100% agree. The thing is, the institution is not generally interested in "fixing" the issue. As often as not, they will deny there's an issue at all. I mean, consider the discussions around police forces going on right now. There are a lot of people who will deny that there is a race issue related to policing in America. And if you look at BJJ, a lot of guys will argue that misogyny is not an issue, either. As with the cops, if you are in the dominant class and can control the narrative, the voices of the disadvantaged are easy to ignore. And so, it stands to reason that those folks, the ones in the minority classes (whether that's by virtue of race, gender, sexuality, religion, or anything else) will tend to be more pragmatic about it. I don't know if I'm being clear. I guess what I'm getting at is that "solving" the issue is a high minded position. It presumes that the issue can be "solved" (i.e., that the system can be fixed). In other words, a person may not be looking to cure racism. They may just want to get high quality care.
All that is essentially echoing what I said earlier in the thread. A request for race based medical care may not be exactly legal, but I totally understand where it comes from.