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Background

Student debt statistics

  • $169,901 – Average educational debt of indebted graduates of the class of 2013.
  • 79 percent of indebted graduates have debt of at least $100,000.
  • 63 precent of indebted graduates have debt of at least $150,000.
  • 86 percent of graduating medical students carry outstanding loans.

Source: Association of American Medical Colleges

 

Why medical education debt has increased

Medical education debt is driven by rising tuition. AAMC data show that median private medical school tuition and fees increased by 50 percent (in real dollars) in the 20 years between 1984 and 2004. Median public medical school tuition and fees increased by 133 percent over the same time period. Other recent 20-year periods show similar trends.

Tuition is just one source of increasing debt burdens. Other causes include:

  • Interest accrued on loans over time significantly adds to the total cost of student debt.
  • Students are now entering medical school with more education debt from undergraduate education.
  • Increasing numbers of “non-traditional” students who have children to support.

How does student debt affect students and patients?

The increase in debt not only burdens medical students, but can have effects on the entire health care system. Some of correlations found include:

Decrease in primary care physicians

  • Students with high debt may be less likely to pursue family practice and primary care specialties and instead seek specialties with higher income or more leisure time.

Decreased diversity of physician workforce

  • The cost of tuition can prevent students from low-income/minority and those with other financial responsibilities from attending medical school.
  • Physician diversity is necessary to address the needs of heterogeneous, multicultural patient populations.

Promoting unsafe physician behaviors

  • Residents with high debt are more likely to moonlight.
  • Increasing debt leads to more cynicism and depression among residents.

How can the debt crisis be addressed?: potential legislative and administrative options

The MSS has come up with recommendations for legislative and administrative remedies to resolve the medical education debt crisis. These recommendations focus on controlling tuition, the principal component of education costs, but include a number of relatively simple administrative measures that could be taken immediately and at a low cost to individual medical schools.

Federal level

  • Securing adequate funding for Title VII health professions programs and expanding and protecting the National Health Service Corps (NHSC) Loan Repayment Program
  • Making medical student loan interest rates variable and capped at no more than 5 percent
  • Broadening the tax-exempt status of medical scholarships

State legislative options

  • Tuition caps
  • State tax deductions for loan interest
  • State service loan repayment programs

Reform individual medical school financial policies

  • Tuition caps
  • Change fee policy

Innovative strategies for reducing student loan needs

  • Increasing grants and scholarships
  • Collaborate graduate/undergraduate debt counseling
  • Collective buying to reduce student expenses


Financial Aid Resources

AMA-MSS Financial Aid Resources website contains a number of valuable sources that provide medical students with necessary information and resources for debt management and reduction.