quality:corruption
Birth tourism

Reports surfaced of Chinese women giving birth to their second child overseas, a practice known as birth tourism. Many went to Hong Kong, which is exempt from the one-child policy. Likewise, a Hong Kong passport differs from China's mainland passport by providing additional advantages. Recently though, the Hong Kong government has drastically reduced the quota of births set for non-local women in public hospitals.

As the United States practices birthright citizenship, all children born in the US automatically have US citizenship at birth. The closest US location from China is Saipan in the Northern Mariana Islands, a US dependency in the western Pacific Ocean that generally allows Chinese citizens to visit for 14 days without requiring a visa. As of 2012, the Northern Mariana Islands were experiencing an increase in births by Chinese citizens because birth tourism there had become cheaper than in Hong Kong. This option is used by relatively affluent Chinese who may want their children to have the option of living in the US as adults.