At a cost difference of $350,000, you could hire a private jet to travel to Boston to interview for positions! My God, $550,000 vs. $200,000 of debt is a no-brainer. Just graduate and move there and take your time finding a job if you're so set on Boston. $350,000 + interest will take years to erase. That said, it's not hard to find a position in a different state. Just make sure you have your dental license lined up.