Yes, you are completely crazy for considering it. I have a few friends that went the Caribbean route (SGU mostly). They would have killed to go to U.S. MD program. They talk about 25% of people from their class vanishing after the first semester and the life on the island being expensive and awful compared to the U.S. Things like reliable internet and electricity can't be taken for granted. There are nice beaches but that they aren't able to take advantage of because of the need to study.
I also know people that failed out of Caribbean med schools (honestly, just go on YouTube and type "failed out of Caribbean med school"). Thankfully, more and more of these students are posting videos about their dismissal and this gives you a more complete picture. $100k-$200k with no degree with only classes completed in Caribbean is not going to get you far.
Based on your stats, you have a shot at a U.S. M.D. program. Start on the shadowing, volunteering, getting solid recs etc. DO NOT consider the Caribbean at all unless you have been rejected from M.D. schools at least for two cycles and D.O. schools once.
To give you some idea:
- My girlfriend went to a U.S. M.D. state school. Only ONE person did not make it to graduation in four years out of her entire class. More than 99% of her classmates graduated in four years. There were lots of matches into extremely competitive specialties. My girlfriend matched general surgery although, given her grades and board scores, could have gone into derm and probably would if she could do it again.
- I went to a D.O. school. There were about 5 of us, including me, that either left or were dismissed. Another quarter of my class did not graduate in four years (but did graduate in 5 or 6 years). So the percentage that completed within four years of my entering class was about 75%. Most of the matches were IM/FM with an occasional competitive match.
- A close friend of mine who went to SGU said that after the first semester 25% of his class vanished. Then after second year another 25% (you have to pass a mock USMLE exam to sit for the real thing). And, by graduation, about 50% of the people were there. He made it but it was an uphill journey with very little support. Seeing people dropout and fail out left and right is demoralizing. This was at the "best" Caribbean school. Now, given his stats, he had no shot at a U.S. program whatsoever. He's grateful to SGU for the chance. But, he had already applied for two cycles to U.S. schools and on his third try went to the Caribbean.
In all likelihood, you are going to be over $200k in debt. So do you want a 99% chance of graduating in four years (U.S. M.D.) or less than a 50% chance for the exact same amount of money. That's not even factoring how many doors you will close by going to the Caribbean. It is meant to be a last resort. Spend the year improving your app and get into a U.S. program.
Am I crazy for considering this?