Says you. Can you explain why they're NOT precisely the same from a rights point of view?
And I take it you've never been to west Texas.
If you want the best surgery, you go to where the best surgery is available, be it Mayo, Johns Hopkins, Duke Medical Center, or where have you...you do not insist that the surgeon come to you. If the latest and greatest can't be had locally, well, that's the price you pay for living where you live. If you want blue-state health care, move to a blue state.
As for me, no, I've never been to West Texas...but you can rest assured that if I ever go, and a pharmacist in Odessa doesn't have something I'm looking for, I won't hold it against him.
If you are the only GP in Two Trees, Texas and your patient is suffering from severe menstrual cramping, I suppose you could just shrug your shoulders and tell her to get in the pick-up and head for Dallas.
Pretty bloody callous, but we have our morals to protect, and we have to stand our ground "from a rights point of view," don't we?