Took some time to find but I had to save this

This answer on Quora was collapsed within 18 hours but it still became one of the most popular ones on the topic.
Not only is the answer collapsed but the author is also banned from Quora but this is a perfect illustration of why he was banned.

Will Indian toilets ever switch to toilet papers? Westerners believe that tissues are hygienic, and Indians think otherwise. Will it eventually change?


Vinay Kumaran, Liver Transplant Surgeon
Doctors have a unique opportunity to test the efficacy of the two methods. Having worked in India as well as the US and having performed rectal examinations of patients from both places, I can tell you that there is no contest.
All American arseholes (and presumably British ones), on close examination, have an appreciable residue of dried faecal matter on the perianal skin. Presumably, this eventually finds its way into the bath water when they have a tub bath.
Indian arseholes are clean as a whistle.
Of course the Japanese do it best.

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