One is: What is your safety? You said “UCs” in your post. Did you apply to UC Merced and UC Riverside, and do you think that they are safeties (or at least one of them is)?
Next: What is your budget for a full 8 years of university? Would your parents be okay with spending $800,000 over 8 years? Of course assuming that you get accepted to one or more of the UCs you can save over the first 4 years of this, and probably end up spending less than this in total.
I doubt that your chances at Stanford, Cornell, or Penn are much different from the overall acceptance rate. These are all reaches even with your superb stats. The impact of the recent Supreme Court ruling on race based issues is difficult to evaluate. In principle this might help you, but it is not clear to me how this will work out in practice.
Your large amount of medical experience is likely to help you for the BS/MD programs.
I think that you just have to be patient, and wait and see. To me it also looks like you have a high likelihood of becoming a very good doctor, whatever path ends up taking you there. I am actually quite pleased to see very strong students like you wanting to go into medicine, because either I or my spouse or kids might need your help by the time that you get there!