... Most just don’t want one, even the typical “squat”-style ones that are little more than a fancy hole in the floor.
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During a Med cruise with the US Navy in 1961, and walks through our port cities in Italy, Greece and Sicily revealed courtyards with holes in the ground around the perimeter and flat stones in front of each one. Those areas were approx. 30x30 ft. and open, with no roofs or privacy. Public toilets. .........Also people with cook fires in the streets (more like alleys) living in shelters made from shipping crates and kids running loose like packs of dogs trying to attack US sailors to rob cigarettes, wallets, lighters, etc. .....We never walked with less than four of us, and we still had to fight a few times. ....Hope things have changed since then.
I made three Med Cruises during the ‘50s and never saw what you describe anywhere (except in roman ruins) even though the war damage was still existent. But then I liked to drink, went to bars and avoided avoided slumming in the cheap whorehouses. Things must have really gone down hill after I left.
A lot has changed. We travel a lot and see a lot of cities small and large. Toilets all over, McKeydees, hotel lobbies, department stores, restaurants. I’m a frequent user and haven’t had a problem.