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[quote=Anonymous]US MD programs lead to high-paying careers with even the lowest paid fields making 200k+. Loans are fairly easy to pay off in 10-15 years. Most of my adult friends are docs and over half of us paid it all ourselves in the early 2000s and the only one who took a longer time than 15 yrs to payoff had a spouse who was stay at home. The rest of us married other docs or lawyers, often with their own loans but two large incomes is still better than one. 
If you keep living expenses low it is not too hard, especially since medical residents make 75-80k now and we made 28-30k then, ie rent was a much higher % of our income ($800-900 a month then, same area is now $1500-1700/mo, East Coast cityish).

Merit has also improved in leaps and bounds for top med schools. I went to a T5 and DW went to a T20. My med school gave sizable fellowships to about 1/4 of us based on merit, hers gave smaller merit to about 1/3 of students. We each got merit! Each of our schools gives much more merit now. These days most Top 20 research med schools have large merit scholarships and fellowships sometimes available to all students, other schools students still compete for them as we did. Even T50-75 programs have merit scholarships available. 
Additionally most schools have some need based aid though it does require lots of need. That was not available in the 2000s, even as a pell grant kid undergrad, no need aid for even top med programs. 
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