Hong Kong has a density of 6,620 people per square km. If the US was that dense, we could fit the entire population (317 million) in about 48,000 square km (the US has close to 10 million square km)
Of course, we probably couldn't have that many people living in that dense an area. But we do have a long way to go before we are pushing each other into the ocean.
http://simple.wikipedia.org/wiki/List_of_countries_by_popula...
Also there's a perception of a few places as being the "big cities" even though population has changed a lot over the years. Perception hasn't changed. So even though SF is definitely dense, there are other places that are equally dense, like Miami, Philadelphia, and Louisville that people don't really think of that way. And then there are emerging big cities (but not necessarily dense) like San Antonio that people perceive as being small.
The looming water crisis is a particularly big problem in California, Arizona, and parts of the Southwest. Interestingly, farmland irrigation accounts for a bigger drain on water than almost all of the nearby cities combined.
Remember, if the census block has is filled in, it could only have 1 or 2 people living in it (i.e. a farm).
We have so much dam space in the US it's mind blowing.