The United States faces a pervasive and escalating water crisis, yet the solutions are often overlooked or actively resisted. Cynthia Barnett, an environmental journalist, investigates the historical roots and contemporary manifestations of this crisis, arguing that a fundamental shift in our relationship with water is necessary to secure a sustainable future. The book examines the complex interplay of policy, economics, and public perception that has led to the current state of water scarcity and degradation across the nation.

The book is recognized for its comprehensive overview of America's water challenges and its accessible yet authoritative tone. Reviewers have noted Barnett's ability to connect complex environmental issues with historical context and policy implications. The work is seen as a vital contribution to the ongoing discussion about water resource management and conservation in the United States, offering a call to action for both policymakers and the public.