I think the post is very logical. We must consider what the barrier to healthcare access actually is for some women.

Right so suppose access to healthcare is easy by default, and in fact is only being caused to be difficult by the direct efforts of a malicious state.

In this case, the state is now expending resources on making women’s lives difficult. They’re doing their job well, it’s just that their job is evil and was assigned by evil people. The post now logically compares the relative ease of doing two things the state is actually against