Abstract
In 2008, medical schools in the United States enrolled 18,036 first-year students, a record number. On average, more than two people applied for every slot; the overall applicant pool was one of the largest in recent years. Earlier in 2008, however, graduating medical students set another record — for total educational debt. Indeed, a remarkable 23% of all graduates had accumulated debt of $200,000 or more (see bar graph), according to the Association of American Medical Colleges (AAMC).The costs of medical education and medical student debt have been spiraling upward for years.1 Is there a limit? Medical school admission is . . .

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