To me, there's no question that Buffalo is the best choice based on cost alone - isn't ASDOH's COA close to $400k? ASDOH is a great school, with a solid reputation, but no school is worth paying $150k more. And it's not like your alternative option is a bad one at all - Buffalo is a fantastic school with solid research, clinical experience, exposure to specialties, great student body, fun city (despite what everyone thinks about it), etc etc. Most importantly, it's CHEAP! Seems like an obvious choice to me (and to you, based on your signature).