Seems like there is a question of money here, as there is with residencies. Are Medical Schools Overcharging You? | Med School Insiders claims that “It’s estimated that instructional costs range from around $48,000 to $51,000 per student per year and the cost of educational resources ranges from approximately $80,000 to $105,000 per student per year. Combined, this is significantly higher than the tuition that most medical students pay each year.” If true, that means that operating a medical school and charging typical (already high) levels of tuition is only doable for an entity with significant other revenue (endowment income, medical and other services, public university subsidies from states, etc.) to help cover the costs.