One may also not want to contribute to those leaders on principle, and instead reward the other leaders even though it costs more.
Also, this type of stuff is costly to deal with, in terms of emotional and physical health, and probably even monetary costs:
https://www.thecut.com/2022/04/texas-woman-charged-with-murd...
> She miscarried at a hospital and allegedly confided to hospital staff that she had attempted to induce her own abortion and she was reported to the authorities by hospital administration or staff,”
Here, you have precedent being set that a woman should play it safe and withhold information from their healthcare provider, lest they be put through an ordeal like this.