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Try asking a German guy why their toilets are like that some time. They don’t really know why and probably think it’s weird and disgusting too, but because it’s a German thing they inevitably feel honourbound to defend it. It’s hilarious.
In some countries even after that, because someone in the central planning department had severely miscalculated the amount intended for hospitals. The normal ones went for export, and the almost universally hated shit-shelf ones became the only ones available sometimes. But every proper socialist citizen "should check their shit" anyway, so where's the problem comrade.
I had it at home as a backup toilet and hated it, but someone had sped up the need for renovation by "accidentally" dropping a hammer in it.