There are state loan repayment programs that are pretty generous. For example, there is this one in Alaska: http://dhss.alaska.gov/dph/HealthPlanning/Pages/sharp/default.aspx The Alaska program gives $47k per year towards student loans. There is also the Indian Health Service loan repayment program that pays $20k per year and 20% of your taxes: http://www.ihs.gov/loanrepayment/index.cfm Would I be able to do both of these programs at the same time? I would be looking for a job on an Indian/Inuit reservation. If this works out, I would get: $47k+20K=67k in loan reimbursement each year on top of my salary.