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These devices are not without their pitfalls. One major concern is the increase in overall expense to the homeowner. There are many homes where the hot water heater temperature is not set high enough to cause dangerous scalding. It is not necessary to have a hot water heater with a setting above 120 degrees, and it is actually quite sensible to have it set at 110 degrees. This saves the homeowner money. These devices are not without their pitfalls. One major concern is the increase in overall expense to the homeowner. There are many homes where the hot water heater temperature is not set high enough to cause dangerous scalding. It is not necessary to have a hot water heater with a setting above 120 degrees, and it is actually quite sensible to have it set at 110 degrees. This saves the homeowner money. It is a myth that showering or washing dishes at higher temperatures within the limitations of what human skin can tolerate will be any more effective at killing bacteria as opposed to water at a safe lower temperature.