It is NOT RIDICULOUS at all. Doctors have been performing abortions as D&Cs since the early mid 20th century at least. No one would ever know, unless an actual pregnant woman who wanted to abort and still hurt the doctor set him up. When one of our recent Presidents got his girlfriend knocked up this is how it was resolved back in the 1960s.
It would take a certain kind of doctor to break laws and do it, but they are out there. Please remember that we are talking about doctors who performed abortions several times a week until their state chose to make it illegal. So this doctor would have sympathy for the patients who are in this predicament he used to solve so easily. You see?
How does the pregnant woman find such a doctor? On yelp? And, the doctor wouldn’t make money on it because a legit physician has so few transactions that don’t go through insurance. There is no incentive here for a doctor TO RISK HIS LICENSE.