RFK Jr continues in his crackpot crusade against fluoridated water. There is *zero* evidence that artificial fluoridation of water at or below the approved level (0.7 mg/liter) has any pathological consequences. Why do we fluoridate public water?

"Bacteria in the mouth that serve to break down food also create acids that degrade the enamel on the surface of the teeth. Fluoride strengthens teeth and prevents cavities by countering the acid damage caused by the bacteria. Water fluoridation reduces tooth decay by about 25% in children and adults and has a greater benefit (66% decrease) in children who have fluoride exposure before they develop their teeth. Fluoride also prevents other downstream dental complications like infections and abscesses that can lead to heart disease and other chronic health problems."

Yes, there are fluoridated toothpastes and mouth rinses, and fluoride treatments (I've had them) are available at dentists' offices. Of course, affluent people like RFK Jr., Trump and other Americans of privilege point to these alternatives while ignoring the fact that millions of Americans don't have access to their wealth.

"Profound disparities in oral health exist for some population subgroups, such as the poor, older adults, and many members of racial and ethnic minority groups. According to multiple national surveys, children in low-income families were twice as likely to have decay in their primary (baby) teeth as children from families with high incomes. Access to professional dentistry and/or fluoride-enriched toothpaste or mouth rinse may not be available to vulnerable groups or those living in poverty.

"Water fluoridation is the most cost-effective and accessible way to provide fluoride community-wide. The CDC reports that every $1 spent on fluoridation nets a community average of $32 per person per year by avoiding treatment for dental cavities. In a city the size of Chicago (2.7 million population), that is a return on investment of approximately $85 million per year. A majority of the U.S. population gets water from a fluoridated public source, which ensures over 200 million Americans reap the benefits of fluoridation, regardless of their income, health status, or age."

Opposed to public water fluoridation? Check your privilege.

The case for fluoridated water