Between 2005 and 2019, over 33,000 refugees arrived in Minnesota, most from Somalia followed by Burma. CAPI USA was founded in 1982 to help refugees from Southeast Asia in the aftermath of the Vietnam conflict. In the decades that followed, CAPI expanded support for refugees and immigrants from all over the world. Self-determination and social equality are the principles guiding CAPI and my study of refugees points to the stress effects of losing one’s cultural connections and sense of continuity, which describes a relationship to an environment over time and ideas about permanence, stability, and familiarity, carrying forward for generations. As the world’s population is expected to start peaking far sooner than anticipated, and start shrinking before the end of this century, experts point to embracing immigration as the only way the US can remain the world’s most prosperous country.