To test this mathematically, I ran a simulation of a medical school similar to the Medical College of Georgia (MCG). Interestingly, this school accepts very few non-residents (~98% are in-state), which underscores the point again about geographic enrollment constraints. Using recent data, we have about 1,821 in-state US citizen and permanent resident applicants competing for roughly 304 enrollment spots.
Even assuming every medical school applicant in Georgia applies to this school, we can use the national MCAT and GPA means and standard deviations for each racial cohort to accurately represent the baseline applicant pool.
Then, I ran a holistic admissions committee scoring algorithm on that simulated pool. I made it 100% race-blind, and to your favor, I completely excluded any "mission fitness" variables or simulated questions about SES/economic adversity. The algorithm simply uses MCAT and GPA (accounting for the fact that the two are correlated, so they aren't completely independent) and adds three other completely race-blind metrics--it doesn't matter if they represent transcripts, recommendations, clinical work, community service, secondary essays, or interviews. That is 5 metrics weighted equally. ZERO "mission fitness," meaning no evaluations about where someone's career might take them (which would naturally give a fair aggregate advantage to Black and Hispanic applicants over White and Asian applicants). Just a pure, strictly race-blind holistic score.
The result? Black applicants still get accepted. Hispanic applicants still get accepted. And a significant gap between their MCAT means still naturally emerges. For example, Asian matriculants can still have a 7.0+ higher MCAT mean over Black matriculants even under a strictly race-blind admissions algorithm.