--Interim Decision #1421 

MA'rrsa on Lammas 

In Visa Petition Proceedings 

9.1128711251 

Decided by Regional amiltd88i07141: Jooritary 7, 1966 

Petition to accord' beneficiary first-profeecnee -Olossitiostion tmdse keetion 

'203(0(1). Immigration and Nationality Aet,'as amended,'as 'a masseuse, 

is denied for failure to establish that beneficiary possesses the high degree 

of skill required or that the position requires a person Potiseseing. such 

qualifloations sines tho position requires the care, of Petlfiloner;,:wfig 

is afflicted with multiple sclerosis in an advanced stage, beneficiary had 110 

training or experience, as a masseuse, or in the field of titiraf;eatrdii, ii4Oett; 

her arrival in the United States in•1961, her qualifying experience FfOillithe 

position in question has been gained basically from a two-week period kit lni 

tensive instruction wpich he received in 1981 from the' physlotherapist.and 

physician of the petitioner, and her duties since that time have generally' 

. Involved vatting such training into. practice with : some, occasional piodipca: 

lion of proosfiness under the direction of the,physician or the therapist—. 

- • 

This matter is before the Regional Cominissioner on 'appeal from 

the decision of the District Director at New York, New York, who 

has denied the Petitioner's request for preference in the issuance bf 

immigrant visa on the ground that the petitioner has failed to satisfactorily establish that the services of:the beneficiary are needed 

because of her high ethic:akin, technical training,:sPeoializeirexperP 

trice or exceptional ability and further that the beneficiary's enip1oy-, 

meat does not meet the additional statutory requirements of being 

substantially beneficial prospectively to the national economy, cultural interest or welfare of the United States. 

The clearance order provides for a masseuse. It' sets out specific 

experience requirements as follows: 

At least 2 years experience in the massage and exercise techniques used in 

the management of multiple sclerosis and familiarity with the use of a massage vibrator, Hoyei lift, and the customary pulley and other exercise equipment. 

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Interim Decision *1421 

The duties of the position require the holder to perform: 

Therapeutic massage with and without electric vibrator, three times daily, 

and assistance with supervision of various therapeutic exercises with and 

without eanisment. all under medical supervision. The incidental care and 

comfort of the patient also includes personal washing and feeding, "and lifting, 

moving and turning. 

The petition and supporting documents disclose that the 64-yearold petitioner is amicted with multiple sclerosis in an advanced stage 

and is confined to honie; is not ambulatory, lacks motor control and 

requires constant care and therapy. She has been unable to secure the 

services forollyof someone to stay in attendance with her and give 

her the care that she needs. The beneficiary is the petitioner's 40-

year-old single niece who was admitted to the United States as a 

visitor destined to the petitioner at the time of her arrival on April 

29, 190L For the 10 years prior to her arrival she was employed as 

a worker in a tobacco factory in Italy. Since arrival, the beneficiary 

has been the petitioner's principal attendant. The alien is supervised in the care of the petitioner by the family physician who visits 

once a month and by a licensed physiotherapist who comes to the 

home weekly. The therapeutic care, which calls for musage three 

times daily with and without electric vibrators, requires different 

techniques according to the part of the body involved. 

It has been claimed on appeal that without the beneficiary's assistance, the petitioner will eventually have to be institutionalized at 

public expense; that, for this reason, the alien's services should be 

regarded as prospectively beneficial to the economy and welfare of 

the United States. There has been submitted in support of the appeal 

a statement by the petitioner's family physician in which he sets 

forth the beneficiary's training and qualificationis for the position. 

The alien's instruction began in the summer of 1961 and continued 

for about two years. Initially, she received daily instruction over a 

two-week period from both the physician, and therapist regarding the 

nature of the petitioner's disease, the anatomy of the muscle groups 

involved, and the techniques to be employed in massaging and moving the patient. Since such time, the beneficiary has been supervised 

weekly by the therapist and monthly by the physician. In view of 

the progressive character of the disease, it has been necessary from 

time to time to 'change the positioning of the patient and massage. 

According to the physician, the alien has demonstrated natural aptitude in the field of physiotherapy, adeptness in handling the petitioner and ability to cope with the changing situations attributable to 

to the vagaries of the disease. - 

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Interim Decision #1421 

After very careful consideration of this matter, we are convinced 

that the petitioner requires the constant care of an attendant and that 

the beneficiary has served her well in this regard. We are also cognizant of the difficulties encountered in filling a position of this 

nature and the loving care and devotion which the alien has accorded 

the petitioner. Despite the sympathetic factors involved, we cannot 

authorize the approval of first preference quota status for the beneficiary as a means of perpetuating her stay in the United States. 

The record in this case reflects that the alien had no training or 

experience either as a masseuse or in the field of therapeutics prior to 

her arrival in this country. Her qualifying experience for the position in question has been gained basically from the two weeks of 

intensive instruction which she received in 1961 from the family 

physician and the physiotherapist. Her duties since that time have 

generally involved. putting such training into practice with some 

• occasional modification of procedures under the direction of the 

physician or therapist. In view of the foregoing, we do not find it 

has been satisfactorily established that the beneficiary possesses the 

high degree of skill or ability necessary for first preference quotat 

classification or that the duties of the position require a person having these qualifications. The appeal, therefore, will be dismissed for 

these reasons. 

It is ordered that the appeal be and same is hereby dismissed. 

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