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The ruling on Thursday by a three-judge panel of the United States Court of Appeals for the First Circuit, based in Boston, marked the first time a federal appellate court had ruled against the 1996 law, which excludes same-sex couples from federal benefits accorded heterosexual married couples.
At the time, the Marriage Act did not specifically exclude same gender couples.
Lord Justice Girvan said the department of health had put forward "no justification to exclude same sex couples as parties eligible to adopt as a couple".
Narrow legal definitions used in some universities and states make it particularly difficult for queer and gender non-conforming survivors to seek justice; from defining only vaginal penetration as rape to directly excluding same sex assault.
Bed days included stays after emergency admission only and excluded same day admissions and discharges.
Table 4 shows the relative risk of second primary cancers using all registrations, all registrations applying IARC/IACR and SEER rules, and all registrations excluding same site cancers.
There was no overall difference in cancer incidence compared to the general population (SIR = 0.96, 95% CI = 0.91 to 1.00; SIR = 0.99, 95% CI = 0.94 to 1.04 excluding same site cancers).
Excluding same-sex couples from the institution of marriage simply didn't compute in my 11-year-old brain.
It is therefore acceptable, he argued, to exclude same-sex couples.
"Excluding same-sex couples from marriage is simply not rationally related to a legitimate state interest".
But while the tight-knit family has been a staple of Italian branding and advertising for decades, openly excluding same-sex couples has caused controversy.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com