North Carolina was one of the nation’s most rapidly growing states during the first decade of the new millennium. Most of the growth came from migration—movers from other states and abroad. Combined with a more general aging in place of the resident population, newcomers are dramatically changing the state’s demography. But undergirding this demographic dynamism are major geographical, socio-economic, and racial/ethnic disparities in the human condition in our state, which require immediate attention if we are to thrive and prosper in the years ahead.