visas

Pause on visas and halting of asylum applications comes after shooting of two National Guard members in Washington, DC.

The US State Department has announced it is “immediately” pausing issuing visas for individuals travelling on Afghan passports to protect “public safety”, as President Donald Trump administration’s immigration crackdown intensifies in the wake of a deadly attack on two National Guard members.

The announcement on Friday came as United States immigration authorities said they are also halting decisions on all asylum applications for the foreseeable future.

US Secretary of State Marco Rubio confirmed in a post on X on Friday that the State Department had “paused visa issuance for ALL individuals traveling on Afghan passports”.

The move comes after authorities named Afghan national Rahmanaullah Lakanwal as the main suspect in Wednesday’s shooting in Washington, DC, which killed one National Guard member and left another in critical condition.

“The United States has no higher priority than protecting our nation and our people,” Rubio said.

President Trump’s State Department has paused visa issuance for ALL individuals traveling on Afghan passports. 

The United States has no higher priority than protecting our nation and our people. https://t.co/HuR1Lj7F9t

— Secretary Marco Rubio (@SecRubio) November 28, 2025

Lakanwal is alleged to have ambushed West Virginia National Guard members Sarah Beckstrom and Andrew Wolfe in an unprovoked attack as they patrolled near the White House.

On Thursday evening, the Trump administration confirmed that 20-year-old Beckstrom had died from her injuries, while 24-year-old Wolfe remains in critical condition.

The CIA confirmed this week that Lakanwal had worked for the spy agency in Afghanistan before emigrating to the US shortly after the withdrawal of Western forces from the country in 2021.

The office of US Attorney for the District of Columbia, Jeanine Pirro, announced on Friday that the charges against Lakanwal had been upgraded to first-degree murder, along with two counts of assault with intent to kill while armed.

In a separate announcement on Friday, US Citizenship and Immigration Services (USCIS) director Joseph Edlow said the agency had also paused all asylum decisions in the interest of the “safety of the American people”.

“USCIS has halted all asylum decisions until we can ensure that every alien is vetted and screened to the maximum degree possible,” Edlow said in a post on X.

A day earlier, Edlow said he had ordered “a full-scale, rigorous re-examination of every green card for every alien from every country of concern” at the direction of Trump.

The moves are the latest in a series of escalating restrictions imposed on immigration into the US at Trump’s urging.

Trump, who called the deadly Washington, DC, shooting a “terrorist attack”, has on several occasions over recent days attacked former President Joe Biden’s administration’s immigration policies, including the granting of visas to Afghan nationals who worked with US forces in Afghanistan.

Lakanwal came to the US under a Biden-era programme known as “Operation Allies Welcome”, following the US withdrawal in 2021.

In a post on his Truth Social platform on Thursday, Trump ordered authorities to re-examine all green card applications from 19 “countries of concern”, before saying he planned to suspend immigration from “all Third World countries”.

He did not define the term “Third World”, but the phrase is often used as a shorthand for developing countries in the Global South.

Trump also said that he would “remove anyone who is not a net asset to the United States, or is incapable of loving our Country”.

“[I will] denaturalize migrants who undermine domestic tranquillity, and deport any foreign national who is a public charge, security risk, or non-compatible with Western civilization,” he said.

Since returning to the White House in January, Trump has already taken aggressive measures to restrict immigration, announcing in October his administration would accept only 7,500 refugees in 2026 – the lowest number since 1980.

Foreigners seeking visas to live in the U.S. might be rejected if they have certain medical conditions, including diabetes or obesity, under a Thursday directive from the Trump administration.

The guidance, issued in a cable the State Department sent to embassy and consular officials and examined by KFF Health News, directs visa officers to deem applicants ineligible to enter the U.S. for several new reasons, including age or the likelihood they might rely on public benefits. The guidance says that such people could become a “public charge” — a potential drain on U.S. resources — because of their health issues or age.

While assessing the health of potential immigrants has been part of the visa application process for years, including screening for communicable diseases such as tuberculosis and obtaining vaccine history, experts said the new guidelines greatly expand the list of medical conditions to be considered and give visa officers more power to make decisions about immigration based on an applicant’s health status.

The directive is part of the Trump administration’s divisive and aggressive campaign to deport immigrants living without authorization in the U.S. and dissuade others from immigrating into the country. The White House’s crusade to push out immigrants has included daily mass arrests, bans on refugees from certain countries, and plans to severely restrict the total number permitted into the U.S.

The new guidelines mandate that immigrants’ health be a focus in the application process. The guidance applies to nearly all visa applicants but is likely to be used only in cases in which people seek to permanently reside in the U.S., said Charles Wheeler, a senior attorney for the Catholic Legal Immigration Network, a nonprofit legal aid group.

“You must consider an applicant’s health,” the cable reads. “Certain medical conditions — including, but not limited to, cardiovascular diseases, respiratory diseases, cancers, diabetes, metabolic diseases, neurological diseases, and mental health conditions — can require hundreds of thousands of dollars’ worth of care.”

About 10% of the world’s population have diabetes. Cardiovascular diseases are also common; they are the globe’s leading killer.

The cable also encourages visa officers to consider other conditions, such as obesity, which it notes can cause asthma, sleep apnea, and high blood pressure, in their assessment of whether an immigrant could become a public charge and therefore should be denied entry into the U.S.

“All of these can require expensive, long-term care,” the cable reads. Spokespeople for the State Department did not immediately respond to a request for comment on the cable.

Visa officers were also directed to determine whether applicants have the means to pay for medical treatment without help from the U.S. government.

“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 cable reads.

The cable’s language appears at odds with the Foreign Affairs Manual, the State Department’s own handbook, which says that visa officers cannot reject an application based on “what if” scenarios, Wheeler said.

The guidance directs visa officers to develop “their own thoughts about what could lead to some sort of medical emergency or sort of medical costs in the future,” he said. “That’s troubling because they’re not medically trained, they have no experience in this area, and they shouldn’t be making projections based on their own personal knowledge or bias.”

The guidance also directs visa officers to consider the health of family members, including children or older parents.

“Do any of the dependents have disabilities, chronic medical conditions, or other special needs and require care such that the applicant cannot maintain employment?” the cable asks.

Immigrants already undergo a medical exam by a physician who’s been approved by a U.S. embassy.

They are screened for communicable diseases, such as tuberculosis, and asked to fill out a form that asks them to disclose any history of drug or alcohol use, mental health conditions, or violence. They’re also required to have a number of vaccinations to guard against infectious diseases such as measles, polio and hepatitis B.

But the new guidance goes further, emphasizing that chronic diseases should be considered, said Sophia Genovese, an immigration lawyer at Georgetown University. She also noted that the language of the directive encourages visa officers and the doctors who examine people seeking to immigrate to speculate on the cost of applicants’ medical care and their ability to get employment in the U.S. considering their medical history.

“Taking into consideration one’s diabetic history or heart health history — that’s quite expansive,” Genovese said. “There is a degree of this assessment already, just not quite expansive as opining over, ‘What if someone goes into diabetic shock?’ If this change is going to happen immediately, that’s obviously going to cause a myriad of issues when people are going into their consular interviews.”

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.