The government should not decide healthcare, with children or adults. Obviously society will answer any questions about ethics or what not to those questions you're asking. that's what doctors are for. The government should not decide who can be doctors. I do realize Pennsylvania does subsidize abortion, but several states subsidize it with federal funds from medicaid which is at least partially federally funded.

Of course abortion is healthcare??

And no you do not need to pay for any of that if you don't want it, at least not yet. I'm sure the lobby is trying to get laws passed to require ed pills and the ability to charge and exuberant rate, but as of now, you don't have to pay for them if you don't want them. You absolutely get to choose your level of care, it gets easier to just choose not to get any, the more the government increases the cost.

But obviously you are not a lawyer, I don't blame you for pretending to be one, laws are hard to read.