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What I would tell someone starting out is to take the absolutely maximum repayment term you can possibly get. Whether it's 20 years or 30 years, take the maximum. Don't try to pay it off in 10 years.
The reason for this is that in the early lean years of life, cash flow is king. I'm not suggesting that you necissarily take 20 or 30 years to pay the loan off, but start off with the minimum so that you have the flexibility that you need.
$200,000 over 30 years is a monthly payment of $1300. That should be more than manageble on a salary of $82000 per year.
KHE I agree with almost everything you say on these forums except your financial advice. It is known that doctors of all types are not that good financially but you guys have to realize its about eliminating debt ASAP. Or even better, not incurring it in the first place. If you can't afford an optometry degree, THEN DON'T DO IT. I could have gone into medicine but the 50k tuition at some schools is just ludicrous especially when the debt keeps compounding when you are doing your residency. Or I could have gone to SUNY Downstate - in the armpit of brooklyn - but I'd still have to move out of my parents place and that basically becomes the equivalent of 50k a year or more. Dentistry, forget about it....60k tuition at NYU.
The best DEAL for me financially was optometry at SUNY 18k tuition + 1k books/equipment. Also, I love physics and biology so I felt it was a perfect fit for me. Honestly, its best not to overextend yourself. If you do not have the supply line to support an endeavor such as medicine/dentistry/optometry then don't do it. You will be miserable paying off your huge debt for many many years after you graduate.
Now I realize that most people don't have an optometry school in their backyard. So you need your parents to help you out with rent/tuition. So either if you live with your parents or if they help you out financially its still the same. You have the supply line.
If that's not possible then that's why many people work for a few years first to experience other things in life and save up some money before committing themselves to this profession. One person in my class even bought a house and rents it out so he doesn't have to worry about rent/mortgage fees.
This is the reality of the student loan bubble nowadays. Wait for it to pop.