It seems like a tough decision. I suppose you need to do what is the more cost effective of the options, and to feel comfortable with the country that you call home. This may not be an option, however have you considered military service, as a doctor or medic, in either of those countries as a cheaper option to pass your medical exam there? To be honest, I'm not sure if that is even an option although it may be a good way to gain the certificate/accreditation that you require whilst also going right into a hob and getting paid at the same time. It is just a thought and maybe worth investigating. All the best for the weekend.
Thank you for the suggestion