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I think part of the reason we see so many students at top medical school interviews who went to a top college is simple self-selection. Putting together a good application is a skill. You cultivate this skill, certainly, but student who were good at doing all the "right" things in high school and were able to write good essays for their applications and tell a unique story are probably still good at those things now. That's not to say that students who didn't go to a fancy school for undergraduate cannot put together a stellar application for medical school, but many such students lacked something in high school that they needed to have gained in college (goo test taking skills, how to get good grades, how to meet and enchant teachers/professors, how to find cool volunteering opportunities, how to balance many commitments, how to become a leader).
Disclaimer: yes, some students don't go to fancy schools because of socio-ecomonic reasons, I understand. Regardless, I think my point stands for a large portion of potential pre-meds (that is to say, undergraduates). In addition, students who have had socio-economic difficulties getting into college yet have all the necessary "skills" for a stellar application will probably do just fine regardless of their institution because medical schools care about this kind of diversity.