The student loan debt criss is very real, but let's be honest, its not coming from physicians. Even if you're coming out of an engineering backgound, go to a private medical school, and end up practicing academic pediatrics medical school is still at least a neutral investment: you'll pay off your loan and still recover the cost of the time you spend in education. The floor for salaries in this profession is still around 100K, and the average salary is well over that. Even if there was real underwriting for student loans we would still be getting them, because medical school is a very safe investment. Realizing that isn't denial, its actually very well informed.
The student loan crisis is based around the people that pick up fourth tier law degrees and MBAs, the legions of liberal arts graduate students, and millions upon millions of undergraduates that have taken out 250K in loans for degrees that are so worthless that they actually end up with a lower average lifetime salary than their peers who went directly into the workforce. You can't pay off 250K of loans with a communications degree, and you can't discharge those loans in bankruptcy,so you screwed forever. When you take away the protection of bankrupcy every loans become usery, its that simple. However medical school loans, at least for US medical schools, remain a very safe bet.