This article explores racial bias and exclusion within biomedical research. White People are 87% more likely to be included in medical research than people from a Minority Ethnic Background, this is down to institutional racism which exacerbates under-representation of Minority Ethnic researchers. This racial exclusion skews our understanding of health and disease to represent White people as the default, when this is not the case; White ethnic groups are a minority in the global context. This has implications for the effectiveness of medicines on non-white patients.