Well, in where I live NP schools and PA schools are costing almost the same as carribean medical schools. In the 4 year university next to my city, the minimum requirement for even get into consideration for the RN program is 4.0 gpa and I do not know what other critrias are there is for the NP program. For PA program, there is only private university near my city that has such proram and they are charging 35,000 dollars per year. Thus, at the end, the best choices for me is foreign medical school.