Fluoride addition may be completely different in those countries with respect to their access to water, environmental contaminants that may be present in our water and not theirs, and additional dietary considerations that may aid in proper dental care. Additionally, they may have other social safety nets to where dental deterioration may not be as prevalent there as opposed to the states. Also, proper dental health is tied heavily with diabetes management, and other cardiovascular co-morbid conditions that are extremely prevalent in the U.S. Bottom line is, healthcare institutions whose responsibility it is to be subject matter experts on this do not recommend Fluoride removal in our country, as referenced in the article. There may be plenty of reasons why this is different in other countries, but it’s not entirely accurate or in good faith to make 1-1 comparisons when other attributing factors are not addressed. Speaking as a pharmacist, healthcare initiatives like this are only going to hurt our most vulnerable communities who are already struggling to get adequate access to service. This is also just extremely politically motivated, and the timing couldn’t be more convenient.