Compete for what? A place in medical school? You will compete with any other medical student. Have you thought about how to pay for your education, should you get inot,colleges in the US? Int’l students often do not qualify for any aid. One year of college at Yale costs over $60,000 US, for one year. It’s good,that you are planning your future, but please be realistic. IF you could get in, do you have $240,000 to pay for the first four years of college? Medical school costs at least $50,000 a year, for four years. Add $200,000. Then you have to do residency before you can actually practice medicine. Residency lasts about 3-5 years. Your pay during that time might be $50,000 a year, not sure? Anyway, think about the money before you get too invested in your dreams to study medicine in the US.