During a recent visit to Roanoke College, the head of the Medical School faculty committee stated the obvious which I think would also apply to other universities. If one studies hard, maintains say a 3.7 or higher GPA, performs tons of community service at a hospital, gets great recommendations, and slays the MCAT, then one should get accepted to medical school. Relying on having a "big name" on the application such as Richmond, Wake, Duke, etc. and failing to perform as described above will not cut it. The competition is just too fierce.
In any event, guessing that gov't takeover of the medical business is all but given, then you may want to re-consider giving up 12 years of your life to earn a medical degree. Why bother (unless money is irrevalent) since by 2014 an appointed gov't body will be dictating that doctors can only make as much as a garbage collector. Well maybe not that bad, but undesirable nonetheless.
This is likely why my daughter is giving up on a medical career and going into Engineering, more lucrative, making 60-80K in just 4 years and 6 figures after 10 with no gov't takeover currently envisioned.