Planning for Medical School Options and IBR

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Darkskies

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Hi,
I am in a dilemma in that I have 2 DO acceptances but would really prefer an MD and am debating whether I should complete a postbacc year in a program that has >90% success rate in gaining admission to the affiliated MD school. My issue with this is that I would be 25(versus 24 as a DO) when I become an MS-1 and I am probably looking at nearly 400k in debt counting my undergrad loans, postbacc loans, and the 4 years of OOS cost of attendance I would have to pay to the medical school.

I have been distressing about this decision for a long time now and recently found out about the IBR plan and the additional benefit of the public service loan forgiveness option. After reading through some of the threads on this forum it appears that many of you believe that the PSLF option will be unsustainable within the next 10 years. Is that really true? What then? Would the 25 year forgiveness option that is standard with IBR still be viable? Even so, I would have to pay all of the taxes on the entire loan amount at the end of the 25 year period within that same final year. Even with 400k(and 6.8-7.9% interest including stafford and grad plus loans) can I expect to have paid it all off on the IBR plan before the 25 year period if I end up pursuing a lower paid specialty such as in primary care?

Is there some way to get locked into the IBR plan straight from medical school so that even if the government decides to do away with it or change certain agreements, I wouldn't be affected since I had already signed up for the plan and could be 'grandfathered in'?

I was really hoping that the IBR plan could turn out to be a saving grace and still allow me to achieve my goals of an MD without overburdening myself with so much debt that it wouldn't make any financial or professional sense(versus settling for the DO and starting on an attendant's salary a year earlier) leaving me miserable. I apologize if my questions are naive but this is the first time I'm contemplating what my education loans are going to end up costing me. Thanks so much in advance!
 
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You don't choose IBR until repayment. You don't choose PSLF until you have made 120 monthly payments. So you are 4 and 14 years out from benefitting.

The student loan business has changed drastically within both the last 4 years and last 14 years so solely banking on these is naive.

And lastly, remember who is "forgiving" these loans. The taxpayers.
 
So no one thinks I should opt for the EVMS postbacc+ MD route?
 
Just go to the DO school of your choice. I mean, 400k of debt and that is assuming you make it into MD school after a year off. Truth is, we don't know what salaries will be in 5 years. I mean, the average Internest now in a big city is making 150k, so after taxes they are looking at 100k. So if you live in a cardboard box eating left over mac and cheese from the drug rep lunches at the hospital if they still allow them along with the debt accumulating at 7-8%, you are looking to at least 5-6 years to pay it off. And if you decide to have a family. Wow.

Have you considered another career? But by no means don't waste another year and another 50k going to some postbac program that promises a 90% success rate to an MD school.

Debt is bad and should be avoided, especially if you are gonna have 3x your salary in debt before you even earn a penny.
 
Just go to the DO school of your choice. I mean, 400k of debt and that is assuming you make it into MD school after a year off. Truth is, we don't know what salaries will be in 5 years. I mean, the average Internest now in a big city is making 150k, so after taxes they are looking at 100k. So if you live in a cardboard box eating left over mac and cheese from the drug rep lunches at the hospital if they still allow them along with the debt accumulating at 7-8%, you are looking to at least 5-6 years to pay it off. And if you decide to have a family. Wow.

Have you considered another career? But by no means don't waste another year and another 50k going to some postbac program that promises a 90% success rate to an MD school.

Debt is bad and should be avoided, especially if you are gonna have 3x your salary in debt before you even earn a penny.

The EVMS post-bacc is rather well-reputed. My GPA is a 3.42 and my MCAT is a 32R. I know I shouldn't think this way but I just feel that my stats are at the very top percentile for DO matriculants and I know I could do well at an MD school. If I attend the DO school this year the debt will be similar(probably above 300k).I hate the idea that I'm settling..
 
If you go DO today, you will have less debt, you will have income sooner, and you will be a doctor with full rights and privileges practicing alongside other doctors.

If you take a chance on MD next year you will have significantly more debt, you will delay income by a year, there is no guarantee that you will ever be a doctor, and you'll have to explain on your applications how it is that you sincerely want to practice medicine yet you turned down an opportunity to do exactly that in 2012... what were the benefits to this path again?
 
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