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Why don't they have access to running water?
They live in the middle of America's largest desert. Sources of water are few and far between. Native Americans are nations within our nation, and the Navajo are the largest. They have not moved from their lands since about 3000 years ago.
They use things like water tanks to try and collect what little rainfall there is, and almost all have access to a place with running water - miles from where they live. The little towns like Mexican Hat have water, but the Navajo live dispersed in a very large area, herding sheep. Canyon de Chelly has tank-driven gravity flow water, but again, not always in homes.
Navajo still live in hogans, just as Chukchi (in Siberia) still live in reindeer hide houses.
Navajos do have trucks and they take barrels to these small towns and get water that way. I lived there for a few months and my uncle was a NHS employee on the reservation nearly all his life. It's a very difficult way of life.
BTW, many people in Mexico (outside of the Central Plain) are in the same situation.
Again, most Navajo have access to a house and many do live in regular houses in small towns (with regular plumbing), but the elderly typically do not live that way and it's traditional for grandkids to spend a lot of time out in the traditional way of life, learning essential Navajo rituals, language - and subsistence. They practice one of my favorite religions.