The U.S. economy is racing ahead, leaving many other aspects of life in the dust. While the country’s economic strength has grown significantly since the 1990s, Americans’ overall well-being hasn’t kept up. That’s the key takeaway from a new report by a group of scholars who’ve advised presidents for decades.

The researchers tracked 37 different measures of well-being, from economic performance to health and social trust. Their findings? The U.S. leads in economic power and innovation, with per capita GDP now over 80% higher than Europe’s. But in almost every other area, the country is falling short.

For example, life expectancy in the U.S. is the lowest among wealthy nations, a stark change from most of the 20th century. The country also tops the charts for murder rates, fatal drug overdoses, and youth depression. Add in low trust in the government and high rates of single-parent households, and it’s clear something’s out of balance.

“We’re so wealthy but so unhappy,” said one historian, capturing the paradox. Another expert put it bluntly: “We are the richest country in the world, but we chronically fail to offer broad-based economic prosperity and security.”

The report doesn’t offer solutions—the group was too diverse to agree on specific fixes. But it does highlight a pressing question: How can a nation with such economic might struggle so much with the basics of a good life?

It’s a complex issue, but one thing is clear: prosperity isn’t just about dollars and cents. While the economy keeps climbing, it’s time to ask what’s being left behind.