But kelvarhead's arguement doesn't actually hold water. Over the past 5 years there has been a massive increase in the number of places at med school. In my year there were 190ish of us, the current year has approx 300.
Crap workforce planning now means that the nhs can't afford to employ in triaing posts all of the medical graduates whose training has cost 250k each!
The academic cut off is so high because the numbers who want to go in to medicine are so high. The very market forces that Xenia talks about are well and truly in play here.
There is no middle class conspiracy to keep salaries high by restricting intake. Most medical schools, certainly the one whose students I deal with, are trying to reach out to a more diverse intake of students.
I remember at my uni open day chatting to the lad next to me, all the usual stuff about how far had you travelled, where are you from etc. His dad sat in the house of lords and he went to Eton, my dad was a coalminer and I went to the local comp which was very much "bog-standard". We both got in and so did a wholer host of others whose economic backgrounds were very varied.
I've recently dealt with a student who left school at 16 with a few GCSEs, took a long time to re-engage in education as an adult, did lots of research and is now, aged 36, in the third year of his medical degree.