The Sustainable Development Goals are off track. The prospects of the SDGs being realized by 2030 are bleak. The rapid pace of consistent decline in poverty and hunger until 2015 had slowed even before COVID-19. Often overlooked is the fact that much of that reduction in poverty and hunger occurred in China and Southeast Asia. A once-in-a-century global tragedy, COVID has been particularly hard on the world’s poor, compounded by severe impacts of climate change. Migrant labor has returned to rural areas and structural transformation has registered a big setback, particularly in countries in South Asia and sub-Saharan Africa already lagging in movements out of agriculture. The result is increasing dependence of vulnerable populations on agricultural and rural employment. Decline in child mortality and other indicators of child poverty have similarly slowed, concurrently with a slower dietary transition in the patterns of food consumption. Incidence of obesity is growing and is associated with consumption of cheap junk food. The consequence is increased incidence of noncommunicable diseases such as cancer, diabetes, and heart disease.