wow, tough choice. for me, at least, it would come down to tuition. i interviewed at both schools and like both a lot. in my opinion, nymc had nicer facilities and a better location while i thought downstate had a better curriculum and the students didn't seem as stressed or competitive. i think i would choose downstate because the tuition is so much less. and, that's not to say i'd pick any suny over nymc. i also interviewed at suny upstate and i think, despite the tuition break, i'd have a hard time choosing it over nymc. so, obviously, i'm all for going with where you think you'll be happiest, etc. in my mind, though, it would be a toss-up between the two. so, i'd go with tuition. those are just my own opinions. best of luck and congrats on having some wonderful choices.