Immigrants assume minority status in their new country, usually in the hope of an economic, educational and political future than in their country of origin. Because of their focus on success, volunteer minorities are more likely to perform better in school than other migrant minorities.  Adapting to a completely different culture and language creates difficulties in the early stages of life in the new country. Voluntary immigrants do not feel as much of a sense of shared identity as involuntary minorities and are often wealthy in social capital because of their educational ambitions.  The major immigrant groups in the United States include Mexicans, Central americans and South Americans, Cubans, Africans, East Asians, and South Asians.  Few Americans have a good understanding of the importance of various minority groups. A 1997 Gallup poll found that only 8 percent of Americans knew that African Americans made up between 10 and 15 percent of the United States. population; More than half (54 percent) thought blacks made up at least 30 percent of the total population. In a 1990 Gallup poll, respondents estimated that Hispanics made up about 20 percent of the U.S.
population, while Hispanics made up only 9 percent of the population in 1990. Americans are divided in their beliefs about the long-term effects of growing diversity. Some see the rapid growth of minorities as the key to America`s renaissance and a logical continuation of the «melting pot» tradition. Others see the rapid increase in racial and ethnic minorities as an undesirable departure from America`s European heritage. Discussions on this issue sometimes become heated because the increase in the minority population is closely linked to important political issues related to immigration, positive measures, welfare and education reform. This transformation of America`s racial and ethnic profile is more visible in some states and communities. The four minority groups make up at least half of the population in Honolulu, Los Angeles, Miami, San Antonio and several other metropolitan areas. Within 25 years, California, Hawaii, New Mexico and Texas will be «minority majority» states where minorities will make up more than half of the population.
But many parts of the country have little racial or ethnic diversity. Minorities make up less than 5% of the population of Maine, New Hampshire, Vermont and West Virginia. There is a debate on the recognition of minority groups and their privileges. One view is that the application of special rights to minority groups may harm some countries, such as the new States of Africa or Latin America, which are not based on the European model of the nation-state, as the recognition of minorities can undermine the establishment of a national identity. It can hinder the integration of the minority into the majority society and perhaps lead to separatism or domination. In Canada, some believe that the failure of the dominant English-speaking majority to integrate Franco-Canadians has provoked separatism in Quebec. Seventy percent of the cohort received a suboptimal drug (PHT, PB). Logistic regression analysis identified a non-neurological attitude of diagnosis and black race as independent predictors of suboptimal drug reception or poor quality care. Among the two minority groups, Black race alone (not Hispanic ethnicity) was predictive regardless of suboptimal drug administration (Table 3). This suggests that cultural and/or systemic factors could explain the different care blacks receive, even in a unified system like VA. This is remarkable because VA has been successful in bridging the treatment gap for many other conditions in primary care. Because 60% of diagnoses have occurred in Medicare, this data reflects more widespread clinical practice than just practicing goes.
Possible explanations include blacks` cultural preference for treatment in the emergency department, where PST is more likely to be prescribed; a higher severity of epilepsy, which leads to an increased need for emergency rooms; and the lack of basic services. Although mortality from TFA has improved significantly over the past 30 years, it still carries significant risks of maternal and child mortality and morbidity. The results are usually related to the severity of the clinical presentation. Women who died or suffered permanent neurological damage were likely among those who had cardiac arrest at the time of presentation. As described above, the death rate in the UK is around 19%. UKOSS data suggest that among women who survived TFA, 7% had permanent neurological injury. Of those who survived without permanent neurological injury, 17% had other serious morbidities such as sepsis, kidney failure, thrombosis or pulmonary edema, and 21% had required a hysterectomy. UKOSS data also suggest that outcomes are generally worse among women from black or ethnic minorities. The majority of women who die from TFA do so in the acute phase (median of 1 hour 42 minutes after presentation). If they survive beyond this acute phase, the results are significantly better.
The growth of African-American, Hispanic, Asian, and Native American populations is fundamentally altering the racial and ethnic makeup of the country`s schools, workplaces, and neighborhoods, creating a new multiracial and multicultural heritage in the United States. Many companies target their products on specific minorities because they recognize that minorities are an expanding market. Aspects of black, Hispanic, Asian, and Native American culture — including art, food, music, and clothing styles — are adopted throughout American society. Institutional racism – when the procedures and policies of an entire organization discriminate against BME people. In the United Kingdom, the 1999 Macpherson report on the death of Stephen Lawrence defined institutional racism for the first time: «the collective failure of an organization to provide adequate and professional service to people based on their skin colour and ethnic culture. It can be seen or recognized in processes, attitudes and behaviours that amount to discrimination through unintentional prejudice, ignorance, carelessness and racial stereotypes that have disadvantaged ethnic minorities. A minority group, according to its original definition, refers to a group of people whose practices, race, religion, ethnic origin or other characteristics are numerically inferior to the main groups in these classifications. However, in sociology today, a minority group refers to a category of people who suffer a relative disadvantage compared to members of a dominant social group.
 Minority membership is usually based on differences in observable characteristics or practices, such as ethnic origin (ethnic minority), race (racial minority), religion (religious minority), sexual orientation (sexual minority) or disability.  The intersectionality framework can be used to recognize that an individual is simultaneously a member of several minority groups (e.g., both a racial minority and a religious minority).  Similarly, individuals may be part of a minority group in some characteristics, but a dominant group in others.  A minority can disappear from a society by assimilation, a process by which a minority group replaces its traditions with those of the dominant culture. However, complete assimilation is very rare. More common is the process of acculturation, in which two or more groups exchange cultural characteristics.