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DHS acknowledges that multiple factors may coincide or relate personalized name green bay packers full printing baseball shirt  to each other and emphasizes that the public charge determination reviews all factors in the totality of the circumstances

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for services that the DD Act allows. DHS does not believe the rule is inconsistent with the 1990 amendments to the INA and its revision of the prior grounds of exclusion with the grounds of inadmissibility. personalized name green bay packers full printing baseball shirt The rule is not recreating the prior grounds of excludability that, prior to 1990, included persons certified to have a “physical defect, disease, or disability” who is required to work. Rather, the rule is providing guidance to the public charge inadmissibility ground as it has existed since the 1990 amendments to the INA. treated just as any other medical condition that affects an alien’s likelihood, in the totality of the circumstances, of becoming a public charge.

A diagnosis of a disability is related to an alien’s health, and therefore is properly considered as part of the public charge analysis. Several commenters stated that the rule penalizes and discriminates against individuals with serious medical conditions, such as cancer, cystic fibrosis, multiple sclerosis, heart, lung disease. Commenters also stated that, under this proposed policy, an individual cancer survivor would be penalized, regardless of the individual’s type of cancer, period of survivorship, or long-term health outcome, which is discriminatory. An individual commenter said the classification of arthritis and heart disease as serious health conditions seems overly exaggerated and extreme, since almost 50 percent of individuals over 65 have doctor reported arthritis and healthy lifestyle can help reduce the negative consequences of heart disease. The mere presence, however, of any one enumerated circumstance, would not alone be determinative. A heavily weighted factor could be outweighed by countervailing evidence in the totality of the circumstances. DHS also disagrees that it is impermissibly counting factors twice. .