> So fluoridated water is mass medication because the alternatives are bottled or expensive, not pumped into the house, and salt is non-mass medication even tho

> So fluoridated water is mass medication because the alternatives are bottled or expensive, not pumped into the house, and salt is non-mass medication even though its “natural”-marketed alternatives are more expensive too Correct. You already get most of your salt intake from salt-containing foods. In most cases there is zero need to add salt to your food. You can get a 3lbs box of kosher salt for less than $4. Assuming the maximum recommended daily salt intake of 6g, if you get half of that via added salt, that's less than $0.01 / day. Alternatives are widely available at no significant burden, so it is not mass medication. > Or is it mass medication in the grains case because the FDA requires folic acid to be added? Debatable because grain-free diets are possible. But I would indeed consider this a form of mass medication because it is mandatory to add it. In fact, for a long time my country explicitly forbade adding it to grains! These days it is allowed here, but of course optional. My position is incredibly simple, actually: don't require adding random stuff to food which doesn't need to be there! It is my body, the government doesn't get to decide what I do with it. It is irrelevant whether that is helpful (like fluoridated water and folic acid almost certainly are) or harmful, they should not have that power in the first place.