Chance me (please) - Mid-West, Rural State, Small (Very Rural) High School, Chem E or Pre-Med [NE resident, 4.0 GPA, rank 1/130, 34 ACT, <$20-30k]

Have you reached out to coaches at your reach schools? It’s not uncommon for bioengineering, chemical engineering, or biomedical engineering majors to be premed, but aerospace engineering + premed is a very tall order due to the lack of overlapping course requirements - I would expect to take at least five years to graduate with that combination.