I'm not really referring to "high income." There are of course families that make enough where dishing out $80,000 is negligible. I presume that financial aid and cost doesn't matter much to those students anyways. I'm referring to the vast majority of families making enough money to have high EFC, but feel significant burden paying that money ($150,000-250,000 income) This problem is perhaps more reflective of how EFC is calculated, as well as the insane burden of medical education cost at large.