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deleted314957
In a world where Harvard really equaled Kutztown State, you'd be right, but that's not the world we live in.
To some, NY is more attractive than Cleveland, and #3 is more attractive than #73. Moreover, and this where the rubber really hits the road, more acceptances means more opportunities at merit scholarships, that can often be used to leverage discounts at your top choice, even if that turns out to be the first school that accepted you.
In fact, unless you have tremendous demonstrable financial need and have an acceptance at your top choice that has a very generous financial aid budget, THIS is the very reason people soldier on after receiving an acceptance at a school they'd be very happy at. Beyond ego and prestige, this is likely another reason OP is applying out.
As I said, you have a valid point. My point is: goal #1— Get into a US allopathic or osteopathic medical school.
Goal #2—— any other considerations you may have.