It is extremely plausible that if water fluoridation ends in the US, it will end in the outright prohibition of the chemical.
If there is one thing that stereotypical progressive statists care about more than interfering in the lives of humans, it is making arbitrary prohibition laws in the name of "protecting wildlife."
This outcome would NOT desirable as the prohibition may cause as many (if not more) problems than the current system of mass medication. (There are strong arguments to be made that the prohibition of DDT indirectly led to the unnecessary deaths of millions to malaria).
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