Thank you for the opportunity to help you with your question!
Tensions regarding abortion, for example there are patients who opt to abort while others do not, and also for the case of the USA, the republicans are conservative about this issue, they are against while the democrats support abortion.
Again in many countries in the world some healthcare administrators do not support it while others do and thus a lot of tension is created whenever this word is mentioned.
Please let me know if you need any clarification. I'm always happy to answer your questions.