Medical schools are facing issues with their pipeline of future doctors, with some outlets suggesting that the problem lies in the perception of gen z students, while others point to systemic issues such as racism and a lack of diversity. The recent supreme court ruling on affirmative action may also have an impact on medical schools and the healthcare workforce. The nature and solution to the pipeline problem are unclear, with different perspectives on whether the issue is one of student resilience, the need for more medical schools, or a need for greater diversity and equity in academic medicine.