To start it's not representative of the population.
So you think the word grim is appropriate vs let's see why that is and how can we make some structural change that benefits everyone? At the end of the day, everyone is afforded the same opportunity to enter into medicine whether you are black, white, asian, etc. Sure, those that come from poor economic backgrounds have a much harder time and struggle at times, but nonetheless, they work hard and manage to become doctors! I hail from a poor economic background and know plenty of people of color that have become doctors and the same from those who came from very depressed backgrounds. BTW, white applicants from poor backgrounds have the same struggles too and the last time I checked, there is no "extra" points on the application for a certain skin color.
Everyone wants to say how bad the system is, yet no one wants to get to the root cause or they simply want to blame it on the reoccurring theme of; "racism" or "white supremacy."
I think everyone recognizes that there are obvious obstacles that URMs and low economic candidates may face, but their chances can be improved by improving the education system (So many poor communities have dismal graduation rates), seeking out mentors to help encourage those at a young age to consider medicine, seeking out funding sources (public & private) to offer scholarships and make med school affordable or at least "doable", continue to recognize and promote students of color and challenge them to succeed, and the list can go on.
No more excuses or feel good about yourself by saying things are "grim", go out and make a change, otherwise, you are being as hypocritical as most politicians ( liberal/conservative).