Ah. Yes cultural issues can be a challenge. Sounds like you’ve got somewhat limited freedom.
Maybe there’s some other kind of commitment you can come up with? Or perhaps try to call in to the medical location you were considering to see if you can schedule something for a better time?
Hope you’re able to find help
From a place of freedom it looks like that, however the issue is more with those who enforce that kind of culture. That part is harder to get free from.