Here's your future - I just finished intern year. All through school I had no idea what my payments would end up being, so I thought I'd inform you all who are about to sign up for it.
I've consolidated my total med school debt of $190,000 (for 4 years of private med school minus some living expenses b/c my spouse worked while I was in school, although we didn't skimp as much as we could on lifestyle or I might have slightly less debt). We have the lowest interest rates ever and I did the 30-year consolidation.
I chose to pay a graduated scale, so that I began repayment 6 months out of med school at a lower rate for the first 4 years, then I pay the same level from then on - this is $400/month the 1st 4 years, then $800/month for the next 26 years. You can deffer during residency if you want, based on your own income, not your spouses, and most residents do qualify for this defferment if they borrow enough (based on debt to income ratio) but I decided to just start paying it since we could afford to with 2 incomes and no kids yet. Of course you can pay back in les than 30 years, but with the interest rates lower than any house, car, or credit card rate, why would you? So I'm stuck with these monthly payments till I'm almost 60 years old. So that's a few thousand a year I can't spend on an extra vacation or car, but I think I'll live comfortably enough anyway.
Now, that said, I am enjoying my surgery residency, happier with my job than many of my other friends who started working in other fields earning good income while I was still in med school. You make sacrifices to do what you want to do. I know that I will be very unlikely to ever face unemployment - physicians are one of the very few whose jobs have such security. Yes, our income will probably continue to shrink over the years, but we'll all still have jobs, which is more than almost any other line of work can guarantee these days. Taking out these loans could be the best investment you could make.
By the way, as someone a bit more mature than most of you, I think those who have to pay back their med school debt appreciate it a bit more than those fortunate enough/spoiled enough for their parents to pay for it. We're all lucky enough our parents got us this far in education (just by emotional support if not financial) and we should thank them for that and not expect them to cough up $200 K so we can follow our dreams. At some point you need to become a grown up and start taking care of yourself.