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More than 2 million Americans lack safe running water or a working toilet at home. That number is growing.

Who are the 2 million+?

They are parents hauling water for their children. Elders living without a working toilet. Families choosing between paying for water and paying for food. They live across the nation: Tribal communities and Alaska Native villages, border colonias in Texas and New Mexico, Appalachian hollows, Black Belt communities across the rural South, manufactured home parks, unincorporated areas outside growing cities, and urban neighborhoods just beyond municipal service lines. What they share is not a single geography but a common condition: the infrastructure most people in America take for granted either never reached them or has failed entirely.

The crisis extends well beyond those without any access. An estimated forty million or more people in America have water or wastewater service that they cannot afford, cannot rely on, or that is already failing. This Roadmap addresses both realities while maintaining a clear center of gravity. The 2 million+ without any service anchor this work. Without that focus, attention drifts toward larger, more visible populations, while the communities that have waited longest get left behind again.

Why a Roadmap and why now? 

This Roadmap was developed through 30+ interviews with sector leaders, listening sessions, and deliberation by a 18-member Steering Committee of TA providers, research institutions, Tribal organizations, utilities, NGOs, and philanthropy. The Roadmap is a tool for collective action, not a single organization's plan. 

Three pillars. Ten priorities.

The pillars respond directly to the conditions that have allowed the gap to persist: the problem is invisible, government investment has never matched the need, and support systems don't reach the communities that need them most.