This article reports that Panama´s outstanding economic growth is discredited by the worst distribution of wealth. Panama has a prominent position in Latin America for its economic indicators, characterized by a 2007-2018 GDP average growth of 6.3%. However, when considering human development analysis, the country stands out for having the highest inequality in Central America. Panamanian economy is focused on the tertiary sector, which represents about 83% of GDP; the industrial and agricultural sectors represent 14.3% and 2.7% respectively. From an urban-rural approach, inequality is even more marked, which is an important concern, considering that 3 out of 10 inhabitants live in rural areas, working in a sector that is weakened for decades. Multidimensional poverty and malnutrition are intensified in rural areas, since 4 out of 10 people are poor, while it is 1 out of 10 in the urban population.