From my reading of this comment thread in general the issue really seems to be that you can’t see a doctor for free (at the point of use) in the US. Anecdotally I know a few people who have had difficult side effects on the pill, or medical issues which preclude them from using specific types. Speaking to a doctor once to get put on the best one for you, and then picking them up from the pharmacy monthly seems to work well and doesn’t seem like the “gatekeeping” people are ranting about in this thread. The idea that your pharmacist or doctor would have political or moral views on contraception that impacts their ability to do their job is crazy (to me). If that’s the case the entire system needs reviewed as opposed to making drugs available OTC.