I'm mostly talking about the availability of certain medication. Like, it makes sense to have a nationwide vaccine program. It doesn't make sense to have fluoridated water due to the relative ease of access to toothpaste.
Especially because we really can't tell with certainty what consuming this does in the long-multigenerational term. Why should we take the risk?
https://www.cdc.gov/fluoridation/pdf/natures_way.pdf
But the only places that have fluoride added to the water are metropolitan areas (at least around me in a Midwestern state).
Toothpaste production is now more streamlined. We know the immense benefits of fluoride, so getting it to people in a more concentrated and localized matter can be a next step in helping people with this.
Essentially I'm saying it was a potential risk we accepted because the benefits far outweighed the potential risk down the line, but now that we have alternative solutions with smaller potential risk should we discuss them or not?