S.G.U. is not a good investment. $275,000 debt is very common for S.G.U. graduates. If graduating four years from now, it'll be over $300,000 easily.
There are indeed about 4 - 5 good, less-known schools in the Caribbean that are cheaper ($150,000) and with three drawbacks that in my opinion, are very minor. Firstly, one cannot practice in all 50 states. 45 - 47 is the norm for these schools. Secondly, the clinical rotations have a little hassle involved. The quality of the rotations is good but a student may have to move once in two years. Lastly, federal funds are unavailable. However, private loans with a reasonable interest rate can be easily obtained for most people.
If I had a choice to make, mine would be the cheaper schools. $150,000 more (which is $450,000 over a thirty-year pay-back period or $15,000 per fiscal year) for a slightly better education and clinical spots is simply madness. In the end one will be an M.D. with a lot less debt to worry about.
Do they have 30 year repayment options?
With $300,000 in loan debt, a starting family physician making $150,000/yr is going to have some lean years ahead:
$300,000 loan, 6.8% interest (current Stafford):
10 year repayment: $3452/month (total: $414,289; interest alone: $114,289)
20 year repayment: $2290/month (total: $549,604; interest $249,604)
30 year repayment: $1956/month (total: $704,076; interest $404,076)
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$250,000 loan, 6.8% interest:
10 year repayment: 2877/month (total: 345,241; interest alone $95,241)
20 year repayment: 1908/month (total: 458,003; interest $208,003)
30 year repayment: 1630/month (total: 586,735; interest $336,735)
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$200,000 loan, 6.8% interest:
10 year repayment: 2302/month (total 276,200; interest alone 76,200)
20 year repayment: 1527/month (total 366,403; interest 166,403)
30 year repayment: 1304/month (total 469,386; interest 269,386)
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$150,000 loan, 6.8% interest:
10 year repayment: 1726/month (total 207,145; interest alone 57,145)
20 year repayment: 1145/month (total 274,802; interest 124,802)
30 year repayment: 978/month (total 352,038; interest 202,038)