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3) You make the assumption that the system is ripe for corruption as indeed it was thru the early 1980s. Partly, the implementation of AMCAS was to stop the favoritism based on money. In the late 1980s, admissions, financial aid and foundation (donations) decisions were separated and remain so to this day. No school can consider financial ability to pay nor the influence of donation. One of the "benefits" of large corporate entities now running hospital systems associated with medical schools is he fear of impact to reputation and marketing. The general counsel's of both the parent/associated companies and the medical schools keep an annoyingly tight leash on ensuring all regulations are complied with including LCME, AAMC, AMCAS, Joint Commission, ACGME, and the rest. This is called oversight.
Has this really changed much though? The ability to pay is certainly still a factor especially with regards to legacy admissions. I’m sure Many schools still accept students based on the name brand or donor/legacy status of their parents. It’s also hard to believe that the ability to pay doesnt factor in. This whole process is expensive af. From taking the mcat to submitting apps to matriculating, it all involves hundreds of thousands of dollars that favors the wealthy. Even with FAP it’s still super expensive and results in turning away poor/middle class people.
The other issue is that this system still favors the rich and the children of doctors. That’s the only reason I can find to explain why the majority of medical students have doctor parents. There’s so many factors that benefit them in this process as compared to everyone else. Favoritism definetly still exists