He will make sure that I cannot be allowed to have a medical procedure that he believes is wrong.
This is not true at all. He has made his position clear on this topic many times. He believes that this issue is for the states to decide. As long as you reside in a state in which the people decide to make this procedure legal, you’ll be able to have one if you choose.
The basic principle he applies in this case is that the more difficult or divisive an issue is, the more local the laws governing it need to be. This allows like-minded people to form communities in which there is general agreement. Trying to force everyone in a country of 300M+ people to adopt the same stance on an morally difficult issue like that one is simply unrealistic.