Georgetown has a tripartite outcome for interviewees: accept, reject, wait-list. That is characteristic of most medical schools.
Come April, the wait-list is then divided into two categories.
From the top category somewhere between 5-10% usually find seats in the class. Perhaps as many as 20 may get offers after June 1. The more expensive a school, especially if isn't among the perceived elite, the more offers usually have to be made.
Based on their prior experiences, all medical schools have an estimate of the number of offers that have to be made to make a full class. Thus, some offer more places than others; uncommonly, some are still oversubscribed when classes begin. They want to avoid that because accreditation is then in jeopardy.
One of the respondents to this thread ventured the opinion that Georgetown gave out too many acceptances in order to make itself look desirable. In fact, the number of acceptances offered were never out of line. Even if the assertation were true, the reason given for it would put Georgetown's accreditation in such jeopardy that it would be a self-destructive policy. Consideration might also be given to the fact that the writer tells us he had an issue with Georgetown: rescinding his acceptance.
Rescinding acceptances is not unheard of and can be and is done for non-malicious reasons. For example, almost all medical schools include in the acceptance letter a statement that all requirements must be completed before registration for medical school courses. There may be a little wriggle room in how firmly it is applied, but we, at least, are not privy to that information for every student who may have a problem in that area.
It is a common human reaction--even failing--when you are in the position of supplicant to someone who has something you want badly, and when you fail to get that someone to smile down on you--to attribute the worst motives to that someone. But when there is something valuable to many people and not enough to go around, the ones who didn't get it find it difficult in their hearts to assume it was just the luck of the draw. I often feel that way myself, even when I believe my failure was not due to malice.
We are all very important to ourselves and disappointment seldom engenders generosity. And, hey, isn't generosity offered as the main motive for becoming a physician? "I want to help people!"
Physician, heal thyself.