It does not matter. By that I mean, do not listen to what you have been told. Usually, the people who say those type of things, are the ones who never made it. I bet you that if you look at the history of medicine, you will definitely find someone who beat the odds. That being the case, so can you. Follow your heart. If you love medicine and believe in yourself, nothing else matters. Do the carib schools care? I'm sure a few may, but does that mean you cannot get in? Sounds to me like you are listening to someone else tell you what you should pursue and where. The heck with them. Who are they to you? You have what it takes to get into a US school. I know you do; I completely believe in you, and I do not even know you. How can I say that? You would not be pursuing medicine if it was not calling you. Try and force the schools to reject you. Then, if they do, find another school. Your determination is what is going to get you to your goal, nothing else. Best wishes!