PSLF no longer allowing payments made during residency - and that's about it for changes

[BuckeyeLove]

PSLF Rules Could Change For Doctors In Training

Doctors in training could lose PSLF credit under a Republican student loan bill that targets medical residency.

thecollegeinvestor.com

Just an FYI re: the reconciliation proposal from the right. This is blowing up all over the medical and dental forums. Not so much relevant for psychology (except if have loans and you're making payments during fellowship). Honestly I'm shocked that this is all the repubs are proposing (however, i do know they're coming for the non-profits and PSLF eligibility, but that seems like a much harder hill to climb). As it stands now, if you're working in govt and have been for some time, your loans are likely going to be discharged after 120. It seems they're going much more scorched earth on potential future borrowers (grad plus loan limits, stricter repayment plans, etc.). So the diploma mills (across the spectrum - including all of the bad law programs), are really going to feel this it looks like down the line - if it passes.

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[Sanman]

Good luck working for the federal government for the next few years to make 120 payments. Also, I imagine the shift to more contracting jobs will mean fewer pslf positions available.

 

[Fan_of_Meehl]

Good luck working for the federal government for the next few years to make 120 payments. Also, I imagine the shift to more contracting jobs will mean fewer pslf positions available.

Methinks that the PTSD assessment/treatment landscape is getting ready for a seismic migration from VA to community care and--with it--the initiation of a new 'Gold Rush' reminiscent of the 'Wild Wild West.' Sadly, what is most likely to result is the proliferation of many operations/businesses catering to veterans as 'customers' (e.g., like the fast food industry does) and offering extremely brief/efficient (with near 99% 'positive' rates) drive-thru diagnoses of PTSD, mTBI, etc. along with a menu of treatment options such as medical cannabis, service dogs to order, equine therapy, ibogaine treatment (complete with chartered flights to Mexico), hunting lodge memberships, etc. Then we'll see the little operations swallowed up by the bigger operations and it will all cater to increasing veterans' 'satisfaction scores.'

The train has left the station and has a LOT of momentum. I don't think we're going to see any slowing until public perception changes and I don't see public perception changing until something ridiculous like 80%+ of all veterans being service-connected for a mental health disorder of some type (mostly PTSD). I am seeing massively increased numbers of referrals for 'rule out/in PTSD,' and 'veteran requesting eval for PTSD' with extremely thin/atypical 'traumatic stressors.' It's always been there but it's getting really bad. It seems like everyone is trying to get s/c for PTSD. I have seen so many cases that are already s/c for other things (e.g., 100% s/c for major depressive disorder) and clinicians are just clicking on buttons and entering referrals with the auto-generated text of 'military trauma, combat trauma' when often there isn't even anything in the note (or in reality, once you examine the veteran) to support that.