Having worked in the academic world for about a decade, I can't imagine the med schools actually make a profit on application fees. I've seen the number of meetings, memos, evaluation grids, Personnel training sessions, etcetera, we go through for ONE academic recruitment. And there's just a resume and some reference phone calls to make.
Given the documentation that comes with a med school app, the number of people who have to look at each one, the number of applicants who have to be logged, updated, interviewed, notified, shown around campus, evaluated, rated, fought over, rated some more, not to mention the HUGE influx of phone calls, e-mails, update letters, strong letters of interest, etcetera, accept, send deposits, withdraw, get accepted at the last minute because of withdrawals, etc., I would be very surprised if the big fat application fee even covers close to the full cost. These decisions take a lot of time on the part of a lot of people.
Sure, it's hard for us, but it's not any big party for them, either.
I think schools really DO want a diverse class (for whatever reason, cynical or no), and there's always some guy with a 45 who turns out to be an dingus so they can reject him or her. Face it, if I got a 45, I'd be likely to get just a bit of an attitude.
Denise