are you actually thinking of doing something international? cause if you werent then i think you could eliminate that off your list...
mssm has a good reputation but i dont think it blows away any of the other schools out of water...which is prolly why id pick downstate....because of what you mentioned...
the money.
its a quality school and you can get a good medical education there. if you do well then you can be competitive for any residency you want to do...
so yeah...best bang for your buck.