Yeah, its true. But it also depends on the mindset of people. In India, when parents search groom for their daughter they hardly care about this things like health certificate etc. Infact if parents ask for it, the other party might feel humialited and thats the reason why this system is not yet popular. In western countries they ask openly for it. But it will not happen in India or it will take another 50 yrs. to happen. In our marriage system, trust, love, faith, understanding and good family background are the strong pillars whearas the same lacks in western countries.
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Besides statutory requirements for solemnizing a marriage, the following more can also be considered vital : Everyone must understand well about the benefits of strong and healthy marriages for both adults and children. These include being better providers, living longer, earning and saving more money, and being less reliant on government services, such as welfare, health-care physically and mentally. A road-map about what to expect in marriage, including challenges such as the birth of the first child, different philosophies on parenting, and negotiating work and family responsibilities. understand principles about commitment, acceptance, forgiveness, and sacrifice that are known to be associated with healthy relationships. Make individuals understand about risk factors so participants can decide whether or not a marriage they are considering is a good choice...!