The Blatant Racism Behind Affirmative Action Opposition

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If you had any idea who the physician I was essentially quoting is or what he does, you would feel very foolish right now. Cultural competence is a misnomer. It doesn't exist because of your second statement.

Cultural humility is the response to that misnomer. It is the recognition that no matter how much I try to understand your culture, your heritage, your beliefs, I will never be able to do that fully. Consequently, I actively seek to understand who you are and the context in which your personal culture and cultural spheres have developed while simultaneously realizing the assumptions I make about you and actively expecting to be wrong about things. In other words, it's about being adaptive and dynamic and minimizing assumptions.

Cultural competence assumes a given individual can be assumed to fit into the "box" of his/her presumed culture. Cultural humility adamantly states the opposite.

Nevertheless, someone who is perceived to be from the patient's culture (e.g., due to the color of their skin) is going to be more readily accepted and trusted. S/he will also likely be more naturally "forgiven" for cultural mistakes w/o the pt even realizing s/he is forgiving the physician (since the assumption is made by the pt that the physician is in the "in-group" already).


You seem to be rather interested in semantics. Unfortunately, cultural competence, not humility, is the term used in many secondary prompts.

So according to you, black physicians would not be compatible with white patients, and vice versa, because there is little room for trust and forgiveness due to skin color.
 

I was mostly talking about university research not something.produced to support a certain position, which is what think tanks do. Nonetheless, I fully support using SES as a factor in admissions together with race.

The point I was making earlier is that the critics of race-based AA always avoid the simple question of additional disadvantages the applicant has faced because of his or her race. It is NOT the same for blacks, whites, and Hispanics even if they make the same amount. To acknowledge that would mean we are fully justified to look at race as a separate factor in admissions.
 
You and the guy above you are missing the point. The argument that "these are things you can control so they should play a factor in admissions" is a different argument than "race has nothing to do with your potential to be a doctor".

However, seeing as you two seem to want to divide things up according to what we can and can't control, I assume you would not be in favor of any advantage for students in a lower socioeconomic bracket as well, correct? After all, we can't control what circumstances we're born into.

I'm not actually against AA, I was just pointing out that your comparison is a bit misguided.

Not correct, I wouldn't mind socioeconomic factors being considered (as they often are).
 
You seem to be rather interested in semantics. Unfortunately, cultural competence, not humility, is the term used in many secondary prompts.

So according to you, black physicians would not be compatible with white patients, and vice versa, because there is little room for trust and forgiveness due to skin color.

It's not simply semantics. It's an entire attitude. Thinking you can be "competent" in someone else's culture is pure arrogance. And yes, I would argue that a black doc would have some difficulty earning the same acceptance from his white pts vs. his white colleagues, especially in Africa. The research here indicates that this effect is most marked in minority populations. It is also seen with certain other groups, such as religious people. (Religious patients tend to prefer others who are religious, esp. of their own religion. Atheists, however, basically don't give a **** according to that paper.)
 
It's not simply semantics. It's an entire attitude. Thinking you can be "competent" in someone else's culture is pure arrogance. And yes, I would argue that a black doc would have some difficulty earning the same acceptance from his white pts vs. his white colleagues, especially in Africa. The research here indicates that this effect is most marked in minority populations. It is also seen with certain other groups, such as religious people. (Religious patients tend to prefer others who are religious, esp. of their own religion. Atheists, however, basically don't give a **** according to that paper.)

Claiming that cultural competence is important is not the same thing as claiming to know everything about someone else's culture.

The rest of your post makes very little sense, esp. without a citation to the actual paper.
 
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