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April 24, 2013
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Jewish World Review
July 24, 2009
/ 3 Menachem-Av 5769
Health Care Quotas
By
Linda Chavez
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http://www.JewishWorldReview.com |
President Obama used his considerable powers of persuasion to
try to sell his health care package in a nationally televised press
conference this week. But Americans are growing skeptical and for good
reason. The gargantuan new bureaucracy Obamacare envisions would not only be
inefficient and expensive but could give birth to a new racial spoils
system.
Among the provisions in the thousand-page House version are
special set-asides aimed at training "underrepresented" minorities in health
care professions. The idea is that some minority groups but not all
will be better served if their doctors share their racial and ethnic
background. It's an idea that has been floating around for years.
In 2002, the Institute of Medicine released a study entitled
"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health
Care" that sparked a flurry of accusations that minority patients,
especially African-Americans, receive bad health care because their doctors
were biased. The study said that "(s)ome evidence suggests that bias,
prejudice and stereotyping on the part of health care providers may
contribute to differences in care." But as Dr. Sally Satel, a highly
respected physician and author, observed at the time, the "evidence" in the
study was thin. "'Some,' 'suggests' and 'may,'" she wrote, "are all the
kinds of words authors use when the data are flimsy and reputations are at
stake."
There is no question that African-Americans, on average, die
younger and have poorer health than whites. What is less clear is why that
is the case. Socio-economic class and behavior both play an important role.
Homicide is the leading cause of death for young black males between the
ages of 15-24, for example. Obesity, drug and alcohol use, and other
behavioral factors play an important role in determining overall health. But
will insisting on preferences for African-American students applying to
medical school admission improve health care for blacks? Not likely.
A 2006 study by my Center for Equal Opportunity on preferential
admission practices at the University of Michigan School of Medicine showed
that admitting black students with lower grades and test scores is a bad
idea especially for the patients who might be treated by these doctors.
Black students admitted by UMMS had substantially lower test scores and
undergraduate science grade point averages than all other groups admitted.
Indeed, in the four years of data CEO analyzed, 11,647 white,
Asian, and Hispanic applicants were rejected by UMMS even though they had
better grades and test scores than the average black student admitted. And
UMMS isn't alone in using race to determine who gets in. CEO has studied
preferences in medical school admissions at more than a half-dozen medical
schools, including the University of Maryland, the University of Washington,
and the State University of New York Brooklyn, all with the same overall
results.
African-American med students who are admitted despite having
lower grades or test scores than their white or Asian peers are less likely
to pass medical licensing exams or, even if they pass, are more likely to
perform poorly on them. This hurts everyone: the better-qualified students
who are passed over to admit those who will eventually fail to become
doctors, and the patients who may end up treated by doctors who are less
well prepared. If the idea is to get more black doctors to treat black
patients, is it really going to improve health care for African-Americans if
those doctors perform worse on medical licensing exams?
But Obamacare will push more institutions to adopt racial
preferences by giving preference to those that have, in the words of the
Democrat House legislation, a "demonstrated record" of "training individuals
who are from underrepresented minority groups or disadvantaged backgrounds."
And notice the term "underrepresented minorities." They may as well have put
up a sign "Asians need not apply."
Other provisions in the Democrats' bill would provide for
"maintaining, collecting and presenting federal data on race and ethnicity,"
in order to "facilitate and coordinate identification and monitoring … of
health disparities to inform program and policy efforts to reduce such
disparities." We've seen these efforts before in the context of employment
and education. Their end result is always a form of bean-counting that leads
to racial quotas which is bad medicine and won't improve health care for
anyone.
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.)
Linda Chavez Archives
© 2006, Creators Syndicate
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