It’s definitely tougher to get into medical school, in my view. The MCAT itself is a beast to study for, and being on the pre-med track is a huge task on its own, whether you’re looking at the demands of the classes or simply competing with lots of other students who KNOW they want to become doctors and will do anything they can to earn the mark. That’s the track I started on as a freshman in college, and by the end of freshman year I realized that it just wasn’t for me. Of course, I didn’t even know what IB/ER/PE were until senior year, but somehow things worked themselves out.
Working on transactions generally pays more than what you’d make as a practicing physician, but there are a number of doctors out there that also have consulting agreements with major corporations or financial firms, and it’s not uncommon for some of these doctors to be earning in the millions. It’s much harder for a physician to achieve that level of income if they purely practice, mhowever.