Anywhere non-municipal in the US, they simply suck it out of the ground, drain it from puddles, or wring it out of toads and that's that. If it's municipal, they take time to add some lead or other long-term gaga-fuel. It's only fair, those damn liberal city types are poisoning right-thinking, red-blooded Americuns with their fluoride, which everyone knows can cause symptoms ranging from liberalism to gayness.