Healthy relationships appear very hard to maintain if the two (or more) people are unevenly matched in their desires and ambitions. Obviously, the tighter the match, the smoother the sailing. With the variety in the world, that certainly appears achievable, but due to impatience and insecurity most people don't really bother to take the time and they cling to the first best thing that comes along.
Marriage is definitely not necessary and can in fact serve to amplify any issues that exist between partners at the time before they can be smoothed out or resolved.
I've never been in a particularly healthy relationship, but they usually go like this: Both sides are very attracted to each other and they touch up at many different points, but they cannot reconcile the biggest differences between them. They try it out for a while, but eventually those differences become more apparent because while the relationship works when both partners are focused on each other, they still have their own dreams and desires to fulfill.
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