@libramoon Right, thats how it is in states where abortion is illegal. When the doctor says no the patient can etiher keep going to doctors until one says yes, the procedure is medically needed, or they go on the blackmarket for a solution.
Obviously as you pointed out one way or another the patient will get their way, but since you qould require a doctor to agree the doctor has final say in the sense that you still need a doctor to agree to the medical need.