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This is worrisome.
Those with the worst academic histories are being accepted by med schools at higher rates than those with the best academic histories.
The reason is simple: Blacks get preferred treatment over Hispanics who are preferred over whites who are preferred over East Asians as a means to tweak woke left's illusion of social justice.
Race is often described as a social construct that can't be defined or identified. But they can readily identify it when it supports their social-justice arguments.
Why worry?
The woke left wants to balance the colors. That takes precedence over providing excellent healthcare. Future generations will be greeted by a color-blended hospital staff and will be discharged to a color-blended mortuary staff.
It's not a social justice issue. It's an intelligence issue.
Blacks score lower on IQ exams than Hispanics who score lower on IQ exams than whites who score lower on IQ exams than East Asians.
Summary
Despite the 2023 Supreme Court ban on race-based affirmative action, AAMC data reveals persistent disparities in medical school admissions. Historically, black and Hispanic applicants enjoyed significantly higher acceptance rates than white and East Asian peers at identical lower MCAT/GPA (Medical College Admission Test/Grace Point Average) levels.
In the 2024–2025 cycle, average MCAT scores were 508.8 (Asian), 507.8 (white), 505.1 (Hispanic), and 503.4 (black). Following the ruling, black matriculation fell 11.8% and Hispanic 9.1%, with acceptance rates for URiM (Underrepresented in Medicine) applicants dropping sharply while white and East Asian rates held steady, highlighting the challenge of maintaining diversity through the pretense of race-neutral holistic review amid ongoing debates over merit versus equity.
In this article, I use the term “East Asian” to distinguish between the American usage of “Asian” and the British usage, which often includes people from regions Americans typically describe as the Middle East. I also choose not to capitalize “black” when referring to racial groups, diverging from the AP Stylebook’s current guidance.
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In the wake of the U.S. Supreme Court's landmark 2023 decision in Students for Fair Admissions, Inc. v. President and Fellows of Harvard College, which effectively banned race-based affirmative action in higher education admissions, the medical field has grappled with profound questions about equity, merit, and diversity.
The ruling aimed to level the playing field by prohibiting the consideration of race as a factor in admissions decisions, yet emerging data from the Association of American Medical Colleges (AAMC) paints a more complex picture. The woke left complains that, far from resolving disparities, the post-ban landscape appears to have exacerbated them, with black and Hispanic applicants facing steeper hurdles despite historical patterns of higher acceptance rates at lower academic thresholds compared to their white and East Asian peers.
The woke left's objective reappears. Their goal is not to provide graduation classes composed of the most competent. Rather, a nice mix of skin color is their goal.
This article delves into AAMC's latest reports, highlighting how acceptance rates, MCAT scores, and GPAs continue to underscore systemic inequities. As medical schools pivot to "race-neutral" holistic review processes, the data raises uncomfortable truths: Are these admissions truly merit-based, or do they perpetuate a cycle of under representation for historically marginalized groups? We also must ask, Why are they marginalized? Is it due to racial bias? Or is it due to inherent disparities in intelligence?
The Supreme Court Ruling: A Sea Change in Admissions Philosophy
The 2023 SCOTUS decision struck down decades of precedent allowing race-conscious admissions, declaring that such policies violated the Equal Protection Clause of the 14th Amendment. For medical schools, this meant an abrupt shift away from explicit diversity goals toward evaluating applicants through socioeconomic status, life experiences, and other proxies for adversity. Proponents argued it would foster true meritocracy; critics warned it would dismantle progress in diversifying the physician workforce, which remains overwhelmingly White (56% of active physicians as of 2023) and Asian (20%), while black (5%) and Hispanic (6%) doctors lag far behind population demographics.
Again, the woke left is race obsessed. In reality, "socioeconomic status, life experiences, and other proxies for adversity" are often the outcomes of low intelligence made manifest in real life.
Initial fears have materialized. A January 2025 AAMC report documented a sharp decline in underrepresented in medicine (URiM) matriculants for the entering Class of 2028 (fall 2024), with black enrollment dropping 11.8% from the previous year and Hispanic enrollment falling 9.1%. These declines were most pronounced in states without pre-existing affirmative action bans, suggesting the ruling's ripple effects are not merely coincidental. By the 2024-2025 cycle, overall URiM representation in medical school classes had dipped below 2023 levels, reversing a decade-long upward trend.
That's true progress that is pointing towards a trajectory that will assure America leads the world in healthcare rather than lead the world in an unnatural racial diversity.
AAMC Data: Acceptance Rates at Lower Thresholds for Black and Hispanic Applicants
Historical AAMC data has long illustrated a stark reality: Black and Hispanic applicants enjoy higher acceptance rates than white and East Asian counterparts when controlling for MCAT scores and GPAs. This pattern, often attributed to holistic considerations of systemic barriers like unequal access to quality education and test preparation, persisted well into the affirmative action era. But even after the ban, vestiges of these disparities remain—albeit in a shrinking form—as schools adapt to new guidelines.
According to AAMC's aggregated data from the 2021-2024 cycles (Table A-23: MCAT and GPA Grid for Applicants and Accepted Applicants), acceptance rates vary dramatically by race and academic metrics. For instance:
Click on the image for a clearer rendition
Note: Data aggregated from AAMC Table A-23 (2021-2024); rates represent percentage of applicants accepted to at least one MD program. Dashes indicate cells with fewer than 10 applicants.
These figures demonstrate that, at lower MCAT and GPA levels—where socioeconomic and educational inequities often manifest most acutely—black and Hispanic applicants were historically 1.5 to 2 times more likely to be accepted than White or Asian peers. This "boost" helped offset average score gaps rooted in broader societal issues, such as underfunded schools in minority communities and biases in standardized testing. Post-2023, however, the gap has narrowed unevenly. In the 2024-2025 cycle, overall acceptance rates for black applicants plummeted to 35.9% (from 41.1% in 2023-2024), while Hispanic rates fell to 43.4% (from 49.1%). Meanwhile, White and Asian rates held steady or rose slightly, to 50.6% and 50.5%, respectively.
Critics of pre-ban policies pointed to these differentials as evidence of "reverse discrimination," arguing they undermined merit. Yet, without race-conscious tools, the woke left argues that URiM applicants now compete on a terrain tilted by legacy advantages and resource disparities favoring white and East Asian candidates, who dominate high-score brackets. I'm convinced that the terrain can never be tilted in a manner that would overcome innate disadvantages such as intelligence, impulse control, etc.
Average MCAT Scores: A Snapshot of Persistent Gaps
The 2024-2025 AAMC reports further fuel the debate, revealing enduring disparities in average MCAT scores by race—gaps that holistic admissions were designed to contextualize but can no longer explicitly address.
Click on the image for a clearer rendition
Source: AAMC Table A-18 (2023-2025 data); scores out of 528. Note: User's provided figures align closely with applicant averages; matriculant scores reflect successful admits.
East Asians led with an average applicant score of 512.5, followed by Whites at 509.2—both well above the overall mean of 508.0. In contrast, Hispanics averaged 505.1, and blacks 503.4, differences of up to 9 points that correlate with acceptance odds (each 10-point MCAT increment boosts acceptance by ~10%). These gaps, while narrowing slightly for matriculants due to targeted recruitment, persist amid debates over whether the MCAT truly measures "merit" or perpetuates bias. Holistic criteria—essays, interviews, and community service—were meant to bridge this, but post-ban scrutiny has led some schools to de-emphasize them, fearing legal challenges.
Debates Ignited: Merit vs. Holistic Review in a Post-Affirmative Action World
The data has reignited a fierce national conversation. On one side, advocates for strict meritocracy, including groups like the Asian American Coalition for Education, hail the ruling as a victory against "quotas," citing AAMC's pre-ban grids as proof of unfair preferences. They argue that prioritizing MCAT/GPA ensures competent physicians, pointing to studies linking higher scores to residency match success.
Opponents, including the American Medical Association (AMA), counter that diversity is a "medical imperative" for addressing health inequities—black patients, for instance, have 20% higher mortality rates when treated by non-black doctors. To me that sounds like a valid argument for racial segregation. On the other hand, I can't help but wonder what the black mortality rate would be without the advances in medicine attributed to white and East Asians, even if treated by black physicians. Almost every devise and procedure encountered in modern healthcare can be attributed to white or Western innovation.
The AMA warned in 2023 that the ban would "reverse gains" in equity, a prophecy borne out by the 503-fewer URiM matriculants in 2024. The woke left concludes a gain in equity is progress. Hence, they pretend to be progressives.
Holistic review, they say, isn't "lowering standards" but recognizing that a 503 MCAT from a first-generation black applicant in an under-resourced school signals resilience, not inadequacy. The term 'under-resourced' is a relative term. How many resources (tax dollars) does it take to raise the intelligence of black students to the level of white students?
Yet, adaptation is underway. Schools are leaning into socioeconomic proxies, like the AAMC's Socioeconomic Status indicator, and "top percent" policies from high schools to capture adversity indirectly. Early 2025 data shows modest upticks in these approaches, but experts predict a 5-10% long-term drop in URiM enrollment without bolder innovations.
Looking Ahead: Toward a More Equitable Pipeline?
As the Class of 2029 applies amid ongoing litigation over DEI programs, the medical education community faces a pivotal moment. AAMC's 2025 FACTS report, released in November, underscores the urgency: While total applications hit record highs (over 53,000), URiM shares continue to erode, with black acceptance rates at a five-year low of 31%.
Reversing this demands investment in pipeline programs—K-12 STEM outreach, debt relief for URiM students, and bias audits in scoring rubrics. Ultimately, true equity requires confronting not just admissions but the societal forces producing these score disparities. As one AAMC analyst noted, "Merit isn't a number; it's a mosaic." Until that mosaic includes all voices, the physician workforce will remain a reflection of privilege, not potential.
If you've ever lived in a black neighborhood, the mosaic is astounding.
The conclusion is that the woke left simply won't accept reality, attributing racial disparities in intelligence to racial disparities in social justice. The 'progressives' will never progress.
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- Medical School Acceptance Rates by Race (2025): Does Ethnicity Play a Role? — Shemmassian Academic Consulting
Analyzes AAMC data on acceptance rates, MCAT/GPA disparities, and post-affirmative action trends. - The gap between highest and lowest average MCAT among applicants is 11.4 points. Source: AAMC Data for Fall 2024 Entering Class (Class of 2028)
Discusses score gaps in the context of racial disparities (hosted on Shemmassian site). - Medical School Acceptance Rates by Race in 2025
Breaks down 2024–2025 AAMC data on acceptance rates by race/ethnicity. - Association of American Medical Colleges. (2023). Table A-16: MCAT scores and GPAs for applicants and matriculants to U.S. medical schools by race/ethnicity, 2023–2024. In AAMC FACTS: Applicants and Matriculants Data.
Official AAMC table on MCAT/GPA by race/ethnicity. - 2023 American Indian or Alaska Native Asian Black or African American
AAMC data on racial/ethnic breakdowns for 2023 applicants/matriculants. - 2024 FACTS: Applicants and Matriculants Data | AAMC
Comprehensive AAMC report on 2024 applicants and matriculants. - Association of applicant demographic factors with medical school acceptance - PMC
Study on demographic predictors of acceptance, including race and socioeconomic status. - New Chart Illustrates Graphically the Racial Preferences for Blacks, Hispanics Being Admitted to US Medical Schools | American Enterprise Institute - AEI
AEI analysis of pre-2023 racial acceptance rate disparities. - 2025 FACTS: Applicants and Matriculants Data | AAMC
Latest AAMC data on 2025 applicants and matriculants. - Association of applicant demographic factors with medical school acceptance | BMC Medical Education | Full Text
Full-text study on acceptance factors, including race and income. - 2023 Less than 486 486-489 490-493 494-497 498-501 502-505 506-509 510-513
AAMC Table A-23 on MCAT/GPA grids and acceptance rates (aggregated 2021–2024). - 2023 FACTS | AAMC
AAMC's 2023 FACTS report overview. - Medical School Acceptance Rates MCAT/GPA, Major, and Race (2026 ...
MedEdits guide on acceptance rates by MCAT/GPA, major, and race for 2026–2027. - 2023 Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD
AAMC data tables on means/SDs for MCAT/GPA by demographics. - r/premed on Reddit: AAMC 2024 FACTS: Applicants and Matriculants Data is available
Reddit discussion on 2024 AAMC data release. - Does Ethnicity Matter for Medical School Applications? | ProspectiveDoctor
Article on ethnicity's role in admissions with AAMC stats. - r/premed on Reddit: AAMC 2025 FACTS: Applicants and Matriculants Data is available
Reddit thread on 2025 AAMC data. - Aamc
Main AAMC homepage. - MCAT Scores and GPAs for Applicants and Matriculants to ...
AAMC Table A-18 on MCAT/GPA by race/ethnicity. - Table A-21: MCAT Scores and GPAs for Applicants to U.S. ...
AAMC Table A-21 on applicant MCAT/GPA data. - AAMC ethnicity/MCAT/GPA chart? | Student Doctor Network
SDN forum discussion with links to AAMC charts. - American Medical College Application Service is a program of the Association
AMCAS overview and application info. - Medical School Admissions After Supreme Court’s 2023 Affirmative Action Ruling
JAMA study on post-ruling admissions changes. - Medical School Admissions After the Supreme Court’s 2023 Affirmative Action Ruling - PMC
PMC version of the JAMA study on URiM declines. - Affirmative Action Repeal Decreases Minority Acceptance and Matriculation in Medical Schools | AJMC
AJMC report on URiM matriculation drops. - Nullifying Affirmative Action and Its Impact on the Pulmonary and Critical Care Medicine Workforce - PMC
PMC analysis of workforce impacts in specialties. - Affirmative action ends: How Supreme Court ruling impacts medical schools & the health care workforce
AMA discussion on diversity and patient care effects. - Medical School Enrollment Changed After Supreme Court Ruling - Hematology Advisor
Report on enrollment declines in URiM groups. - Medical School Admissions After the Supreme Court's 2023 Affirmative Action Ruling - PubMed
PubMed abstract on post-ruling disparities. - Medical School Diversity Declines Following Affirmative Action Repeal | AJMC
AJMC on 2024 matriculation drops by race. - Supreme Court Affirmative Action Ruling: Here’s the Impact on Medical School Admissions | MedSchoolCoach
MedSchoolCoach analysis of admissions shifts. - Medical School Diversity Declines Following Affirmative Action Ban | BestColleges
BestColleges report on Black/Latino/a enrollment falls.
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