The cost of HIVinfected aliens has been raised as an argument against removing HIV infection from the list. We have seen the specter presented here by the table. Provisions in the act require applicants for visas to prove that they will not require public assistance or become a "public charge." But the medical considerations portion of this provision have become even more stringent this year. In June of 1991. for example. the Public Health Service instructed physicians examining visa applicants to determine whether "the applicant is likely to require extensive medical care or institutionalization after arrival in the United States." The KennedyMitchell amendment addresses cost concerns. and at the same time leaves the public health decisions with the medical experts in the Department of Health and Human Services. The amendment prevents the administration from changing the list for 90 days.
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