Dispelling a few myths about AA, URMs, and medical admissions

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Jesus! What have you done to my civil and informative thread?!?!?!?!? I didn't even know this thread was still alive and now all of a sudden black people are genetically stupider than whites AND black parents refuse to take care of their children--letting them follow the examples of rapping drug dealers???? What happened to people using facts to argue a valid point? Just when I thought I couldn't be more disgusted by some people on sdn....

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LadyJubilee8_18 said:
Jesus! What have you done to my civil and informative thread?!?!?!?!? I didn't even know this thread was still alive and now all of a sudden black people are genetically stupider than whites AND black parents refuse to take care of their children--letting them follow the examples of rapping drug dealers???? What happened to people using facts to argue a valid point? Just when I thought I couldn't be more disgusted by some people on sdn....

Hi there,
Do realize that everyone has an opinion and that opinions are just that an opinion. Save your epinepherine for something worthwhile. Some people on SDN have an agenda and promote it at every turn. Your education and your logical mind will always permit you to see the flaws and move on past them.
Continue your discussion and ignore things that have no logical bearing on it.

njbmd :)
 
Thundrstorm said:
Congratulations! :clap: You win the award for the most steroetypes in a single post in SDN history.
:thumbup: And from the tone of the post, he sounds REAL short too! :laugh:
 
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Thundrstorm said:
well... let's be clear on what kind of tan is considered widely attractive in our culture. Tanned caucasian skin is not the same as truly dark skin (e.g. African-American skin).


Oooookayyy. Does this not seem like a red flag to anyone? :idea: :rolleyes: :thumbdown:
 
tchantel21 said:
Oooookayyy. Does this not seem like a red flag to anyone? :idea: :rolleyes: :thumbdown:

If you take it out of context, then yes it should be flagged...but i think Thunderstorm was simply trying to say that just because taning is the currently popular fad, it doesn't mean that black people have some newfound optimism about changing societal views (not that blk ppl would need this optimism anyway because black is beautiful).

On a slightly different note, some ppl tan so hard that it seems like they are trying to look black... just a thought.
 
Thanks Cancan.

tchantel21, I was not making a derogatory comment about people with dark skin (I have pretty dark skin myself), and you would probably know that if you were familiar with my posts. I was just making the point that while tanned skin is currently part of our culture's beauty ideal, black skin is still not a part of that "Hollywood" standard of beauty. I think it's beautiful, but that's neither here nor there in the context of the discussion I was having.
 
I concur with this guy (however, my conclusion is Death to Meritocracy, Period.):

Robert C. Bowman, M.D.

My key concerns involve two areas of medicine. One is the decided lack of leadership ability across the range of medicine. It is my fear that those with leadership ability are going into other professions, such as law and business. This leaves medicine less than effective at the federal, state, and national level. The challenge of facing up to insurance companies, pharmaceutical corporations, and government is great. Medicine has to play a lead role, not a reactive one.

The other area of course is the admissions of those who are "different."

My research indicates that the MCAT, or perhaps more importantly its use, is changing US workforce in ways that are not as good for the nation. My concerns regarding medicine as a distinct personified entity involve not the nerve center and certainly not the processing speed or memory. My concerns regarding the medical organism involve the sensory inputs that give direction and meaning, the ones that shape application and use. We have a way of thinking and of processing information in medicine that is great on content, but undeveloped in application and relevance. MCAT Correlations Urban-Rural Location, Per Capita Income, and Family Medicine

We need more people in medicine that have a broader view, a more global approach. We need people who will stand up to state Medicaid officials and tell them that prescription co-pays may be saving some dollars on prescriptions, but co-pays are risking lives, damaging hearts and minds, increasing ER visits and testing and long term care, inflicting crippling damage upon safety net providers still involved with government programs, and making it more difficult for those with less to become self-supportive and their kids and their kids… We need medical education leaders who will take a leadership role in higher education in a state, telling fellow government leaders that they have ignored K-12 and community college education far too long. This results in increased numbers of Americans who will never fulfill their potential, especially those who could make the most difference for those in the most need. We also need medical educators that will take teaching more seriously, particularly in the clinical years.

The concerns involve not just exclusion of rural doctors, or physicians for underserved areas, or family physicians. This is damaging enough for cost and quality and access. The studies on birth origin also indicate more loss of physicians for general surgery, gynecology, radiology, and other more general specialties. The impact may also be felt upon those most likely to teach medicine. This has become a major concern in medical education, as noted in studies and the Millennium Conferences regarding medical education. Even as we speak, Congress is acting on legislation that might allow more community preceptors to teach, or they might be restricted from teaching. Medicine is becoming more and more dependent upon teachers who are outside the medical centers.

The admissions process is screening out those with a more general focus, as evidenced by the losses of family medicine and rural born students over past decades. The tendency toward teaching is higher in those with a broader focus. When I was involved in an external review at the University of Minnesota, discussions revealed that the specialists with a more general focus in various departments were the ones who provided the bulk of the teaching. With cutbacks, these were noted to be the ones who were "expendable." Those left behind were not as oriented toward teaching or as qualified to teach students.

A persistent myth is that those who don't make the grade teach. As with many persistent myths, there is an element of truth. The truth may indeed be that a broader focus is perceived as weaker, but is more valuable in teaching and in other professions. The weakness perceived may also be a personality characteristic. Family physicians are known to be amiables, as compared to drivers and analytics that are more common in other physicians. Amiables prioritize relationships, as do teachers, counselors, and advisors. It is also the quiet ones who can provide the input that shapes better decision-making in groups, as compared to those who rush in and attempt the first thing that pops into their head. The combination of analytics, drivers, and amiables is useful. The drivers get things done, the analytics make sure it is done well, and the amiables help guide the process and implementation, since relationships are their forte.

I have a proposal regarding addressing both, a special admissions track for some 30% of physicians. This also fits with proposals by Jordan Cohen and Admissions that are different. It also fits with research on Age and Physician Specialty

What if admissions committees were composed of a broader range of individuals beyond basic sciences and even physicians? What if admissions became medical schools seeking the right students rather than students seeking out medicine? What if medical schools had a large group of leaders represented a broad range of society recommending potential physicians who had demonstrated the kinds of leadership and humanistic and other qualities needed? Would medicine be constantly on the defensive as much? Would the maturity level of the students improve? Would physicians gain respect in the eyes of societal leaders? Would we have physicians that were more likely to relate to a broad range of communities, businesses, government, etc., by taking their early career skills and applying a medical training? What would be the impact of these folks, even if only 20% of the entering class, upon the other students? Upon the medical school itself? Service Orientation Characteristics of Rural Interested Students Non-traditional Students

My prediction, based on observations of such students, would be that they would be a royal and necessary pain in the rear and that medicine would greatly improve in the process. Such students have greatly assisted in the development of new medical school outreach programs, new forms of training, entire residency programs, and accelerated family medicine training programs. They have redirected medical schools regarding curriculum, testing, and faculty resources. We would also have the chance to choose more students with counseling, behavioral, and teaching skills.

Many would see finances as the major impediment, but history seems to note that the real problem is lack of willingness to change. There are other methods that would work, beyond just making medicine aware of current deficiencies.

Medicine could be better, if medical education truly wanted to be so. It starts with the preprofessional and admissions.

Admissions Summary

Robert C. Bowman, M.D.
 
ether^O^ said:
Man, this was an awesome post. I wonder why the pro-AA people in this argument didn't respond to it? Was it because the facts show that Affirmative Action allows URMs to take the spots of some non-URMs? Anyway, I want to start off by saying that I am East Asian, and that after reading this thread, as well as the other thread on the MD forum, that many of the arguments that pro-AA people give are complete BS. First of all, you guys talk about how hard it is to be a URM (black or latino), and how none of us know how hard it is to be one? Um...have you considered how freakin' hard it is to be an Asian American? We're (generally) not blessed with the size and athleticism of blacks to be able to dominate in sports and any other physical activity, nor are we blessed with having lived in this country for many generations (as numerous blacks and hispanics have). In addition to racism and discrimination that we face from white people, we have to deal with being bullied by blacks and hispanics for not speaking English and coming from a foreign country. Therefore, the only thing Asians have going for us is hard work and our wits. A lot of non-Asians think Asians WANT to work hard and we're successful in the United States because our parents are rich and had an education. Um...my dad was a waiter and worked in a print-copy company AND went to school full-time at a community college for many years before he was able to get a license and establish his business in America. How many blacks, whites, and hispanics do you see doing that? How much pride do you think my father had to swallow and how much did he have to sacrifice so that his kids can have it good in the United States? I know generalizations are not always true, but generalizations and stereotypes are based off of truths. I accept the fact that people call Asians cheap and physically weak, because it's generally true. Most Asians are cheap and (at least in the United States) physically weak. But the thing is that our Confucian cultural values allow us to succeed through respecting our parents, loving our families, valuing education, and working hard. This is why despite being behind for many decades, East Asia is finally on the rise again and why there are so many successful Asian Americans in this country.

The one thing non-Asians NEVER mention when talking about Asians is that there are, indeed, poor Asians in this country. Look at the thousands of poor Chinese and Vietnamese kids in Chinatowns throughout the country, whose parents work at dead-end jobs like sewing clothes for sweat-shop pay in dark basements, being waiters at restaurants, etc. These children have just as few opportunities for good early (elementary school, middle school) education and whose parents probably have less money than blacks and hispanics but find a way to succeed through their own hard work.

It pisses the crap out of me when URMs bitch an moan about how slavery in the 1800s affected them, or how they're not getting a fair shot in life. Um...why don't you look at Asian Americans? Many of us come to the United States with no money and shed blood and tears for countless years before (if you're lucky) being successful. Instead of spending our money on Air Jordans and gold jewelry, we put our money in the savings account so that we can pay for our kids' education. The last time I looked, the libraries at my top-20 univeristy wasn't filled by hispanics and blacks, but mostly by East and South Asians. Do you think we WANT to spend hours on end studying for biology or saving all our money so that we can't buy decent clothes? We would rather be out in the world doing other things. But the fact is that racism and discrimination both in the educational system and out in the job market forces us to work harder than everyone else. Affirmative action hurts us big time in schools, and racism/discrimination in the job market hurts us out there, so we don't really have a choice but to work hard in academics. In fact, I think the reason why whites (who run this country) even allow affirmative action to exist is because they feel guilty for having slavery, divide minorities apart, and because it's a way to hold Asians down (since it doesn't really help URMs). Quotas are used to suppress Asian enrollment in higher education the same way they were used to keep the number of Jews in universities/medical schools down. The fact that it still exists for Asians seems racist to me. I mean, is it a crime that so many Asians work hard and apply to medical schools? If it were by merrit only, there would be more than 19% Asian enrollment in medical schools.

So yes, it is extremely unfair that Asians have to work 2x as hard as people from other ethnicities just because of our skin color. I think affrimative action does nothing to help blacks and latinos, as shown by the evidence that there hasn't been a rise (or an insignificant one) in URM enrollment in professional schools or universities. The only thing that can help is adopting a culture that values education and family over rap/street-culture. I mean, what good is affirmative action when there aren't enough URMs who are actually in college or even high school to use it? Yes, it is undoubtedly tragic the economic woes that many blacks and hispanics go through, but it's mostly from improper guidance through their early years of life. So instead of affirmative action, we need to implement some other changes upstream. I long for the day in which Asian Americans won't get screwed by the system, in which we use applicant IDs to apply instead of names so that they can't see that you're Asian (i.e. Chang, Sameer, Wong, etc.), and that the race box will be done away with. I also hope that there will be more Asian American managers, large business owners, and politicians. I'll do all there is in my power to get rid of racial affirmative action once I graduate college, but since it's here now, I hope AA extends to sports so that I'll have other people besides Yao Ming to look up to :laugh:

Oh, and one last thing, if you think racism in the US is rough, you should try being an oppressed minority in Eastern European or East Asian countries, and see if complaining to the government would help you any. I think racism in the United States will never end. Caucasians (generally) will always look down upon minorities, and the only thing we can do is work hard and fight to pass laws that end in equality for all people (i.e. using applicant IDs instead of names for both work and school to make acceptance totally color-blind).

OH. MY. GOD.

A small part of the East Asian within me just died...
 
bananaface said:
Numbers are not everything, as we well know.

One false assumption many people make is that simply being from a URM group indicates that one is truly capable of enhancing the medical community in a unique way. What URMs ideally would bring into the profession would be perspective that they would share with their peers, and help make everyone overall better providers. When experiences are shared and disseminated, URMs are no longer the only ones in their class who are capable of understanding where URM patients are coming from. This helps the medical community to build a communication bridge, if done correctly. Now, if you take someone from a URM group out of a suburb, they may very well be incapable of diversifying the perspective of the medical community. At the same time, there are craploads of poor kids who grew up in trailer parks that have underrepresented perspectives but are not from a URM group. The system fails to pull in some underrepresented groups and pulls in some individuals from URMs that aren't really diverse in background. Personally, I think affirmative action based systems are a leaky bandage that we use to try and delay treatment for other problems.

There are some services that certain URMs are uniquely capable of. We have a few physicians in my community that are able to reach specific non-english speaking populations because of linguistic capabilities and cultural proficiency.


first: it's nice how you expect people of color to do all the work when it comes to relating to your patients of color. It's not a person of color's job t explain things to you; get off your tush and find out yourself. Secondly, there's no universal "what it's like to not be white" story out there. have you heard of books, lif experience, film, art...? And, maybe you should have started working on this before med school.

second: class and race are not the same thing. yes, a person of color from the suburbs will have different experiences than a white person from the burbs. Racism is not solely economic. And, speaking as someone who, yes indeed, did grow up in a trailer below the poverty line, I can tell you I support efforts to recruit and retain URMs 100%. As OP pointed out, the issue is medical racism. People of color have shortened life span and lowered quality of life due to the lack of access t healthcare and we as a society need to address this. People are literally dying, and all y'all can think about is your spot at medical school Y? Hope you're never my doctor. Of course, I'll be living in poor, rural Appalachia so I doubt I'll have to worry about that.

As an historian, it really disturbs me how people in this country treat race. The US is a country whose history is more defined by race and racism than any other. We act like it all never happened. "Well so what if America was founded on genocide and slavery? That was like soooo long ago!" Huh? As a scientist, it disturbs me how alleged scientists on these boards can ignore all the research done on these subjects.
 
MiesVanDerMom said:
first: it's nice how you expect people of color to do all the work when it comes to relating to your patients of color. It's not a person of color's job t explain things to you; get off your tush and find out yourself. Secondly, there's no universal "what it's like to not be white" story out there. have you heard of books, lif experience, film, art...? And, maybe you should have started working on this before med school.

second: class and race are not the same thing. yes, a person of color from the suburbs will have different experiences than a white person from the burbs. Racism is not solely economic. And, speaking as someone who, yes indeed, did grow up in a trailer below the poverty line, I can tell you I support efforts to recruit and retain URMs 100%. As OP pointed out, the issue is medical racism. People of color have shortened life span and lowered quality of life due to the lack of access t healthcare and we as a society need to address this. People are literally dying, and all y'all can think about is your spot at medical school Y? Hope you're never my doctor. Of course, I'll be living in poor, rural Appalachia so I doubt I'll have to worry about that.

As an historian, it really disturbs me how people in this country treat race. The US is a country whose history is more defined by race and racism than any other. We act like it all never happened. "Well so what if America was founded on genocide and slavery? That was like soooo long ago!" Huh? As a scientist, it disturbs me how alleged scientists on these boards can ignore all the research done on these subjects.

Just amazing. Good bless you woman. These "scientists" really should refresh their memory.
 
MiesVanDerMom said:
first: it's nice how you expect people of color to do all the work when it comes to relating to your patients of color. It's not a person of color's job t explain things to you; get off your tush and find out yourself.

But, the whole stated purpose for AA in the admissions process is to increase the population of minority physicians because patients only prefer doctors to be the same race/ethnicity as themselves. AA doesn't instill diversity into the doctors that are turned out at medical schools, it attempts to produce doctors of certain races according to a ratio related to underserved populations in healthcare.
 
MiesVanDerMom said:
The US is a country whose history is more defined by race and racism than any other.


Well.. one might think this is because the US is the oldest country that has most consistently had the largest population of Different people from all around the world live in the same close proximity.. and have the most freedoms comparatively to any other country.

Basically.. the "real world" tv show demonstrates for us as well.. haaha

You stick enough really different people in the same place for long enough with the freedom of speech and they will tell you what's on their mind.
 
LifetimeDoc said:
But, the whole stated purpose for AA in the admissions process is to increase the population of minority physicians because patients only prefer doctors to be the same race/ethnicity as themselves. AA doesn't instill diversity into the doctors that are turned out at medical schools, it attempts to produce doctors of certain races according to a ratio related to underserved populations in healthcare.

It all depends on what the objective is..

I don't buy this.. people want a doctor of this color or that race or that gender.. Tuff fecking titty.. I think the best student/best applicant for the spot should get it. I don't believe in "quotas".
If you believe that.. then you should have absolutely no problem if a white man comes into the ER and when the black female physician attends to him.. he tells her, "I'm sorry... but I would prefer if I had a white male doctor.. thank you".
Remember: No double standards.. don't be a hypocrite!

If the objective is to graduate doctors who will service a particular region or people who are in need.

Then...

Personally I believe that you should pick applicants on the basis of where they grew up and their socioeconomic background more so than the color of their skin.

I would tend to believe that someone who grew up in rural Appalachia/Mississippi.. or the inner city ghetto (regardless of color) would be more likely to return to work there (ie. they are used to it and call it home).. more so than your middle to upper class back kid from the burbs.
 
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I think this is ironic:

The originial definitions of 'to discriminate' is:

1. To make a clear distinction; distinguish: discriminate among the options available.
2. To make sensible decisions; judge wisely.

Discuss.
 
The whole purpose of AA is that there is a compelling interest to have racial diversity in medicine. As stated with citations in the other thread in the pre-med forum, affirmative access programs or programs focusing primarily on class instead of race do not ensure racial diversity in medical admissions.

Also, I agree completely with MiesVanDerMom's point that race and class are not the same thing; they are both major factors that determine a person's experience in America. However, they are separate and shouldn't be used as substitutes for one another.

One question that you may want to ask yourself is whether or not racial diversity is valuable to society and, in particular, to medicine. If you think that the answer is yes, then the only proven way to ensure that such diversity exists (see this thread's first pages and the other thread) is through a program that recognizes that race 1) exists, 2) matters, and 3) should be dealt with directly.

Consider what would happen to racial diversity if race-based affirmative action were suddenly ended. I read one study (don't remember the citation, sorry) that used regressions to model the effects of ending AA; the number of URMs dropped to 3%. Would the medical establishment benefit from this?


LifetimeDoc said:
But, the whole stated purpose for AA in the admissions process is to increase the population of minority physicians because patients only prefer doctors to be the same race/ethnicity as themselves. AA doesn't instill diversity into the doctors that are turned out at medical schools, it attempts to produce doctors of certain races according to a ratio related to underserved populations in healthcare.
 
Instatewaiter said:
I think this is ironic:

The originial definitions of 'to discriminate' is:

1. To make a clear distinction; distinguish: discriminate among the options available.
2. To make sensible decisions; judge wisely.

Discuss.

There's nothing inherently ironic about these two definitions. You can make clear distinctions, distinguish your choices, and judge wisely and sensibly. The only reason that these two definitions would be mutually exclusive is if making a choice in itself was neither sensible nor wise. And if you like free will as much as I do, you probably wouldn't think that these definitions are too ironic, either.
 
bkwash said:
You are mistaken..remember that an "average" is just that and it accounts for a whole spectrum of data. In every major city esp. Atlanta, Washington DC, Houston, Durham NC etc. there are large affluent black populations.


I lived in Durham for 4 years and can tell you that:
1) Durham is NOT a major city, period.
2) Durham does not have a major affluent black population. If it does, its .00001% the size of its poor black population, which I saw on a regular basis.
 
Dr_Colossus said:
I lived in Durham for 4 years and can tell you that:
1) Durham is NOT a major city, period.

Well according to the census, The 2004 Durham-Chapel Hill Metropolitan Statistical Area (MSA) population was: 451,212 as July 1, 2004. (That is a ranking of 104 out of 361 MSA's)
http://en.wikipedia.org/wiki/Durham,_North_Carolina

2) Durham does not have a major affluent black population. If it does, its .00001% the size of its poor black population, which I saw on a regular basis.

Once again, according to census data a couple of points: http://factfinder.census.gov/servle...=DEC_2000_SAFF_R1160:004&_keyword=&_industry=

1. Durham is 43.8% African American

2. Of that % the unemployment rate is 3.8% 1% less than the national average of 4.6% http://www.bloomberg.com/apps/news?pid=20601103&sid=aawTrjJoYvEI&refer=us

3. 69.3% of the AA population's occupation falls under the category of: Managament, professional, Sales, office occupations and other related occupations.

4. 53.3% of the population make between $35,000 and1 $149,000, I think that is a bit more than the .0001% you quoted.

A bit more information about Durham...


Durham is a city in Durham County, North Carolina, United States. It is the county seat of Durham CountyGR6, the home of Duke University and North Carolina Central University, and the North Carolina School of Science and Mathematics, and is a cornerstone of the Research Triangle region of North Carolina. The 2004 Durham-Chapel Hill Metropolitan Statistical Area population was: 451,212 as July 1, 2004

Durham quickly developed a vibrant African-American community. Although the center of the African-American community was an area known as 'Hayti' (pronounced HAY-Tie), members of the African-American community established some of the most prominent and successful African-American-owned businesses in the country during the early 20th century. These businesses, the best known of which are North Carolina Mutual Insurance Co., and Mechanics & Farmers' Bank, were centered on Parrish St. in downtown, which would come to be known as "Black Wall Street".
 
ether^O^ said:
Most ghettos around me are almost all African-American (I live near Oakland), and I've been told by friends that it's similar in Cincinnati, Detroit, etc. I'm sure that if you really wanted to live off McDonald's pay, you can. Sure, you can't live like a king on $6.00 an hour, but I've seen many people in China live off (the equivalent of) even lower wages. Um...if stereotypes are based in "arrogance" and "prejudice", how did they come up in the first place? And I certainly never said ALL hispanics kids are forced to work for their parents, just many. Ok, I'll give you a challenge. Look in your nearest neighborhood ghetto (there's one in every major city) and look at what race makes up the vast majority. I also want you to make a friend who is Chinese, like an immigrant from China (which many be difficult depending on your personality and your location). Within several months of really getting to know him, tell me if he's not cheap. And lastly, if you guys think that URMs (esp blacks) have doing so well in the USA, why do we need affirmative action in the first place? I demand a report back in 3 months, exactly :laugh:

do yourself a favor and please get out of where you are living. Also, admit to yourself that you are a racist. not because you dont agree with aa, but because almost every comment youve made has been derogatory towards URM. i think its quite remarkable how many opinions you pass on as facts. for ex: that URM are innately less intelligent than whites/asians; and this is just based on IQ and other standardized tests that very few people would do well on if not for the years of dedicated learning throughout middle/high school (which people whose parents do not emphasize the importance of education would not score well on). Also, why is it that many 2nd generation africans/ carribeans/west indies in america do very well on standardized tests--equal or much better than asian counterparts if blacks are innately less intelligent? I am not an URM, but I know plenty of foreign blacks in med school who did extremely well on their MCAT (33+).
i can understand some of the comments youve made about parents taking more responsibility for their kids education, but the IQ stuff is nonsense.
 
sjh33 said:
Also, why is it that many 2nd generation africans/ carribeans/west indies in america do very well on standardized tests--equal or much better than asian counterparts if blacks are innately less intelligent? I am not an URM, but I know plenty of foreign blacks in med school who did extremely well on their MCAT (33+).
I'm calling BS on the first part, and selection bias on the 2nd.
 
sjh33 said:
... Also, why is it that many 2nd generation africans/ carribeans/west indies in america do very well on standardized tests--equal or much better than asian counterparts if blacks are innately less intelligent? I am not an URM, but I know plenty of foreign blacks in med school who did extremely well on their MCAT (33+)...

Why don't you check out the facts first: http://www.aamc.org/data/facts/2005/mcatgparaceeth.htm
 
jtboyd said:
Saradoor, why don't you re-read what you quoted. That link does not refute sjh33’s point. The link you posted does not subdivide blacks into a foreign category.

That's the point! When we make up categories of people whose data are not being tracked properly, we can jump into an incorrect conclusion. The link from AAMC also did not subdivide whites or Asians who were born in different countries. If people want to quote numbers in their arguments, be prepared to agure with facts and be willing to back it up with source. The "I know someone who knows someone who did something ..." crap just doesn't work for me.
 
Haha yes, you can't just make up obscure points out of thin air and expect people to rush with evidence countering them. Some burden does lie on the proponent. "I know someone" arguments are bogus too.
 
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