The reader of your medical school application is expecting a degree of proof and really wants to know how you know. It's not enough for you to say you want to help people. How do you know what you want to do in medicine, what have you done that leads you to know that? How to write your medical school personal statement: Persuasion The most persuasive way to answer this question is by sharing experiential knowledge. You would say to an admissions official in conversation, "I know because I've done it. That's how I know. And I can give a specific story."
As mentioned, this part of your application can be used to decide whether a school wants to invite you for an interview or not. Schools only accept students who have been invited for interviews, so getting to this step is a huge part of the process.