Hopefully, your PS has a very good explanation for your change in pathways that doesn't involve negativity.
As a minimum, you should continue to be involved in some form of nonmedical community service and some type of contact with sick people through the application year for the sake of update letters and interview conversations (could be expensive flying in from the E.U.). If you don't have much shadowing, augment that as well. And, if you end up reapplying, it will be essential that you've made improvements since the first application.
Here are some schools which have a decent OOS acceptance rate (lowest is 15%), including the state schools. You will need to research them yourself for mission, cost, weather, safeness, urban environment, curriculum type:
Safer
MCW, UVermont, Jefferson, SUNY Upstate, UCentral Florida, Albany, Creighton, Wayne, Rosalind Franklin, Georgetown,
On target
UWisconsin, Penn State, Wake, UNCarolina, SUNY Upstate, SLU, UMinnesota, UIowa, UMiami,
UCincinnati, Boston.
UVirgina, Ohio State, Case, URochester, Einstein, Dartmouth, UColorado,
Reaches
Vanderbilt, UPenn, NYU, Tufts, Emory, Stanford,
UPitt, Duke, Mt Sinai, Columbia, Mayo, UMichigan,