I wasn't impressed with Cleveland either but parts of Philly that I drove through were truly terrible, the worst ghettos I've ever seen. The students I talked to weren't all that enthusiastic but they also didn't seem unhappy, I only talked to a few people so it's hard to say. For me the biggest factor is not having to call/deal with the scheduling the patients. I'm also an outdoor person, and I'd like to have a car so I can drive to some trails and do some mountain biking and stuff. Temple is smack in the center of a giant metropolitan area and it wouldn't be practical to have a car, and even if I did, there would be nowhere to go.