These pillows are OK but too thick and firm for stomach sleepers like we are. Most of my pillowcases are a little small for the pillow diameter so it's a bit of a battle to get them on. The pillow cover fabric is thin and made in China but the rest of the materials are USA made. The pillows are assembled in the USA so at least some US citizen still has a job sewing up pillows, it's just the textile workers that are out of work. All and all it's a decent pillow but I think it's over priced.