Americans.”

The White House launched a web portal it says will spotlight bias on the part of news outlets, targeting the Boston Globe, CBS News, The Independent and The Washington Post in its first two “media offenders of the week.”

It’s the latest wrinkle in the fight against what Trump, back in his first term, labeled “fake news.” The Republican president has taken outlets like CBS News and The Wall Street Journal to court over their coverage, is fighting The Associated Press in court over media access and has moved to dismantle government-run outlets like Voice of America.

Trump has also engaged in personal attacks, last month alone saying “quiet, piggy,” to a female reporter who was questioning him on Air Force One, calling a reporter from The New York Times “ugly, both inside and out” and publicly telling an ABC News journalist she was “a terrible reporter.”

“It’s honestly overwhelming to keep up with it all and to constantly have to defend against this fake news and these attacks,” said press secretary Karoline Leavitt, who called the new web portal an attempt to hold journalists accountable.

After its debut, the White House asked for volunteers to submit their own examples of media bias. “So-called ‘journalists’ have made it impossible to identify every false or misleading story, which is why help from the American people is essential,” Trump’s press office said.

Devouring the media like hot french fries

Despite the attacks, Axios wrote this week that the mainstream media is ending the year as “dominant as ever” in capturing the president’s attention and setting Washington’s agenda, citing as one example The Washington Post’s reporting on military strikes against boats with alleged drug smugglers.

The irony is that Trump engages with reporters at a level he hasn’t seen with any other president in his lifetime, said Axios CEO Jim VandeHei, co-author of the report with Mike Allen.

“He’s always bitched about the media and the press,” VandeHei told The Associated Press. “He gobbles this stuff up like hot McDonald’s french fries. He’s a mass consumer of this. He watches it, he calls reporters, he takes calls from reporters. … That’s always been the contradiction with him.”

CBS, the Globe and The Independent were criticized for stories about Trump’s reaction to Democratic lawmakers who recorded a video reminding military members they were not required to follow unlawful orders. Trump accused the lawmakers of sedition “punishable by death.”

The White House said it was a misrepresentation to say Trump had called for their executions. The portal also said news outlets “subversively implied” that the president had issued illegal orders. The news articles they cited did not specifically say whether Trump had or had not ordered illegal activities.

Leavitt has been sharply critical of the Post’s story on Defense Secretary Pete Hegseth’s role in attacks on boats used by alleged drug smugglers in Central America. The portal this week accused the newspaper of trying to undermine anti-terrorist operations.

“Let’s be clear what’s happening here: the wrongful and intentional targeting of journalists by government officials for exercising a constitutionally protected right,” said the Post’s executive editor, Matt Murray. “The Washington Post will not be dissuaded and will continue to report rigorously and accurately in service to all of America.”

The new portal also contains an “Offender Hall of Shame” of articles it deems unfair and a leaderboard ranking outlets with the most pieces it objects to. Twenty-three outlets are represented, led by the Post’s six stories. CBS News, The New York Times and MS NOW, the network formerly known as BLN, had five apiece. No news outlets that appeal to conservatives were cited for bias.

Media watchdog welcomes the company

The conservative media watchdog Media Research Center, which has accused news outlets of having a liberal bias since 1987, welcomes the company.

“We’re pleased,” said Tim Graham, MRC’s director of media analysis. “It’s a stronger effort than Republican presidents have done before. I think all Republicans realize today that the media is on the other side and need to be identified as on the other side.”

VandeHei said about the portal, “I can’t think of anything I care less about. If they want to set up a site and point out bias, great. It’s called free speech. Do it. I don’t think it makes a damned bit of difference.”

What is damaging, VandeHei said, is a constant drumbeat of claims that what people read in the media is false. “It makes people suspicious of the truth and the country suffers when we’re not operating from some semblance of a common truth,” he said.

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David Bauder writes about the intersection of media and entertainment for the AP. Follow him at http://x.com/dbauder and https://bsky.app/profile/dbauder.bsky.social.

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The Dictatorship

Trump administration fails in latest bid to halt grants for school mental health workers

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Trump administration fails in latest bid to halt grants for school mental health workers

SAN FRANCISCO (AP) — A federal appeals court on Thursday rejected the Trump administration’s bid to halt an order requiring it to release millions of dollars in grants meant to address the shortage of mental health workers in schools.

The mental health program, which was funded by Congress after the 2022 school shooting in Uvalde, Texasincluded grants meant to help schools hire more counselors, psychologists and social workers, with a focus on rural and underserved areas of the country. But President Donald Trump’s administration opposed aspects of the grant programs that touched on race, saying they were harmful to students and told recipients they wouldn’t receive funding past December 2025.

U.S. District Judge Kymberly K. Evanson, ruled in October that the administration’s move to cancel school mental health grants was arbitrary and capricious.

The U.S. Department of Education and Secretary of Education Linda McMahon requested an emergency stay and on Thursday, a panel from the 9th U.S. Circuit Court of Appeals denied that motion.

The panel wrote in its decision that the government hadn’t shown it is likely to succeed based on its claims that the district court doesn’t have jurisdiction or that it will be “irreparably injured absent a stay.”

The grants were first awarded under Democratic President Joe Biden’s administration. The Education Department prioritized giving the money to applicants who showed how they would increase the number of counselors from diverse backgrounds or from communities directly served by the school district.

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The Trump administration said in a statement after the ruling in October that the grants were used “to promote divisive ideologies based on race and sex.”

The preliminary ruling by Evanson, a U.S. District Court judge in Seattle, applies only to some grantees in the 16 Democratic-led states that challenged the Education Department’s decision. In Madera County, California, for example, the ruling restores roughly $3.8 million. In Marin County, California, it restores $8 million.

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The Dictatorship

Trump will visit Pennsylvania next week to highlight his efforts to reduce inflation

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Trump will visit Pennsylvania next week to highlight his efforts to reduce inflation

WASHINGTON (AP) — President Donald Trump plans to travel to Pennsylvania on Tuesday to highlight his efforts to reduce inflation even as fears mount about a worsening job market and amid signs that Americans are still feeling squeezed by high prices.

A White House official said Trump would be making the trip to discuss ending the inflation crisis that he says was inherited from his predecessor, Joe Biden. The official spoke on condition of anonymity because the trip has not been formally announced. It was not immediately clear where in Pennsylvania Trump would be visiting.

Last month’s off-year elections showed a shift away from Republicans as public concerns about affordability persist. White House officials said afterward that Trump — who has done relatively few events domestically — would put a greater emphasis on talking directly to the public about his economic policies.

The president has said that any affordability worries are part of a Democratic “hoax” and that people simply need to hear his perspective to change their minds — an approach also embraced by Biden, who in early 2024 went to the Pennsylvania borough of Emmaus to take credit for economic improvements after inflation spiked in 2022.

The trip hints the dilemma faced by Trump. He wants to take credit for rewiring the U.S. economy with his large tariff hikes and extension of income tax cuts, but he also continues to blame Biden for the increase nationwide in inflation rates that occurred this year during his own presidency. Overall, inflation is tracking at 3% annually, up from 2.3% in April when Trump rolled out a sweeping set of import taxes.

“We fixed inflation, and we fixed almost everything,” Trump said at Tuesday’s Cabinet meeting. He called affordability “a hoax” that was “started by the Democrats who caused the problem of pricing.”

Trump won Pennsylvania narrowly last year with 50.4%, besting Democrat Kamala Harris by roughly 120,000 votes. The win was part of a broader sweep in battleground states that helped return him to the White House after his 2020 loss.

AP VoteCast, an extensive survey of voters in the 2024 election, found that 7 in 10 Pennsylvania voters were “very concerned” about the cost of food and groceries. Roughly half expressed the same degree of worry over health care costs and the price of gasoline.

While Trump can point to a decline in gasoline prices, he’s now facing inflationary pressures on utilities and a massive increase in insurance premiums for people who get their health care through the Affordable Care Act.

Pennsylvanians who buy their own health insurance coverage are likely to see their costs increase on average by 21.5% because of the expiration of tax credits tied to the Affordable Care Act, the state said in October.

Pennsylvania has yet to see the boom that Trump promised would instantly happen with his return to the White House.

The state has largely preserved its Biden era job growth under Trump, but its unemployment rate has risen to 4% from 3.6% over the past 12 months, according to the Bureau of Labor Statistics. There has been an increase of roughly 24,000 people who say they’re unemployed.

Annual inflation in the Philadelphia area is 3.3%, roughly the same as last year.

The Philadelphia Federal Reserve’s Beige Book in November documented an economy in decline, saying that hiring has flattened, warehouse workers are getting fewer hours on the job, inflationary pressures are coming from tariffs and sales of existing homes are decreasing. Separately, the regional Fed branch’s manufacturing survey last month showed that factory activity weakened.

The news outlet Axios first reported Trump’s plans to travel to Pennsylvania.

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