Since the U.S. believes "Cleanliness is next to Godliness" and we're so good-hygiene...?

Wanting to enstall a bidet in my home I did my due diligence and was shocked. For being essentially a low sink the cost was prohibitive and I remain bidet-less. Sales staff said the high price was due to bidets being a low volume item. Still not an answer to your question; if we all