Your current intention is to go to medical school. That’s 4 long years away and you may change your mind (or Ochem may change your mind for you. )
And even if you do persist all the way through undergrad and apply to med school, the odds are against you getting an acceptance–especially since you live in California. (California is the single largest producer of med school applicants in the country and less than 40% get any acceptance.)
The point is there’s no guarantee that you’ll be earning a high salary in the future. If you don’t go into a high income career, you are going to face a lifetime of debt repayment if you borrow that much to go to Scripps.
I’m not suggesting you go to Case if you don’t want to, but you may need to open yourself to other possibilities. UNM is one possibility. Taking a year off and reapplying next year is another. Going to your local CC and doing a TAG transfer to a UC is another.
UNM’s med school is not THE least expensive in the country. (That honor goes to one of he TX public med schools.) But it is in the top 5 least expensive. My daughters both went there, had a great experience and are now practicing medicine if their first choice of specialty. They both went to strong/prestigious residencies too.
As of this application cycle, UNM now give preference to UNM grads even if they are OOS residents. I know one young man who went to UNM because it was financially a bargain for him. He graduated and returned home to work in healthcare for 3 years in CA. He applied to med school this cycle and will be moving back to ABQ this July to start med school. Despite a pretty impressive resume, not a single CA med school interviewed him. All his interviews were at OOS schools.