An alternative would be to help the home countries of illegal immigrants to improve their economic and social conditions so that their citizens could achieve their dreams in their native countries rather than in this one. On the other hand like most developed and wealthier countries our country is aging and even if the birth rate of our present population increases we may need qualified people to care for our elderly and so any merit based immigration program should include qualified senior care givers. Anyone who has visited or used senior care facilities knows they need more qualified staff.