I stand by what I said before... your narrative is going to make or break you... and while you have the numbers and the basics, I don't see a central throughline that can support your claims. You looked geriatrics-bound on paper, and saying you are strongly against going into primary care creates a huge value mismatch given your activities.
You've spent a lot of your time doing things that are admirable, like engaging in community health, or rehabbing the elderly. Working with this population has made up the majority of your clinical and clinical-adjacent activities. You shoot yourself in the foot by saying "I hated that." It also leaves a vacuum: the obvious next question is "Fine, what did you like, then? Why are you even here? How do you know if you've never been exposed to it?"
I say, leave the can of worms sealed and on a top shelf. You are not held at gunpoint to fully honor the statements you make on your application four years from now. My opinion is that you should instead be leaning into your strengths and reinforce that not only did you enjoy caring for some of our most vulnerable and medically complex patients, but it inspired you to continue exploring opportunities to enrich your understanding of diverse patient populations in medical school.
I've been beyond humbled meeting other applicants on the interview trail at UCs and Ivies. I appreciate your confidence, but if you do apply, give it your best shot because you would be surprised how unremarkable grades become at the schools you're targeting. You can't rest on your laurels and still expect to have a good cycle.
See the WAMC subforum to find several recent examples of people with applications that look like yours who are reapplying in May.