Ah damn I forgot where I saw that one poster who quite recently (today or yesterday) linked a tweet in regards to what fields China was leading and what the US was leading in terms of research (the both totalled leading in 80%+ of all fields or something like that).Coming from someone who took the test, got 97th percentile and was accepted to medical school:
MCAT Reddit has more useful resources than all the MCAT prep books combined. MCAT question formats are eerily similar to those of the new SAT. There's very little critical thinking involved, the most basic math and physics questions (which usually can be covered by memorization), and a decently difficult reading comprehension plus bio facts section. "Medical aptitude" is, in fact, mostly memorization. This is due to the fact that U.S. physicians are more like technicians that need to perform treatment the same way 100% of the time (else they'll get sued).
As a result, innovation and critical thinking is discouraged in the field. This is also why robots are actually really good at replacing certain doctor types. The American Medical Association, essentially a lobby group / cartel to protect clinician interests, always tries to constrain medical technology and restrict the number of physicians available to keep M.D. salaries sky-high. It's failed because other countries have been automating and the U.S. has realized it's fallen behind. Since then, they've tried things like creating mid-levels (nurses and physician assistants that can perform mid-level medical duties) to meet rising demand and partnering with universities to control the pace and direction of medical innovation.
The lead the U.S. has in clinical and medical sciences is mostly sustained by non-clinicians like biochemistry and computer science researchers who collaborate with clinicians to conduct their research. Only physician interest-friendly research will be accepted by the big medical journals.
But I think what you wrote there might even put some more perspective on that tweet but not fully sure (can't fully remember all the names of the various fields China and US led in, although 100% sure physics was China leading and like 95% sure China was also leading in chemistry as well? Think they also led in something bio? but not sure)