The Doctor is IN.
It is remarkable how many people have unfollowed me since I took the position that the MCAT is not, by itself, a particularly good metric for medical school admission, that Yale has produced generations of excellent physicians, and that having served on two different medical school admissions committees, I learned something many people outside medicine do not understand:
Test-taking ability is not the same thing as being a good clinician.
The MCAT has value. Of course it does. But medicine is filled with qualities that standardized exams measure poorly: judgment, empathy, communication, leadership, resilience, curiosity, humility, and the ability to care for human beings under stress and uncertainty.
What has also become clear in this debate is how inconsistently people apply the language of “discrimination.” When some groups are historically underrepresented, many simply assume that reflects lesser capability. But when institutions consciously try to broaden representation, suddenly every disparity becomes evidence of unfairness.
And yet in public health, the evidence repeatedly shows that greater physician diversity improves trust, preventive care uptake, underserved access, and health outcomes in many communities.
We see similar benefits in medical education itself. Diverse student bodies produce richer discussions, broader perspectives, and stronger learning environments. That was obvious to anyone who has actually spent time inside a medical school rather than arguing about one on social media.
What I do see in many of these replies is not principled concern about merit. I see a fair amount of racism dressed up as statistical objectivity.