Effective today, Nov 1, 2007, the requirement to carry I-485 receipt for H/L workers who have filed for I-485 is being removed.
More details at http://www.immihelp.com/articles/2007/hl-i485-applicant-travel-no-receipt-required.html
Read http://www.buyamericaninsurance.com/guide/new-immigrants-medical-insurance-plans.jsp to understand how the healthcare works for new immigrants that are elderly.
You can't get emergency medicaid for visitors. That is what the visitors insurance is for.
Visit http://www.buyamericaninsurance.com and you will find several different insurance products for visitors.
Look at http://www.buyamericaninsurance.com/guide/new-immigrants-medical-insurance-plans.jsp to understand how healthcare or insurance would work for elderly immigrants.
Reason for tourist visa extension is simple: More tourism.
Build your response based on that.
More details at http://www.immihelp.com/visas/extend.html
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