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Abstract The Appalachian Regional Commission (ARC) administers and partially funds investment projects designed to improve economic conditions in the Appalachian region, an area of persistent poverty and reduced economic opportunity in the eastern United States in and around the Appalachian mountains. Previous research on the effectiveness of ARC programs is mixed. We analyze the impact of ARC investment projects related to expanding sewerage and waste water treatment on dwelling characteristics. Results from a difference‐in‐differences model using a quasi‐experimental approach show that ARC investment projects improved access to running water, and increased sewer hookups and indoor bathrooms in dwellings.
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