Not all cultural traditions have the same conception of personhood. In Confucianism, self-individuation takes place only through engagement with others in the context of one’s social roles and relationships.
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.
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.