Just happened to come across this thread and wanted to say, you are not 100 % accurate on your statement. Even, if you went to a state school, there is still a chance you will not get the residency of your choice. You are not guaranteed a spot , just because you are in a school in the states. I know someone that went to SGU 30+ years ago, before it was even much known. He was one of the 1st classes. He is an otolaryngologist , his other friends that attended are in ortho. So, anything is possible if you work hard. Also, the cost of SGU vs. private med schools are basically the same.