I'm going to assume positive intent on this and that it's not a troll comment.
Race in the US is horribly complicated and tied into so many parts of life here in the US. Full Stop.
HN comment sections aren't really the place to go into the very fine details, especially just one comment like mine. and the fine details do matter. Ok, all that out of the way, now to the questions here.
Let's take a small micro-example and explore a bit:
You are an African-American woman experiencing preeclampsia at 30 weeks gestation. Preeclampsia is a very serious medical condition and can cause death to you and your baby. You go into the hospital not knowing what is wrong with you, but you know something is wrong.
Like it or not, many medical professionals still believe that African-Americans don't feel pain like other people do.
Like it or not, many medical professionals still believe that women over-react to pain [0].
Like it or not, many medical professionals do not believe the above if they are African-American women.
So, as a worried mother-to-be, you get a doctor assigned to you, likely at random. If your MD is not of the same race or sex as you are, then your experience is likely to be less positive than if they were. From what I have heard from African-American women whom I am able to talk with about medical care, the experience is highly likely to be a negative one unless they get someone of their own race or are lucky.
So, having more people that are of diverse backgrounds in the medical field leads to more positive outcomes for patients of every race and sex.
Meaning that you have to get more diversity into the med schools to begin with. Which means that you have to get more diversity into colleges. Which means you have to get more diversity into Secondary education, and in primary education. Which means you have to get more diversity in pedagogical training. And round we go.
Yes, we could solve this by untying med school from college. Yes, we could open up the med schools to more than just the select few we already have. Yes, we could have more nurses and RNs that accompany MDs. Yes we could make medical care a single payer system and try to solve this from there. Yes, there are a million other ways to fix this.
Hopefully you begin to see what a complex mess racial issues are in the US and how at each and every level, race is a contributing factor that affects everyone. I haven't even come close to any of the real issues here, and there are so many spider webs that tie into each sub-issue. Look at this Supreme Court Decision itself, the first black supreme court justice, a Harvard Grad, voted to end it. Thing get really really squirrely.
[0] I have personally experienced this with my SO during labor, BTW. The attending OB-GYN, a man, remarked to me 'How can you stand the screaming all the time'. I threw him out of the room. No joke, this really did happen.
Differences in racial health outcomes are absolutely concerning and the medical training issues you call out are unacceptable.
However, examples like OBGYN diversity might outline a slightly different aspect of race and racial issues in the USA.
OBGYN is one of the most diverse specialties and, even with more diversity, it's still going to be unlikely for an African-American woman to end up with an African-American female doctor (assuming emergency intake and ignoring sorting done at the time of physician selection).
In the 2022 NRMP Match data[0], OBGYN residency applicants were 86% female and 11% Black/African American(B/AA). Quick and possibly unreliable skimming of recent paper abstracts returned ~62% female and 11% B/AA for the current overall OBGYN pool.
11% of OBGYN is lower than the overall population demographics in the USA but the B/AA population is still only 13%.
The answer might be better education and training for all doctors, or it might involve matching patient and doctor demographics for the best patient experience, but we're never going to have enough minority group doctors to make a minority group patient likely to receive care from a minority group doctor in a randomized setting.
Race in the US is horribly complicated and tied into so many parts of life here in the US. Full Stop.
HN comment sections aren't really the place to go into the very fine details, especially just one comment like mine. and the fine details do matter. Ok, all that out of the way, now to the questions here.
Let's take a small micro-example and explore a bit:
You are an African-American woman experiencing preeclampsia at 30 weeks gestation. Preeclampsia is a very serious medical condition and can cause death to you and your baby. You go into the hospital not knowing what is wrong with you, but you know something is wrong.
Like it or not, many medical professionals still believe that African-Americans don't feel pain like other people do.
Like it or not, many medical professionals still believe that women over-react to pain [0].
Like it or not, many medical professionals do not believe the above if they are African-American women.
So, as a worried mother-to-be, you get a doctor assigned to you, likely at random. If your MD is not of the same race or sex as you are, then your experience is likely to be less positive than if they were. From what I have heard from African-American women whom I am able to talk with about medical care, the experience is highly likely to be a negative one unless they get someone of their own race or are lucky.
So, having more people that are of diverse backgrounds in the medical field leads to more positive outcomes for patients of every race and sex.
Meaning that you have to get more diversity into the med schools to begin with. Which means that you have to get more diversity into colleges. Which means you have to get more diversity into Secondary education, and in primary education. Which means you have to get more diversity in pedagogical training. And round we go.
Yes, we could solve this by untying med school from college. Yes, we could open up the med schools to more than just the select few we already have. Yes, we could have more nurses and RNs that accompany MDs. Yes we could make medical care a single payer system and try to solve this from there. Yes, there are a million other ways to fix this.
Hopefully you begin to see what a complex mess racial issues are in the US and how at each and every level, race is a contributing factor that affects everyone. I haven't even come close to any of the real issues here, and there are so many spider webs that tie into each sub-issue. Look at this Supreme Court Decision itself, the first black supreme court justice, a Harvard Grad, voted to end it. Thing get really really squirrely.
[0] I have personally experienced this with my SO during labor, BTW. The attending OB-GYN, a man, remarked to me 'How can you stand the screaming all the time'. I threw him out of the room. No joke, this really did happen.