(Just The News)—Taking fluoride out of public water systems across the country would result in millions more rotten teeth and cost $9.8 billion over five years, according to a new study.
The study, published in JAMA Health Forum, found that if all 50 states removed fluoride from public water systems, kids would develop 25.4 million more decayed teeth over five years. The study noted that “tooth decay would disproportionately affect publicly insured and uninsured children compared to those with private dental insurance.”
After 10 years, the total number of decayed teeth would increase to 53.8 million at a cost of $19.4 billion, according to the study.
The simulation model used the National Health and Nutrition Examination Survey data of 8,484 participants.
It noted that “excessive fluoride exposure can cause mottled discoloration of the teeth” and that fluoride “becomes a neurotoxin at high levels.” The study further stated that “natural sources of drinking water with high levels of fluoride are associated with lower IQ scores.”
The study also noted that the U.S. National Toxicology Program released a monograph that concluded that drinking water with elevated fluoride levels has neurotoxic effects. That monograph “affirmed a lack of evidence for neurocognitive effects with fluoride exposure less than 1.5 parts per million, more than twice the amount of fluoridation recommended in public water systems by the U.S. Centers for Disease Control and Prevention.”
The study comes as Secretary of Health and Human Services Robert F. Kennedy Jr. seeks to remove fluoride from public water systems. In April, Kennedy said he would study the issue and make new recommendations on fluoride use in public water systems.
The American Dental Association criticized that plan.
“As dentists, we see the direct consequences fluoride removal has on our patients and it’s a real tragedy when policymakers’ decisions hurt vulnerable kids and adults in the long term,” ADA President Brett Kessler, D.D.S., said. “Blindly calling for a ban on fluoridated water hurts people, costs money, and will ultimately harm our economy.”
The JAMA study concluded that “despite the potential harms of excessive fluoride exposure, fluoridation at safe levels offers both individual and societal benefits that would be at risk.”
The study also noted the case of Calgary in Alberta, Canada. The city added fluoride to its public water system in 1991. The Calgary City Council voted in 2011 to remove fluoride. However, the city reversed course in March after an increase in cavities and a public vote. In the 2021 Civic General Election, 62% of voters supported fluoridation.
Calgary plans to reintroduce fluoride in drinking water starting at the end of June. To do so, it had to spend about $28.1 million on infrastructure improvements at Calgary’s two water treatment plants. Calgary expects to pay additional annual operating and maintenance costs of $1 million at both plants. It noted that “this translates into less than 10 cents per person, per month.”
After Calgary stopped fluoridating water in 2011, researchers at the University of Calgary conducted a study on tooth decay in a large sample of Calgary children and compared them to children in Edmonton, where fluoridation started in 1967 and remains in place.
“The research confirmed the removal of fluoride from drinking water had a negative impact on children’s oral health, where a significantly higher number of cavities were found amongst Calgary children compared to Edmonton children,” the city’s website noted.
Utah recently became the first state to ban the addition of fluoride to public drinking water. Utah lawmakers passed a measure that prohibits the addition of fluoride to public drinking water in Utah. That went into place on May 7, 2025.
Kennedy has urged other states to follow suit.
About 72% of municipal water systems in the U.S. provided fluoridated water in 2022, according to a report from the Centers for Disease Control and Prevention.
At least 12 states have laws mandating that communities of a certain size fluoridate the public water system, including California, Delaware, Georgia, Illinois, Kentucky, Louisiana, Minnesota, Mississippi, Nebraska, Nevada, Ohio and South Dakota, according to a report from the National Conference of State Legislatures. It noted at least 12 states have introduced bills prohibiting or repealing provisions related to the addition of fluoride in public water systems. Utah and Florida were the first states such legislation, according to the report.
Safeguarding Your American Dream: Discover the Power of America First Healthcare
In today’s economy, healthcare costs remain one of the biggest threats to financial stability and family security. Americans work hard to build a better life, yet rising medical expenses can quickly erode savings, force tough trade-offs, and even push families toward debt or bankruptcy. Medical bills continue to rank as the leading cause of personal bankruptcy in the United States, with millions facing underinsurance or unexpected out-of-pocket burdens that no one plans for. Many turn to government-run marketplace plans under the Affordable Care Act, hoping for relief, only to discover that what appears affordable on paper often delivers higher long-term costs, limited real protection, and coverage that may not align with personal values or family needs.
America First Healthcare stands out as a private insurance agency dedicated to helping conservatives and families secure better coverage and better rates through customized, values-aligned options. By conducting free insurance reviews, the agency uncovers hidden gaps in existing policies and connects clients with private alternatives that emphasize personal responsibility, small-government principles, and genuine affordability—often delivering up to 20% savings while providing stronger protection for the American Dream.
The allure of marketplace plans is easy to understand: open enrollment periods, premium tax credits for many households, and the promise of “comprehensive” benefits mandated by law. Yet recent data reveals a different reality, especially after the expiration of enhanced premium subsidies at the end of 2025. Enrollment for 2026 dropped by more than one million people compared to the prior year, with many shifting to lower-tier bronze plans to keep monthly premiums manageable.
These plans feature significantly higher deductibles—averaging around $7,500 nationally—and greater cost-sharing requirements. Families who once paid modest amounts after subsidies now face average premium increases of $65 or more per month, even as they accept plans that leave them responsible for thousands in upfront costs before meaningful coverage kicks in.
High deductibles create a dangerous barrier to care. Studies show that people in such plans are less likely to seek timely treatment for chronic conditions, attend preventive screenings, or fill necessary prescriptions. A seemingly minor illness or injury can balloon into major expenses when patients delay care until problems worsen. For a family of four, a single hospitalization, cancer diagnosis, or unexpected surgery can easily exceed the deductible, triggering coinsurance and out-of-pocket maximums that still leave substantial bills. One recent analysis noted that some proposed changes could push family deductibles toward $31,000 in future years, further exposing households to financial risk.
Beyond the numbers, marketplace plans often carry structural limitations. Coverage for certain critical services may include waiting periods or narrower networks that restrict access to preferred doctors and specialists. Preventive care is required to be covered without cost-sharing, but everything else—lab work, imaging, specialist visits, or ongoing treatment—typically waits until the deductible is met. This reactive model contrasts sharply with the proactive, holistic approach many families prefer, especially those focused on wellness, early intervention, and maintaining health to enjoy life rather than merely reacting to illness.
Values alignment represents another growing concern. Government-influenced plans operate within a framework shaped by federal mandates and political priorities that may not reflect conservative principles of limited government, personal freedom, and ethical stewardship. Families who want to direct their healthcare dollars toward providers and benefits that honor traditional values sometimes find marketplace options feel misaligned, forcing a compromise between affordability and conviction.
Private alternatives, by contrast, offer year-round flexibility without the restrictions of open enrollment windows. Independent agents can shop across a wider range of carriers to design plans tailored to specific family needs—whether that means lower deductibles for frequent medical users, broader provider networks, or add-ons that support wellness and preventive services from day one. Clients frequently report more stable premiums that do not automatically escalate each year, along with genuine cost savings once the full picture of deductibles, copays, and coverage depth is considered.
Take the experience of real families who made the switch. Amanda C. shared that her new plan felt “way better” than what she had through the marketplace. Johnny Y. noted his previous coverage kept increasing annually until he found a more stable private option. Sofia S. expressed delight with her plan and began recommending it to others. These stories echo a common theme: when families move beyond one-size-fits-all government marketplaces, they often discover customized protection that better safeguards both health and finances.
Founder Jordan Sarmiento’s own journey underscores the stakes. In 2021, a six-day hospitalization generated a $95,000 bill. Under a well-structured private “Conservative Care Coverage” plan, his out-of-pocket responsibility would have been just $500. That stark difference illustrates how thoughtful planning and private options can prevent a medical event from becoming a financial catastrophe.
Practical steps exist for anyone questioning their current coverage. Start with a no-obligation review of your existing policy to identify gaps—high deductibles, limited critical-care benefits, or escalating premiums. Compare total projected costs (premiums plus potential out-of-pocket expenses) rather than monthly premiums alone. Consider family health history, anticipated needs, and lifestyle priorities. Private agencies can present side-by-side options that include stronger wellness incentives, broader access, and plans built on shared values of self-reliance and freedom.
In an era when healthcare inflation continues to outpace general cost-of-living increases, relying solely on marketplace solutions carries growing risk. Families who proactively explore private alternatives frequently achieve meaningful savings while gaining peace of mind that their coverage truly works when needed most.
America First Healthcare makes this exploration straightforward through its free review process. Families and individuals receive personalized guidance to close coverage holes, reduce unnecessary expenses, and secure plans that align with conservative principles—protecting wallets, health, and the American Dream without government overreach. Many who complete a review discover they can enjoy better benefits for less, often saving up to 20% while gaining the customization and stability that marketplace plans struggle to deliver.
Ultimately, protecting your family’s future requires looking beyond the marketing of “affordable” government options. By understanding the long-term costs hidden in high deductibles, shifting coverage tiers, and values mismatches, Americans can make empowered choices. Private, values-driven insurance offers a smarter path—one that rewards diligence, supports wellness, and delivers real security. For those ready to move beyond the limitations of traditional marketplace plans, a simple review can reveal options designed to serve families, not bureaucracies. The American Dream thrives when individuals and families retain control over their healthcare decisions, and thoughtful private coverage plays a vital role in making that possible.