This article argues that in order to equitably address real public health
issues facing communities of all sizes, affordability
must be clearly understood and
addressed. After seven years of experience with
the current drinking water affordability criteria, the U.S. Environmental Protection Agency (USEPA) concluded in 2006 that refinements
should be considered to address the situations within
communities with below-average incomes or above-average
costs (USEPA, 2006). The article discusses affordability and exemptions, affordability and variances, affordability criteria under review, and achieving sustainable water systems. Includes 11 references.