The relationship between patients chosen for surgical therapy and their outcome in relation to economic, insurance, partnership, and racial issues has been infrequently studied. A recent retrospective study using the VA Central Cancer Registry in stage I/II non-small cell lung cancer (NSCLC) from 2001 to 2010 demonstrated that the disparity between Blacks and Whites receiving an operation decreased to similar rates during this time period. Furthermore, there was no survival difference between Black and Whites undergoing an operation, and no lung cancer-specific survival (LCSS) differences between races (2). Using data compiled from 38 state and the District of Columbia population-based cancer registries compiled by the North American Association of Central Cancer Registries, Sineshaw et al. demonstrated that the receipt of curative-intent surgery varied by state and was lower in blacks than whites in every state (statistically significant in Texas and Florida) (3). Similarly, using the Surveillance Epidemiology and End Reporting (SEER) database from 2007 to 2012, Taioli and Flores noted that even after adjusting by age and insurance status, blacks were less likely to receive surgery, but more likely to receive radiation than white patients (4). However, none of these studies evaluate race in relation to economic, marital, and insurance variables. Nor have these reports analyzed differences in outcome in the many different ethnic groups who are found in the United States.