The lack of "worth-it" alternatives is due to the fact that there's no money in this market. Students are very unwilling to buy software, and if you use ads you end up like Quizlet. YC funded a startup in this area (Hickory) and they're... not doing well.
The main reason why everyone still uses Anki despite its issues is because it is still hands-down the best solution out there, despite all the bugs and clunkiness. There are a million and one spaced repetition systems out there, but Anki's plugin system and shared decks make for a very strong network effect.
If you're a med student, I don't recommend moving off Anki. The ecosystem there is too strong. If you're losing data, post in the /r/anki subreddit - Anki automatically generates backups and they'll walk you through restoring them.