I'm not sure I understand your line of questioning. You are welcome to consider any schools you like to be the best. Best is dependent on whatever set of criteria one chooses, but it cannot be denied that when folks in the pre-allo/allo boards on SDN talk about top ten, they are talking about schools at the top of the research rankings list, the Harvards and Hopkins of the world. I would (and did) suggest that schools like Harvard maintain their prestige not just because of the US News ranking says they are tops but also because physicians (including residency directors), prospective students, undergrad advisors, etc. (aka people) on some level believe that too. Folks would be up in arms if the US News published a rankings list that didn't at least seem credible, didn't have schools like Harvard on it. A top 10 list without schools like Harvard, Hopkins, UCSF, Penn, would simply not pass muster. You can disagree with the methodology, or assert that some people who think places are best are not qualified, or assert that you can find physicians who think otherwise. But that really doesn't change the notion that if you polled every physician in the US as to the best school, you would get responses like "Harvard", "Hopkins" (and the rest of the top 10 on the research ranking) pretty frequently and statistically significantly.