The reason is that many pre-med students (whether they will admit it or not) took a watered-down course load and chose easy majors so that they could maintain a high GPA, study for the MCAT, and do a bunch of bullshit to impress medical schools. In a lot of ways, that ruined their college experience. Always wondering how things you do will affect med school admissions is a terrible way to go through college. It narrows your options and is the opposite of freedom.
Now let's say that you choose Rice-Baylor instead. You don't have to optimize for med school admissions because you're already in. Now you can take hard classes and do any major without fear of having a competitive GPA for med school. You can do internships that have nothing to do with medicine. Basically, you can do all the things a pre-med student (or you at Columbia) would not do.
This is the freedom option. It's the option I would choose if I were in your position. Also Rice and Baylor are great schools. You can't lose here.
With your freedom, spend your summers in Silicon Valley. If you got into BSMD I assume you're pretty smart. It will not be hard to convince people to hire you.
I know this is a big decision, if you want to chat more, email me at gordonmzhu[at]gmail[dot]com.
Living in Manhattan is likely to be a distinctly different experience from living anywhere else. The Rice Baylor BSMD program offers a unique experience of a different sort due to the program's extreme selectivity.
Neither is as tightly integrated with Silicon Valley or Boston startup culture as California Schools.
In the end, nobody is going to have a better insight about your best option than you...and if you find yourself at one or the other and realize it's not for you, then go someplace else. It's ok to make a mistake. It's even better if you own it. The best thing is if you learn from it.
Good luck.
I am very conflicted about the decision, I've oscillated too many times.
Honestly I am very interested in startups in biotechnology--but if I can do that from RBMS, then I don't think there is much contest between the two. I just don't know whether internships and startup jobs at interesting, breakout companies are available from Rice. I talked to previous individuals in the program who told me it was difficult. That is what makes me hesitant.