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I dont think it matters that you feel he “doesnt want it as much as you.” Thats his decision, and then the adcoms job to decide if they want to filter him out based on altruism.
He is international which already makes it difficult to get accepted US. His degree is from the UK, someone more knowledgeable than me can chime in but I am pretty sure he needs a US degree or at least 90 credits US.
 
Its his choice. His business.
 
Ill be blunt. I think you need to let your cousin make his own mistakes.

It doesn't sound like you are doing this out of compassion but more so annoyance that he is also trying to become a doctor and a sense of superiority that you are somehow more dedicated/altruistic and knowledgeable about where true motivations should lie. If he is applying to medical school I am sure he is an adult and capable of understanding the risks involved with trying to do medicine.
Unsolicited advice like this just comes across as nosey and naggy. Even if his motivation is money, it is what he chose let him discover for himself how hard it'll be to only have money as a sole motivator for such a physically mentally and emotionally demanding career.
 
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