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a gay or lesbian couple can get married - if they want to go where its legal
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Yes but then it isn't recognised in another state, so even if they go out of state to get married when they come back to their home state it will be to all intents and purposes void.
It shouldn't be necessary for anyone to have to appoint power of attorney so they can designate their partner as critical decision maker. So I can't see how this discriminates against straight couples really.