[tialaramex]

More generously, the unwanted pregnancies can result from assuming your birth control works but actually it doesn't because you didn't read the instructions properly. At the extreme this can be "I didn't realise I need to take the pills every day even when I'm not planning to have sex". A relatively brief consultation can fix that.

In my country abortion access isn't under threat, except in the loose sense that of course there are people who insist it's immoral and would like to ban it and some of them try to intimidate patients. Nevertheless the pill isn't an OTC medication. Emergency contraception (the "morning after pill") is available from a pharmacist but I believe the pill requires a prescription.

My daily pills (my thyroid gland is gradually dying) require a prescription too. I hit "renew" in the app every couple of months, I get two more one month packs, pick them up from a self-service machine a week or so later - rinse, repeat. Seems reasonable.