Tuition and fees at our state medical schools is around $170,000 for 4 years. This does not include food, rent, utilities, and other living expenses for 4 years, which even if you are frugal will add about $60,000+. We help as much as we can, but that is certainly beyond our means. Students do pause (at least mine does, she actually periodically panics) about borrowing large amounts but what choice does a student who doesn’t come from a wealthy family have? Just not go? Students are being berated for irresponsible student debt, when I think more emphasis should be applied to reducing the cost of graduate education.