Showing posts with label race. Show all posts
Showing posts with label race. Show all posts

Tuesday, April 7, 2009

Blacks stop assaulting students, now it's done by "males"

Whenever a crime occurs on or near campus, the university security service sends out a mass-email "security alert" describing the incident, and wherever possible, the suspect. In the past, these emails always mentioned the race of the suspect, a commonsensical practice, as presumably making the suspect's race known aids in his apprehension. (The suspects have uniformly been black.) I've noticed that the last two security alerts we've gotten have left this detail out. Thus, we have these descriptions of the respective perps:

Suspect Description: The suspect is still at large and is described as a male 30-35 years old, 5'10" tall, 180 lbs, wearing a tan jacket, dark shoes and pants and carrying a grocery bag.

Suspect Description: The suspect is still at large and is described as a male 18-19 years old, 5'7" tall, 140lbs, wearing a black hooded sweatshirt and black pants.

Now, are we to believe that in both cases the victims caught a good enough glimpse of their assailants to describe their age, height, weight, and dress, but somehow couldn't ascertain their race?

It's good to know they're males, though. I'll be sure to keep a lookout for any males.

Saturday, August 30, 2008

Why Obama's candidacy may be disastrous for America

I recently posted on the negative consequences of an Obama presidency, with the disclaimer that of course I don't think a McCain presidnecy would be good for America either. But quite apart from whatever negative consequences result from John McCain's policies, I also think an Obama defeat could have disastrous consequences for our society as well. For this reason, I think we're already in a very bad place merely for having Obama be a contender for the presidency.

First, let me remind readers of my view, contrary to some of the more optimistic (or maybe less pessimistic) traditionalists, that most white liberals will never wake up and abandon their liberalism. Nothing can dissuade them from the view that all people must be totally equal and that any problems associated with nonwhite, non-Western peoples are caused by white racism. They would literally rather die than come to believe otherwise. With that said, allow me to spell out a possible chain of events which could happen should Obama win in November.
  1. Barack Obama takes office in January of 2009.
  2. Despite having achieved what was thought of as the highest possible victory, putting a "black" man in the White House, blacks continue to lag behind whites in school achievement, in average income, in crime rates, and virtually every other commonly examined marker.
  3. Since everyone knows that blacks' problems are caused by systemic racism, this proves that America is even worse, even more racist, than we thought. We thought we had overcome racism by electing a black president, but far from overcoming it, we've discovered that it's even worse, because even having a black man in the White House has not made blacks equal.
  4. With their anger at whites inflamed by this supposed racism, and emboldened by the sense gained from having one of their own in the White House that they are winning, that they've got whitey's number, blacks begin to attack whites with even greater fury. Black-on-white robberies, rapes, and murders increase, and educated, "respectable" blacks like Jeremiah Wright turn up the heat on their constant denunciations of whites and their calls for white America to give up ever more for blacks.
  5. Again, all of this is seen as a consequence of our racism, so even more must be done to combat racism. Congress passes a slavery reparations bill which calculates the value with interest of 40 acres and a mule in 1865, and pays that amount to every black person in America. Anti-racial profiling laws are passed which are so restrictive that it becomes virtually impossible to arrest black criminals. Bold new affirmative action programs are instituted nationwide and enshrined at the highest level of federal law. It becomes virtually impossible for any employer ever to fire a black person for any reason. New zoning laws are created, aimed at forcing racial integration, making it extremely difficult for whites to move to all- or mostly-white neighborhoods. Who knows what other manner of yet unconceived tyrannical laws are passed and institutions created to combat our supposed racism.
  6. None of this works, which only proves that America is yet even more racist that we had thought in #3! So, even more must be done, and blacks' anger at whites increases again. Return to step 4.
  7. Society plunges into chaos. Crime rates skyrocket, and whites everywhere live in fear for their lives. Even white liberals acknowledge they live in fear for their lives, but they blame this problem on racism and conservatives. White liberals continue not to have children, so nonwhites' power over whites continues to increase. There are pockets of traditionalist whites here and there, who recognize the problem and who continue to have children, but they are prevented from gathering into an organized resistance by the fact that they are so scattered, by the aforementioned zoning laws, and by internet companies' shutting down our blogs and online fora for their racist hate speech.
  8. As the lights go out in America, the last white liberal lies in the street bleeding to death of a black gang member-inflicted gunshot wound. (I always picture this person as the hippie social worker who is in charge of our weekly liberalism seminar in med school.) Her dying words are: "if only our society hadn't been so conservative and racist."

Now, this is a pretty depressing picture, and I'm not saying it's what I think is going to happen, only that I think it could happen. But what struck me yesterday is how little of this is dependent on Barack Obama being elected, or any other single event. Indeed, the reaction from the left will be similar if Obama is defeated: his defeat will be proof of how racist America is, even more racist than we thought, which proves we must do even more to combat racism, which feeds into step 4 above. In fact, the initial reaction from the left if Obama is defeated will be even worse! I can only imagine the vitriol, the rabid denunciations of America, the wishes that the older generation of white voters would just die off already, that I'll be treated to in November from my medical school classmates if Obama is defeated.

So, if Obama is elected, his failure to fix the problems caused by racism will inspire us to destroy ourselves, while if he is defeated, our racism will be proven and we will be inspired to destroy ourselves. We're Screwed '08 indeed. What's more, this situation could not have been permanently avoided by Obama's defeat in the primaries; eventually, a black candidate would have received a presidential nomination, and the results would be the same. Only a return to realistic views on race can save us. And since I believe most white liberals will never abandon their liberalism, only efforts by traditionalists to maintain pockets of resistance and to prevent liberals from seizing our entire society from us by prohibiting us from living together and communicating with each other can save us.

Monday, August 11, 2008

Race: The Reality of Human Differences--Opening Statement: The Case for Race

In Race: The Reality of Human Differences, before beginning their chapter-by-chapter treatment of the subject of race, Sarich and Miele present an opening statement briefly explaining the purpose of the book and laying out the general path it will follow.

They begin by calling race "America's most taboo four-letter word." Obviously "race" is not comparable to other four-letter words in terms of the reaction to speaking it, but it is true that the subject it denotes is one on which our society's opinion-makers will brook no dissent from the accepted view. Obviously, it was not always this way. The authors marshal an array of quotations from four American presidents--Thomas Jefferson, Abraham Lincoln, Theodore Roosevelt, and Richard Nixon--that would be unspeakable in polite society today. For example, Abraham Lincoln said, "There is a physical difference between the white and black races which I believe will forever forbid the two races living together on terms of social and political equality. And inasmuch as they cannot so live, while they do remain together there must be the position of superior and inferior, and I as much as any other man am in favor of having the superior position assigned to the white race." The authors intend for these quotations to demonstrate that belief in universal equality is a relatively recent phenomenon, and that for most of human history, the accepted view was what we might call race realism. Of course, we are used to hearing from the left that all of human history was a nightmare of ignorance, oppression, and injustice until the 1960's, so race deniers will likely be unpersuaded by this argument, dismissing it as argumentum ad populum.

As many of us know from real-life or online interactions with liberals, race deniers generally really believe that scientifically established facts are on their side; they tend to claim to be impartial, willing to evaluate any empirical evidence, and project an image of themselves as believing that race is a mere social construction only because that is what the best information we have tells us. While not mentioning this view directly, the authors provide a rebuttal to it:

Denying the biological reality of race and recognizing it as a pseudoscientific myth created to justify white supremacy, they admonish, will produce what biological anthropologist Alan Goodman in the PBS documentary Race: The Power of an Illusion terms "an absolute paradigm shift." The resulting realization that "race is not based on biology but race is rather an idea that we ascribe to biology" will cause any thought of genetically based group differences to disappear as well, or at least it will set society on the road to their long-overdue remediation through social and economic policy.
In other words, race-deniers don't say race is a social construction because they think that true, but rather because they think having people believe it will eliminate racism. The authors seem to be implying that race-deniers are less concerned with the truth or falsehood of their views than they are with how those views can be used as a means to their desired end.

Sarich and Miele intend to present "the case for race" in three parts: first, race being understood in the context of the history of the concept itself, second, what we know about race from evolution, and third, the political problems associated with race in our present society. In Chapter 1, "Race and the Law," they tell us, we will see that the commonsense idea of race is accepted without question in the legal system. Again, this will be useful in understanding the reality of race, but given what we know of the cultural left's view of the world, where common sense is always wrong, where what seems obvious is never really true, where we need experts to enlighten us, race-deniers will probably dismiss this argument as an appeal to the majority or to authority.

Chapter 2, "Race and History," sounds as though it will stand on more solid ground, in that it will present evidence from a variety of cultures throughout human history that the concept of race has always been with us, that even ancient civilizations believed that different racial groups had different physical and mental characteristics. In the authors' view, this chapter will refute the contention that race is a recent concept invented to justify European colonialism.

Chapter 3 is entitled "Anthropology as the Science of Race." This chapter will address, among other things, "the Darwinian revolution, when anthropology emerged as the science of race, and how and why that viewpoint was increasingly marginalized after World War II." That little tidbit was surprising to me, since the great majority of anthropologists today accept the "race is merely a social construction" view! What a drastic change for a field that, as the authors say, was created as the science of race. I'll be interested to learn how exactly that view of the field was marginalized after World War II.

Chapters 4, 5, and 6, "Resolving the Primate Tree," "Homo Sapiens and its Races," and "The Two 'Miracles' That Made Humankind" respectively, will address race in the context of evolution. It's interesting to use evolution to prove the reality of race, since the left wholeheartedly accepts evolution. I believe this is why, as I alluded to earlier, the race-deniers that make up the left claim to have the best scientific evidence on their side. They cannot dismiss the consensus view arrived at by a materialist scientific approach to human history, since that view hinges on Darwinian evolution, which provides them with their arguments against God, against transcendence, and for the religious right being a bunch of fascist rednecks trying to establish a theocracy in America. So instead they must claim to hew to modern science, distorting or misinterpreting scientific evidence to show that race is not real. The authors repeat the statement that Homo sapiens originated "only 50,000" years ago at least thrice in this opening statement; clearly they believe this is an unusually short time and that this shortness is significant in understanding race. Exactly why and how remain to be seen.

Sarich and Miele describe the views of three eminent scientists: Stephen Jay Gould (race cannot exist), Richard Lewontin (race does not exist), and Alan Goodman (even if race can and does exist, it should not be studied), and say that they reject all three of these views. Of particular interest will be their refutation of Lewontin: he was one of the star witnesses against race in the PBS documentary, and I know from online debates into which I have attempted to inject race realism that his name is often used by race-deniers as someone who's created an airtight argument against race being a valid biological concept. That is, when you get into an argument with a race-denier, their response is often to the effect of, "go read Richard Lewontin. Case dismissed."

Chapters 7, 8, and 9 sound to me like they will prove the most interesting; they are the ones which most directly address the common contention that the phenotypic differences between the races, which we see all around us every day, are illusory. Chapter 7 is entitled "Race and Physical Differences" and in it the authors intend to introduce the topic of racial differences in the least controversial, most accepted arena in which they are manifest: athletic performance. They mention the Kalenjin, the Kenyan tribe which utterly dominates world long-distance running. Of course, race-deniers do not deny the reality of such examples; they just say that that is one single trait that cannot be used to classify individuals into races in a valid way, and add that there is more genetic variation within races than between races (an argument the authors intend to address.) It will be interesting to see if the authors flesh this argument out in such a way as to answer the race-deniers' objections.

Chapter 8, "Race and Behavior," will address, inter alia, what is probably the most controversial topic of all related to race: intelligence differences. Entire books have been written on this subject, none of which, I'm ashamed to admit, I have read, so I'm looking forward to what will hopefully be a good overview of the topic from Sarich and Miele. They will use a classic study in dog breeds to elucidate this topic. Unsurprisingly, they say, Sarich had difficulties publishing a similar study done to examine race differences in humans.

In Chapter 9, "Learning to Live with Race," the authors will present three approaches to dealing with race: Meritocracy in the Emerging Global Economy, Affirmative Action and Race Norming, and Rising Resegretation and the Emergence of Ethno-States, and describe the pros and cons to each. While Rising Resegregation sounds best to me, and most realistic in dealing with the conflict created by racial diversity, the authors state their preference for the global meritocracy.

And this ties in with my one criticism of this opening statement. Several times the authors refer to the concept of evolution, by which I assume they mean Darwinian evolution, as though it were an end in itself. For example, they say that they believe "it is not only appropriate but important to study race, because it helps us to apply the evolutionary perspective to the analysis of human variation generally." In other words, it's not important to apply the evolutionary perspective because doing so helps us understand race; rather, it's the other way around. It's almost as though studying race were merely a means to an end, that end being applying the evolutionary perspective. When writing about the subject of race, we race realists often place scare quotes around the word "mere," because race-deniers say that race is "merely a social construct," implying that it is somehow less significant or important than commonly believed. But those to whom Darwinian evolution explains everything about mankind also inspire scare quotes, believing as they do that man, not merely his physical body but his highest, noblest, most transcendent thoughts, his dreams, aspirations, and hopes, is "merely" the product of random mutation and natural selection.

Whether this view informs the authors' preference for the meritocracy I cannot say for sure, but their stated goal is to enhance "the potential for achievement by individuals." This is a fine goal within a particular nation that can handle it, such as America, but to make this a worldwide goal is not something one would expect of those who understand the reality of race, unless their worldview was one in which there was nothing higher than man, and the autonomy and happiness of each individual was considered the greatest good.

That said, by the looks of the opening statement, the book will be a tour de force through race realism, and I'm looking forward to reading the rest of it.

Next up: Chapter 1, "Race and the Law."

Thursday, August 7, 2008

Race: The Reality of Human Differences (Introduction)

A few months ago, I bought a copy of Race: The Reality of Human Differences by Vincent Sarich and Frank Miele, but hadn't gotten around to reading it. I thought that before medical school gets too busy again, I could try something new for this blog: an in-depth book review. So, over the course of the next few weeks, I am going to read the book, and post a review of each chapter.

I'll set the stage by summarizing the preface. Vincent Sarich is a professor emeritus of anthropology at the University of California at Berkeley, and Frank Miele is a senior editor of Skeptic magazine. Before I bought the book, I thought it was conceived as a response to PBS's much-vaunted documentary called Race: The Power of an Illusion, which unsurprisingly supported the view that race is a mere "social construct." This turned out to be wrong: the authors say that the PBS documentary aired while they were preparing the final draft of the book. Nevertheless, they had sufficient time to note in the Preface that the book provides a neat rebuttal to the documentary.

The authors list the 10 points available on the PBS website which summarize the documentary. They are as follows:

1. Race is a modern idea.
2. Race has no genetic basis.
3. Human subspecies don't exist.
4. Skin color really is only skin deep.
5. Most variation is within, not between, "races."
6. Slavery predates race.
7. Race and freedom evolved together.
8. Race justified social inequalities as natural.
9. Race isn't biological, but racism is still real.
10. Colorblindness will not end racism.

To a race-realist, those ten points--and even more so, that they were presented to the American public as fact, with all the authority of the Public Broadcasting System behind them--are quite infuriating.

The authors then state that they:

disagree with each of these ten points--and that is a remarkable degree of disagreement, given that the first eight points are matters of fact. In Race: The Reality of Human Differences, we present the evidence we believe refutes the first eight points and explain why we reject points nine and ten, not only for economic but ethical reasons as well.

Along with these ten points, the authors include a reference to the chapters which refute each point.

Sarich and Miele have set before them a daunting task: to establish that, against the received wisdom of all the leaders and elites of our society, nearly all those who consider themselves educated people, including the scientific establishment itself, race is a valid biological concept. I would tend to assume that such a valid biological concept, by dint of its momentous import, must necessarily influence social policy. Sarich and Miele don't seem to think so. They say that they are "individualists" on matters of social policy, seemingly setting themselves up as proponents of a strict meritocracy. It remains to be seen how they will derive this principle from, or reconcile it with, their view of race.

Stay tuned for part 2, "Opening Statement: The Case for Race."

Monday, June 9, 2008

Forget marriage mandate, it's the miscegenation mandate!

Here's something from the "Evangelicals can't save Western Civilization" files.

A certain segment of the evangelical community has been taken to task by some writers and bloggers for promoting a "marriage mandate," the notion that with few exceptions, everyone is obligated to get married. Usually, it is said that more women want to get married than men, and so the blame is placed on the men for not marrying the women. Boundless Line, a blog run by Focus on the Family, whose posters are all conservative evangelicals and which draws a lot of evangelical commenters, is among the publications accused of promoting this view.

I don't want to discuss the marriage mandate controversy here. The purpose of this post is to point out a Boundless post from last July on the subject of interracial dating. As you would be stunned, pleasantly surprised, or knowingly disappointed to learn, based on whether you are a leftist, a neocon, or a traditionalist, the post as well as most of the comments were strongly pro-interracial dating.

I've been familiar with the world of evangelicalism for many years now, so most of the comments did not surprise me. It is not at all shocking to hear evangelicals repeat typical liberal platitudes such as the idea that race is merely a social construct, or make snarky comments about "melanin" or one's "epidermis," falsely reducing race to mere skin color. However, there are a few real howlers in the comments section, like the statement that "a person with black skin raised in a Norwegian community is culturally Norwegian." Even that absurdity, though, is the logical conclusion of the view voiced by many other commenters that any problems encountered in interracial dating are due to culture and culture alone, culture being something completely separate from race.

I was, however, mildly surprised by a comment from a black woman who opposed interracial dating on the grounds that it would lead to the end of the black race. Some traditionalists and paleos have, rightly, said that from the white Western point of view, race-mixing should be frowned upon, because it will lead to the end of the white race. Of course, that is undesirable, but more than the end of the white race, global race-mixing will lead to the end of every race. Non-whites should be expected to care as much about the potential end of their races as we care about ours. The comment was surprising only because the liberalism most often expressed by evangelicals is of the right-liberal variety, where any concern about race is seen as invalid and bigoted, instead of the left-liberal variety, where the white race is constantly upbraided but the exaltation of other races is perfectly legitimate. To hear even a black person within an evangelical context speak so frankly about race is rare.

The point about the end of races was lost on most commenters, though, like the one who said that she grew up thinking inter-ethnic families were the norm (she meant interracial, but wrote inter-ethnic because she doesn't believe race exists.) If you think about it, for interracial families to be the norm is a self-contradictory proposition: if most people marry and have children with someone of another race, soon all races will have blended into one, and without distinct races, there cannot be interracial families. The fact that this commenter thought that something inherently impossible was the norm shows how confused most evangelicals are on these issues.

All of this brings to mind a quotation by Sam Francis I came across for the first time a month or two ago:

The real problem with the religious right is that, in the long run, its religious vehicle won’t carry it home. If it ever ended abortion, restored school prayer, outlawed sodomy and banned pornography, I suspect, most of its followers would simply declare victory and retire. But having accomplished all of that, the Christian right would have done absolutely nothing to strip the federal government of the power it has seized throughout this century, restore a proper understanding and enforcement of the Constitution and of republican government, prevent the inundation of the country by anti-Western immigrants, stop the cultural and racial dispossession of the historic American people, or resist the absorption of the American nation into a multicultural and multiracialist globalist regime.


Indeed, all evangelicals really seem to care about is abortion and same-sex marriage. They would be perfectly happy to see America become a nonwhite, third-world country, as long as abortion, pornography, same-sex marriage, and embryonic stem cell research were illegal. Which means that whoever saves America, it will not be evangelicals, at least not in their current incarnation.

Friday, August 31, 2007

A genetics/population bleg

I don't know whether I have enough readers yet to start "blegging," but I thought I'd give it a shot in the off chance that one of the few visitors I do have knows something about this.

In our small group session today, one member of the group, a very liberal, biracial (black/white) young woman became reservedly yet visibly exercised when we broached the subject of genetic risk for disease being associated with race. She was quick to tell us that when working at the NIH (an experience she is obviously quite proud of--I'm sure a liberal half-black woman has no trouble getting a job at the NIH) she learned that racial risk factors, while they do exist, are really attributable to social factors correlated with race such as low income, education, living in a high-crime area, etc., rather than to genetics. Naturally, I don't buy that. She also said that the only diseases that are correctly attributable to genetics and correlate with race are single-gene disorders such as sickle cell anemia, and that even in those cases, since it's only one gene, it's not really racial since any person of any race can have that one mutation. She said that multifactorial disorders aren't really attributable to race at all, that there's more genetic variation within races than between races, and of course, repeated the ubiquitous leftist talking point that there's really no such thing as race anyway and it's merely a social construct. She made it sound like at the NIH this stuff is considered firmly established scientific fact.

Now, it doesn't surprise me at all that the NIH has "discovered" the scientific "fact" that racial differences don't actually exist, though obviously, I'm highly skeptical. But I was unable to rebut any of these claims, because I'm really not well-read on this topic, and I figured that this being a subject that is obviously near and dear to her, she would probably have several studies or articles she could cite off the top of her head which she at least believes establish her view, which would make her look like she had science on her side while I was merely a quack engaging in speculation.

So I'd like to ask if anyone can recommend good books, articles, or other sources that may show that what this woman was saying is wrong. Specifically, I'm interested in knowing more about where this idea that there is more genetic variation within races than between races comes from, what its significance really is, and whether it really means what liberals seem to want it to mean. More generally, I'd also love to know if there's been anything solid refuting this incessant claim that there's no such thing as race and it's merely a social construct.

Sunday, August 26, 2007

A profession that doesn't look like America

Some people may wonder why I have described myself, a white male conservative Christian, as a vanishing breed in the world of American medicine. "Oh, cry me a river," I can hear the left saying. "Everybody knows that doctors are a bunch of conservative hoary old coots!" Even those of the conservative persuasion may be puzzled. The image of the kindly, gentlemanly white male doctor still pervades the consciousness of our society. Yet in this as in so many other things, popular perception lags behind reality.

Unfortunately, historical data on the demographics of medical students is hard to find. It may be that no one was keeping track of the race and sex distribution of medical students prior to about 1980. But let's make do with what we can. Consider a hypothetical doctor on the verge of retirement. If he turned 65 years old today, he was born in 1942, and thus most likely started medical school around 1964. At that time, more than 93% of American medical school graduates were men. While racial data was hard to find, I figured from this table published in 1990 that in our hypothetical physician's age group (45-54 at the time), more than 75% of physicians were non-Hispanic white, so we can reasonably extrapolate that this same demographic datum applied to his fellow medical students when he was in school. Furthermore, we know that in the years prior to 1965, when the infamous immigration bill was passed that was responsible for the ongoing transformation of America into a multicultural society, our nation was 89% white. So our 65 year old doctor was a white medical student in a white world.

Some people might not know, however, how drastically the profession is changing. Fortunately, the American Association of Medical Colleges (AAMC) has collected all sorts of demographic data about medical students for the past 15-20 years, so it's much easier to look at what's happening now. First of all, there has been a massive influx of women into the field: 2003 made headlines as the first year in which more women applied to medical school than men (though still ever so slightly more men were accepted) and for several years now the ratio of male to female matriculants has appeared to asymptotically approach 50-50. While the implications of this are important, I'd like to confine a discussion of them to its own post and focus on the racial changes here.

In 2006, 61% of medical school matriculants were non-Hispanic white. 7% were black, 7% were Hispanic of any race, and 19% were Asian.* This is something that varies greatly by school. In many Southern and Midwestern state schools, the number of whites still dwarfs the number of Asians, but at East and West coast private schools, Asian students are admitted in numbers greatly out of proportion to their numbers in the general population, and at some California schools Asians outnumber whites. (At my own school, a fairly high-ranking private school, only 53% of this year's class is white while 30% are Asian. Interestingly, this means that the much-maligned and dreaded white males comprise less than 30% of our class.)

Now, everyone knows that for a long time, affirmative action was said to be necessary because "minorities" were at a historic disadvantage in America and needed a special boost in university admissions and job hiring to bring their average levels of education and representation in various professions up to their proportion of the general population. Originally, when we spoke of "minorities" in this sense we almost always meant blacks, though I suppose American Indians and non-white Hispanics may have been included under the banner as well. A funny thing happened on the way to equality, however. After the aforementioned 1965 immigration bill, we began admitting large numbers of Asian immigrants, who as a group have average IQs higher than not only blacks but whites as well. These high-IQ Asians naturally began rising to the top of our society, being admitted to prestigious universities and entering the "cognitive elite" professions in proportions vastly greater than their share of the general population. Suddenly, the word "minority" by itself was no longer useful to describe the groups supposedly needing affirmative action, since these Asians were and still are a minority. Hence, the name of the game these days in medical school admissions is "underrepresented minority," or URM.

The usual justification for affirmative action for URMs is that patients are better treated by physicians who are like them. White physicians, it is said, cannot understand blacks as well as blacks can, and black patients are less likely to feel comfortable with or confide in a white physician compared to a black one. The same is said to hold true for Hispanic patients. Therefore, just as Bill Clinton wanted to create a cabinet that "looks like America," we need to increase the number of URMs to serve the needs of society. But wait--whites are still 67% of the US population, but only 61% of last year's medical school matriculants. Who will meet the needs of that remaining 6% of the population? If black people need black physicians rather than white ones, don't white people need white physicians rather than Indian ones? By the liberals' logic, shouldn't we place some limits on the number of Asians and start practicing affirmative action for whites?

Maybe not. For one thing, large numbers of Asians increase "diversity," by which the left really means non-whiteness, and thus are just as useful as any other race in achieving the leftist goal of turning whites into a minority in our own country. But more significantly, America itself increasingly no longer looks like America. It's troubling enough that we've gone from 89% white in 1965 to only about 2/3 white in the early 2000's. Even worse, however, was the report earlier this year that only 55% of children under age 5 in America are white. So maybe we don't need more white doctors to serve the needs of the "white community." If whites become a minority in America, as we are on track to do unless we wake up, get off our duffs, and enact a moratorium on non-Western immigration soon, even 61% will be too high a proportion of white doctors. The only question that will remain is where we will get all of the Hispanic doctors needed to serve the needs of the swelling "Hispanic community", since most of the Mestizo peasants currently "immigrating" here, with their average IQ of 90, generally don't have a level of intelligence that is considered acceptable to make a good physician.

It doesn't end there, however. So far I have been speaking only of people admitted to and graduating from American medical schools. However, after medical school, in order to be licensed to practice medicine, one must complete a 1-year internship, and while this was not true 50 years ago, nowadays one must become board-certified by completing a full residency in order to realistically make a living as a doctor, since no hospital will bring a non-board-certified physician on staff nor will insurance companies reimburse for services provided by non-board-certified physicians. These residency programs, which exist at teaching hospitals across the country, are funded by Medicare and, unlike the number of slots available in medical schools, their numbers are not controlled by the AAMC. In 2007, 15206 US medical school seniors applied for residency positions, of which there were 21845 available. How did the remaining 6639 residency positions get themselves filled, you ask? Foreign medical graduates, who represent an ever-increasing share of the US physician workforce.

I'm sure I don't need to tell you that most of these foreign medical graduates don't come from Western Europe, Canada, and Australia. While some do, a great many are from South Asia and Eastern Europe. They tend to occupy the residency positions that American medical students find undesirable, like primary care fields and programs at community (as opposed to university) hospitals. My uncle, a private practice physician, told me recently of a patient satisfaction survey conducted by the community hospital where he is on staff. He said he suspected that a significant amount of the dissatisfaction patients expressed with the resident physicians could be attributed to their foreignness. "I mean, we've got guys wearing turbans, " he said. "Imagine you're a 75-year-old woman who's lived all her life in Jamison. The only place you've ever seen someone like that is on the evening news!" Yes, some of them really do wear turbans. Suffice it to say that they don't represent the "white community," or the black or Hispanic communities for that matter, very well. I don't think they have much "cultural competence," either. 30 years from now, when you need a primary care doctor, it may not only not be possible to find a white one--it may not even be possible to find an American-born one.

America is currently sick, with a disease called liberalism. Even though most Americans are still at a point where they are afraid to say it, America doesn't look like itself. Still, like many sick patients, it can get better. However, this cure is not going to come from doctors, who have been infected with liberalism themselves. What is needed is a behavioral approach rather than a biomedical one. The patient will need to find his own motivation, and to make some serious lifestyle changes, just as an overweight person who knows he is at risk for heart disease might go on a diet and start exercising. We as Americans can take this patient-centered approach and be cured if we really want to. Medicine and other institutions which represent only small segments of America can't cause top-down change; it has to come from the bottom up. Once we have set ourselves down the right path, medicine, as well as all of our other societal institutions, won't be able to help but follow.


*It's important to note that many demographic surveys don't make a distinction between Orientals and South Asians; thus, the term Asian encompasses Orientals, Indians, Pakistanis, etc. From purely anecdotal observation I'd say that the number of Indian students at my school is equal to if not greater than the number of Orientals.