The last thing I want to do is to be pulled into this, as we all know this same debate has played out endless times on SDN...but I can't stay quiet on it anymore.
Disclaimer: I do not speak for all minorities! This is just my own view/experience:
So, I grew up in a place heavily segregated by race and SES. If you were black or latino it was a near certainty that you lived in one section of town, and if you were not a minority, you likely lived right down the road in the nicer, more affluent community (It's de facto segregation). That's just the way it is. The disparity was staggering. Almost everyone who lived where I live was on/had been on at some point government assistance.
Interestingly, we all attended the same school system. In theory, we had equal access to education...outcomes should have been the same, correct? Well they weren't...not even close. You were hard pressed to find minority student leaders, minorities graduating and going to top schools, scoring very impressively on tests, getting the best grades. Now you have to ask yourself...what kinds of things are going on under the surface to account for this?
I know a lot of people who are against URM being considered in apps would say something like..."well, they had just as much opportunity to succeed as the non-URM kids". And I am simply saying to you, from my own life experience, from someone who has actually LIVED that life--spent the first 18 years of my life being on the "outside", it's just not the case.
I have to say that the argument that SES should matter over race was something that I've thought about myself. And I actually do agree that SES is a HUGE part of the equation--regardless of your race, if you are born into a low SES situation, and you too have an immense amount of struggle that should be considered.
BUT, (and here's the point of this long-winded litany) there are issues/struggles associated with race that you just can't erase from the debate. From my own life, things like:
-
not feeling you that "people like you" really can succeed. I didn't meet a black doctor until I was
20 years old. On that day, I actually got emotional about it later in the day, because it
literally changed everything to me. Before, in my heart of hearts, I didn't think medicine could ever be within my reach. Dead serious.
I am someone who is a huge believer that without hope or belief in yourself, you're done before you even start. Not having role models that you can relate to is HUGE.
-
not feeling connected to "mentors". There are many wonderful people who have helped me along the way, yes. It's difficult to explain, but basically, imagine how intimidating it is to talk to professors/etc. and get to know them simply in light of the fact that they are so "important". Now compound on top of that the feeling that you probably come from two different worlds--bc bottom line, IMO, the experience of minorities is intrinsically different from that of non-minorities REGARDLESS of the minorities' SES. (I'm sorry guys. That's just the way it is---we could argue that point all day everyday, but that would be a whole other thread
🙂)It's harder to be comfortable around them, and talk to them on a personal level.
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feeling like an outsider. Again, I can't speak for all minorities, but when I'm in a huge room of people, I notice when I am the only minority. I know that I have to shift who I am: I know that I have to speak better than I ever have, smile more than I ever have (to seem more welcoming/non-threatening). I have to downplay my "blackness" in general (not saying that not speaking well or being angry/threatening are "black"...I'm just saying that the mainstream stereotypes blacks to be this way so I have to watch that if I'm in a room of people who very likely believe that on some level to be true of black people) in order to get through it. And you know what? It's taxing. (Which, sidenote...is one reason black people often "cling together" when put in situations where there are so few of them. You don't have to worry about being judged)
And just to tie this back to medicine: the people from my community, when they are sick will often refuse to see white doctors (which, means seeing no doctors as there are NO minority ones in my area). Many still have an old fashioned mind set, it' true, but you also see it among people our age. They think "that white guy (the doctor) doesn't care about me" because in general, that's how they view white people in our society. Yes, it's a messed up mentality, yes we all need to learn to trust each other, but it's there. When more minorities are dying in the country/living less healthy lives, when minorities are underrepresented in just about every professional sector from business to law to medicine to government (and hence have next to no voice for changing things), when the most "educated" people in the country are arguing that no, their minority status and minority struggles should be completely looked over to allow for "fairness"...can you blame them?
If you are talking about "fairness" in medial school admissions, then for God's sake, start at the beginning of life. Don't just say "URMs have it easier because they can get in with lower numbers" (eyeroll)...Let's talk about WHY they are SO much more likely than people from the majority to have those low numbers. Let's talk about how according to 2008 figures from the U.S. Census Bureau blacks and hispanics account for roughly 28 percent of the U.S. population but only 6 percent of U.S. physicians are minorities. (
http://www.cnsnews.com/news/article/58062)
I'm guessing no one wants to talk about
those low numbers...
Guys, I'm not trying to guilt people or even to say that my own personal struggle is greater than every single white person in this world. Far from it. I'm just trying to advocate us looking a little deeper at these issues and opening the doors to serious discussion with each other. We have to stop this "us vs them" mentality on both sides of the aisle.
Please know that I am open to other perspectives on this issue! For the hundredth time (lol) this is just one URM's point of view. Sorry this was so long! It's apparently been brewing within me for quite sometimes (that was cleansing!).
🙂