For you people who are arguing this based on your own morals, answer me this. It is the future, you are a wealthy doctor with a beautiful wife/husband and a great kid. Your kid wants to follow in his Dad's or mom's footsteps and go to X or Y medical school to become a doctor. can you honestly say that you are not going to do ANYTHING within your power to make that happen for your kid, like donating money to the X medical school library? If the answer is yes, and I bet it is regardless o whether you admit it or not, than you really have no place looking down on this stuff. Now, you don't have to post your answer or argue, just think about that in your own head, by yourself.
On the other end, you are dean of X medical school, costs are up, state support is down (for public schools), equipment is more expensive than ever, and there are new revolutions every day. Are you not going to work with your alumni to get more donations?
Now, if it were a marginal applicant, with many others surpassing him, I would agree that the practice is wrong. But if there are 2 similar applicants, is it REALLY so wrong to choose the one that will gain your school the most alumni support? It seems like the logical thing to do.
My 2 cents.