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As a child you can't brush your adult teeth that haven't grown in yet, but you can drink fluoridated water and have it deposit in your adult teeth as they are growing making them stronger than they otherwise would have been for the rest of your life.
There's other ways to do that too. Kids here (Netherlands) get fluoride treatments from a young age (after their adult teeth have come through, I think) up to 18. It's not particularly enjoyable but like you said, it benefits you for the rest of your life.
Free/affordable healthcare means checkups at the dentist about every 6 months. After the checkup you get these two small jaw shaped containers (for upper and lower sides) filled with a fluoride paste and you just sit there for a few minutes drooling into a metal bowl. There's even flavours but they're all gross, haha. Apparently that's on purpose so you don't swallow too much.
Anyway, this whole fluoride in the water thing appears to be a very US based discussion, so I've got no horse in this race. I just wish the US had better, more affordable healthcare to begin with.
If you're poor and American, you essentially can't afford a dentist. This is better than nothing.
Excuse me! The fluoride treatment flavours ar wonderful! Best part of going to the dentist as a kid!