I'm surprised he didn't know that. Obamacare regulations are accelerating the pace of hospitals swallowing up private practices like crazy allowing market consolidation. There are very few specialties that will allow one to still go into private practice and still be viable. Medicine is definitely not a field in which you'll be able to be your "own boss". You will be accountable to a suit.
Finally! The voice of reason
I don't know if these other posters are idealistic pre-meds or what. In any case, please, this is the future of medicine:
You spend $xxx,xxx for your education.
You go through residency getting paid (currently) $45,000-80,000/year for your time for 3-7 years for residency. 4-12 years for fellowship..
You make $70,000-2,000,000/year afterwards.
The folks who make the higher end, e.g. $2,000,000/year (and certainly not out of residency) have an established practice. They provide a necessary service. They are very gifted doctors. People come to them for their ability to do what they do. They charge people, and have a private practice wherein you have to pay them, as such.
The rest of doctors start at $70,000-400,000. As a previously mentioned thread indicated, yes paying of a $250,000 debt is only a $1,700/month payment. If you're making $100,000/year
In the future, instead of having this doctor, who has become so good at his "trade" to earn $2,000,000/year, you have him earning $70,000, or how about $500,000. Would he become the same surgeon he would have? Likely not. Will cash only practice proliferate in this system? More than likely yes, until they say that's also not acceptable.
For example, a doctor paid $100,000/year in South Dakota is paid $1,923/week gross, takes home $1,432/week net. With a $350,00 loan on 10-years that is 971/week, or $3,885/month, or 67% of your after taxes income. There is literally no way that this is sustainable. There is no way that a doctor with that debt to income/ratio could ever buy a house. I am sorry. There needs to be something done.