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September 12, 1990

The Debt and the Cash Flow of Residents: I. The Grim Present

Author Affiliations

Dean Medical Center Madison, Wis

Dean Medical Center Madison, Wis

JAMA. 1990;264(10):1247. doi:10.1001/jama.1990.03450100037007

To the Editor.—  I read with great interest the recent article by Hernried et al1 regarding medical students' indebtedness. The increasing importance of this issue is not fully appreciated by many observers, including some among the medical community. I recently completed my internal medicine residency at the Marshfield Clinic in Marshfield, Wis. I have only a moderate debt load and am fortunate because the cost of living here in a rural area is less than that associated with large metropolitan centers. Nonetheless, even as a single person, I am just able to pay for food, housing, and transportation, and I have little left over at the end of the month. I have no doubt that those residents who are married and/or have children find it difficult to provide even basic necessities, especially in parts of the country where the cost of living is high.The issue of residents'