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Yup, this was one of the central debates with gay marriage vs. civil unions, so many LGBT+ couples were absolutely screwed pre-Obergefell by one of the partners getting sick or dying, and the surviving partner either having no say in medical decisions or getting screwed out of inheritance because the sick/dead partner’s family was anti-gay and froze the surviving partner out of everything.
Or worse yet, they split the vote and a solid blue seat sends a Republican to Congress with 35-40% of the vote. I just love FPTP!