The American Dream has evolved. Cities need to catch up, a new report says.

I want better health,” John-Paul Julien, a partner at McKinsey and the report’s co-author, said Tuesday during a webinar to discuss the report. Young adults want better jobs so they can live independently and afford their own homes, according to the report. Addressing these challenges falls to government leaders, Carla Thompson Payton, chief strategist and impact officer at the Kellogg Foundation, said during the webinar. Leaders need to expand access to jobs by drawing on philanthropic support, corporate partnerships, public-sector investment and private contributions, Thompson Payton said. “Health is central to people’s prospects at every single stage,” Thompson Payton said.