apparently many medical schools do give huge preferential treatment to people from certain areas. If you come from an underrepresented region or state (like say montana or alaska) or if you grew up in an extremely rural environment, that will give you a leg up over other med school applicants. also, whatever state that you are a resident of also affects where you will be able to get in for your medical residency. For example, because states such as California are oversaturated with doctors, if you are a CA resident, it's much tougher to get a residency there than if you are from Arkansas, because they expect you to be less likely to practice in CA if you aren't originally from there. Geographical preference also affects undergraduate admissions too, so I don't understand the huff people get in when UT Law displays preference towards Texas residents. If I correctly recall, UC Berkeley is damn near impossible to get into as an undergrad if you aren't a CA resident, and a lot of national universities take your geographic location into consideration when you apply. For example, a kid with a 3.8 and a 1370 from Mississippi has a better chance to get into say Dartmouth than a kid with the same scores from New Jersey. Of course, I don't see people bitching about that as much as people female dog over AA, which I think is kind of silly.