Case Western, Hamilton, University of Rochester, RIT or UF for pre-med/music? ["about the same cost"]

If they use a committee letter, they highly discourage anyone they can’t write a glowing letter for…from even applying to medical school. Or they won’t write one at all. If a college uses committee letters and a student doesn’t have one…medical schools will justifiably wonder…why.
@WayOutWestMom can elaborate.