MSUCOM is a good school. But students should be more financially savy and know the degree of debt that they are getting into. The difference between average student debt of PCOM and the average student debt of an OOS MSUCOM student is that of a new Porsche Panamera V8 model (or even a Porsche 911 model), and is before taking into account interest. If you do, then
PCOM - $188,162 (average debt) at 6.8% over 10 years is $259,845.18
MSUCOM OOS - $269,010 (average debt of OOS student) at 6.8% over 10 years is $371,492.91
That's a $111,647.91 difference in 10 years (monthly payment of $2,165.37 vs $3,095.70)
If you expand it over 20 years instead of 10 years, then it is $344,716.92 versus $492,830.23, close to $150k difference
Both are great schools and well respected in the medical community. Both will give you opportunities to become the type of doctors that you want to be. There may be personal reasons to want to go to one school above another, but you must consider the financial implications of any decision.
*who knows whether the PSLF program will still be available, or if there will be income limit. Even if it is still available, and no income limit set by congress, that is one BIG tax bill for the forgiven loan that you're expected to pay at once.