鈥淭his is a first for me,鈥� said Rabbi Andy Dubin, as he sat down on a collapsible chair opposite Ann Justi and Don Boyer.
The trio was聽in the compact living room of Boyer鈥檚 apartment in Yonkers, N.Y., standing between the sofa, TV and writing desk. Dubin was聽in his socks, having shed his snow-caked boots in the hallway.
Boyer and Justi were聽getting married. Never mind the blizzard-like conditions that kept one set of friends home, and a bad cold that waylaid another. They聽were determined to tie the knot that afternoon. So they recruited their landlord from downstairs and a public radio reporter to be witnesses.
Why the rush? Boyer and Justi had been listening to the news. They were planning to get married in the fall, but it occurred to them that there鈥檚 no knowing what could happen to health insurance if the Trump administration and congressional Republicans dismantle the Affordable Care Act.
Justi has several preexisting conditions 鈥� osteoporosis, asthma, allergies and vitamin B-12 malabsorption 鈥� and the insurance she carried over from her previous job will expire this summer. She had employer-based insurance for more than a decade but was laid off last year.
Justi and Boyer knew they could wait until the spring to get married, and she then could go on the health plan he receives as a concierge for a residential building 鈥� it鈥檚 a union job, and the health insurance is good. But Boyer worries about Republicans unspooling crucial Obamacare safeguards.
鈥淭here鈥檚 so much uncertainty as far as what鈥檚 going to be law tomorrow, what鈥檚 going to be law next month,鈥� he said. 鈥淣obody really knows, unfortunately.鈥�
Much of the focus in the 鈥渞epeal and replace鈥� debate has been on the 20 million Americans who have received coverage via state and federal health insurance exchanges and Medicaid expansion. But most Americans still get coverage from employers, and their plans now have protections that could also be rolled back.
Under the Affordable Care Act, private insurers can no longer reject people with preexisting conditions, more for their insurance. As of now, the GOP plan moving through聽Congress also would require that people with preexisting conditions be able to get health insurance.
But there are other factors that could make that insurance much more expensive 鈥� such as the applicant鈥檚 age and the lack of a mandate, under the GOP plan, that everyone have health insurance. If you , many health care analysts say, it鈥檚 likely that the people buying that insurance would mostly be sick 鈥� further driving up the cost of the insurance, and driving out of the insurance pool the healthy, younger people who tend to bring down the cost of the insurance.
Justi鈥檚 current situation of having temporary insurance with an expiration date 鈥� instead of being on a stable health plan that can鈥檛 kick her off 鈥� takes her back to an聽earlier, uglier time in her life.
鈥淏efore the Affordable Care Act, I went from one employer to another, and the new employer鈥檚 insurance didn鈥檛 cover my preexisting conditions for a year, and that nearly bankrupted me,鈥� she said.
So Justi and Boyer decided to get legally married as soon as possible, and have a more ceremonial, celebratory wedding in the fall. They found Rabbi Dubin online, on a list of licensed local wedding officiants. They warmed to his profile, even though neither is Jewish.
The service in their living room proved relaxed but formal. Dubin wore a suit, and both bride and groom were fashionably attired in black. Boyer sported a white rose boutonni猫re. Justi held a bouquet of white roses and calla lilies, their stems wrapped in silk. Dubin talked about marriage and commitment and faith. And he nodded to their need to protect themselves.
鈥淓very marriage is important 鈥� but it鈥檚 also important because you are living in times, as we all are, when sometimes we have to take things into our own hands to make sure we come out all right on the other side,鈥� he said.
For about 20 minutes, they discussed the journey behind the couple and the one ahead. Boyer and Justi read vows they鈥檇 written to each other, and then gave each other rings. Dubin declared, 鈥淏y the authority vested in me by the state of New York, I now pronounce you, Don and Ann, husband and wife.鈥�
They kissed, then signed some paperwork, raised a toast of sparkling water, took some smartphone pictures and embraced the rabbi.
They were beaming like newlyweds 鈥� albeit very practical newlyweds who were already planning next steps.
鈥淎s quickly as possible, I want to get you and this form down to the union headquarters tomorrow,鈥� Boyer said.
And that聽was it. The landlord headed back downstairs. The rabbi and I headed out into the snow. And Justi and Boyer bundled up for a one-night honeymoon in a White Plains, N.Y., hotel. They said they鈥檙e prepared to face whatever comes next together 鈥� in sickness and in health.
This story is part of a partnership that includes , and Kaiser Health News.