Ok, I just have to say this, and before everyone starts flaming, you should know that I'm a fringe MD candidate at a US allopathic school, at best. But for Rayshan and the OP, I just can't understand the logic of applying four years in a row. Some schools state that they wont accept applications from people who have been rejected by them twice. And I'm sure that a lot of schools will simply ignore your app (but not that hefty secondary check) after the first couple of years. So it seems that, with each passing year, your (already low) chances become lower and lower. I'm sure there are stories out there of people who have reapplied and gotten in on the fourth or fifth try, but this is equally likely to happen as the random applicant getting into WashU, Harvard, Duke, Hopkins and UCSF in the same year.
Why not go to the Caribbean? I know the disadvantages, but can it be that bad? Unless you're absolutely set on doing Ortho, Derm or Heme-Onc, it doesnt make sense to have spent as many years applying as it takes to finish med school.
Intriguingly, I have a very similar set of circumstances as Rayshan and VanNos. I'm South Asian (there is an obvious limit to the number of South Asians most schools admit each year, and who can blame them? I wouldnt want to be surrounded by nothing but desis either). I'm probably not going to get in anywhere this year (and this is with an awesome SMP gpa). And though my interests are in competitive fields, if I don't get in this year, I would be hard pressed to try again. Only if I retoook the MCAT and got 37+, *and* received enough interviews and waitlists to make me think I'm pretty close, would I even consider it.
I'm really just curious as to why you wont consider a foreign med school. It cant be a cost thing, b/c a year at G'Town is as much as a year in the Caribbean. And since a lot of their grads match into things like Surgery and Emergency Med (I don't know if the surgery placements are categorical or not), you could still get a decent residency. So why go through with this every year?