More like "there are pros and cons but there doesn't have to be a big political fight about it".
No, not really. There are a couple municipalities (Portland, OR, e.g.) that have famously not fluoridated their water forever, but for the most part this is not something most places argue about. UT is an exception.
I think most cities manage their own utilities. So, Portland has to make some decision on this issue. Utah doesn’t, it was an active choice to intervene.
downplayed? you judge.