Exploring The Recent Supreme Court Ruling and How Politics Get Prioritized Over Patients
First of all, thank you for an intelligent, thoughtful and non-polemical discussion of race/minority based politics and its downstream effects especially in medicine.
I entered medical school in 1966 and graduated from Albert Einstein College of Medicine in 1970. I have been an passionate and active advocate for freedom and fairness all of my sentient life (I got kicked out of an organization for lack of right think/right speak for the first time at the tender age of 14), attending my first political rally for integration in DC when I was 17 years old. So I have a LOOOOOOONNNGGGGG history in these wars.
After the assassinations of MLK and RFK in 1968, my progressive medical school ("liberal" back then, when that had a very different meaning) set up the King-Kennedy Program, which recognized the disparity of preparation opportunities for otherwise suitable candidates for admission to medical school.
In the affirmative action zeitgeist of the time (institutionalized racism doused with a whole lot of self-congratulatory kumbaya, but never dealing with the root causes of the problem), they set up a very generous scholarship for disadvantaged black candidates who had completed university but could not make the grade because of discriminatory educational and social conditions. Well and good.
These fortunate young people would receive a generous financial stipend, room and board, books and supplies, live on campus and receive a year of remedial education to prepare them to stand for the MCATs a year later.
Sounds lovely, right? Except for the fact that the "disadvantaged" students chosen were 1. the daughter of a black neurosurgeon who had attended an elite Ivy League university but was an uninterested and very desultory student, 2. a black Oriental Languages major from Columbia University who had never take an pre med course but thought "it would be fun to be a doctor" and a couple of other students who qualified ONLY because they had a sufficiently discernable amount of melanin in their skin.
Not one of them achieved passing marks for admission when they took the MCAT a year later. But ALL of them were admitted to the medical school class because, and here I quote from what the Dean of Admissions told me when I raised the question of why unqualified students had been admitted, denying places to qualified ones, "not admitting them would be racist".
As they pursued their medical educations, what is your guess as to whether their performance was evaluated to the same standards as more "privileged" students and whether the resulting medical competence they could deliver to every one of their patients was what each of those patients had a right to expect and, indeed, what they were hinging their very survival upon?
If medical education quality, rigor and honesty, delivered to the highest quality, most qualified students makes no difference to outcome, then why spend the time and effort, to say nothing of the money involved, on it? If those components are both significant, then anything like affirmative action or DEI, or, call it what it is, straight up racism, endangers lives, lots and lots and lots of lives and degrades the fluttering tatters of what is left of the dignity and virtue of our allegedly once noble profession.
When do we develop the spine, the fortitude, the guts, the principles, the balls, to look those who want to destroy everything we hold dear as decent human beings, in the eye and the ballot box and the wallet and tell them the truth, with a resounding "Not only 'NO!', but HELL NO!"
By the way, those same destroyers are fomenting the disgusting "Comprehensive Sexuality Education" and 15 minute cities and digital vaccine IDs and CBDC.
And falling for it is made virtuous by the Ministry of Truth.
Please visit https://PreventGenocide2030.org for a peaceful mechanism to take action to say "NO! and HELL NO!"
And say it to groupism (race, gene therapy status, political affiliation, antisemitism, islamophobia, sexism, whatever) in medicine. Say it loud, and often and don't stop saying it until it no longer needs to be said because we have drowned out the race/minority politics crap.
I have subscribed to over thirty substack writers since the beginning of substack. Over time, I have noticed that many of the writers who ostensibly drew rational conclusions from data and appeared to espouse a reasonable data-driven argument would instantaneously convert to a rabid tribalist when the subject matter switched. Some examples: writers who apparently could see through the Covid propaganda, but then swallowed the Ukraine propaganda; writers who could see through the Ukraine propaganda but then blindly accepted the climate change propaganda, etc. Very few can stay objective from subject to subject. Kudos to A Midwestern Doctor for nailing it again; a data driven, objective, reasoned argument!
One outcome of affirmative action you didn't mention is the impact it has on competent employees who happen to belong to a so-called disadvantaged group. The assumption is that they obtained their position through favouritism (which is what AA really is) and not because they excelled in their field. This creates a stigma where one wouldn't otherwise exist if competency were the only criteria.
Thomas Sowell in his new book “Social Justice Fallacies” gives the best short analysis of affirmative action and its consequences that I have ever read. I highly recommend the book.
As a woman, I have an axe to grind against females being pushed ahead of males as doctors, even if they've got better grades. For one thing, there are enough of us stay at home moms to make the target percentage of women doctors much lower than fifty percent.
For another, the medical student loans make it hard for women doctors to drop out down the line and so they faced a heightened likelihood of abortion to maintain payments on debt. Then, they work this abortion out on their patients via some type of unconscious abortion derangement syndrome.
I would not set much store in Zinn's book, I read it and and believed its assertions for years. I was fortunate, however, to have people in my life whom I respected and who had investigated different sources, and introduced them to me. I started to do my own research. I investigated and so came to realize that Zinn had a Marxist-Anarchist axe to grind and that axe was best sharpened by falsifying history and slanting his narrative. Here’s a critique by another historian.. I think you may find it interesting.
But Zinn did not do real history—that is, scholarship that builds on the work of previous historians, gives accurate and detailed information, and presents a balanced view. A People’s History, like the 1619 Project, drew criticism from historians on the left and right. Kazin felt that it shortchanged progressive accomplishments like labor laws and civil rights; Harvard professor Oscar Handlin called it a “fairy tale.” Still, the book kept selling, and sales total about three million today.
In writing Debunking Howard Zinn, I read many of Zinn’s sources and found egregious plagiarism (usually from New Left historians and socialist non-historians, like Hans Koning), deletion of critical information, deliberate misrepresentation of sources, and invention of facts. Zinn used his status as a professor to discredit other historians. He attacked Gordon Wood’s mentor, Bernard Bailyn, whose name appears on many of Zinn’s lecture notes.
If we keep lowering the bar on educational standards, eliminating grades and giving passes on the basis of origin, we are sliding down a slippery slope in all professions and not only medicine. Merit, Knowledge and dedication needs to be prime. My grandsons are building their careers in medicine, and it is apparent they are short staffed and over worked. Just another aspect that does not bode well.
“no group can ever be relied upon to solve a problem its existence revolves around solving.” 2023
“It is difficult to get a man to understand something, when his salary depends on his not understanding it.” ― Upton Sinclair, I, Candidate for Governor 1935
I bet if we studied ancient Sanskrit we would find similar sentiments from their wise ones.
The problem with health care is the system itself. Doctors are not in the business of healing a patients disease. They are in business of managing a patient's disease for the rest of their lives with drugs, vaccines and surgery.......PERIOD!!!! Medical care is actually about extracting money from the patient (Insurance Companies), and doing anything that would reduce expenses or heal the patient will NOT happen. Otherwise Doctors would be out of business!
I have not used the Medical Cartel System in over 10 years since I had cancer 13 years ago. You could not pay me enough money to use it, because it does not cure anyone, but instead enslaves people by creating a nation of drug addicts, and these drug pushers who peddle these drugs and are identified by their title of “doctor” with a “Dr.” in front of their name along with the initials “MD” after their name. It's what they are trained to do.
After Covid I don't know how any sane person that is not having an emergency/trauma can go see a doctor. During the PLANdemic Doctors and Nurses were killing patients for profit from the Government. Any nurse or doctor who administered Remdesivir or placed people on a ventilator is a murderer. Covid was nothing more then an epidemic of violent government and medical assault against people, of false attribution of death, and of intense propaganda using fraudulent tests and bogus studies.
Health comes from eating right, exercise, lifestyle changes and reducing toxins in your life. Big Pharma is trying to control our food by removing the seeds from fruits and vegetables. Why? Because the seeds are what HEAL the body. Yet, try to find Grapes with seeds in them. You can't! Never buy Produce that has no seeds. It is a hybrid, GMO GARBAGE!!!!! The more seeds they remove from Produce they more we run to doctors and become dependent on Big Pharma.
Medical mistakes kill way more people than any disease every year. They call it the “practice ”of medicine for a reason. I'd rather die an 'honest' death at home, versus being exterminated via government-mandated healthcare at a medical center.
"The Love of Money is the root of all evil"
The initially well-intended Civil Rights law is the new original sin of America. It outlawed all discrimination on the basis of race and sex, but was later interpreted by courts and bureaucrats to require discrimination against white people and especially white men. Later legislation and court decisions added punitive damages and legal fee awards to terrorize employers and universities into becoming racist to fight racism. (See "The Origin of Woke" by Richard Hanania). The Supreme Court's ruling against university affirmative action is a step in the right direction, but the administrative agencies that propagate the DEI ideology really need to be dismantled. I agree with you that DEI has become a distraction from the underlying problems that cause disparate impacts, but DEI exists precisely because it is taboo to discuss the actual causes.
Well, the entire elite ruling structure of America now has completely turned against people like me—lower middle class (whatever the hell that means), European (German Anglo), family on both sides here since the 1600s early 1700s, bit of indentured servitude and Palentine German stock. In truth, there never has been a guaranteed space for someone like me in America (the original Palentine ancestors were forced to live between Native Americans and bourgeois Anglos as a buffer) but the rules of engagement were clearer before the Immigration Act of 1965 and the reframing of America as “colonist racist” at that time. Elites either engineered this change in mythology, or well meaning wealthy Baby Boomers, protected by the lack of “immigration” from the 1920s to the 1960s, naively deluded themselves into believing that a multicultural secular leftist globalist utopia was an inevitable and desirable future, a/la Lennon’s “Imagine.” In San Diego, where one side of family has been since the late 1800s, stable affordable middle class and lower middle class neighborhoods have been turned into unrecognizable, strange globalist crap holes. The only thing that unifies people in these “communities,” if they can be called as such, is fucking Amazon and mimetic-induced desire for more crap. True, that’s always been an American value of sorts, but this is different: Now, especially since “COVID,” there has been a heavy ESG push to “race-based advertising.” And whereas before I could unify with other European Americans to ignore and mock the ridiculousness of advertising, we now have the added bonus of being called “racist” if we mock and degrade this equally ridiculous advertising of Amazon and Blackrock ilk. I am not seeing a way out of this for a better America, as the monster controllers have played so many cards over the past decade. Welcome to feedback from others.
Rather than rebuild a basic Public Health system that covers the basic needs, we are collapsing our medical system. Epoch is exposing how rural America is becoming void of Heathcare. US keeps sending billions and billions to other countries and we could use the money to rebuild our country!
I just signed up for paid subscription. I’m retired RN/NP who spent nearly 4 decades in hospital healthcare & you remind me of so many old school, common sense colleagues I’ve worked with. I enjoy & savor each of your posts. Your devotion to truth in medicine is sorely needed & much appreciated. I know you must spend hours on each post & I’m grateful for that. Know that you are making a difference.
There are only two ways to amass great wealth and power. The 1st way is illegal as you pointed out. The 2nd way is immoral. John D Rockefeller and Bill Gates did it via the immoral route. Elon Musk we will learn took the immoral route as well. The immoral route is not illegal but it’s taking advantage of of people and the laws up to the point of having laws put into place that protects you at the expense of your competitors and customers.
Thank you for this thoughtful and informative post. Our Country and others have lost their way. Merit should be the only consideration when considering admission to any medical school. The health of future patients depends on their caregivers being fully qualified. We cannot impove the status of of any individual or group of individuals by giving them preferred status over those who are better qualified. This will only lower the quality of the care for the patients and will not produce the desired effect on the group for which it is intended. We’ve been trying to do this for 60 years without success, but instead of recognizing our failures, we have doubled down on them. This is insanity but, I believe it is part of a plan to separate and destroy us.
When you have someone like Ben Carson, MD who grew up in a single parent home, living in the ghetto of Detroit with all his accomplishments, in spite of all that, and you have the recent POTUS Barak Hussein Obama Sotero (or Sotero Obama) foisted off on this country, in spite of his Kenyan birth, this DEI or DIE as far as patients go, this is just an attempt to perpetuate racism in service of maintaining power of people who are reliable Democrat voters and office holders, without doing anything for the supposed victims of 'systemic racism'.
Systemic racism is the welfare system which perpetuates single parent households which disproportionately affect blacks, urban poorly functioning public school systems which serve as employment agencies for largely unqualified public school teachers. It is at that level that the problem has to be attacked. Stable 2 parent households with Father or father figures, and at least one of the parents getting out of the house to earn a living, schools that truly educate rather than baby sit and indoctrinate children who are interested in learning (or whose parents make them at least pretend to be interested in learning until they are interested in learning),
Do that for a generation and you will see an impressive increase in the number of qualified POC applying and qualifying legitimately for space in medical school and likely succeeding legitimately.
I speak as a former medical school and residency faculty member, and there were at least 2 affirmative action (2 for's --POC and female), that really didn't belong in residency, but no one was going to let them know that -- I worked closely with one of the women as her advisor and did what I could to improve her clinical reasoning skills. The other one was just an air head, IMHO. Hopefully their patients have not been harmed. (OTOH, I had one black man who struggled initially, but was able to finish the program and into practice successfully.