Some advice pls 🥺

Hiii, I need to made a hard decision and I don’t know what’s best for me, so I would like to know if one of you can help me to clarify my mind, so I live in Dominican Republic and I want to study medicine but I don’t know where and this is my last year of school so I need to know where so I can start with all the preparations, my options are:

- DR: Max. 5years and 8 months

- USA: 8 years (Undergraduate and University)

- Europe: Spain or UK

And I actually don’t know because I want to experience more things, meet new people and one of my goals is to travel the world but also I’m thinking about the time and if I’m not good enough on my English to study in USA or UK...

So I wish someone can help figure out which would be the best option for me.