I think the issue of money is entirely one of perspective.
The perspective of a PGY-3 isn't more "right" than that of a premed, or the other way around. A pre-med applying to med school is going to think med school and the promises of an awesome future career are worth the money. A resident who's either in the process of paying debt or looking ahead and realizing how much money he has to pay all the while living on almost no money will think debt is insane. And I've known many attendings who have expressed debt was no big deal because they've paid it off and are living a comfortable life.
The way I see it is that when you go to a very expensive school and incur a lot of debt, you are putting a lot of pressure on yourself to go into one of the better paid fields, or are willing to live a less upper-classish lifestyle. And that's fine. To each his own. I'd probably be willing to be under that kind of debt to do what I want to do, especially since I probably wouldn't go into primary care anyway.
For what it's worth, Tufts is an awesome school and you should all be so lucky as to go there. Boston is an obscenely expensive city and while Harvard has money coming out of its ears and BU has a massive undergrad to support it, Tufts has a much smaller private school to back it up, which is why it needs to charge as much as it does. If I remember correctly, it takes about a million dollars to train a doctor, so what we pay is actually minimal compared to how much it costs to train us.
To the OP: to say that charging a lot of money for tuition is some sort of conspiracy for the administration or professors or God knows who else to get rich is incredibly myopic. Med schools in the US are non-profits so by definition they can't be trying to make money to please to investors or something. Also, saying "if you're willing to pay that kind of money, choose another career" is easy when you're sitting where you're sitting. You're already a physician, which makes you the least believable proponent of that plan. It's easy to say you wouldn't have gone into medicine now- you have no idea what you would have done had you been a premed nowadays, having worked really hard to get into med school, and being unable to get a job even if you tried because of how the economy is.