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True this, America is the most draconian country around.Their country, their rules. You ever tried landing in the US as a non-US citizen?
I was working on my visa in Tennessee. I was ten minuets from the east border to West Virginia, where in that local town, was a fed approved doctor to get a medical.
According to US rule though, rather than go ten minutes to that local doc, who WAS approved, I had to use on in-state and had to drive eight hours to Memphis.
US immigration rules beat Antigua's any day of the week.