Rik, it seems pretty low to claim I'm the author of the very statement I've clearly disputed. What I have said is that we need all three 1) fluoridated water, 2) fluoridated toothpaste, 3) fluoride varnish to get the best protection against cavities. Without fluoridated water we don't get the best coverage.  

The US has fluoridated for over 70 years and nearly 3 out of 4 Americans on public water systems get the benefit. Most of the Western world has water or salt fluoridation, water with already enough fluoride or socialized medicine. Clallam County is a dental professional shortage area. Fluoridation has been gone for a year and the people who took it away have no replacement solution. To be fair, it's because there really isn't one as cost effective - fluoride in water costs about a dollar a year per family member - filling a single cavity costs over a hundred.

Sequim could be doing better. They have a pediatric dental clinic (unlike Port Angeles) that is always busy.