What are you mad about? The fact that schools are tiered like most things in life? Get over your self righteousness.
You know what Johhns Hopkins, Harvard, Duke, Columbia, Michigan, etc... are top tier schools. The University of Arkansas for Medical Sciences is not (although it serves its role in providing competent physicians for the state, it is still not the premiere instituition).
I can get an accredited degree at the local CC, but a degree from Harvard is still better. And you know why? Because Harvard is a top tier school, and the CC is not.
Don't bitch at people for categorizing schools just because you cannot get into the better ones.
Hmm... I agree that you can, if you so choose, categorize schools as you wish based on whatever criteria you want (criteria, to some degree, is always based on what YOU value, is it not?). Last I checked, nobody was trying to impinge on your basic freedoms, mate. Chill. I'd be the first to squawk if that were the case. If you want to do that, great man. I don't think anybody is questioning that Harvard is rated higher than, say, RFU on USNEWS' scale as a research medical school. That's not arguable. And sure, it might make it easier based on name recognition to get a more competitive residency. It's arguable, but has truth to it. You should be proud if you made it to Harvard Medical.
And yes, in our society people do judge, "better", or "worse"; in other words, "good", or "bad". That's a reality. Yet, I believe the OP is not so much bashing people who choose to judge schools in that manner, but inviting us to look beyond mere judgments. That's the intention I'm reading from his post, anyway. There are infinitely more interesting things to do than scale medical schools.
The basic issue in all this is that there is no easy correlation between the quality of doctor you are going to be and what school you eventually graduate from. I mean that's all you. Sure going to a "top tier" school will definitely give you some advantages, but there is nothing that says just because you go to HMS I'd want you to treat my future child, or that you are clinically gifted somehow.
The reality check is that most patients don't care what your GPA was and don't really, beyond a certain level, care what school you graduated from. They don't care whether you have an MD or DO. All they care about is that you treat them compassionately, engender trust, and given em your all. Just look at the statistics of malpractice; most patients sue their docs not because they think they are incompetent, it's because their docs didn't treat them right.
That's what I think.