I'm probably as quirky as the show, but I thought the premise was quite sound. In fact, I KNOW the premise was quite sound because it is based on actual circumstances. Remember who the U.S. Marines rescued in Granada? (answer: U.S. medical students). Off-shore med schools are a fact. Of course, to practice medicine in the States you still have to pass tests here to be certified, but I guess there is a significant tuition cost difference to make it worthwhile. At any rate, I agree with the description of it as Northern Exposure in a tropical setting and I don't have a problem with that. I have a predisposition for warmer climates, so I loved the setting and the show.