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Not sure its fair to say penn is objectively better lol, unless you’re citing usnwr (in which case i could cite top universities as an equally arbitrary ranking of medical schools worldwide).Congrats on getting off the waitlist both are great schools and you can't go wrong. The cost difference is negligible so that shouldn't be a factor for something this important.
I think something worth considering is the value of the better hospital system. Less so for the value in clinical skills ( you'll get that more from the time you spend volunteering in clinics) but more so for the number of big shot names. These big shot names when vouching for you through letter of recs can make a world of difference when applying to residences.
Additionally, Penn is objectively the stronger medical school and the switch to P/F will make the difference in lifestyle between it and yale negligible. I have friends that go to Penn and absolutely love it (and are not hardos whatever that means).
Also, I assure you that Penn has a research and global health focus as well. I think it's the better choice and I wouldn't have mentioned if you didn't but as far as medical prestige goes Penn wins. If you need validation of that look at both their match lists.
That being said yale is an amazing school so you really can't go wrong either way. Once again Congrats on getting off the waitlist and best of luck which whatever school you choose