Desalination plants are only that cheap at scale, if you’re in a costal city then raising water 300 feet isn’t a big deal. If you’re in a small community in a low density area or a large one 6,000 feet and hundreds of miles above sea level the math looks very different.
Many people live near the ocean. It doesn't have to solve every problem. Also I don't think many people are living hundreds of miles above sea level :)
The problem is it solves basically none of the issues.
Where people live isn’t where people consume aquifers faster than they are replenished. Across much of the east coast farmers don’t bother with irrigation because even the cost of pumping water from a well and delivering it to their fields isn’t worthwhile.
West of the Mississippi the amount of rainfall drops and therefore the need for water skyrockets. https://us-canad.com/rainfall-usa-map.html The difference between 150 inches per year of rainfall and less than 25 is huge.