Student loans are special dept since they cant be discharged in bankruptcy while unsecured dept like credit card dept can be discharged. Student loans dept can haunt you even in retirement where it is about the only dept that can be deducted from your social security benefits.
Unfortunately the law was changed in October 2005, so now you cant expect to have your debt discharged. It will be very difficult for a physician to be able to pass to pass the means test the new law requires, If you do not meet the means test you will be put under a court supervised dept repayment plan and have to pay off all of your dept.
Under the new bankruptcy law, as of October 17, 2005 bankruptcy applicants who wish to file under Chapter 7 must meet certain eligibility requirements under a "means test."
Under the "means test," if your current monthly income is less than the median income in your state, you can file for bankruptcy under Chapter 7. But if your current monthly income is above the median income in your state, and you can afford to pay $100 per month toward paying off your debt, you cannot file under Chapter 7 and must proceed under Chapter 13 (more on Chapter 13 in the next section). Whether you can afford to pay $100 per month (or $6,000 over a five-year period) is based on a formula that includes your monthly income, your expenses, and the total amount of your debt.
The change in the bankruptcy laws is very troubling since if you loose a big medical malpractice judgment you will not be able to hand over your non protected assets and then file bankruptcy and start over. Now your pain will be extended for at least five more years when your will be forced to pay off your creditors according to a court supervised budget. I.E you will be forced to live on the current state median income shown below and be forced to give any money earned above that to your creditors.
From;
http://www.usdoj.gov/ust/eo/bapcpa/20080201/bci_data/median_income_table.htm
. FAMILY SIZE
STATE 1 EARNER 2 PEOPLE 3 PEOPLE 4 PEOPLE *
ALABAMA $36,192 $44,918 $51,103 $62,015
ALASKA $45,012 $68,008 $72,382 $73,825
ARIZONA $40,945 $53,153 $59,782 $66,903
ARKANSAS $32,534 $41,760 $48,943 $53,671
CALIFORNIA $46,814 $61,742 $66,611 $76,931
COLORADO $44,203 $62,302 $66,731 $77,933
CONNECTICUT $55,410 $68,879 $78,973 $96,493
DELAWARE $44,378 $55,646 $66,687 $80,552
DISTRICT OF COLUMBIA $39,504 $67,790 $67,790 $73,609
FLORIDA $40,036 $50,636 $56,923 $66,876
GEORGIA $39,171 $51,425 $58,885 $68,611
HAWAII $47,256 $60,223 $71,553 $86,878
IDAHO $37,347 $48,211 $54,709 $59,720
ILLINOIS $44,673 $56,545 $66,607 $77,634
INDIANA $39,384 $51,056 $57,510 $69,718
IOWA $37,759 $50,581 $59,331 $69,723
KANSAS $38,594 $52,989 $58,075 $69,831
KENTUCKY $37,097 $43,482 $52,106 $61,917
LOUISIANA $34,342 $42,682 $52,231 $61,874
MAINE $38,090 $47,699 $59,883 $65,310
MARYLAND $52,597 $68,075 $80,344 $96,695
MASSACHUSETTS $52,633 $63,039 $77,960 $91,892
MICHIGAN $43,123 $51,878 $61,796 $74,658
MINNESOTA $45,217 $60,377 $70,695 $83,797
MISSISSIPPI $30,424 $38,919 $43,587 $54,501
MISSOURI $37,747 $48,944 $56,478 $65,076
MONTANA $38,968 $48,079 $53,595 $62,301
NEBRASKA $37,209 $52,690 $59,708 $70,880
NEVADA $45,642 $57,860 $65,032 $67,977
NEW HAMPSHIRE $51,512 $63,505 $72,736 $89,885
NEW JERSEY $56,151 $64,821 $83,306 $97,131
NEW MEXICO $35,691 $48,870 $48,870 $53,516
NEW YORK $44,587 $54,397 $64,673 $77,664
NORTH CAROLINA $36,271 $49,259 $55,498 $63,169
NORTH DAKOTA $36,735 $49,893 $61,305 $69,484
OHIO $40,168 $49,708 $59,786 $70,532
OKLAHOMA $34,554 $46,222 $48,730 $56,598
OREGON $42,460 $53,236 $59,686 $66,678
PENNSYLVANIA $43,166 $50,628 $63,491 $76,182
RHODE ISLAND $47,080 $59,763 $64,933 $80,416
SOUTH CAROLINA $35,185 $46,521 $52,992 $61,362
SOUTH DAKOTA $32,854 $49,419 $61,884 $65,317
TENNESSEE $36,380 $46,039 $53,337 $61,856
TEXAS $36,285 $51,355 $53,803 $61,511
UTAH $45,724 $51,583 $58,285 $65,397
VERMONT $42,344 $53,622 $61,825 $69,817
VIRGINIA $46,055 $61,115 $69,719 $80,646
WASHINGTON $48,030 $60,252 $68,139 $77,280
WEST VIRGINIA $37,164 $39,602 $50,440 $57,513
WISCONSIN $41,528 $54,297 $65,440 $74,560
WYOMING $35,941 $53,330 $60,289 $73,597
* Add $6,900 for each individual in excess of 4.