In some parts of the world, the people have no access to clean water. They walk miles for a bucket or two, careful not to spill even a drop.
In the third worlds, some people have some access to clean water. They hope it's good enough to not make them sick.
In the second worlds, most people have access to clean water. They are careful not to waste it.
In the first worlds, all people have more than enough access to clean water. They pour it over their heads in the name of charity.
Diseases, disabilities, depreciating health and death is no laughing matter. Waste also shouldn't be one.
I know more about ALS now, but I'll be donating to this instead if it's okay with you.