My father in law just got back from a month-long mission trip to the Philippines. They don't have those things there...
Americans are the dirty ones?
You mean, Opebo, that you use modern toilets in Thailand borrowed from the European and American traditions where you sit on a seat?
When I was in Asia, most of the toilets (except those in places with high numbers of Westerners) were the type on the floor that you squat over.
And if you can't clean yourself with toilet paper, you're not doing it correctly.