I am a doctor and can tell you that your undergraduate college is not that important. Any state university would suffice. More important are grades, test scores (MCATs), and some type of interesting personal story or pathway leading into medicine. If you go to Duke and end up a B student you will regret the decision and the debt. I see a lot of new physicians coming into practice with massive student loan debts proving that they should have majored in economics rather than chemistry. Debt is one of the major stressors for new physicians. Go to a school your family can afford, give your best effort, get in an honors program, and don’t sweat it.