I guess I don't see anything wrong with this- I think the real problem is that people have to make these kinds of choices because they can't get health care otherwise.
I see no real reason to get married personally except for the fact that there are financial benefits (insurance, taxes, etc). My husband and I decided to get married when we did so I could be on his health insurance. I had no desire to have a wedding be a big production (we got married in the municipal building) and it wasn't really a romantic thing for me, just a practical decision. We were both committed to the relationship already (and already lived together) and getting married made not a whit of difference in that regard. It also wasn't a religious thing since we are both atheist/agnostic...everyone has their own reasons for marriage and I don't really think they matter.
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