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What person from an underrepresented group wants to be chosen just because of their group status? Isn't that highly patronizing for someone who likely had worked hard to get to where they got?Your question rests on the assumption that that's actually how they feel about it.
If they are from an underrepresented group, then by definition there is some factor that works against them. (Or multiple factors.)
If you appropriately counterbalance that factor with another factor that works in their favor, then it shouldn't make them feel bad about themselves. Competing on a level playing field doesn't reflect negatively on someone. It doesn't undermine their confidence or cast doubt on their achievements.
Of course, this assumes the playing field is actually level. In theory it's possible to get this wrong. (You could apply either too little or too much correction. It's ultimately a quantitative question.) But my point is, to argue that someone would feel bad, you need to do more than say that correction has been applied; you also need to show that it is the wrong amount of correction.
> But if the top 90 of the 100 medical students are chosen and then 10 are chosen because of non-relevant factors (race, gender, etc)... doesn't it become rational (and maybe morally acceptable) to try and avoid choosing those lesser-qualified 10 for your life-or-death surgery?
What if the 90 were chosen in a process that is also not really entirely about their qualifications? Isn't this also a problem? Why focus only on the problems in choosing the 10?
Particularly as, when you get surgery, you're way more likely to get surgeon who is one of the 90. If this is the real concern, Amdahl's Law tells you to look first at the 90.