I would do LECOM... but the dean of a school we interviewed at spent like 10 minutes telling the entire group of interviewees that if they didn't get into the school they wanted they should wait a year and try again. He kept going on about how important it is to enjoy your school and that one year would seem like nothing years down the line.
It's an interesting dilemma... and I can see his argument. When you reapply you could even talk about how certain you were of wanting XYZ from such and such school and were willing to wait a year to get it...
And yet, since nothing is certain, if I were in your shoes I might still do LECOM. I mean, I understand your hesitation; I took LECOM off my list for all the reasons mentioned in this thread... but it was because I was almost certain I'd get into at least one other school in my list of 10, any of which I would have preferred.