I am studying at a college and people here also sometimes don't flush or wash their hands. I heard some people are so afraid of germs that they are not comfortable with touching the handle. Step-on handles are more convienient I think. Especially in bars.
As far as washing hands: it's just a social thing. My wee wee is not dirty so there wouldn't be a need to wash my hands. But I do it, because I also don't want to shake your hand if you just played around down there.
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