Hell, I'm a software developer and don't even have a CS degree. Did I feel like the bar was higher for me than it may have been if I did have one? Sure, but I was still able to overcome it. Granted I'm not in an environment like the Valley (out of choice as much as anything), but I am an actual, real software dev.

On the other hand, in my past life I was a lawyer. I worked my ass off in high school to get into a top journalism school, worked hard in college and studied my ass off for the LSAT to get into a top-20 law school, and that STILL wasn't enough for me to get anywhere close to a high powered legal job.

The worlds are very much different. I obviously prefer the more merit-based environment that's still found in tech, where "can you do the job" still trumps most things. But things are much much different in other environments.

A state school in any state can get you into any public or private medical school. Hit your marks on grades, kill the mcat (by far the most important thing you do), shadow a doctor and wash literally any campus labs glassware for a few months to get your letter of recommendation, and you can go to any med school you want.