Does almost everyone from top tier colleges go to grad school?

The Harvard student need not go to grad school to just continue his major at the graduate level. There are professional degrees - law and medicine are just two. Others mentioned MBA after two or three years. There are also Masters in Public Health, Public Policy, Social Work, Dentistry, Vet, City Planning, Architecture - you get the idea. People entering these programs may have majored in history/English/psych. If the student isn’t sure what he wants to do, working is a good option, even as a secretary or office manager, for a few years.