Money really is dirty/germy. But the servers aren't touching the food on the plate when they bring it, and if a food runner brings it, they are usually wearing disposable gloves.
When our kids became servers (about 8-9 years ago) they were required to wash hands after clearing a table and other such things, and it was strictly enforced. Probably not all places to that.
I carry a small bottle of hand sanitizer in my purse and when we're dining out, I use it before eating if I haven't washed hands at a sink first.
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