- A waste water treatment facility has extreme limitations on what it can clean, and literally just gets it to the won't-kill-the-environment level. Hormones, viruses, etc are too small to effectively process on a massive scale. New York for example, still sometimes releases raw sewage because they can't keep up.
- Trump and the Supreme Court have basically gutted the clean water act. If it's not navigable, the law doesn't apply to it.
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