Firstly even though it says country of origin USA or imported it is imported from China. If it just needs to be imported then China is the last country I want to import it from. I bought this exact pillow from a local mattress store a few years ago. It held its shape for years but eventually had to be replaced so I ordered it here as I've since moved to another state. The outer fabric shell is a cheaper quality and the foam itself is already losing its support that I need. I thought I noticed the difference as soon as I put it in, but overlooked it and thought maybe I just remembered it wrong. But after a few months I can definitely see a difference. I have to adjust this pillow all night and fold it almost to one side to maintain my side sleeping position. It flattens out too much when I sleep on my back. Conclusion: not made in the USA like the predecessor and the quality is just not there, since there will almost always be imports from China. If I had listened to me when I got it I would have sent it back. Good pillows that cost more should last a while and don't need to be replaced twice a year. Unfortunately, we now live in a crappy Chinese throwaway society that has "settled" itself with inferior products. Quality used to justify the price, but not anymore.
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