It is a scenario playing out nationwide. From Oregon to Pennsylvania, hundreds of communities have in recent years either stopped adding fluoride to their water supplies or voted to prevent its addition. Supporters of such bans argue that people should be given the freedom of choice. The broad availability of over-the-counter dental products containing the mineral makes it no longer necessary to add to public water supplies, they say. The Centers for Disease Control and Prevention says that while store-bought products reduce tooth decay, the greatest protection comes when they are used in combination with water fluoridation.

The outcome of an ongoing federal case in California could force the Environmental Protection Agency to create a rule regulating or banning the use of fluoride in drinking water nationwide. In the meantime, the trend is raising alarm bells for public health researchers who worry that, much like vaccines, fluoride may have become a victim of its own success.

The CDC maintains that community water fluoridation is not only safe and effective but also yields significant cost savings in dental treatment. Public health officials say removing fluoride could be particularly harmful to low-income families — for whom drinking water may be the only source of preventive dental care.

“If you have to go out and get care on your own, it’s a whole different ballgame,” said Myron Allukian Jr., a dentist and past president of the American Public Health Association. Millions of people have lived with fluoridated water for years, “and we’ve had no major health problems,” he said. “It’s much easier to prevent a disease than to treat it.”

According to the anti-fluoride group Fluoride Action Network, since 2010, over 240 communities around the world have removed fluoride from their drinking water or decided not to add it.

  • esc27@lemmy.world
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    7 months ago

    So lead, plastic, and PFAS are fine but fluoride is where they draw the line…?

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    No, people shouldn’t have the right to choose if fluoride is added to their water. People are stupid. You vote to remove something that will greatly help children that can’t vote. The government’s job, sometimes, is to stop stupid people from hurting others and their selves. That’s the reason you can’t drink raw milk or use lead gas.

    • tal@lemmy.today
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      That’s the reason you can’t drink raw milk or use lead gas.

      You can get raw milk if your state allows it. The federal government bans it, but only has regulatory authority over interstate commerce, so it can’t be moved across state boundaries, but you can get it if it’s made in-state.

      I mean, I think that you’re mostly aiming to expose yourself to listeria, but if that’s what someone wants…

      My guess is that dairy farmers have an interest in promoting it in that if they can sell it, it gives them a market without much competition.

      https://en.wikipedia.org/wiki/United_States_raw_milk_debate

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        Drinking milk was a bad example. I should have said sell unpasteurized milk. The point I think we both agree is that stupid for people make stupid decisions. Just like I don’t think people can decide about vaccines that have very low risk rates. It effects everyone, not just the idiots.

        • RememberTheApollo_@lemmy.world
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          If stupid people want to make stupid decisions, that’s fine. The problem is when they try to take the rest of society down with them via damage or converting others to that stupidity.

        • tal@lemmy.today
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          Some of the herd nobly chose to sacrifice itself to improve the genetic resistance of the whole.

    • bastion@feddit.nl
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      7 months ago

      Just let them die then, rather than trying to make them age where they don’t want to.

    • MonkderDritte@feddit.de
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      Btw, cooking milk destroys some of the good stuff in it.

      Edit: Raw milk has proteins which boost immune system and growth (because it’s for baby cows), which break down while cooking.

      And yeah, probably don’t drink raw milk in US.

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      Yes they should. Ingesting fluoride is bad for you, and it doesn’t help your teeth to drink it. That’s why small children’s toothpaste doesn’t have it, because you can’t trust them not to eat it. It’s only good when applied directly to the teeth, which can be accomplished on a daily basis by using toothpaste with fluoride and/or a mouthwash containing it, both of which you don’t drink.

      Fluoride is removed from my drinking water by my reverse-osmosis filtration system, along with all the other contaminants like PFAS and lead. I’ve been drinking fluoride-free water for 10 years, and my teeth are beautiful and healthy. Anyone who drinks bottled water is also probably drinking fluoride-free water since those companies mostly use the same filtration method to produce their bottled water.

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      Where does “no, people don’t have the right to choose if [chemical] is added to their bloodstream, because they are stupid” stop? Who determines when it’s “stupid” not to add a chemical to the water supply, and to whom do they answer? If the voting public decides to override public officials on a matter like this, you’re basically saying they shouldn’t have the “right” to vote the officials out on those grounds. You’re basically saying this is some kind of extraordinary policy matter that obviously needs to be insulated from the kind of democratic review pretty much all other municipal policies are subject to. And we’re talking about dumping a chemical in the water supply as a substitute for having good public health infrastructure in our country.

      If you’re a Republican, well, they’re inconsistent, evil psychos, I don’t expect much from them to make sense. But if you’re a Democrat… if you’re a democrat

      EDIT no really, explain it to me, don’t just downvote me. Why should a highly technocratic public health policy that achieves only one public health goal, and isn’t even the only way to do it, be beyond democratic review? This literally makes less than no fucking sense. Also, the rules on raw milk and lead in gasoline are also subject to democratic review. They don’t get challenged because there are basically no downsides to those policies and literally the only people who are negatively impacted are people invested in the industries in question. People get iffy about fluoridation because there are corner cases that cause problems for individuals, so it’s actually a public health tradeoff and you can avoid those tradeoffs with different policies (like universal public health care + fluoridation regimes) – ie, you can achieve the benefits of fluoridation without negatively impacting anyone. The cost-benefit ratio of water fluoridation is literally different to those other policies, which is why nobody complains about unleaded gasoline but they do complain about fluoridation in water.

      If nothing else, does anything strike you as half-cocked about comparing clean, potable, treated drinking water without fluoride to leaded gasoline? Do you refuse to drink un-fluoridated drinking water because of the permanent and irreversible health effects of being exposed to literally any quantity of unfluoridated potable water?

      • Bluefalcon@discuss.tchncs.de
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        7 months ago

        Unfortunately your point is a false agreement. The chemical in question has been studied for decades and has little to no negative impact on general public. A few people don’t warrant a total ban. Everything will effect someone at some point. It’s science not magic. A better education system and removing pointless arguments ( religion, anti sponsored studies ) would help inform people. I sure most people don’t know fluoride is poisonous but so is vitamin D, C, and E. The dose is so high that you would have to eat it like cady straight.

        I’m not antidemocratic, though the “let states decide” movement is making me reevaluate that. I’m more of a “let educated and qualified” people have a high stance then “it’s turn the frogs gay” crowd. It is a difficult conversation but we have to advance as a society. This is not advancing. Also I agree universal healthcare would be a wonderful, but that shouldn’t excuse something that is universal beneficial.

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          To add to your reply,

          If universal health care is the answer to not putting fluoride in the water, you make the universal health care a reality before you get rid of the thing that it replaces. You didn’t get rid of something until you have it covered elsewhere, and even then you need to make sure by giving the new thing time to prove it is as effective as you believe it is going to be before you pull the plug on the thing that is proven to have been effective

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            Not sure why someone down voted that but I agree. You never remove something until you have a more effective solution in place. That was one of the issues I had with Republicans when it can to the ACA. They destroyed it with nothing to fill the holes. Fucking hate that but I don’t expect anything from them.

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    We live in the time of the most readily available and advanced information yet continually make the dumbest fucking decisions.

    “Cavities…yeah….goddamn hadn’t had one of those in awhile, we should bring those back.”

    • bradorsomething@ttrpg.network
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      I’d like to chime in that fluoridation plus a toothpaste containing hydroxyapatite is a game changer; my kids went from several cavities a year to almost none. You used to have to buy japanese toothpastes for this, but it’s starting to show up in america.

    • affa@startrek.website
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      7 months ago

      What are you talking about?

      People get cavities all the time, and it’s because they don’t brush their damn teeth.

    • metaStatic@kbin.social
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      you know they put fluoride in toothpaste right? if you’re not getting enough from that your water isn’t going to make up the difference.

      • explodes@lemmy.world
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        It demonstrably makes a huge difference, even with people who brush on a regular basis.

      • Liz@midwest.social
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        Let us suppose that brushing alone gives you maximum benefit you can get from fluoride.

        There are people out there who can’t brush their teeth as often as they should, for reasons outside their control. Why should we deprive them of the benefit of fluorinated water? It makes no difference to us. Would you rather live in a world with more tooth problems, or fewer?

      • Ookami38@sh.itjust.works
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        7 months ago

        The article addresses this. They explicitly state that this decision will disproportionately effect poorer people whose only preventative care may be drinking water. In order for this to be as effective as having fluoride in the water supply, you’d have to find some way to get said toothpaste to these poorer people AND ensure compliance. So, definitely not as easy as just removing the fluoride and letting toothpaste handle it.

        • RaoulDook@lemmy.world
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          If they are so poor that they can’t afford toothpaste, and their only option for obtaining fluoride is by drinking tap water, their teeth are going to be absolutely fucked no matter what we put in that tap water. So this is not a good reason.

            • RaoulDook@lemmy.world
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              We should just buy them toothpaste and toothbrushes instead, that would be far more effective to help. Don’t buy fluoride to put in the drinking water that nobody needs to drink, and invest that money in toothpaste and toothbrushes to be mailed out for free or whatever.

              • Ookami38@sh.itjust.works
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                Poverty isn’t just money. It’s education and time as well. A less-well-off person will be less educated, and thus they won’t really know or understand why consistently brushing is important. People who are struggling to keep afloat also tend to have multiple jobs, or other responsibilities. Brush time seems insignificant until you realize that some people’s average day is: wake up after 2 or 3 hours sleep, eat a piece of bread if lucky, go to first job, work 4-8 hours, go to second job, go home, go to bed, do it again. There’s no time and energy in there for such a simple maintenance item that is, strictly speaking, not required for life.

                • Liz@midwest.social
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                  7 months ago

                  Plus disabled people, plus people in an abusive relationship, plus depressed people, plus people who are just plain gross. Who wouldn’t want to live in a world where all these people have better teeth?

      • Jessica@discuss.tchncs.de
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        As a child you can’t brush your adult teeth that haven’t grown in yet, but you can drink fluoridated water and have it deposit in your adult teeth as they are growing making them stronger than they otherwise would have been for the rest of your life.

        • Raz@lemm.ee
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          There’s other ways to do that too. Kids here (Netherlands) get fluoride treatments from a young age (after their adult teeth have come through, I think) up to 18. It’s not particularly enjoyable but like you said, it benefits you for the rest of your life.

          Free/affordable healthcare means checkups at the dentist about every 6 months. After the checkup you get these two small jaw shaped containers (for upper and lower sides) filled with a fluoride paste and you just sit there for a few minutes drooling into a metal bowl. There’s even flavours but they’re all gross, haha. Apparently that’s on purpose so you don’t swallow too much.

          Anyway, this whole fluoride in the water thing appears to be a very US based discussion, so I’ve got no horse in this race. I just wish the US had better, more affordable healthcare to begin with.

          • T00l_shed@lemmy.world
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            Excuse me! The fluoride treatment flavours ar wonderful! Best part of going to the dentist as a kid!

          • zenParsnip@sh.itjust.works
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            The missing ingredient in the US is a lack of public health infrastructure that universally covers poor people. Obama’s healthcare reform didn’t even cover every poor person in the country. But if we had that, adding in a fluoridation regime would be trivial. “Fluoridating tapwater is the cheapest way to get it to poor people” is only true because so many poor people in the US have no healthcare, period, so you have to set up all the infrastructure from scratch. Dumping it in the city water is cheaper than setting up real public health infra, but only before you factor in every other benefit of having public health infrastructure and all the cost savings across all of society caused by having public health infrastructure.

            Neoliberals in the US love it because it’s one of those “smart” solutions that requires absolutely no national-level infrastructure, you just need companies with fluoride waste on one side, and municipalities willing to buy some on the other. You don’t have to make our society better, and what’s more, you can castigate opponents for hating poor people when really you’re the one preferring dumping a single chemical in the water to address a single type of dental problem instead of supporting actual public dental health infra in this country.

            Also, dumping it in the water sort of obviates one of the more important aspects of administering compounds like fluoride, which is dose control. Water fluoridation increases the rate of fluoride toxicity because drinking water is not the only source of fluoride in people’s diets. Improperly administered fluoridation schemes have killed hundreds of people in the past. More recent research has also indicated that there are heath risks associated with accumulation of fluoride in soft tissues leading to damage heart muscle, kidneys, liver, and brain which had not been documented back in the 19-fucking-40’s when this dipshit policy was first invented. all claims in this paragraph from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9920376/

            We fluoridate the water so we don’t have to actually help poor people with their health in this country, and apparently so liberals don’t need to keep up with health research conducted since the 1940’s.

      • AA5B@lemmy.world
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        CDC

        Community water fluoridation has been identified as the most cost-effective method of delivering fluoride to all members of the community regardless of age, educational attainment, income level, and the availability of dental care. In studies conducted after other fluoride products, such as toothpaste, were widely available, scientists found additional reductions in tooth decay – up to 25 percent – among people with community water fluoridation as compared to those without fluoridation.

  • dustyData@lemmy.world
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    7 months ago

    The UK used the same argument to stop the addition of iodine to salt. “People already consume enough dietary iodine”. You know what happened? Thyroid diseases are on the rise in the UK again, slowly creeping back to early XX century levels.

    • BarqsHasBite@lemmy.world
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      I think iodine is underappreciated. But also I think fewer and fewer people use the salt shaker because they eat so much processed food (which has salt that is not iodized). Then you’re down to milk and seafood. Milk gets it because they use iodine to sanitize the udders. So if you don’t drink milk and who eats seafood on most days. Solution to anyone reading: multivitamin.

      • affa@startrek.website
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        But also I think fewer and fewer people use the salt shaker because they eat so much processed food (which has salt that is not iodized).

        This. I never add salt to my cooking because there’s already so much salt in everything.

  • Flying Squid@lemmy.world
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    You can’t trust this stuff. I only drink water straight from the creek and- excuse me, my diarrhea is acting up.

    • affa@startrek.website
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      What a bad faith argument.

      Most people who want to avoid fluoride in their drinking water use reverse osmosis.

        • affa@startrek.website
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          Why should people have to resort to using reverse osmosis to avoid fluoride in their drinking water?

          Also, good job pivoting instead of admitting you were arguing in bad faith.

          I expect you to keep doing that.

          • Flying Squid@lemmy.world
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            For the same reason people should “have to” resort to anything else they don’t want that everyone else is fine with. You don’t get to choose for society as a whole.

            If you don’t want to eat inspected meat, fine. Go raise or hunt your own.

            • affa@startrek.website
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              For the same reason people should “have to” resort to anything else they don’t want that everyone else is fine with.

              Like lead in gasoline? The thing is, everyone else is not “fine” with this. Why do you think there’s an article about it?

              • T00l_shed@lemmy.world
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                Complains about people arguing in bad faith, proceeds to argue in bad faith. Hahahahahaha

                • affa@startrek.website
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                  Can you stop replying to all my posts?

                  We’ve already established you can’t read.

                  In fact, I’m just gonna make the proactive decision to block you. Goodbye.

          • T00l_shed@lemmy.world
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            Why should people have to suffer at the hands of idiots who want to ban fluoride in water?

            • affa@startrek.website
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              That’s a loaded question because people do not suffer without fluoridated water.

              Do you want to explain how they suffer without fluoridated water? That way you’re talking specifics that can actually be debated upon instead of generalities where people need to make your arguments for you.

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    Ban the fluoride and give universal dental care like Canada is planning.

    A pipe dream. The dummies will likely just ban the fluoride with no other plan or solution.

    • Artyom@lemm.ee
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      Or, ya know, keep the fluoride in the water and also give universal dental care. Removing the fluoride from the water is the more expensive solution.

      • affa@startrek.website
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        Yeah.

        God forbid we do something expensive if it’s to improve people’s health…

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      Yeah, so few people advocate for this though. It’s either fluoridation is unbalancing my humors or let’s fluoridate a bunch of water that will go down the drain.

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      You know that eventually free healthcare is still paid by everyone ? Why add the cost of generally preventable tooth decay to the tab? It’s not mutually exclusive…

      • Liz@midwest.social
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        Free universal healthcare is cheaper than the current US system for a whole pile of reasons, mainly by consolating the consumer into one giant bargaining group. But there are secondary savings, like enabling people to get regular check ups to catch things early before they get expensive. It also enables them to go to the doctor when they need it, instead of gambling that they’ll get better; it’s cheaper if many people go in for small things than if a few people go in for large things.

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        US healthcare is the most expensive healthcare in the world because it can push people and insurance companies around. The rest of the 1st world pays LESS than the US does for itd healthcare because governments have the power to tell healthcare providers to go fuck themselves if they try and charge too much

        • a4ng3l@lemmy.world
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          That’s unrelated with the need of prevention over having comprehensive healthcare coverage… I mean it’s not a bad point, but it’s unrelated.

          Let healthcare be free for the patient thanks to magic money it still sucks to experience tooth decay that would have been prevented by chemically treating water as it’s always been.

          • Kedly@lemm.ee
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            Its not the magic of free money, thats literally what tax $ are for. And when the government pays for healthcare, suddenly, for some reason, they care more about legislation that keeps its citizens healthier. Stop eating the propaganda that private healthcare tries to sell you, universal healthcare is as free as libraries, paved roads in cities, and clean water in proper 1st world countries is. Private healthcare is more expensive in literally every sense than universal healthcare is.

            tl:dr: You want flouridated water? A government that has to pay for the dental costs of its citizens is going to have a hell of a lot more incentive to keep flouridating the water as long as it doesnt cause healthcare costs elsewhere

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              I thiiiiink the point they’re trying to make is, why not both? It’s cheaper to have some kind of subsidized public healthcare, versus what we have now. Doing that, but then removing the fluoride from the water will still be cheaper than today’s plan, but more expensive than better healthcare AND fluoridated water. Why choose one when there’s no real reason not to have both?

              • Kedly@lemm.ee
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                I even put it in the Tl:dr though, a government paying for its citizens healthcare is likely going to push for Flouridated water, both is the default, “why not both” is a redundant argument, and OP is still referring to universal healthcare as “magic money” which is disingenuous, stupid, and a private healthcare propaganda sound byte

      • 4am@lemm.ee
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        “Free Healthcare” is free as in libre, not free as in beer.

        Everyone is free to get it. We all pay for it. We would pay far less than what we pay now in premiums. It works on other countries, and there is no reason it wouldn’t work here in the USA.

        • towerful@programming.dev
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          “Free at the point of service”.
          “Inclusive as a part of citizenship”.

          Of course it costs money, of course everyone pays for it. That’s what taxes are

          • Delta_V@lemmy.world
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            7 months ago

            state and local taxes work that way - state and local governments spend tax dollars to buy goods and services

            federal taxes just delete money from targeted people, choosing who to make poorer in order to regulate inflation - the federal government creates new dollars when it needs to buy something

        • moody@lemmings.world
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          It is free as in beer, in the sense that you as a patient never have to spend out of pocket for medical care.

          There’s always someone arguing “It’s not free cause your taxes pay for it,” but you’re paying those taxes anyway regardless of where the money goes. You as an individual would never notice the difference in your taxes.

          • Kedly@lemm.ee
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            And the idiots dont realise that EVERYONE pays less in those taxes than they currently pay for their private healthcare. Private healthcare COSTS MORE than public healthcare because the drug makers, hospitals, etc have more power to gouge insurance companies and the average Joe than they do a large government

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        yeah and a car accident is generally preventable too.

        how about an impacted wisdom tooth? should have thought about that before growing teefs nerd, enjoy your crippling debt.

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    7 months ago

    USA, can you PPEASE remform your education system and actually ensure that everyone gets a normal and good education? Your idiots are ruining the country.

    Also while at it, use that education to teach the kids what freedom really is, how little you really have of it, that boasting about it is dumb, and that using it to make idiotic decisions doesn’t make you look awesome, it makes you look like, well, an idiot.

    • Cosmic Cleric@lemmy.world
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      7 months ago

      De-education has been an agenda of one of the parties since the eighties, and we’re just seeing it take fruit now.

      These things take time, and that party plays the ‘long game’.

      • Cosmic Cleric@lemmy.world
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        7 months ago

        Since that person named USA explicitly, I’m going to assume that they’re not an American, and that English is not their native language, and hence, not being taken to task for their spelling.

  • tal@lemmy.today
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    7 months ago

    Supporters of such bans argue that people should be given the freedom of choice.

    If you honestly don’t want fluoride, you can remove it yourself.

    Honestly, if you’re that paranoid about anything in your drinking water, you’d probably benefit from outright distilling it anyway.

      • tal@lemmy.today
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        7 months ago

        I mean, people do pay more for mineral water. Yesterday, I was at CVS, and there were at least three sections of refrigerated cabinet consisting of different brands of mineral water.

        But if someone wants to produce hard water, I’m sure that they can do that too.

        googles

        https://www.amazon.com/iSpring-FA15-Water-Filter-Clear/dp/B00FBLGD1S/

        Yeah. From the “related filters” section on that, looks like there’s a whole industry of selling people things they can jam inline into their reverse osmosis filter system to do things to their water to make them happy. This one adds “calcium, magnesium, and potassium”.

        I don’t see much on there by way of numbers as to what concentrations it’s supposed to produce, but I suppose that if it makes people happy, it’s available. Not like they’re getting any guarantees as to how hard their municipal water is either.

    • MossyHabitat@lemmy.world
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      7 months ago

      You can’t remove fluoride using standard water filters, or even high-end RO filter systems. A specialized fluoride-specific filtration system (multi-stage) is required due to fluoride’s chemical bond.

  • ILikeBoobies@lemmy.ca
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    7 months ago

    Americans won the battle to bring back measles

    Now they’re fighting to bring back tooth decay

  • Zachariah@lemmy.world
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    7 months ago

    It’s only “fluoride” if it’s from the Florida region of the United States of America—otherwise it’s just a sparkling inorganic, monatomic anion of fluorine.

  • ma11ie@lemmy.one
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    7 months ago

    People can be fucking ignorant and unfortunately Covid made this all worse. There are simple measures we can take as a society to make everyone’s health better but people succumb to misinformation spread by those who profit from the alternative.

  • SpiceDealer@lemmy.world
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    7 months ago

    Not this shit again. This pseudo-scientific nonsense has been debunked numerous times already. You would think that this would be a dead conspiracy theory but here we are debating this once more. This is what happens when you have an scientifically illiterate population.

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    7 months ago

    When the tap water is “cloudy, bubbly, and milky” I think of a thousand different reasons why this could be. Flourid is not on that list.

    If the tap water looks like that, I’d have the installarion checked before anything else. And I would not put it beyond an American water provider to deliver absolutely shitty water.

    • 4am@lemm.ee
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      7 months ago

      There are plenty of places that deliver bubbly, cloudy, milky water and it ain’t from fluoride