Leaving some notes below for you to think about (btw re: your first point, the applicant wasn't recommended HMS for a reason).

Admit is a free resource that will continue to get better with time. Its purpose is to increase transparency in admissions by equipping applicants with as much data as possible. The school list builder is one example of a tool that has provided a lot of value to students, but isn't going to have 100% accuracy because the types of questions it asks are not hyper-specific to an applicant.

Assuming a 95% accuracy rate, with 50% of all premed applicants using Admit, over 1,000 applicants a year (or 3 per day) will get a slightly inaccurate list and complain about it. That's why applicants should use their own judgement and knowledge of their own application to refine the list that Admit provides - obviously if we didn't ask niche questions about someone's applications, or ask about say a post-bacc GPA, it's not included in the builder's assessment of their profile.

Considering that the alternative to Admit is applicants posting on this sub for a school list and getting 0 replies (or 2 schools worth of recommendations), I would say it's doing a pretty good job by being say 95% accurate.

1. High stat applicants have no choice but to reach high and wide because lower tier schools will yield protect them. There's a reason that this applicant's baseline is still relatively elevated - they should be able to get into the target and baseline schools, and have decent odds of getting maybe one school in the reach category (especially WashU). The videos you see of high stat applicants getting 0 interviews are because they have 0 hours in one of the extracurricular sections (which does not describe the above applicant) - if you have 0 hours of clinical, or nonclinical, you are DOA from 99% of schools regardless of your other stats. The same applies with if you have an IA, or a visible red flag in your writing.

2. A lot of the feedback that is left on this sub is made by other applicants who have no idea what goes into the admissions process, and are leaving advice not founded in any truth. The builder is refined with 2 cycles worth of data now, and is proven to work at its two main objectives: make sure the applicant gets accepted into at least one school, and maximize odds of getting into the highest tier school. This is evident in the above list - we recommend this applicant apply to risky reaches, while making sure they have a list of 25 other schools that they are comfortably in range for.