Hi Vivienne & Twin!
Some excellent information to start you off evaluating this potential choice of doing your medical learning here in the UK or in the US.
This topic has come up a few times in the past here on this forum. I suggest you have a look at these posts and also look to other forums and sites which give you more of an insight with regards to Medical knowledge and learning and careers in the UK and the USA.
I have many of my extended family who are in India, the UK, USA and Canada who are doctors, dentists, physicians, pharmacists, pathologists, anesthetists and no doubt a few other specialisations, and this topic comes up ALOT in my family. As I'm based in the UK, I also have friends who are also the same.
I have younger cousins who are at university now studying medicine as well.
Overall, I'd say stay in the USA to goto university - some of the regular's here know I'm biased towards the USA (and Canada!) but aside from just that, I still say evaluate as best you can, perhaps come here to the UK and experience things for yourself(ves).
My reasoning is based on my background based in Financials, IT and Small Business. With the amount you'll have to spend as an international student here in the UK - as mentioned already, at one of the universities with a good reputation for medical courses, over perhaps 6+ years - inclusive of the experience year, once you are 'done' you'll have a certain income level from which to begin. That'll be in Pounds of course. Most likely, you'd be employed in the NHS, you'd be very lucky indeed to be able to go private so soon out of academia. This 'starting' salary for a newly qualified Doctor is significantly less than the same level as if you were in the USA. In the UK, the majority of doctors start earning past £45,000 per year at beyond age 40 or so. Depending on your specialisation, salaries can vary, and there are some high for the UK salaries available, but will usually come for those with many years of experience.
Another aspect to think about is that Medical knowledge on the whole, is further advanced in the USA than compared to the UK. Of course, some aspects of UK medicine will be on par and sometimes beyond the US, but it restricted to very specialised sectors and there's enough medical professionals to cover those aspects.
I've mentioned it here on UKY before, I had 2 cousins who were consultant level in India, who were head hunted by the UK's NHS. After working for a year or so, he decided along with his wife to continue studying for entry into the USA medical system. About 8-10 months ago, he gained that and now has moved off to the US - his reasoning being a mixture of what he had to go through, daily working practices of the NHS, ridiculous red tape and medical knowledge along with personal goals.
When a few of the cousins graduate shortly here in a few years, it's most likely they'll do something similar and continue studying for US entry (perhaps Canadian as well).
To counter, some of my friends who are in private practice, are doing very well indeed. One mate a couple years older than me, I think graduated in 94, and by 98 was working in a private setup and has been ever since. I think there are charts and information giving a breakdown of where most medical graduates start off practicing and which end up going into private practice etc.
I know many medical people 'dont do it for the money' however, it's an aspect you can't ignore for yourself and what will most likely, become of your own family later in life. My cousins who moved out of the UK understand completely that whilst their 2 kids are 4 and 1 years old, they don't mind doing double the hours in the USA for quadruple the pay for a portion of their lives, and then cutting back hours as they grow up, perhaps one parent at a time.
A lot to take in, and the above is some personal views, as well as an overview of the UK medical system at a high level comparison to the US one. As I say, you might find it different in your investigations, feedback and direct experience.
Cheers, DtM! West London & Slough UK!