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MCATs, Affirmative Action, and DEI, Oh My

In generalities, I agree. But I think there may be room for some squish that you're not taking into consideration. For example, it could be that in the past the bar has been set very high, as a means to limit the number of doctors, and thereby command higher rates.
That has less to do with standards required to enter med school than with the limited number of residency spots.
It has more to do with the volume of doctors needed in the population. And reducing the bar for entry will produce more doctors.

If the bar was kept artificially high in order to command a higher price, but demand can no longer be met, then lowering the bar is a rational and appropriate response, provided the bar is still sufficient to guarantee quality.
 
There is zero data that suggests that non-white and non-Asian students fail to fully meet the requirements first admission to the medical schools they are admitted to.
The basic problem is that those standards have been lowered so as to include enough minorities.
Why do you think this is a bad thing? Do you think minorities aren't good enough at being doctors? Do you have any reasonable evidence to support the implied argument that a lower standard produces less skilled doctors?
 
Denial of the generational effects of racism.
What possible concept of equity and equality should justify discriminating against a group of people for things that happened before they were born?

"Well see, Bob, your great grandfather stole some money from my great grandpa 85 years ago. That's why you have to pay me $100 a month for the rest of your life."

It's a stupid idea, and it causes far more harm than good.
 
I find it difficult to believe that white and Asian students are being discriminated against when they represent the greatest proportion of students admitted.
That's just an argument from personal incredulity.

It is not about who is the greatest proportion, but how high that proportion would be under a color-blind system.

Currently, ~70% of the NBA is black, far more than their 14% of the population. If NBA started discriminating against black prospects in the name of "diversity" and blacks dropped to 50% of the league, they'd still represent the "greatest proportion" and be well overrepresented in the league, but that does not mean that discrimination did not take place.
Actually, about 7% not 14%. The NBA is strictly males and black males are 6-7% of the population. You need to compare males to males.
 
It is very possible to be an excellent test taker —and a less talented professional in any field you care to name.
You're not joking. I know I'm a bit biased... but some of the absolute worst practicing acturaries I've know breezed through exams like they were nothing. Great test takers, really crappy at doing the job. Some are good at both.

Doing well on tests doesn't guarantee success post exams. On the other hand... doing poorly on tests rarely results in success at the other end.
Exactly.

However, there is ZERO evidence that medical schools are admitting ANY students who do not meet their thresholds for admissions.

You somehow still believe that they do.

And that is where we seem to differ.
Ha ha ha ha ha ha ha

Seriously, Toni. You haven't been reading my posts. Or you haven't been comprehending them. Or you just made some asinine assumption about me at some point in the past and can't get out from behind your own prejudice.

For fuck's holy sake, I've been making a point of demonstrating how a small change in the threshold to entry for EVERYONE can produce a different resulting mix, simply as a result of different means, standard deviations, and skew. I've also argued that a threshold that is lower than it was in the past isn't necessarily a bad thing, provided that it still produces good doctors.

I've also argued that preferencing acceptance or hiring on the basis of race is a bad idea, and that racism in 2026 is just nowhere near what it was in 1956, and that we really don't need this obsessive focus on skin color anymore... and that it's currently causing more harm than good.

But if you can't see past some knee-jerk "OMG THAT MUST BE RACIST!!!!" reaction that's on you.
 
If I understand you correctly you belief that if I do not completely agree with every part of an assertion that I do not agree at all.
I think you do not agree at all when you 1) express not even a teensy bit of agreement and 2) actually say you disagree.

It's a pretty reasonable approach.

Perhaps you might consider altering your approach and saying something like "I agree with XXX but I don't agree with YYY because ZZZ". That would be helpful and would likely save us both a lot of annoyance.
Or perhaps you could simply read my posts and figure that out for yourself
I read your posts. And I re-read them. And I rephrased what I said. And you still continued to disagree with me about the thing you actually agreed with. So I don't think this is a failure on my part.
I’m ok if we interact and ok if we don’t.

I’m not ok with someone dictating terms.
"Perhaps you might consider" is not dictating terms.

Jesus fucking christ on a broken pogo stick you're prickly.
 
I find it difficult to believe that white and Asian students are being discriminated against when they represent the greatest proportion of students admitted.
That's just an argument from personal incredulity.

It is not about who is the greatest proportion, but how high that proportion would be under a color-blind system.

Currently, ~70% of the NBA is black, far more than their 14% of the population. If NBA started discriminating against black prospects in the name of "diversity" and blacks dropped to 50% of the league, they'd still represent the "greatest proportion" and be well overrepresented in the league, but that does not mean that discrimination did not take place.
Actually, about 7% not 14%. The NBA is strictly males and black males are 6-7% of the population. You need to compare males to males.
Black males are 6%-7% of the population of all US citizens, including females. So unless black females somehow don't count as citizens, it's still probably close enough to 14% to be accurate for our purposes.
 
You do realize people drop out of school for all sorts of non-academic reasons.
I dropped out for a few years because I got married and my spouse joined the military and they moved us to a different state.
Actually very few students drop out of medical school. Those who do almost always do fir personal or financial reasons, not academic ones
Actually most students stay in school and academic exits are uncommon.
 
Denial of the generational effects of racism.
What possible concept of equity and equality should justify discriminating against a group of people for things that happened before they were born?
Because they are still suffering from the racism their parents and grandparents experienced.

"Well see, Bob, your great grandfather stole some money from my great grandpa 85 years ago. That's why you have to pay me $100 a month for the rest of your life."

It's a stupid idea, and it causes far more harm than good.
Two closely matched candidates for a position or scholarly program. Give it to the person whose parents or grandparents were discriminated against and forced the minority candidate to work harder for the position.
 
You do realize people drop out of school for all sorts of non-academic reasons.
I dropped out for a few years because I got married and my spouse joined the military and they moved us to a different state.
Actually very few students drop out of medical school. Those who do almost always do fir personal or financial reasons, not academic ones
Actually most students stay in school and academic exits are uncommon.
I think that’s what I said?
 
Denial of the generational effects of racism.
What possible concept of equity and equality should justify discriminating against a group of people for things that happened before they were born?
Because they are still suffering from the racism their parents and grandparents experienced.

"Well see, Bob, your great grandfather stole some money from my great grandpa 85 years ago. That's why you have to pay me $100 a month for the rest of your life."

It's a stupid idea, and it causes far more harm than good.
Two closely matched candidates for a position or scholarly program. Give it to the person whose parents or grandparents were discriminated against and forced the minority candidate to work harder for the position.
Yeah, as much as some people would like to believe racism is dead and gone ( Obama!) it certainly is not.

But if you are white and most of your friends and family and coworkers and neighbors are also white, it’s really easy to think there is no racism.
 
If I understand you correctly you belief that if I do not completely agree with every part of an assertion that I do not agree at all.
I think you do not agree at all when you 1) express not even a teensy bit of agreement and 2) actually say you disagree.

It's a pretty reasonable approach.

Perhaps you might consider altering your approach and saying something like "I agree with XXX but I don't agree with YYY because ZZZ". That would be helpful and would likely save us both a lot of annoyance.
Or perhaps you could simply read my posts and figure that out for yourself
I read your posts. And I re-read them. And I rephrased what I said. And you still continued to disagree with me about the thing you actually agreed with. So I don't think this is a failure on my part.
I’m ok if we interact and ok if we don’t.

I’m not ok with someone dictating terms.
"Perhaps you might consider" is not dictating terms.

Jesus fucking christ on a broken pogo stick you're prickly.
I think that there’s a bit if sunlight reflecting off of that mirror and hitting you in the eye.
 
It is very possible to be an excellent test taker —and a less talented professional in any field you care to name.
You're not joking. I know I'm a bit biased... but some of the absolute worst practicing acturaries I've know breezed through exams like they were nothing. Great test takers, really crappy at doing the job. Some are good at both.

Doing well on tests doesn't guarantee success post exams. On the other hand... doing poorly on tests rarely results in success at the other end.
Exactly.

However, there is ZERO evidence that medical schools are admitting ANY students who do not meet their thresholds for admissions.

You somehow still believe that they do.

And that is where we seem to differ.
Ha ha ha ha ha ha ha

Seriously, Toni. You haven't been reading my posts. Or you haven't been comprehending them. Or you just made some asinine assumption about me at some point in the past and can't get out from behind your own prejudice.

For fuck's holy sake, I've been making a point of demonstrating how a small change in the threshold to entry for EVERYONE can produce a different resulting mix, simply as a result of different means, standard deviations, and skew. I've also argued that a threshold that is lower than it was in the past isn't necessarily a bad thing, provided that it still produces good doctors.

I've also argued that preferencing acceptance or hiring on the basis of race is a bad idea, and that racism in 2026 is just nowhere near what it was in 1956, and that we really don't need this obsessive focus on skin color anymore... and that it's currently causing more harm than good.

But if you can't see past some knee-jerk "OMG THAT MUST BE RACIST!!!!" reaction that's on you.
Your assumption still seems to be that standards are lowered to admit more non-white, non-Asian students.

My reading of admissions over time does not agree with that.
 
, that is the right way to look at things. That's how we deal with other risk factors. If chance of an Airbus crashing was 250% higher than a Boeing, you wouldn't say - it's only 5.7% risk, so what?
Well, you sould say that, if you understood the statistics.

IMG_4295.webp
OMFG!! Boeings are sooooo dangerous! If it's a Boeing, I ain't going!!

In 2023, Boeings had 342% more incidents than Airbuses.

That was fewer than six incidents per million departures.

Oh, and "Incidents" as measured by the NTSB include minor events such as severe turbulence, ground handling issues, and minor technical problems, many of which do not even have the potential to cause fatal accidents. The actual wing dropping off, as depicted in that helpful graphic, is actually not a common event in either aircraft type.

You have a six in a million chance of having your flight be delayed or uncomfortable, if you fly in a Boeing, and only about two in a million if you are in an Airbus.

Your chances of death in either aircraft type is so tiny that the trip to the airport is by FAR the most risky part of your travel. Indeed, being on board a commercial flight is one of the least risky things you can do - staying in bed is comparably dangerous.

In fact, in 2024, 251 people died on commercial airliners, while an estimated 700-800 people die annually from entanglement in bedsheets. So it's safer to fly Boeing than it is to stay in bed*.

But OMFG!!! 342% more incidents than Airbus!!! Maybe you would be safer juggling chainsaws, or catching live crocodiles, or even juggling live crocodiles... :rolleyesa:









* Yes, this too is a wildly misleading statistic. Statistics are a great way to be wildly misleading.
 
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The evidence is in the data about MCAT and GPA distribution for matriculated students. You and your Ilk still have not found a way to explain it without admitting discrimination in the name of "diversity", aka "affirmative action".
You and your ilk cannot explain any reduction in white men’s chances without screaming discrimination. The notion that the world does not revolve around white men is inconceivable to you.
Honestly, I'm pretty well fed up with all of you.

I don't think that either Loren or Derec are racists. I do think they both oppose double standards and preferential treatment. I think they're both so invested in that view that they engage in flawed reasoning quite regularly, and see reverse racism where it doesn't necessarily exist.

On the other hand, youse will see any disagreement with policies that result in race-based preferences as being racism automatically, regardless of whether they result in such.
That is simply untrue. My conclusion about racism stems from many posts over the years over a wide range of topics.

And, if you actually read my words, you would have noticed no mention of racism. Obsessing over the perceived treatment of white men is not necessarily racist.
 
I find it difficult to believe that white and Asian students are being discriminated against when they represent the greatest proportion of students admitted.
If the NBA openly started trying to recruit white players, made statements about the need to overcome their systemic and historical racism in order to be more diverse... and then black basketball players came out and said "hey, this is discriminatory, you're accepting white players that aren't as good as some of the black players that you're turning away"...

Would you have the same view?
No because it ignores the NBA was historically discriminatory against blacks when it began which deflates your analogy.
 
, that is the right way to look at things. That's how we deal with other risk factors. If chance of an Airbus crashing was 250% higher than a Boeing, you wouldn't say - it's only 5.7% risk, so what?
Well, you sould say that, if you understood the statistics.

View attachment 55132
OMFG!! Boeings are sooooo dangerous! If it's a Boeing, I ain't going!!

In 2023, Boeings had 342% more incidents than Airbuses.

That was fewer than six incidents per million departures.

Oh, and "Incidents" as measured by the NTSB include minor events such as severe turbulence, ground handling issues, and minor technical problems, many of which do not even have the potential to cause fatal accidents. The actual wing dropping off, as depicted in that helpful graphic, is actually not a common event in either aircraft type.

You have a six in a million chance of having your flight be delayed or uncomfortable, if you fly in a Boeing, and only about two in a million if you are in an Airbus.

Your chances of death in either aircraft type is so tiny that the trip to the airport is by FAR the most risky part of your travel. Indeed, being on board a commercial flight is one of the least risky things you can do - staying in bed is comparably dangerous.

In fact, in 2024, 251 people died on commercial airliners, while an estimated 700-800 people die annually from entanglement in bedsheets. So it's safer to fly Boeing than it is to stay in bed*.

But OMFG!!! 342% more incidents than Airbus!!! Maybe you would be safer juggling chainsaws, or catching live crocodiles, or even juggling live crocodiles... :rolleyesa:









* Yes, this too is a wildly misleading statistic. Statistics are a great way to be wildly misleading.
Thanks for this post.
 
First, there isn't a universal cutoff.
I know. That's why I wrote it as a conditional statement.
I discussed this with you multiple times over multiple years, including in this thread. When I last brought this up because the cutoffs vary at universities where Blacks or Hispanics are more prone to apply and Asians are not (like say in Puerto Rico or HBCUs OR different tiers of schools), all you did was insult the school instead of applying that new knowledge to your hypothesizing.
But what you say just shifts the problem. Why are schools catering to blacks and Hispanics willing to take less academically qualified applicants?
As to me "insulting" the PR med school, I was just commenting that their stats are so low that they make it similar to Caribbean schools, which enjoy a poor reputation. So I genuinely wonder about their attrition rates, as well as Step passage and match rates.

Lastly, it would be interesting to see the MCAT means by race for individual schools that do not cater to any particular race. I.e. what is the average MCAT of accepted Asian, white, black, and Hispanic students at the Medical College of Georgia for example. It's a state school, so they really should not be discriminating. Alas, I do not have that data.

You took the topic sentence of my paragraph out of context. You are also narrowly focusing on Puerto Rico and HBCUs which entirely misses the broader structural point I was making. It is not about schools "catering" to anyone. It is about a complex, multi-tiered filtering system.

Medical schools have vastly different missions. A state or regional school tasked with generating primary care physicians for underserved areas is going to have a different baseline applicant pool than a top-tier research institution. Because applicants self-sort based on their scores, lower scorers apply to lower tiers, and higher scorers apply to higher tiers. Modeling this entire ecosystem as a single applicant pool with a single set of cutoffs is statistically invalid.

That means, you cannot model it with a singular universal cutoff by saying, "okay, let's hypothetically make a cutoff of 500 and see how many of each cohort goes where or is not accepted." They apply to different tiers.


Second, pure normality is indeed an assumption and there may be modes and skews within the data in particular to some variables that may be somewhat independent of race.
"Pure normality" is not required from real-world data. Assumption of normality works if the data is approximately normal. Second, the distribution of the mean trends toward normal with increasing N regardless of the underlying distribution (Central Limit Theorem). The width of the distribution of the means is also gets narrower with increasing N (inversely proportional to square root on N in fact). With thousands of students, the distribution of means becomes very narrow.
So yes, we can compare MCAT and GPA means even if the distribution is not perfectly normal.

This is a fundamental misunderstanding of the Central Limit Theorem. That theorem states that the sampling distribution of the sample mean becomes approximately normal as N increases. It says absolutely nothing about the underlying population distribution becoming normal. If you have a population bounded by hard limits (like an MCAT floor of 472 and ceiling of 528), the population itself does not magically transform from a beta distribution into a Gaussian bell curve just because thousands of people took the test.

Additionally, because test-takers with low scores regularly drop out of the pipeline and choose not to apply, the subsequent applicant distribution is heavily truncated at the bottom. The matriculant distribution is truncated again. You are trying to use assumptions of pure normality at the extreme tails of a restricted, post-filtered population. Mathematically, that will always yield inaccurate projections.

Third, normality is a spectrum and when you begin to discuss maxima and minima, a beta distribution can fit data better than a normal distribution. I took a look at this over data of __test__ __takers__ in some year of MCATs. I found that a distribution of test takers in general with mean of 500.6, stdev of 11.2, had somewhat more normal like distribution 1 stdev out of from mean but also it was different, i.e. a beta distribution began to impact the numbers. Now 2 stdev from the mean, the beta distribution was stronger than the normal. What I mean by this is that the percents of population at the tails is more reflective of a beta distribution than a normal distribution.
That is very interesting, but does not affect the discussion of the stark differences in means between different racial groups. Also note, all test takers is a bigger set than applicants, because most people don't bother applying with a really bad score.
You ought to consider how these three factors: non-universal cutoffs, different subgroups applying to different schools, and beta distributions play a role rather than just throwing your hands up in the air and saying, "that's a shitty school!"
But you are assuming all these things work out to effect blacks and Hispanics being accepted with far lesser average scores than whites and Asians in absence of discrimination. But why should we assume that? Especially when academia is strongly in favor of practicing racial preferences in order to enhance "diversity" (except in schools like Morehouse and Meharry, where diversity doesn't matter).
At least ZiprHead, for all his faults, is honest about supporting such discrimination.

You are shifting the burden of proof. You made the affirmative claim that differences in MCAT means are absolute proof of vast systemic discrimination. I am simply pointing out that your mathematical model--which completely ignores beta distributions at the tails, applicant self-sorting across tiers, and non-random dropout rates between test-takers and applicants, among several other problems--is severely flawed.

Ironically, your own beliefs work against your model here. If you believe certain groups inherently score much lower, then a massive chunk of their left tail is being truncated when they look at their score and choose not to apply. This leaves a highly irregular, non-normal distribution for the remaining applicants. You cannot have it both ways.

Finally, so far I am discussing with you your assumptions and the math, but as bilby and others have pointed out, this all could be besides the point. Earlier, I posted a study that suggests MCATs are not predictive of how good a doctor becomes __or__ at least that once one has gotten into medical school and made it through, the level of precision used on an MCAT score is not correlated to success as a doctor.
MCAT and GPA are correlated with passing Step 1. They are correlated with likelihood of dropping out, which is very costly for the student and not great for the school either.
MCAT is a tool used for med school admission. There are four years of med school to get through, and variable number of years in residency. They all shape the student. So it's hardly surprising that performance on an entrance exam fades in importance in the years after. But med schools cannot look forward in time and see directly who will be successful later on. They have to make predictions from what they have. If not MCAT, what do you propose that would have a greater validity? The advantage of the MCAT is that everybody takes the same test (college classes are highly variable between institutions) and the student has to actually take the exam - can't outsource that like essay writing.

Emphasis added.

This is a strawman. I never argued that we should completely abandon the MCAT, nor did I claim it has zero validity.

The MCAT does exactly what it is designed to do: it acts as a baseline threshold to predict who can survive the grueling didactic years (Years 1 and 2) and pass Step 1. But once that academic baseline is cleared, the empirical data shows that extreme precision at the upper end of the MCAT scale does not strongly correlate with clinical success during residency or long-term physician competence.

You can call that a resolution problem--that the precision of the MCAT score is taken too seriously. That's one way to look at it.

Another is that holistic admissions policies recognize this. They use the MCAT to verify the academic baseline, and then they look at the rest of the applicant to determine if they actually fit the specific mission of the school.
 
study said:
There are a couple ways to look at this.

1) OMFG!!! Blacks drop out about 250% more than whites!!! OMFFFFFGGFG!
2) Out of 1000 people, 977 whites don't drop out and 943 blacks don't drop out.

With these numbers, it makes one wonder, the importance of the MCAT other than being a basic screening tool.
The 250% is the relevant number. The other is being deceptive.
No it isn't. It's lying with statistics... even if it's unintentional. In reality, only 2.3% of whites drop out, and only 5.7% of blacks. The difference is not material.

This is the statistical equivalent of showing a vertical bar chart where the axis is set to 900 instead of 0 and saying "Look how big the difference is!" It's not big. It's not meaningful. It's noise.
It reminds me of The Onion article on the Blue Line.

1788266656352.png
The Onion said:
Reames also warned that the upward angle of the line, which most analysts agreed was approximately 80 degrees, may have been exaggerated by the way the graph was drawn.

“The stuff that’s written along the bottom of the graph is all squished together, making the line look a lot more impressive than it is,” Reames said. “Had that same stuff been spread out more, the line would have looked a lot less steep.”
 
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