My thoughts are as follows.
If the state offers a health program it then does have input into admitting people or curbing behaviors toward preventable illness with obesity being number one.
Example: If you want government health care they can tell you "Okay, you are 300 lbs. For your height We need you at 200 lbs. If you can lose 15 lbs a year you can be in the program, failure to do so means you are out."
In this case, I'd admit the man, lay out the ground rules on health services and admittance. If you do not like it can opt out and still immigrate, but your health is on your own dime with an insurance company.








