I had a kid three years ago, we decided to get a higher premium health plan that specifically had excellent natal coverage. It’s one of the most expensive plans available to us but we didn’t pay anything for 9 months worth of prenatal visits plus 3 days in the hospital. The coverage statement said that delivery from the hospital was something like $28,000 but the first bill we actually saw that we had to pay was for a hearing test that was only partially covered.
This exactly. It’s an easily recognizable legal shortcut to a bunch of systems, rules and privileges that apply to the situation of two people wanting to live their lives together. Doesn’t have to cost much, if anything, and doesn’t have to have anything at all to do with religion or rituals. Can be just two people showing up at the town hall if you want it to be.