Their reasoning was that X11 network transparency had been broken for quite some time. If you tried running chrome, most games, or anything with modern hardware acceleration over X11 forwarding, they wouldn't work.
So, IMHO waypipe is actually an improvement in terms of compatibility, rather than a regression.
So, in cases like Ectopic Pregnancies, time is of the essence. By the time you've driven halfway across the country to get an abortion, you've already done permanent damage to your reproductive system.
Also, I think one of the other main contributing factors is that physicians are afraid to diagnose because a misdiagnosis to be on the safe side results in jail time for them. So quite often, by the time you know you need to drive across the country it's already too late.