When looking at the full cost of attendance (COA) of medical schools (within the same mid-western geographical area), it always includes tuition, room and board, and books. However at some schools transportation, personal (miscellaneous), and health insurance are also included. Including these additional expense areas in the COA obviously provides a medical student with more money to live off of. Assuming that a medical student would take out the full COA loan amount, why are there such large differences in the loan amounts that medical students can live on? I have seen 15k-25k being awarded for costs above tuition. That is a fairly large range and I am thinking that it could possibly affect the school that a medical student attends (i.e. someone with a family that needs more loans to provide)