I have a fair amount of debt. My wife did grad school and then law school. Combined we have under 500k in loans, but not by much. My wife has always wanted to go into the public sector and intends to join the DA after she passes the bar. I'm in Vascular surgery. Yes, money is very tight, we budget, we aren't even really paying our loans back right now (income based repayment on my salary = next to nothing paid back). It is scary. It is stress inducing. But, at the end of the day, I will make a decent pay check. My wife will have a solid pay check and good benefits. More importantly, I love my job as a resident when I have next to zero control over my schedule or pretty much anything else for that matter. Taking care of patients every day makes it worth it for me. If you can't see it being worth it, find something else. There is no shame in it. It is just the practical reality of going to medical school. Would I take 80k / year to have no med school loans? No. I would be living better right now, but 10 years from now, I wouldn't.