Among medical students graduating with educational loans, the mean debt was $32 000 in 1986, which is approximately $70 000 in 2017 dollars.1 Rising tuitions and a growing reliance on loans increased mean medical education debt to $190 000 by 2016.2,3 Alongside these well-known trends is a quieter increase in the proportion of graduates without debt. The combination of these observations suggests a concentration of debt among fewer individuals—a finding that is obscured by population means.1 We sought to analyze the trends in the distribution of medical education debt by focusing on the increase in graduates without such debt.
Grischkan J, George BP, Chaiyachati K, Friedman AB, Dorsey ER, Asch DA. Distribution of Medical Education Debt by Specialty, 2010-2016. JAMA Intern Med. 2017;177(10):1532–1535. doi:10.1001/jamainternmed.2017.4023