I have spent a lot of time in a lot of health care settings, and have yet to meet this hypothetical demographic of Asian aspiring-doctors who “got stuck in nursing” because they couldn’t get into med school. Nursing is a highly competitive path in its own right, and most people who get into and through nursing programs are successful because they sought out that field in the first place. It very often takes a 4.0 unweighted GPA to get into direct-entry BSN programs, even at schools where the overall admissions standards are more forgiving.
I also think that treating the 4 on the AP bio exam as a deal-killer, without context, is a bit much. An excellent student who takes AP Bio as a sophomore, who isn’t taught by an instructor who provides superlative preparation for the test, and who does not realize that significant self-study might be needed to get a 5, could certainly get a 4 and still be a perfectly viable candidate for med school. By itself, this is truly not a big deal.
But the overall message that many are putting forth here is true - the road to and through med school is a steep one. Sure, there is the occasional student who just wasn’t trying early in high school, and who is actually willing and able to compete with many of the brightest and most ambitious students in the country to get a top GPA as well as top MCAT scores and then still have to beat the odds to be accepted to a US med school. But more commonly, a trend of B+/A- grades in high school is not a predictor of med-school-level grades in college.
Furthermore, the level of sustained high-achievement over many years that premed and medical education require takes a tremendous amount of motivation and effort. The person doing the work has to really, really want to get through all that and have the career that results (which has plenty of its own stresses and difficulties, irrespective of the financial rewards which are frankly not as inevitable as they used to be in past generations). Some may start out doing this because of what their parents want, but at some point you either internalize that strong motivation, or you don’t keep doing it. What someone else wants just isn’t enough reason.
So, think about what you actually want. If medicine isn’t the be-all and end-all for you, then maybe it’s better to let your slightly weak grades in early high school kill that dream for now and get you off the hook. (Doesn’t mean you couldn’t come back around to it for your own reasons at some point. It happens, but for night now maybe it’s a good thing if everybody feels like your big chance at med school has already been blown. Then you can start figuring out something you actually DO want to do. (Of course, improving your grades will make other paths more attainable too.)
It’s not like you aren’t going to be able to go to college, get an education, and have a life, even if you’re a 3.5 GPA student from now 'til forever. Sure, you’ll have more choices and opportunities if you do better. But maybe if you figure out what you actually want, for yourself, then you’ll have a more compelling reason to do better. Think about your strengths - what do you like, what are you good at, how can you build on those things? Med school need not be the metric against which all other life options are measured.