No debt is a big deal. But I think a lot of people who do this get saddled with career decisions they are making way too young, and without a whole lot if thought put into it. Who of us hasn't made some stupid decisions at 17-18. Who hasn't changed their whole outlook on life even just five years from that point. Specialties that are going to seem cool at 23 are going to be less appealing when you are 28. It's a good age to be figuring out what you want to do with your life, not focused in on a path. There's a whole lot of coming of age and maturity that happens by timing out med school admissions relatively late that shouldn't be underestimated. It's not an accident that the US rejected other nations models of attending med school right out of college, and that the BS-MD accelerated programs are becoming fewer each year. It's not what folks in this country consider the preferred model. So yeah, a lot of folks can be jealous of the debt, but more than a few wouldnt change places with you regarding the timing. And this is coming from someone who did start their first career at about your age.