What's the difference between a woman with an unplanned pregnancy and a woman with another type of unanticipated medical condition that would qualify her for medical leave?

>There's never been more access to birth control or knowledge about the reproductive process.

There's never been more access to knowledge about nutrition and preventative health, and yet diabetes and other lifestyle diseases are at all time highs. The US now spends >$200/billion annually on diabetes alone. As a matter of public healthy policy, should we be able to hold people with medical diseases or conditions more accountable based on how much public health information is available?