Medicine: A Crackdown in the Caribbean

Why medical schools are becoming outcasts of the islands

They are situated above grocery stores, in prefab buildings, near noisy bars and open sewers and on the grounds of abandoned convents. Goats and chickens come with the terrain, as do water shortages, blackouts and the occasional political coup. Many lack facilities normally considered standard: research libraries, X-ray machines, fresh cadavers. But for about 15,000 U.S. students desperate to become doctors, the makeshift medical schools that dot the Caribbean represent a last chance. Failure to get into graduate schools in the U.S. once meant flying off to universities in Mexico, Italy or the...

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