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Feb. 8, 2013
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Jewish World Review
March 27, 2009
/ 2 Nissan 5769
Medical apartheid
By
Linda Chavez
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http://www.JewishWorldReview.com |
President Obama decided that the man he originally picked to head the
civil rights division at the Justice Department, Thomas Saenz, was too
controversial, so he's now turned to someone he hopes will have clearer
sailing through the confirmation process. Earlier this month, the
president nominated attorney Tom Perez as assistant attorney general for
civil rights. Perez is currently the secretary of labor for Maryland and
had previously worked in the civil rights division at Justice in the
Clinton administration. The administration decided not to move forward
with the Saenz nomination largely because of Saenz's efforts on behalf
of illegal immigrants, which made him an easy target, but Perez also has
some skeletons in his policy background that could prove troubling.
In 2006, Perez wrote a law review article for the University of
Maryland's Journal of Health Care Law and Policy, in which he argued for
explicit race-conscious admissions policies for medical school. He cited
a handful of studies that purport to show that minority doctors are more
likely to provide medical care to under-served poor minority populations
than white physicians are. He then leapt to the conclusion that the best
way to improve access to medical care for underserved populations was to
insist that medical schools use race or ethnicity in choosing which
students to admit.
In effect, Perez appears to be arguing for a form of medical apartheid
in which minority patients should be served by minority doctors under
the presumption that both groups benefit from this practice. The
argument is both insulting and dangerous.
It is true that black and Hispanic doctors disproportionately serve
patients on Medicare, Medicaid and other public health care programs,
but it is a big leap to suggest that this practice should be encouraged
or is, indeed, beneficial either to aspiring doctors or poor black and
Hispanic patients. As other studies have shown, doctors who primarily
treat patients enrolled in government programs are less likely than
those with private insurance to have passed demanding board
certification in their specialties and to have access to high-quality
specialists in other fields. Under Perez's rationale, it shouldn't
matter whether the doctors who serve poor people are less likely to be
board-certified so long as they are black or brown.
And Perez's solution to the problem is to lower standards even further
so that more under-qualified minority physicians are admitted to
practice medicine. Medical schools already admit black and, to a lesser
degree, Hispanic students with lower qualifications than whites or
Asians. In 2001, my Center for Equal Opportunity published a study of
admissions to the University of Maryland School of Medicine and found
that the university admitted black students with much lower test scores
and science GPAs than whites, Asians, or Hispanics.
As a result, black enrollees, on average, had much greater difficulty in
medical school, maintaining only a 2.5 average in their first two years
of medical school (compared with a 3.0 for Hispanics and 3.2 for whites
and Asians). And they were less likely to pass medical licensing exams
or to graduate than others. (CEO completed similar studies of medical
school admissions at several other schools, which are available online
at here.)
Perez's solution would exacerbate the problem of poor health services
for minority patients, not improve it. Ironically, the modern era of
affirmative action was ushered in by the famous Bakke Supreme Court
decision in which a more qualified white medical school applicant sued
the University of California at Davis Medical School because it denied
his application, choosing instead a less qualified black student,
Patrick Chavis.
For years, advocates of race-based admission argued that Chavis' service
to poor and minority patients showed the wisdom of the university's
decision. Those arguments proved both embarrassing and tragic in the
late 1990s when the California Medical Board suspended Dr. Chavis'
medical license, citing "inability to perform some of the most basic
duties required of a physician" after several patients died or were
severely injured in his care. Clearly, not every affirmative action
medical school admittee will end up like Chavis, but admitting poorly
qualified medical students increases the risk of producing incompetent
physicians.
Race should never be the deciding factor in deciding who gets into
medical school. President Obama has done a disservice to all of us by
choosing a man to lead the Justice Department's civil rights division
who thinks it should.
Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.
JWR contributor Linda Chavez is President of the Center for Equal Opportunity. Her latest book is "Betrayal: How Union Bosses Shake Down Their Members and Corrupt American Politics". (Click HERE to purchase. Sales help fund JWR.)
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