The goal of medical schools is not to make you feel warm and fuzzy about a delusional belief that the USA is or ever has been anything resembling a meritocracy.
Just because US has not been a perfect meritocracy does not mean we should discount the idea of merit and embrace race-based admissions.
They exist to ensure that the public is being optimally served by medical professionals, and that means the whole public.
They exist to train physicians. And the best way to ensure that "the whole public" is served by competent medical professionals is not to have different standards by race.
Bumfuck USA and poor areas of almost all cities have a dangerous shortage of doctors that is costing health and lives.
Yes, but I do not see how that is addressed by admitting black and Hispanic students with significantly lower grades and scores compared with white and Asian students. It could be addressed by better funding rural and otherwise underserved health centers.
This is not in a rural area, but in Atlanta, but it is in a more downmarket area of Atlanta:
A year after Wellstar Atlanta closes, area hospitals struggle to pick up the pieces
No matter how many URMs you admit to medical schools, they cannot work in closed hospitals and clinics. On the other hand, if these centers are open not just URMs will work there.
Let's say, as a greatly simplified model, that there are 100 physicians finishing their residency and 40 openings in Ye Olde Prestigious University Hospital, 30 openings in Inner City Hospital and 30 in Bumfuck County Medical Center.
One would assume most doctors, regardless of race, would gravitate toward the University Hospital. But there are only so many positions, the rest of them will filter to the less desirable locations regardless of their skin color.
And it is yet another of the countless ways that blacks are fucked by the still continuing long term impact of centuries of violent oppression, not just informally, but written into law up through most of the 20th century, into the lifetimes everyone over 60 and the parents or grandparents of almost every American alive today.
Thing that were wrong back then do not justify blatant racial discrimination today.
If allowing more blacks into med school with slightly lower admission scores increases doctors in those underserved areas, then it is not only okay, by an ethical requirement of med schools to do so.
First of all, they have much lower scores and grades, not "slightly lower". Second, doctors do not have to be URM to work in underserved areas.
In addition, there is the fact supported by strong evidence (see my recent posts) that black doctors in particular are able to provide superior medical care to black patients from infancy through end of life. And black doctors are massively under-represented (far more than white doctors). So, that also justifies admitting black students with slightly lower scores.
The concern I have with this is for one that it advocates for de facto segregation of medicine - i.e. that black patients should only be seen by black doctors. Also, a lot of underserved areas are rural and predominately white, which does not
Third, there is an ideological commitment to racial preferences on the left, and advocacy of racial preferences in medicine is just one part of it. As such, any "evidence" pushed by those ideologues should be taken with a metric ton of salt.
Finally, note that the prior stats I presented about your original data shows that white people are being admitted at the expense of Asian students. That is, if your going to to use the same data to claim blacks are admitted at the expense of whites and Asians.
The stats for white students are only slightly lower than Asian students. So-called URMs are significantly lower.
If med schools moved to race invariant admissions, number of Asian students would certainly rise, but I think that the number of white students would rise too, as their states are much higher than URMs who are being preferentially admitted.