An undercurrent in all debates about allocation of health care resources to the poor is the matter of access to and coverage of health care for immigrants, particularly low-income and undocumented ones.
The most controversial component of the ACA has arguably been the mandate that group health plans cover contraception costs, which has elicited backlash from religious and conservative groups who believe it violates certain employers' religious freedoms.
When patient autonomy became a closely held value in medical ethics in the 1960s and '70s, the physician’s conscience-based right to refuse to deliver a given service began to be contested.
A more just sharing of the responsibility for contraception can only be achieved through the development of male birth control methods and reconceptualizing responsibility for contraception as shared between men and women.