Factor in concerns for the massive fishing industry and the environment, and the fact that the neighboring coast is populated and consists of stretches of marshland that will be difficult to clean (as opposed to the sparselypopulated rocky coasts of Alaska) and the ramifications expand dramatically.
But what about the case of women in rural North Dakota, or another sparselypopulated area, where a single pharmacy might be the only option for 25 or 50 miles?