@MiamiDAP Yes, it has gotten more competitive in 8 years. So many more are now applying to these BS/MD programs. The student I referenced above had an ACT 33 as well. He’s younger than your DD, yet he doubts that he would be accepted today.
Not only are there more people applying to these programs, but people are taking the SAT and ACT more often. Not too long ago, I can remember people fearing retesting more than a couple of times. Now, kids may take the ACT 3-4 times and the SAT 3-4 times…or more.