I think it depends. For GPA, MCAT, ECs, LORS, etc, there can be variations. For example, a 3.5 with a strong upward trend (say, 4.0's the last two years) is not the same as a consistent 3.5, or a 3.5 with a downward trend. For MCAT, a 10/10/10 is not the same as a 14/10/6. Within ECs, someone could have consistently volunteered 3-4 hours a week at a free clinic for 4 years and gotten 400 hours of clinical experience, or someone could've volunteered full-time in a busy ED the summer before applying and also gotten 400 hours. And similar arguments can be made for all of the other components of an application. So at the end of the day, you need to convince adcoms that you have the 1. ability and 2. desire/passion to go into medicine. How you choose to do that is up to you, and whether or not your application is convincing is up to them.