And that's the best I can ask for. This is nearly 6 figure (###,###) non-dischargeable student loan debt that you will be making payments on till you have a zero balance. You can bet the govt. and lenders will get every cent. Going in with an informed decision making process on how clinical medicine is practiced now, how it will change in the near future, etc. are very important with respect for you to assess that you like the positives, and are willing to tolerate the negatives, esp. now that Obamacare will change reimbursement schemes - that many third party payers are trying out. You can gain a lot of information on this which is just as valuable, if not more so, as candy-striping at a hospital.
Unmatched or unrealistic expectations are the worst thing you can enter med school with, esp. since there are other alternative avenues to relatively the same destination.