Tooth decay is one of the most prevalent chronic diseases, rates of which disproportionately impact individuals with lower income, children and seniors. Tooth decay can result in pain, tooth loss, facial disfigurement, and impaired oral functioning. Several municipalities have stopped water fluoridation and others may be considering it. This will have adverse and inequitable health impacts. Fluoridation is scientifically proven to prevent tooth decay and to aid in achieving and maintain good oral health. It is also a safe, and cost-effective public health measure. Not everyone has access to dentists, whether due to financial or other barriers. Fluoride provides an equitable solution to increasing tooth decay among low-income populations.