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Fuck that. I got "the swine flu" (or maybe just the regular goddamn flu which was JUST AS BAD THAT YEAR) without even leaving the house that, uh, month. I realize this says worse things about my life than it does about germs, but the point still stands. Germs are far more pervasive than we can possibly fight, no matter what MERSA-creating antibacterials we slather all over ourselves and our belongings.
Also, you know what's worse than shaking hands with someone? That awkward hand-dance you do a few seconds after meeting someone. The one where both parties try to evaluate if this is a situation in which they are supposed to shake hands. And sure, the guy's telling you his name, but all you can do is look at his hand from the corner of your eye and go, is he gonna do it? ARE WE GOING TO MAKE THIS HAPPEN?
By the time someone actually commits to a course of action, I think I'd feel like a massive jackass to be like, "No thanks, I don't want to get your whore's disease." I mean, they just went through EMOTIONAL HELL to decide whether or not it was a socially acceptable time to extend a hand, and you basically just told them that no, it was NOT socially acceptable to extend a hand. They fucked up again! Back to Social Etiquette 101 for you, buddy, because I just can't be sure you wash after you take a steaming dump!
These are all personal preferences, though. I avoid the issue altogether by never being the initiator.
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