So after reading your post on SDN....i realized that you are a sh*thead for not doing your research about the school. To answer your question, schools set up in roomate places or rural areas because there is a shortage of physcians to take care of sick patients if it isn't obvious enough. Since you're a native Texan, I will give you this example: School of Medicine at Texas Tech University Health Sciences Center at El Paso just opened this year to reduce health care disparities in the El Paso Communities due to the shortage of physician in underserved areas. There is a shortage of physcians in rural areas/underserved areas in general because of three main reasons. First reason is many people living in rural areas do not have access to health care because they simply do not have health insurance, and their jobs are underpaid. Second reason is due to the lack of doctors - to get doctors to practice in rural settings, you have to pay for their medical loans through programs such as NHSC or Loan Forgiveness Programs. Also, most doctors don't practice in a rural setting because there are a lot of uninsured people knocking at their front doors. In order to get doctors to practice in rural areas, you either recruit more physicians who used to live in rural areas or have to improve schools in rural areas, which is EXPENSIVE. Lastly, the third reason is people who live in rural areas face special problems such as agricultural accidents. Being a farmer is not an easy job, and they are around of a lot of pesticides and heavy machineries. Before you bash a good medical school, please do your research before hand or else you'll look like a sh*thead.