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Hi. Unfortunately, your options are limited. You need for a full adoption to be completed. Not guardianship. Also, immigration from adoption is extremely strict and regulated. There are a number of requirements that the adopting parents must qualify for in order to immigrate an adopted child. Here are some resources for you to research. https://www.uscis.gov/adoption/immigration-through-adoption https://travel.state.gov/content/travel/en/Intercountry-Adoption/Adoption-Process/how-to-adopt/adopting-a-relative-for-immigration.html There are 3 main requirements to note are: 1. The child be under the age of 16 when the adoption is complete. 2. The child be an orphan, abandoned, or the living bio parents must be legally deemed unfit to care for the child. 3. The adopting parents must spend 2 years in the child's country to care for them. Be advised that we see number 2 as the biggest hurdle for people wanting to immigrate children. Many times the child is one from a close relative or friend. Because the child is not orphaned, meaning they have living biological parents, immigration has restricted such processes. Simply having a relative or friend give you permission to adopt their child will not suffice. Not saying it is impossible, just that the process will be very difficult and the child immigrating will still not be guaranteed.

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It is true that the process time for sibling visas (F4) is more than 10 years but the missing component of that fact is that it is actually closer to 20 years than it is closer to 10 years. So your concerns for your niece is very valid. There is no method to bring her here sooner. It is a give and take scenario when dealing with immigation. You want to be able to bring over you sibling and their family, then the sacrifice you will have to make is to wait until the PD is current. Unfortunately, they only allow a certain amount of PD per year for F4, this the long long wait. And kids can, and do, age out. As an American citizen or permant resident, your primary immediate family is spouses and minor children. When you start to go out further in your family there are more limitations on who a citizen or resident can bring over. By the time you get to aunts and uncles, nieces and nephews, grandparents, etc. Options for immigrating them become extremely limited to non-existent. This becomes a painful realization with many immigrants that have cultures where they are extremely close to those relatives outside of spouses and minor children. I think it is important to start the conversation with your sibling that your niece aging out and not being able to immigrate with them when the time comes is a very real possibility.

As others have mentioned, for expedites it is the US citizen/petitioner that should be the one with that need medical attention, not the beneficiary/immigrant. They will likely keep denying an expedite request unless you, yourself, are the one with the medical emergency or hardship.

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No. In fact, it is advised that the applicant should not purchase any tickets that can not be refunded before the interview. He may make reservations but there is no need to show that you made trip arrangements. What is more imoprtant is him showing strong ties to his country. His B2 application will have nothing to do with you. No point in even thinking about this. He should still bring supporting documents of his strong ties with him. Even if they don't ask for them he should be fully prepared. Should not be an issue. As long as he has continuous work in house country.. Once again, his application has nothing to do with you. He is applying on his own merits. It is better if he can show that he can fund this trip himself. And he should definitely provide financial evidence on him being capable of doing so. The less other people are involved with his application the better. Remember, he is applying under his own merit. With that said, he can certainly have someone else helping or funding the trip. It will not be as strong a case as if he was doing it himself, but it will also not be deal breaker.

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