“Birth tourism” — where pregnant women have their child on America soil to become citizens — has been happening for decades. Since the US government does not directly track birth tourism, we must rely on estimates. The change in policy also made it harder to prosecute visa fraud cases involving birth tourism. Birth tourism operators tout that the United States is “the most attractive nationality” because of free stuff, not freedom. A Chinese birth tourism company called Star Baby Care has a client list that includes government tax officials, executives at China Telecom, Chinese Central Television, and Bank of China.