I withdrew from Emory last week after wrestling with this exact scenario. It really is a tough call--Emory is fantastic and ATL has resources galore, but ultimatley (for me) it came down to the $30,000 difference each year. I think that it is easy to forget about the impact of this amount of debt, and granted it CAN be paid off, but I recognized that it would greatly affect my future decision-making, i.e. having to sign on with a loan-repayment program of sorts, such as the NHS, immediately following graduation. Second, I am in a relationship that I am dearly fond of, so when I think about a future with this person, I want to protect it from the negative impact of debt and not allow the cost of my education to affect where we can live, the type of house we can afford, etc, any more than it already will.
So, all-in-all, I think the decision depends on so much--what area of medicine you are passionate about, what type of support system you have in your present location (if that is where you would be, in attending your state school), and wholistically looking at what you want your life to look like in 5-10 years. If you don't mind working those $$ off in whatever capacity it takes, then the $120,000 difference won't be too much of a problem. But for me, the decision to go to Emory would have been a whole lot of change + a whole lot of money + a whole lot of uncertainty for the future, and although I LOVED EMORY and wrestling with the 2 options was torcherous, I am at peace with the one I made (to stay at UNC-CH).
I apologize for the soapbox and the novel I just wrote, but it really was one of the most challenging decisions I have ever had to make, so if you feel the same way, don't hesitate to PM me and I'd be happy to share a little more of my own insight (if that's what you can call it!!
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