A record 45.8 million foreign-born people reside in the United States. Immigrants, legal and illegal, arrive in the United States at an estimated rate of 1.5 million annually, with a resulting cultural, social, economic, and fiscal impact on the country  in areas such as schools, infrastructure, and healthcare. Dr. Steven Camarota emphasizes the impact on the 25-30 metro areas which will be receiving most of the 75 million immigrants who will be arriving by 2060 absent change in immigration policy.