nothing wrong in telling the correct terminology in my opinion so people not aware of it will know - but belittling people is of course very rude and should not happen at all in any group
a question if I may Brandon? it is my understanding that a visa is used when you enter and replaced with a permission to stay. If this is correct is it not the permission to stay we are extending?
considering immediate treatment is crucial this is appaling π they don't care much about the Hippocratic oath (or what it is called in English) here - cash before treatment in public hospitals always I hear π