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September 12, 1990

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

Author Affiliations

Dean Medical Center Waunakee, Wis

Dean Medical Center Waunakee, Wis

JAMA. 1990;264(10):1248. doi:10.1001/jama.1990.03450100037009

To the Editor.—  The article on resident physician indebtedness1 should be praised for bringing forth, in print, the dilemma facing those with educational loans. I accepted medical school loans after the grants I would have received were discontinued under President Reagan's administration. At graduation from medical school I had accumulated approximately $85 000 in loans. I have nearly paid off my undergraduate loans yet had to defer nearly $75 000. The only way I could pay what I have was to moonlight during residency.I am now receiving payment schedules estimating my accrued interest and the total worth of the loans after the 300 scheduled payments (25 years). My loans have accrued about 120% of their initial value ($165 000). If interest rates do not change, the total payments will be about $560 000, or approximately $2000 per month. If interest increases, this sum will also increase.I agree