As much as I am a fan of test optional colleges, for some kids, getting over whatever hurdle is hurting their test taking ability is a worthwhile goal.
There is no such thing as a “test optional” med school. You take high stakes tests to get licensed as a nurse, get a brokerage license, become a CPA or CFA. Even a kid who is resolute that they are going to college and never taking another test again (all classes with papers or projects) discover that the LSAT is a test. And that almost every single class in law school has a test, and that in order to practice law you need to take the bar exam. A friend of mine- in her 60’s- just had to do a multi-day test to get certified as a hospital and court foreign language interpreter- and this for her native tongue. She hasn’t taken a test in over 40 years and reported that it was incredibly stressful despite knowing the material cold.
So yes- check out the test optional colleges, but IMHO it’s a worthwhile investment to find out from your D’s teachers or tutor what they think the issues might be. It’s one thing to limit your choice of college due to the gap between her ability and her test results (since there are so many fine options which are test optional) but to limit yourself professionally? That seems unnecessary to me. An increasing number of professions and jobs require licensing- which means tests throughout your adulthood. It’s worth it to learn how to ace a test!