A recent agreement between the medical school of Texas Tech University Health Sciences Center and the Trump administration that forces the school to stop considering race as a factor in its admissions processes is a step backward for improving health care in the United States.

The agreement ends a 14-year investigation by the U.S. Department of Education’s Office for Civil Rights into the university’s use of race in admissions. It represents a sharp reversal to the university’s holistic applicant review process, which includes the consideration of race and ethnicity. The agreement is, however, consistent with the current administration’s advocacy of “race-neutral” admission policies as well as its efforts to rescind Obama-era policies on affirmative action.

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