Then you (collective Pa residents you, not just you personally) need to lobby your legislature to better fund and support medical education. This is how my state got its second med school…people lobbied for it over several years and did significant organizing and fund raising to make it happen.
Lobbying and advocating with politicians also got a brand new scholarship program for instate medical students funded. The scholarship pays for up to 4 years of tuition & fees in return for working as a physician in a state identified area of need upon completion of residency. This is not loan forgiveness program; this program pays tuition & fees up front while the student is in school so they don’t need to take out loans in the first place.