America faces many issues in the 21st century that threaten its status and citizens' well-being. Potential challenges from other global powers could undermine America's safety, economy, and prestige. Social issues like rising eating disorders and an outdated food system put public health at risk. Healthcare problems also loom large, like millions remaining uninsured while obesity grows rapidly. High family debt and poverty levels, coupled with unemployment, weaken the economy. Overall Americans remain optimistic, but continuing challenges may erode the middle class and American Dream.