NeilD,
I am going to give you the benefit of the doubt as I believe an actual troll would have moved on by now.
Are you still a podiatry student? On leave and deciding whether or not you want to go back to podiatry school or not? Thinking of switching to MD/DO?
Whatever the case, you seem to be deciding if you want to pursue or continue pursuing podiatry or not. I understand your reluctance; it seems like everyone is saying "I wouldn't do it again" or wouldn't recommend their children pursue this path and doing so on the grounds of the uncertainty of healthcare reimbursements. From my experience, and from what I have gathered from others on this site, it is rare for podiatrists to not enjoy the work and not find it fulfilling. Complaining about Medicare, insurances and all the hoops associated with getting fairly compensated for their work? I'd heard that often. Almost never have I heard from attendings out in the real world that they hate or dislike their job.
My conclusion (and my advice to you) is that if you really enjoy the work and pathology, that you should continue on and work as hard as you possibly can. With the CURRENT reimbursement system (which is always subject to change), you should be able to pay off your loans at some point and live comfortably. You will NOT be rich and have everything you ever wanted and only work 30 hours/week and take 8 weeks of vacation/year.
On the contrary, if you hate what you're doing, or even find no joy in it at all, and you got in for the wrong reason(s), then perhaps it is time to cut your losses and look elsewhere for a career. Now whether MD/DO would be a better or safer option is up to you. Again, I wouldn't go that route if you're just in it for the money, because it might not be there.