They are pretty much all china made, but we bought a Thunderbird 300 and it's pretty impressive. There is a US flag associated at times with the brand, but it's NOT made in USA.
http://store.butchersupply.net/meat-grinder-electric-thunderbird-model-300e-p165.aspxBought it from a Southern Indiana Butcher supply Co
Most of the small gear reduction units are LOUD. This one is pretty tame. We processed pork and chicken through this to feed our dogs a raw diet. Chicken goes through bones and all. Easy no tools disassembly.
Expensive, but worth it.