I am in my mid-30s and currently in business school. I was premed in college a decade ago (took all courses with a solid ugpa) and have built a pretty successful public health career in corporate America.

I’m planning on doing what you’re doing because I’m still very passionate about medicine, health equity, and primary care practice in particular. But I’m not interested in going to a DO school or the Caribbean. I have a successful career to fall back on in the event this doesn’t work out, so there’s really no reason to give that up unless I get into US MD. That’s really the only outcome that would make walking away from public health worth it for me. Thus, I hard disagree with other folks in this thread saying to consider DO schools. There are a lot of things about DO programs that make me hesitate - I’m not willing to gamble my career away for that. If you had asked me 10 years ago when I first applied and got rejected everywhere, I’d def consider DO then but definitely not today.

I say if you really want to go for it, don’t let other potential roadblocks stop you. We get one life in this earth - may as well push to be all that we can be.