Imagine not having a toilet, sink, or shower in your home—something most of us take for granted. Yet, 1.6 million Americans don’t have plumbing, according to recent U.S. Census data. This isn’t just a historical footnote; it’s a present-day reality affecting households across the country, especially in remote and marginalized communities. If you’re wondering how this is possible in one of the world’s wealthiest nations—and where it’s happening—this article breaks down the facts, locations, causes, and what’s being done about it.
Where in the U.S. Do People Live Without Plumbing?
The absence of plumbing isn’t evenly distributed—it’s heavily concentrated in specific regions. According to the American Community Survey (ACS) by the U.S. Census Bureau, the states with the highest percentages of households lacking complete plumbing include:
- Alaska (especially in remote Native villages)
- Texas (rural colonias along the U.S.-Mexico border)
- Arizona and New Mexico (Native American reservations)
- Montana, South Dakota, and North Dakota (rural and tribal lands)
For example, in Alaska’s Bethel Census Area, over 5% of homes lack indoor plumbing—more than 10 times the national average. In contrast, states like Massachusetts and New Jersey report plumbing access in over 99.9% of homes.
💡 Quick Fact: “Complete plumbing” is defined by the Census Bureau as having hot and cold running water, a flush toilet, and a bathtub or shower—all inside the home.
Why Don’t These Homes Have Plumbing?
1. Geographic and Infrastructure Barriers
Many affected homes are in extremely remote areas where extending municipal water and sewer lines is prohibitively expensive. In Alaska, permafrost and lack of roads make traditional plumbing systems nearly impossible to install.
2. Poverty and Systemic Inequality
Low-income communities—particularly Native American, Hispanic, and Black rural populations—often lack the capital to build or upgrade plumbing. In Texas border colonias, many residents live on unincorporated land without access to public utilities.
3. Land Ownership and Legal Hurdles
On tribal lands, complex land tenure systems can delay or block infrastructure projects. Federal funding often requires matching funds that impoverished communities can’t provide.
4. Aging Housing Stock
Some older homes, especially in Appalachia or urban poverty pockets, were built before modern plumbing codes existed and haven’t been retrofitted due to cost or neglect.

Who Is Most Affected?
Native American Communities
The Navajo Nation spans parts of Arizona, New Mexico, and Utah. Here, an estimated 30–40% of households lack running water—a crisis worsened by drought and uranium contamination of groundwater. According to the U.S. Water Alliance, Native American households are 19 times more likely than white households to lack indoor plumbing.
Rural Hispanic Communities
In Texas’s Rio Grande Valley, thousands live in colonias—informal settlements lacking basic infrastructure. Many rely on hauled water or shared community taps, increasing health risks.
Alaska Native Villages
Over 30 Alaska Native villages still lack running water systems. Residents often use “honey buckets” (plastic containers for waste) and melt snow or haul water—practices that pose serious sanitation and dignity challenges.
Health and Social Impacts of No Indoor Plumbing
Living without plumbing isn’t just inconvenient—it’s dangerous. The Centers for Disease Control and Prevention (CDC) links inadequate sanitation to:
- Higher rates of gastrointestinal illness
- Skin and eye infections
- Dental problems (due to limited brushing)
- Mental health stress, especially among children and women
Children in homes without plumbing are more likely to miss school due to illness. Adults face employment barriers—many jobs require regular hygiene that’s nearly impossible without a shower.
🌍 Did You Know? According to Wikipedia’s page on water supply and sanitation in the U.S., the U.S. is the only high-income country where significant portions of the population still lack access to basic water and sanitation services.
What’s Being Done to Fix This?
Federal and Tribal Initiatives
- The Bipartisan Infrastructure Law (2021) allocated $55 billion for water infrastructure, including $4 billion specifically for replacing lead pipes and addressing disadvantaged communities.
- The U.S. Department of Agriculture (USDA) offers the Water and Waste Disposal Loan & Grant Program for rural areas.
- The Navajo Nation has partnered with nonprofits like DigDeep to install in-home water systems that include 12-gallon tanks, sinks, and water filters—costing about $5,000 per home.
Grassroots Solutions
In Alaska, the Alaska Native Tribal Health Consortium (ANTHC) has developed small-scale water and sewer systems using decentralized technology that works in frozen ground.
Policy Advocacy
Organizations like Human Rights Watch have called on the U.S. to recognize water access as a human right—and to track and eliminate plumbing poverty systematically.
How You Can Help or Learn More
- Support nonprofits like DigDeep (digdeep.org) or Water Equity Fund that install in-home water systems.
- Contact your representatives to advocate for increased rural water infrastructure funding.
- Educate others—share this article to raise awareness about a hidden crisis.
- Donate gently used plumbing fixtures to Habitat for Humanity ReStores, which often aids low-income home builds.
✅ Action Step: If you’re researching your own community, check the U.S. Census Bureau’s American Community Survey (ACS) data tables B25043 and B25044—they detail plumbing and kitchen facilities by county.
FAQ Section
Q: What does “lack of plumbing” mean in U.S. Census terms?
A: It means the home lacks one or more of the following: hot and cold running water, a flush toilet, or a bathtub/shower—all located inside the structure.
Q: Is it illegal to live without plumbing in the U.S.?
A: In most jurisdictions, new construction must meet plumbing codes, but older homes or structures on tribal/rural land may be “grandfathered in” or exempt. Enforcement is inconsistent in remote areas.
Q: How many U.S. homes lack plumbing?
A: As of the latest ACS data (2023), about 1.6 million people live in homes without complete plumbing—roughly 0.5% of all U.S. households.
Q: Are mobile homes included in this statistic?
A: Yes. The Census includes all occupied housing units, including mobile homes. In fact, mobile homes in rural areas are disproportionately likely to lack full plumbing.
Q: Why hasn’t this been fixed yet?
A: Cost, geography, and systemic neglect are major barriers. Installing plumbing in remote Alaska can cost $50,000–$100,000 per home, compared to $5,000 in urban areas.
Q: Does lack of plumbing affect credit or home value?
A: Indirectly, yes. Homes without plumbing are often deemed non-conforming, making them harder to insure, sell, or finance through traditional mortgages.
Conclusion
The fact that 1.6 million Americans don’t have plumbing is a sobering reminder that access to clean water and sanitation remains unequal in the U.S. This issue isn’t just about pipes—it’s about dignity, health, and justice. By understanding where it happens, why it persists, and what’s being done, we can all contribute to solutions, whether through advocacy, donations, or simply spreading awareness.
If this article opened your eyes, share it on Facebook, Twitter, or LinkedIn—because change starts with knowing the truth. 💧🚰
Leave a Reply