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As a lot of the non-trads know, there's always a possibility for a change down the road. Even if you do go through medical school and residency, there's always an option to switch at that point to doing something else (research, consulting, etc.)
I would argue that medicine is probably one of the hardest fields to change out of because the golden handcuffs are on the tightest. You need to go through 4 years of school and 3+ years of residency before you can even think of paying back loans so as to free yourself to try something else. Folks who do other fields (eg law) can be earning money sufficient to pay down their substantially smaller loans in a relatively small fraction of the time. Medicine is one of the few careers where it is often too expensive to get out once you start. Which is why you ought to be darn sure.