there are many licensed physicians from the caribbeans.
also some people lack proper guidance or are mis-informed and confused. it happens. thats life.
it might not be the 'best' option, its obviously tougher, but it is an option.
i say respect those that do succeed because they made it through a system that is less in quality compared to the US medical system/resources, and they are equally as capable, in some cases more capable.
after getting to the caribbean (for those who decide to go there), as long as they learn to be determined and keep learning, they can and will succeed. its inevitable.
in the grand scheme of things none of what is discussed here will matter much - its about how you network and give back, if and when you become a physician. for those who dont, they are just chasing $ and that eventually catches up with them one way or another --> lesson from many doctors who i have spoken with.