This episode discusses the impact of the US Supreme Court's ruling on affirmative action on the medical field's goal of increasing the number of black doctors. The American Medical Association (AMA) expresses concern over the ruling, stating that it hinders efforts to address health inequities and achieve more diversity in the medical profession. The low representation of black doctors contributes to disparities in healthcare for black patients. The chapter focuses on the experiences of black medical professionals dedicated to addressing racism in medicine and increasing access to healthcare for minority communities. It also highlights programs like the American Academy of Dermatology's Pathways, which aim to increase diversity in dermatology. Additionally, the episode explores the idiom "gild the lily," emphasizing how attempting to enhance or embellish something already excellent can have negative consequences. It also provides insights into the early life and presidency of Herbert Hoover and the challenges he faced during the Great Depression.