No one is saying that an actual history is rote memorization.... to argue that a first or early second year is doing anything other than going through .a memorized checklist while doing a history on a fake patient (for a grade at a huge amount of schools nonetheless) is completely asinine. The thinking part doesn't actually come until you have enough knowledge to, you know, actually think through what you're doing. This doesn't come until, at the very earliest, the end of second year, and most of the time it doesn't happen until after people have done enough Step 1 prep that all the info is connecting in their head.
This is literally the whole point of medical training. Starting from complete scratch and then spitting out a product at the end that has all the skills necessary to safely and competently practice medicine at the end. Being able to sit down, go through a history and come up with a finely honed and accurate differential at the end is a skill that most physicians are continuously trying to perfect even as attendings.
However, I agree that pre-clinical should be more than just UFAP. We need a pre-clinical period in medical school. We need to be taught the basics. We need the standardized patients, physicians to come teach us the practical application the PhDs will never be able to, basic skills in writing a SOAP note, the beginning thought process for a differential, and dare I say even the free clinic nights we have twice a semester where we practice taking a real history and presenting to an attending on actual bona fide patients.
What we don't need is to pay 50k+ a semester for garbage, unstandardized lectures that 90% (in my class anyway) of us never attend. Huge chunks of students never even WATCH these lectures and perform very well in school. Let's be honest here. Even with all the stuff I mention in the last paragraph there is no reason tuition is what it is. No it isn't a scam, but it is total robbery.
Lol I started out addressing your comment and then ended on a soapbox
tldr. I think you are misunderstanding what that poster is saying. I agree the first 2 years are necessary, while also agreeing that tuition is outrageous because most of us aren't learning medicine from our school's PhDs anymore.