加拿大每年有近千人因体检原因拒签
加拿大放宽技术移民体检要求，对因为给加拿大医疗系统带来重大负担的判断标准由原先的 $6,655 提高到 $19,965。后面可能进一步放宽要求，甚至有取消移民体检的传言。
2013年后加拿大移民体检增加了甲肝，乙肝的体检项目。2017年后又在酝酿放宽要求。随着医疗科学和技术的提高，降低体检要求也属于正常改变。
Changes to Medical Inadmissibility Policy
Backgrounder
From: Immigration, Refugees and Citizenship Canada
Every year, approximately 1,000 applicants for permanent and temporary residence in Canada receive a medical inadmissibility finding. It is determined that their health condition may adversely affect health or social services, and this may lead to them being found to be medically inadmissible. About 200 to 300 cases relate to special education services for children.
No health condition leads to automatic inadmissibility. Applicants may be found inadmissible if the services required to treat their health condition or that of an accompanying dependent is anticipated to cost more than the annual cost threshold, which, for 2017, is $6,655 per year and $33,275 over 5 years.
There are exemptions for certain applicant categories, including refugees and some members of the family class, specifically spouses, common-law partners and dependent children. In addition, not all temporary residents are eligible for health and social services funded by provinces and territories, so only some temporary residents are assessed for medical inadmissibility. The medical inadmissibility provisions mostly affect the economic class.
Since 2016, the Government of Canada has been reviewing all elements of the medical inadmissibility provisions. This included discussing possible policy changes with the provinces and territories at the Forum of Ministers Responsible for Immigration in September 2017. Dialogue with the provinces and territories will continue in the coming months.
The upcoming policy changes (the removal of certain social services, such as special education, and an increase in the cost threshold) address the issue of inclusion, as they would mean that most people with disabilities would no longer be inadmissible.
By tripling the cost threshold, many applicants, particularly those with conditions that primarily require publicly funded prescription drugs (for example, HIV), would likely become admissible because the cost of most of these medications, particularly the generic brands, would not typically exceed the new cost threshold.
To improve client service and enhance transparency, a number of measures will be implemented. These include the following:
- centralization of medical inadmissibility applications to 1 office in Canada for greater consistency and efficiency in decision-making
- plain-language review and revamp of departmental procedures and products to facilitate the application process and ensure clear communication with clients
- ongoing training of decision makers and medical officers to support these changes
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Process for medical refusals
In the case of an IMM 5365B with a medical profile of inadmissibility, applicants must be permitted to respond. The following procedure must be followed:
- The medical officer will send a copy of the medical record (not including x-rays) and the Medical Notification (IMM 5365B) to the visa/immigration officer.
- If the health condition of the applicant, or the applicant’s family member, is likely to cause a danger to public health or public safety , the visa/immigration officer will notify the principal applicant of the medical results using the model Procedural Fairness Letter - medical refusals .
- If the health condition of the applicant, or the applicant’s family member, might reasonably cause excessive demand on health (i.e., out-patient medication) and/or social services , and notify the applicant by using the model Procedural Fairness Letter (medical refusal excessive demand cases) and provide the applicant with the Declaration of Ability and Intent template.
- A minimum of sixty (60) days from the date of the above-referenced letter of notification must be allowed to permit the applicant to respond.
- The visa/immigration officer will forward any new information provided by the applicant to the appropriate medical officers, using the form Letter to Medical Officer (from Visa/Immigration Officer) about New Medical Information in Procedural Fairness Cases.
- If the applicant does not supply additional documentation or information within the time allowed, the visa/immigration officer will refuse the application.
Applicants must:
- provide any additional documentation or information that may be relevant to their application;
- pay any fees charged by doctors or other professionals they may consult in order to submit additional information;
- respond to the visa office within the time allotted.
If the applicant provides new information within the 60-day period challenging the medical opinion and/or providing a mitigation plan, the medical officer will review the new information under Procedural Fairness and either:
- confirm the initial medical opinion; or
- withdraw the existing medical opinion and reopen the assessment process leading to a new medical opinion.