I personally feel that out-of-state schools are too expensive for realistic people. There is a lot of sacrifice in taking on $230k of debt instead of $115k.
But it is possible. Let's say your friend took on $230k of debt and you had $138,500 in Direct Stafford Loans (6.8% APR) and $91,500 in DirectPLUS Loans (7.9% APR). The dept of education has four ways of paying that back:
In 10 years, fixed payments: at $2,699/month
In 10 years, graduated payments, starting at $1,866/month
In 25 years, fixed payments, at $1,661/month
In 25 years, graduated payments, starting at $1,386/month
If you assume that someone making $70,000 starting out, which will be in the low end of associate pay when you graduate, is making $5,833/month, your friend would be paying something like 24% of your gross pay using the graduated plan, or 46% using the standard plan. The interest gets deducted from taxable income, but still, after all is said and done, there won't be a lot to live on.
The only way to really get out from under all that debt is to become a practice owner as soon as possible. Your friend could then be making upwards of $175,000 per year. In the VBMA, this is what we are trying to get people to understand.