A lot of these Caribbean schools are for profit organizations that will admit almost anyone, including those under-qualified to take on the challenging curriculum and become physicians. They ultimately end up failing a huge percentage of these students out while keeping thousands of their dollars. Many don't have the goal of making every entering student a physician, but only to keep the ones that will most likely pass and make the school (statistically) "look good." Imagine having to drop out 30+ students just to have a match rate in the 80-90s%..
You can call these students hard working or inspirational all you want (and many of them are), but the fact that they chose a med school with such a failure rate, whether it be their own choice or parental pressure, is a completely delusional act.
I can't argue with this at all. Most people simply do not succeed at Carib schools cause they dont have the quality to succeed at any med school at all. period. In this sense some (actually the majority) of Carib students (not residents) are delusional. But those who come, work and earn their way are currently the doctors supplementing America's insufficient physician supply.