We recently received this message from a prospective medical school applicant. We are keeping the applicant’s identity anonymous.

I just wrapped up my primary AMCAS and a handful of secondary medical school applications. I decided to “fight back” by not including my racial identity in my primary application. This fight was short-lived because many of the secondary applications REQUIRED my race and ethnicity to be included. 

My question is simple: “Why?” 

Many may criticize my decision; after all, they will see me if an interview is extended, so why not just be like the rest and include it? This criticism fails to include the fact that my background may be no different than the applicants who would be considered diverse and, on paper, I may not be able to show that.

Prior to applying to medical school, I grew up in a very diverse community. I had white, black, Asian, and Hispanic friends alike. I never referred to any one of them as my *insert race* friend; they were all just my friends. I do not consider my ancestors privileged, as many were unskilled laborers and some suffered from broken homes. Yes, some races had different and even potentially more extreme hardships, but does that nullify the hardships my family faced?

I recognize prejudice exists, but is the answer to filter out applicants based on skin color? If you say this is not happening, then why is the question of my race even necessary? Why can’t we hold a completely anonymous application system where you didn’t see my skin color until I was accepted? Sadly, these questions cannot be asked. 

Having undergone multiple surgeries in my life, I never once thought, “I hope my surgeon is diverse.” Rather, I prayed the doctor would be qualified to get me in and out of surgery without any adverse events. As a future physician, I commit to striving for the highest quality of treatment within my scope to all my patients, regardless of skin color. I hope we can pay that same commitment to the physicians of the future.

Dear Kirsten Bibbins-Domingo,

Congratulations on your appointment as editor-in-chief of the Journal of the American Medical Association

You now hold one of the most prestigious positions in the elite world of health publications. Medical researchers, professionals, and policymakers now look to you for leadership, and it is incumbent on you to set the highest standards of scholarship and allow the broadest scope of debate. The tone you take, and the decisions you make, will shape healthcare in extraordinary ways. You can either advance or undermine physicians’ life-saving work, patients’ health, and the public’s trust.

As the leader of an organization focused on ensuring excellence and equality in healthcare, I look forward to hearing your vision in your conversation with Usha Lee McFarling on September 20. Along with countless other medical professionals, educators, and patients, I hope your remarks will touch on the following issues:

  • Do you believe physicians are inherently racist? This central tenet of “anti-racism” is baseless and destructive. It undermines trust between patients and physicians, while also driving physician burnout. Hopefully you will respect the commitment of medical professionals, and reject so-called “implicit bias” testing, which has been proven unreliable and unsound.
  • Do you support racial discrimination? Race-based policies, including preferential treatment and access to care, are inherent to “anti-racism” – and they have no place in healthcare. Hopefully you believe it’s always wrong to treat people differently because of skin color.
  • Will you enact discriminatory policies? The journal Health Affairs recently launched a fellowship that explicitly excluded white people from applying, a trend that’s also on the rise in medical schools. Hopefully you will disavow any policy – or any medical society or institution – that excludes or prioritizes people by race.
  • Will you put divisive ideology ahead of open debate and scientific inquiry? JAMA previously refused to run an ad from my organization that simply defined “anti-racism,” and it increasingly refuses to publish papers that critique “anti-racism,” “Diversity, Equity, and Inclusion,” and their associated policies. Hopefully you will allow the vigorous scientific debate on which medical progress and individual health depend.
  • Will you lower standards in the name of “diversity”? JAMA has a reputation for producing some of the best and most objective scholarly work on critical medical issues. Yet “diversity” is being used to demand that standards be lowered for journal writers, editors, reviewers, and staff, as well as students and medical professionals at other institutions. Hopefully you will uphold the standards and quality control that ensure JAMA’s reputation and influence.

Your answers to these questions will shape not only the journal you oversee, but also the very future of healthcare in America. For the sake of physicians and patients alike, I hope you move JAMA upward, toward world-class scholarship and scientific debate – not further downward, toward ideology, division, and racial discrimination. 

Sincerely,

Dr. Stanley Goldfarb
Chair, Do No Harm

Image credit: Christopher Michel via CC BY-NC-ND 2.0