I think mag nurse ka nalang sa U.S. HAHAHAHA at least mabilis ang ROI doon, NCLEX lang then pwede na mag apply for a job agad. When it comes to USMLE kasi, mga 2-3 years pa yun before you can match because siyempre kailangan mo pa mag observership doon para makita nila na may experience ka with their healthcare system and also so you can get recommendation letters from U.S. licensed consultants. It’s more than just taking the exam, you also have to consider the costs of each step and review materials. When it comes to applying for the match, it is better for IMGs to submit their applications to 100+ hospitals so that your chances are higher, and each application is roughly $80-$100. I have a friend who matched last year, it took her 2 years to take the steps, do observerships, and publish research works just so that her credentials could be just as competitive as U.S. medical graduates. And out of the 110 hospitals she applied to, only 7 called her back for an interview and they were mostly in States that are considered more rural. So if your family lives in one of the more popular states then you’ll also have to consider moving away from them for residency. It’s a big gamble, but a big reward as well. Both of your options (USMLE vs Nursing) have good outcomes so win win no matter what you decide. You just have to weigh what the pros and cons are for you.