Bad news from medical assessor

Old Sep 11th 2009, 7:16 am
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Unhappy Bad news from medical assessor

Hiya,

I got an email from my case officer yesterday informing me that "The medical assessor has advised that you do not meet the acceptable standard of health for entry to New Zealand on the basis that you are likely to impose significant costs or demands on New Zealand’s health services during your period of intended stay in New Zealand." This is based on the fact I have Crohn's Disease, and although it's not totally unexpected it's still a bit of blow

The assessor has noted that my Crohn's is relatively inactive at present but says the future is unpredictable and I may end up needing expensive treatments in the future.

It seems we now have a month to submit a second opinion on my condition or any other evidence as to why we should be granted a visa anyway. I have two thoughts on how to proceed from here and hoped I could get some advice/recommendations from anyone who's had a similiar experience.
  1. Is it now worth calling in an immigration consultant to help us put together a response to this? If so, any advice on a good one in Scotland (Glasgow/Edinburgh preferably)
  2. Does anyone have any advice/recommendations about where to find a second opinion? For our ITA I just asked my specialist at the hospital to write a report.

Thanks in advance for any help you can offer.
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Old Sep 11th 2009, 8:57 am
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Default Re: Bad news from medical assessor

Hi

So sorry to hear your sad news. I am unable to help with the medical advice but I am sure someone will be along soon with some good advice.

Take Care
Maria
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Old Sep 11th 2009, 9:29 am
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Default Re: Bad news from medical assessor

[QUOTE=Numptyhead;7922535]Hi

So sorry to hear your sad news. I am unable to help with the medical advice but I am sure someone will be along soon with some good advice.



In 1990 my wife was refused on a health problem. Then they said apply again in 5 years, but of course it was too late in 1995.

But I guess you can understand the NZ Gov not wishing to burden themselves with the high costs of treating someone they do not have to.
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Old Sep 11th 2009, 9:50 am
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Default Re: Bad news from medical assessor

Originally Posted by Jim Smith View Post
Originally Posted by Numptyhead View Post
Hi

So sorry to hear your sad news. I am unable to help with the medical advice but I am sure someone will be along soon with some good advice.


In 1990 my wife was refused on a health problem. Then they said apply again in 5 years, but of course it was too late in 1995.

But I guess you can understand the NZ Gov not wishing to burden themselves with the high costs of treating someone they do not have to.
Thanks for the support NumptyHead.

Jim, I agree that NZ are perfectly within their rights to refuse entry to those deemed of an unacceptable health. I'm still hoping to claw my way out of this category since I've heard of others with the same condition being given visas, and as the MA's decision seemed to be based on possible outcomes of my disease as opposed to my current condition, I can't see why some people would be admitted and not others.
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Old Sep 11th 2009, 10:23 am
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Default Re: Bad news from medical assessor

Originally Posted by Unfortunate Username View Post
Jim, I agree that NZ are perfectly within their rights to refuse entry to those deemed of an unacceptable health. I'm still hoping to claw my way out of this category since I've heard of others with the same condition being given visas, and as the MA's decision seemed to be based on possible outcomes of my disease as opposed to my current condition, I can't see why some people would be admitted and not others.
Based on the above post, I would suggest you solicit the services of a licensed NZAMI consultant with expertise in this area.

I've heard of others with the same condition being given visas
Particularly given this. I take it you are able to cite the cases and show their medical waivers.

as the MA's decision seemed to be based on possible outcomes of my disease as opposed to my current condition
Yes. This is exactly how it works. It is the possible outcome and possible costs to NZ ,not the condition as it stands at present.
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Old Sep 11th 2009, 11:16 am
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Default Re: Bad news from medical assessor

Originally Posted by BEVS View Post
Particularly given this. I take it you are able to cite the cases and show their medical waivers.
I probably wouldn't be able to cite cases. Its been more from forum trawling rather than people I know personally

Thanks for the advice.
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Old Sep 11th 2009, 6:18 pm
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Default Re: Bad news from medical assessor

I'm really sorry to hear what you're going through, it must be very disheartening but don't give up! I've read of people appealing these sort of things and succeeding. Try Bev's great advice and get a consultant's opinion. Best of luck to you!
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Old Sep 11th 2009, 11:24 pm
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Default Re: Bad news from medical assessor

Originally Posted by Unfortunate Username View Post
I probably wouldn't be able to cite cases. Its been more from forum trawling rather than people I know personally

.
Let's go for the positives and see what comes out. Many heads are better than one, but an expert head is better than all the rest of us put together.

Go back and find those people & contact them. You have nothing to lose . They are best placed to help out of all of us out here in the ether.

Ask NZAMI who they feel would be the bestest Immy consultant for you. One that specialises . You can search the register. It doesn't matter where the Immy Consultant is located. It matters far more that they know how to put a medical waiver case forward.

Jan and Neil on here used a consultant. Have a read of their posts & see if you feel the consultant they used could be the one for you. Certainly this consultant did well for them.

I can't see the condition mention in appendix 10 so it is not written in stone that someone with Crohn's disease is automatically excluded.

In case you have not read this, I have copied what is written in the NZIS operations manual. It will give you a better handle on what you have to prove.

You may wish to think abut paying for a top quality specialist to comile a comprehensive report on your condition and it's prognosis.

A4.10.1 Assessment of whether an applicant for residence is unlikely to impose significant costs on New Zealand's health services
  1. The requirement that an applicant for residence must be unlikely to impose significant costs on New Zealand's health services is not met if, in the opinion of an Immigration New Zealand medical assessor, there is a relatively high probability that the applicant's medical condition or group of conditions will require health services costing in excess of $25,000.Note: Assessment will be in terms of current costs with no inflation adjustment.
  2. In the case of acute medical conditions, the medical assessor will provide an opinion on whether there is a relatively high probability that the condition or group of conditions will require health services costing in excess of NZ$25,000 within a period of four years from the date the assessment against health requirements policy is made.
  3. In the case of chronic recurring medical conditions, the medical assessor will provide an opinion on whether, over the predicted course of the condition or group of conditions, there is a relatively high probability that the condition or group of conditions will require health services costing in excess of NZ$25,000.
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Old Sep 12th 2009, 8:03 am
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Default Re: Bad news from medical assessor

Bevs, thanks for advice. I'll do as you suggest and speak to NZAMI.
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Old Sep 12th 2009, 9:15 am
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Default Re: Bad news from medical assessor

Originally Posted by Unfortunate Username View Post
Bevs, thanks for advice. I'll do as you suggest and speak to NZAMI.
Just want to say good luck and for you and your family.

Tina.x
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Old Sep 12th 2009, 9:41 am
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Default Re: Bad news from medical assessor

Hi, as BEVS said, we used a NZ lawyer who understood the waiver/appeals process.

What I have learnt, and I hope it helps, is:

1) if you are applying for a temporary visa, there is no right of appeal.


2) if you have applied for PR, you can firstly apply for a waiver, based upon your predicted financial and intellectual value to NZ as opposed to any future forecast of costs to the NZ medical services

3) if 2) fails, you can appeal.

However, 2) and 3) seem to depend upon you having a job offer. This is my gut feeling because I have not seen it written down, but after some severe problems we had, a job offer did seem to make a difference.

Jan
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Old Sep 25th 2009, 10:46 am
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Default Re: Bad news from medical assessor

Originally Posted by Unfortunate Username View Post
Hiya,

I got an email from my case officer yesterday informing me that "The medical assessor has advised that you do not meet the acceptable standard of health for entry to New Zealand on the basis that you are likely to impose significant costs or demands on New Zealand’s health services during your period of intended stay in New Zealand." This is based on the fact I have Crohn's Disease, and although it's not totally unexpected it's still a bit of blow

The assessor has noted that my Crohn's is relatively inactive at present but says the future is unpredictable and I may end up needing expensive treatments in the future.

It seems we now have a month to submit a second opinion on my condition or any other evidence as to why we should be granted a visa anyway. I have two thoughts on how to proceed from here and hoped I could get some advice/recommendations from anyone who's had a similiar experience.
  1. Is it now worth calling in an immigration consultant to help us put together a response to this? If so, any advice on a good one in Scotland (Glasgow/Edinburgh preferably)
  2. Does anyone have any advice/recommendations about where to find a second opinion? For our ITA I just asked my specialist at the hospital to write a report.

Thanks in advance for any help you can offer.
Hi...Did you tell them that you had Crohn's in the first place?
I also have Crohn's diagnosed in 1991, but since 1995 i've not had any medication nor had to visit myGP.
Do they request your medical notes from your GP or go by what you tell them about your health?
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