When I go to heavily fluoridated Florida, I see too many middle aged people with teeth missing because fluoridation didn't save their teeth and they can't afford dental care, even though they are working.  Even "front" people at restaurants and hotels were missing obvious teeth. The only sure predictor of tooth decay is poverty and bad diets.  Tooth decay crises are occurring in all fluoridated cities, states and countries.  See http://www.FluorideNews.Blogspot.com  

No one in America is, or ever was, fluoride-deficient but too many are dentist-deficient.  It's time to break the dentists' monopoly and legalize Dental Therapists who just need two years training to do simple dentistry & will  into the mouths & areas where dentists refuse to go and who will accept Medicaid and have lower fees.  Organized dentistry lobbies long and hard to protect its lucrative monopoly.  MD's could hire Dental Therapists to help their patients who can't find a dentist willing to fix their rotting teeth.