Yeah, if I get into BU I will take it. I sent them a letter of intent already. Here's why:
1) I have been in Boston for the past 5 years (4 for school). I love this city and want to learn medicine in an urban environment. I dont know if you have been to Boston Medical Center (you said your cousin is the one who applied), but it is a great tertiary care facility combined with acute + emergency care designed for the diverse population of Boston. I know it sometimes gets dwarfed by the giant Harvard/MGH/BID system, but BMC and BUMC are well respected institutions both in this area and in the nation.
2) Money, housing costs, and expenses are not an issue. Most of it is being taken care of by a 3rd party (AFHPSP). Even so, its cheaper to live in Boston than say NYC or SF. Maybe even to some extent LA. There isn't too much difference between 30k of tuition and 36k *but I have to say that if i was goina have to take out loans, I would probably consider the cheaper school or state school*
3) I didn't get into a 'better' private school, but i take those rankings with a grain of salt. After you get down to say number 20 or 25, the rest of the schools in the top 50 are all pretty similar. Without actually visiting or attending a school, I think its hard to judge their quality. Going to a 'lesser' ranked private school is not going to kill my ego.
4) If I participate in the civilian match, I'd like to stay in the northeast. BU's match list is pretty good at matching students in top primary care residencies (40% primary care in 2003), and lots of competitive specialty training spots. Part of residency matching is making connections with program directors... what better way to match in the northeast than to go to a well respected northeast school? This may not be an issue if I match military, but even then, BU is a well enough known that I'd have an advantage.
So, you see that its by no means a 'second choice' or a last resort for me. But im sure its not a good fit for everybody.....