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The book's central thesis is that the settlement of the West was largely a mistake, creating a "beachhead" civilization that is ecologically unsustainable.

Reisner argues that the West's hydroclimate is inherently incapable of supporting the vast cities and industrial agriculture established there.

Many projects, while costing taxpayers billions, disproportionately benefited a small number of large-scale farmers who relied on artificially cheap water.

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