By many indicators and social markers, a large majority of Indigenous boys and men are struggling. But, as some are fond of saying, the devil is in the details. The available data tell a grim story about the past and present, but the “real story” of how American Indian boys and men are faring in the world is not fully told. Without discounting statistics, our fundamental point is that anyone interested in this work needs to have more systematic, structural data to get the full, complex, nuanced picture of what is happening.