Saturday, 13 December 2014

The most important element of water fluoridation

The subject of water fluoridation in New Zealand can turn a casual conversation at a typical summer BBQ into a parliamentary debate complete with petty comments, unrepentant fallacies and the raising of blood pressure on both sides. Pro fluoridation and anti fluoridation advocates alike tend to take their stances quite firmly and proudly. And so they should, this is New Zealand, the little island known for being adept at navigating the waters of social change and allowing citizens to retain their right of choice.

But there are elements about water fluoridation that poses a real quandary for both sides of the controversy. Does water fluoridation equate to forced mass medication and therefore does the consideration to fluoridate New Zealand water diminish our rights as individuals to choose what we ingest? If we minus the arguments surrounding the safety, efficacy and cost effectiveness of water fluoridation from the debate the one remaining facet is that of the ethics of water fluoridation.

I guess I need to admit something before continuing. I believe that water fluoridation could be incredibly helpful in New Zealand.  The scientific research I found completely dismissed anti fluoridation’s arguments that water fluoridation causes cancer, kidney problems, and oh of course, the mildly humorous proposition that fluoridated water drops the I.Q of people drinking it. However mention the ethical stance that water fluoridation results in a “nanny state” and I leap right over to the side of anti fluoridation, proudly waving my placard renouncing the medication of the masses by our over bearing government.

I doubt I differ from most pro fluoridation advocates.  I suppose many of them would agree that forcing strategies like water fluoridation on people sounds slightly archaic. And then they could swiftly justify the ethical element by stating that the benefits outweigh the risks.  But it is that need to disprove the other side and swift justification that will hinder the debate in the long run.  The ethical implications that are faced by water fluoridation need to be discussed by both sides.  Not just used as a tool to support their respective arguments. But to be used to start a conversation about what is good for all of New Zealanders.

New Zealand has long been a front-runner in advancing the rights of its citizens.  We were one of the first countries to give women the right to vote, to legalize prostitution, and to legalize gay marriage.  Why should we turn our back on human rights now to incorporate a strategy that essentially removes our right to choose? I am confident that New Zealand can make the right decision but only if we choose to identify the most import factor in this debate: Is water fluoridation ethical?

2 comments:

  1. I really enjoyed reading this post Nadine. Very informative and really well written. What a controversial topic indeed! I believe that water fluoridation offers benefits to the population and I am inclined to agree with the idea, but I understand the ethical implications behind the topic. It is easy to go against an idea when it is forced upon us, after all it breaches our right of choice.

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  2. I agree with the point about mass medicating people. I feel that for it to be appropriate the benefits need to outweigh the disadvantages. In this case, an ethical question is asked as to whether it is right to take away the choice of everyone to benefit a possibly small number of people, if any. I have grown up without fluoridated water and have had no serious issues with my teeth, however those living in poverty type environments may be hugely benefited by a decision to fluoridate water. This is what makes this topic such a huge point of debate, as do many ethically related questions.

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