trytrylo said:
can you share me more details regarding the "CIC requested for medicals and they reported the same with a letter to CIC explaining th econdition of their kid." please?
It relates to the way that the A38 evaluation process works.
First, you do the medical examination. If the doctor identifies a condition that might create an "excessive demand" on the social and/or health care services of Canada they will note that in the medical report. The IMS folks will evaluate this and decide if further tests are required. If they are, a sealed letter is sent to the visa office and then forwarded to the applicant to take back to the Panel Physician.
The additional tests are then performed and those results sent to IMS ('Immigration Medical Service'). At that point they decide one of two things: (1) the condition does not represent an excessive demand; or (2) it does.
If the decision is (2) they will send the preliminary findings to the visa office. The Visa Officer will send a letter to the applicant laying out the issue: what the medical condition is, what the anticipated/estimated costs are and concluding that it appears the applicant is inadmissible to Canada.
The applicant has an opportunity to respond. That response can: (1) dispute the medical opinion about the condition; (2) dispute the estimated costs involved; and/or (3) provide a plan for mitigating costs so that they will not be "excessive demand". A failure to respond means that the application is refused.
So the letter is probably a response to the CIC fairness letter. It sounds like they presented an argument that was sufficiently persuasive that the VO decided they were not medically inadmissible.