<p>Beautiful posts above! Yes, pay it forward. In the short term, as Northstarmom says, you can indicate appreciation soon, by picking up a restaurant tab or concert ticket as soon as you can. This will surprise them, I believe. They may not even let you pay, but to try tells them you understand the concept that you want to free them up as soon as possible from the smaller stuff. </p>
<p>After you graduate, try to find ways make your apartment a place they can come to visit for overnights. For example: Buy an extra sofabed at first and tell them they can stay with you, not in a motel, if they prefer. Later, as your life gets a bit easier financially, rent apartments with some spare space. Set it up as a study but put a double bed in there too, and tell them it’s their dedicated guestroom and you want them to visit. </p>
<p>These are all practical expressions that you are looking out for them and being considerate and welcoming.</p>
<p>If anything, parents may worry about their children caring for them in their old age. I know many parents of doctors who call upon their children for all kinds of help with medical care, referrrals when surgeries are needed, and you will have friends and colleagues you’ll know in many fields of medicine. If you call in to their doctors and consult to make sure they treat your parents well, “like glass” so precious, that will be very important to them in later years. </p>
<p>If together they now make $200K, they are very comfortable so you don’t have to be worried for their near future. I would look for small ways to pick up small tabs just to show you care. Even if they don’t let you, they’ll enjoy that you tried to pay. </p>
<p>If you reassure them you will take care of them in their old age–whether that means building on a house addition someday, getting into the face of nursing home people for best care, choosing work positions where you are not impossibly distant from them, and in all ways show you are still Family, this will make them very happy, I am guessing.</p>
<p>They will enjoy braggging rights with their friends and might be happier to talk about your big house someday than live in one themselves. They won’t need a big house, but will hope for you to make a good future and family here.</p>
<p>While the parents might pay for undergraduate education, I think most doctors take out loans to pay for medical school, sometimes l00% of the loans. Other doctors can reply, but it looks to me as though it takes about 10 years for you to repay those med school loans during your first l0 years of practice as a doctor. After that, you will begin to earn money you can keep and use as you please. If your parents are blessed with good health, they will see all of that and understand with great pride that their choice of immigration was a correct choice. </p>
<p>If they make $200K, I’d say go to the best undergrad school you can, to boost your chances of getting into a fine medical school. Don’t be “penny wise, pound foolish” and scrimp on undergrad education if you don’t have to at this moment. If everyone is comfortable at present, I’d say go to the most selective school they can afford at present…as long as THEY say they want this for you. Don’t second-guess them, in other words. If the difference between selective and not-selective is $20K per year, I think at $200K per year they will see this as a worthwhile investment in your future. Immigrants tend to think towards the long future; that’s how they got here, after all.</p>
<p>Good luck.</p>
<p>PS, Make sure they are watching out for your younger brothers and sisters, too, who will also need educations. You might clear your conscience now by asking them, to make sure they are keeping some thought towards financing the younger ones’ educations, too. Hopefully they already have a plan in mind to educate everyone.</p>