Medical Backing Out on Letter of Intent

[Question]

I know you all hate me. I know I am a bad person. Please try to remember that I am a human, and I make mistakes.

I sent a letter of intent to school X pretty early in the interview season and was accepted early this year. At the end of the cycle, I was offered a very unexpected interview with my state school. I was waitlisted and then accepted. I feel like I need to go to my state school for financial reasons and also to be closer to family. However, I feel horrible about backing out on my letter of intent.

My question is - by backing out of my letter of intent, will I be blacklisted from all residency programs and destroy my chances of matching? If there is any chance of this of course I will go to School X.

Thank you so much for your advice. I really appreciate it. This decision is agonizing.

— Experts please respond to this post —

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[gyngyn]

We do not hate you.
However, your choices are an example of why no one believes "LOI's."
By the time you apply for residency, no one will remember the false promise that you made.
Please cease doing this.

 

[gyngyn]

This choice will have no effect on PD's.
Please let the school know immediately to allow them to manage their outcomes.

 

[Goro]

An LOI is a unenforceable contract.

Admissions deans are not like jealous prom dates either.

 

[GoSpursGo]

Doesn’t matter. Do what is in your best interest

 

[Mr.Smile12]

R. E. L. A. X. That's not how this works. Congratulations, and chill.

 

[PerioDont]

Doesn’t matter. Do what is in your best interest

Agreed you need to do what makes sense for you.

The schools are very large organizations, they will easily move on and you will be deleted from their memory and replaced very soon

 

[TheBoneDoctah]

Do what you need to do. This is very, very unlikely to have any weight down the line when residency comes around.