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Truth . I think you mean *Caribbean instead of US, but I get what you are saying. But please understand that there are some Caribbean students who have landed residencies at top institutions, while many "just match" into primary care.
I'm calling this bluff. Let's see some stats. Keep it within the last 5 years or so.
My Brother goes to a school that cares... why? because he pays . They want their students to succeed and continue forward. Also it is hard to market a school that can't get matches. Business make not care for the love of the students, but they may for the love of the money.
They care about his money and their ability to market to desperate students. That's a pretty low bar for any school that is supposed to train physicians.