Why Senior Physicians treat less patients from different racial or ethnic backgrounds

Senior Physicians May Care for Fewer Medicaid and Racial/Ethnic Minority Patients than Junior Physicians

It has been observed that senior physicians, who have been practicing medicine for a longer period of time, may tend to care for fewer Medicaid and racial/ethnic minority patients compared to their junior counterparts. This disparity in patient demographics raises concerns about equitable access to healthcare for vulnerable populations.

Understanding the Disparity

Several factors contribute to the discrepancy in patient demographics between senior and junior physicians. One key factor is the evolution of medical practice over time. Senior physicians often established their practices before the expansion of Medicaid programs and the implementation of policies aimed at reducing healthcare disparities.

Additionally, senior physicians may have built a patient base over the years that primarily consists of privately insured or self-paying patients. This can be attributed to various reasons, including reputation, referral networks, and patient preferences. As a result, they may have fewer Medicaid patients in their practice.

Racial and ethnic disparities in patient care can also be influenced by unconscious biases that may exist among senior physicians. Research has shown that implicit biases can affect clinical decision-making, leading to differential treatment patterns for patients from different racial or ethnic backgrounds.

The Impact on Healthcare Access

The underrepresentation of Medicaid and racial/ethnic minority patients in the care provided by senior physicians can have significant implications for healthcare access and quality. Medicaid patients, who often come from low-income backgrounds, may face challenges in finding physicians who accept their insurance. This can result in delayed or inadequate care, exacerbating health disparities.

Racial and ethnic minority patients, who already experience disparities in healthcare outcomes, may encounter additional barriers when seeking care from senior physicians who may not have the same level of cultural competency or understanding of their unique healthcare needs.

Addressing the Disparity

Efforts are being made to address the disparity in patient demographics between senior and junior physicians. Medical schools and residency programs are increasingly incorporating cultural competency training to help physicians recognize and mitigate unconscious biases. Additionally, initiatives are being implemented to encourage senior physicians to actively engage with Medicaid and minority patient populations.

Healthcare organizations and policymakers are also working towards improving reimbursement rates for Medicaid patients, incentivizing senior physicians to accept a more diverse patient population. By ensuring equitable access to care, these initiatives aim to reduce healthcare disparities and improve health outcomes for all patients.


The disparity in patient demographics between senior and junior physicians, particularly regarding Medicaid and racial/ethnic minority patients, highlights the need for ongoing efforts to promote equitable access to healthcare. By addressing unconscious biases, improving reimbursement rates, and fostering cultural competency, we can work towards a healthcare system that provides high-quality care for all patients, regardless of their insurance status or background.