Given your goals, I can understand why the money really concerns you. Practicing international medicine is not nearly as lucrative as doing it domestically. Still, there are always ways to pay for your education...it might take some creativity or sacrifice, but that all depends on how much you want to go to OHSU. Perhaps you should look into which school has the better options for doing clinical years abroad--to both test your goals as well as get out there sooner. Also, a lot can happen (marriage, family, etc) between now and when you'd like to travel, and your goals may be revised accordingly. Whatever you decide to do, good luck. PM me if you decide to come to Oregon or if you have any questions.