To the Editor Using data from the American Community Survey (ACS), Dr Gonzales1 analyzed the association between implementation of the Marriage Equality Act for same-sex couples in New York and their health insurance coverage. There are a few problems with the analysis.
First, as the US Census Bureau reports,2,3 ACS data on same-sex adults are subject to substantial error, including failing to identify many lesbian, gay, and bisexual adults (LGB; including all those not currently living with a partner) and misclassifying a significant number of opposite-sex couples as same-sex couples.
Long SK. Marriage Equality Act and Changes to Health Insurance Coverage. JAMA. 2016;315(4):417. doi:10.1001/jama.2015.16446