Pediatrician with foreign medical degree equivalent to U.S. first professional degree seeking EB-2 NIW. Proposed pediatric practice in Florida hospital, claiming lower disease treatment costs and reduced intensive care admissions. AAO found endeavor lacks demonstrated national importance; benefits limited to individual patients without broader healthcare industry implications.

Physiotherapist with advanced degree sought EB-2 classification and national interest waiver to establish health and wellness clinic. AAO dismissed appeal, finding petitioner eligible for underlying EB-2 but failed to establish national importance required for waiver under Dhanasar's first prong.

Social work program manager entrepreneur seeks NIW to establish mental health technology platform for students, school staff, and parents via mobile app and consulting. Petition claimed substantial merit and national importance. AAO found substantial merit but no national importance; impact limited to individual clients without broader field-wide or economic effects.

Advanced degree professional in health policy sought national interest waiver for mental health initiative emphasizing health-in-all-policies approach. AAO affirmed denial, finding record lacked evidence of how the specific proposed endeavor would advance the field with national or global implications.