Class-Based Affirmative Action in Medicine

Although women remain under-represented in surgery, there has been a huge change in the number of women in medicine in general and they now make up about half of new medical students. Unfortunately, things look quite different with regards to socioeconomic status (SES).

Speaking from an American perspective Stephen Magnus and Stephen Mick discuss the literature on whether medical school should adopt an affirmative action approach with regards to social class and come to the conclusion that this may indeed be beneficial for a number of reasons. First and foremost, it would contribute to presenting equal opportunities to all members of societies. Lower SES students have to face a variety of additional obstacles compared to their higher SES counterparts and affirmative action would counteract some of these obstacles.

In addition to that, the authors also make compelling arguments that affirmative action policies would benefit lower SES patients as well. First, evidence suggests that doctors from lower SES backgrounds are better at communicating with lower SES patients and second, doctors from lower SES backgrounds are more likely to offer medical services to lower SES patients in the first place.

On the other hand, critics of affirmative action often argue that these policies stigmatise minority groups, who are already battling with negative stereotypes. What do you think?

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