I have been accepted at school X. It is really expensive; I thought when applying there I'd be able to get more financial help, but this turns out not to be the case. I am older and very worried about taking on a lot of debt at my age. If I were to turn down this acceptance and re-apply to cheaper schools would I be looked at badly by adcoms due to my prior acceptance at school X? Would my commitment to medicine be questioned? I definitely want to be a doctor, but I'm talking $300k debt in my late 40s.