I have worked in medicine for thirty years and would gladly trade American born kids who don’t know how work for people who risked everything to get here and work. Our population is declining in every state except South Dakota and Utah. Where’s the tax base going to come from? I am seeing a lot of young people in my practice that will never contribute to society. As far as “merit based immigration “, when you start paying twice as much for a head of lettuce or an apple you’ll see that honest farm workers have plenty of merit.