Its more economical to produce a low-value but high volume product as close to where its being used.
Were people thinking that their big bulky packs of toilet paper were being shipped by boat across the pacific from china? The shipping cost would wipe out any profits.
There's a big smelly plant in Scarborough at Midland and Progress that recycles cardboard and paper to make boxes and paper towels like the above. It's not pretty but it's great for sustainability I figure.
The top three major American tissue makers—P&G, Kimberly-Clark, and Georgia-Pacific—earned “F” scores across each of their flagship brands like Charmin, Cottonelle, and Quilted Northern across all five editions of NRDC’s Issue with Tissue scorecard.
Basically, it's the best brands in terms of functionality and comfort.