I’m a current applicant and need some perspective. In my original personal statement, I talked about an experience where an attending physician spoke negatively about a patient. I described how the comment shifted the tone of the whole team and how that moment made me realize the role model and leadership potential a physician has, and how I want to use it positively.
Never talk about that. Until you've dealt with dozens of patients a day, you never know what it's like or how hard it is to not bash on a patient. The reality is some patients are complete m*rons. Medicine is a team effort and I don't mean the healthcare staff, I mean the patient too. They have to be actively involved in their own care. The reality is you'll think about that about more than a few patients throughout your career.
Inexperienced people always think they can do better until they face the complexities of a field and the world and they realize they knew nothing. Classic Dunning-Kruger Effect.
Why do you think there's so much unmet need in medicine? Because it's not profitable to meet those needs. Yes, profit matters. How else are you going to pay your employees, keep the lights on, etc? When you criticize companies that prioritize profit over patients, it makes me cringe because you would not pursue a medical career, take on all that debt, if it didn't pay six figures and had job security. Why? Because you need to eat, pay your bills, etc. That's why medical innovations need a viable business model.
Here's an example of an unmet need due to a lack of profitability. Anyone who's had a lidocaine injection knows it hurts like a b*tch. The reason for the burn is because of the hydrochloric acid, which ensures its sterility and prolonged shelf-life. You can actually reduce the pain from lidocaine injection by dilution it with a 3:1 ratio of lidocaine and sodium bicarbonate, which neutralizes the acid and also reduces the time needed for lidocaine to have an effect since its positive charge is neutralized and it can pass through the cell membrane faster. So why isn't this standard protocol? For reasons already stated. The sodium bicaronate neutralizes the acid, which reduces the shelf-life to just one week. Even if there's a new billing code that allows doctors to charge for the use of sodium bicarbonate, they would have to toss unused lidocaine after a week and lose a ton of money, unless they have a high frequency of patients that need lidocaine injections.
There's also the fact the antibotic market is broken. It costs hundreds of millions to billions to develop drugs and antibiotics aren't used right away. They're shelved to prevent the spread of infection. That's why no one is developing antibiotics because it won't turn profit for decades and if that is their sole drug, they will go bankrupt. That's what happened to Achaogen after they spent over $1 billion developing Zemdri.
I know you've all been fed the patients over profits narrative but in reality, profits matter more than patients. You can't care for patients if you go bankrupt. This is true even for non-profit clinics and hospitals. This is not something you think about when all you do is do clinical duties and make a paycheck. That money has to come from somewhere. This is something only people who understand the business side of medicine would realize.
That was a bit of a tangent but it was to illustrate how you're in for a rude awakening when you see how complex the medical field really is and you will not have the impact you expect to. At least not until you actually learn more about the non-clinical aspects of medicine.
When you encounter these situations, 99% of the time, it's not because you know better, it's because you're missing something. Adopting the mindset of "what am I missing" will do you a lot more good.
I found that the the best way to do that is not to criticize individual psychology, but sociology.
Even that is not a good thing because it shows a lack of understanding of how complex society is. Everyone knows these problems exist and there's a reason it hasn't been fixed and you will not be the messiah that fixes it. Refer to what I said above. But then again, I am an outlier so there's a good chance most people in adcoms won't share my opinion. But I can say it is an absolute fact you achieve nothing by criticizing society but you may get something done by understanding society as a whole: the good and the ugly.
The reality of it is a lot of things in society have trade-offs: they have pros and cons and it comes down to weighing them. If you hastily remove something you thought was harmful, you may end up doing more harm than good the good it did. That's why you want to implement change slowly.
I'm going to dive into a little bit of history here so mods, please bear with me. After the Revolutionary War ended, Northern States moved to end slavery, but they didn't do it overnight. They gradually phased it out: no new slaves would be owned, all children of slaves would be freed once they reached age 21, but adult slaves remained slaves when these laws were enacted remained slaves for the rest of their lives. They did this because slavery was deepy rooted into their economies that to get rid of it overnight would destabilize their economies. One could argue freeing all those slaves into a wrecked economy would have been worse. From a humanitarian standpoint, it was obviously messed up. But from an economics standpoint, it made perfect sense.
Sorry for having to go off-topic, but it was the best example I could think of to show when you criticize society to me, you sound like an ignorant child who doesn't understand how the world works. It's when you understand why it happened that you will start to show the potential to impact society because you understand the merits of both sides. Keep in mind understanding =/= agreeing. I don't necessarily agree with it but I do understand it was important for society's stability. People who undersand don't really openly criticize imo because they see its merits even if they don't agree with it. Most issues fall under these grey areas and less than 1% of issues are 100% good or 100% bad. Likewise, in medicine's case, it's balancing humanitarian efforts and a viable business model.
Using a more relevant example and this may ruffle some feathers, when Roe V. Wade was overturned, I didn't agree with it, but I understood why it happened. It was never about a nationwide ban on abortion, it was about giving power back to the states. Our Constitution was set up so that for something to be the supreme law across all states, it must be made part of the Constitution via an amendment. Passing an amendment requires 2/3 of Congress. After that, it must be ratified by 3/4 of states. In other words, states have a say in which law becomes the supreme law of the US. Roe V. Wade was unconstitutional in the fact it unilaterally enforced a law on all 50 states without giving states any say in the matter.
Relating to this, I feel like the MCAT emphasizes a lot on Social Conflict Theory, but it doesn't focus enough on the merits of Structural Functionalism.