The tuition stuff is bad news for in state and OOS. The bad news for in-state people that wasn't included in the notes was that in a worst case scenario model for tuition hikes, they said tuition could go up 10% each year. I didn't understand all their numbers - but they said we should estimate $138k for the fixed costs over four years (tuition, books, computer, health insurance). Then we should add $1300/month in living expenses to get the total cost of attendance. That's pretty close to the cost of a private med school. Maybe the worst case scenario won't become reality, but it seems like a real possibility.