The American College of Physicians (2010) stated in their position paper that racial and ethnic disparities in health care result from the interaction of multiple complex factors, including past and current discrimination in health care, genetics, unequal educational opportunity, income and healthcare access disparities, cultural beliefs, and community systems. They went on to emphasize that the College believes that although improving access to quality care, reforming the healthcare delivery system, improving cultural and linguistic understanding, diversifying the healthcare workforce,

