I am not disagreeing with you at all really- Just wanted to say it is not our g.d. business until you are in primary care lol!
I've gone from the OB ward to primary care. I have two special cases of women who have made it my business to care because one comes in for plan B every month, sometimes twice a month, and also for pregnancy tests, despite having a prescription for birth control that she doesn't use. Another comes in pregnant, gets and abortion, gets an IUD, gets the IUD out a few weeks later, gets pregnant, and terminates again. Then comes the opposite when a patient with ETOH and drug addiction is pregnant, not receiving prenatal care, transient in living quarters, cannot remember how many pregnancies and births she has had (>14) and doesn't have custody of any of them. All were born drug addicted and many of those kids have other issues. You'd just about pay this person to use plan B, have an abortion or get her tubes tied.
We can't fix them all...and for those cases choice is an important right.