I’ve seen repeated reports (here and other groups) that US and UK embassies have stopped issuing those statements. But many European countries still do
Anonymous participant id be surprised if you don’t qualify, but it can vary allot from embassy to embassy (or consulate). The usually look for contracts with clients for verification.
Otherwise the medical DTV route is very easy if you have any medical issues.
with agoda and booking you get a airasia booking ref and can purchase luggage directly with airasia. I just added luggage to my flight a couple days ago