First of all, I am a DO student at AZCOM (you know the tuition) with a wife of 17 years and 2 boys (10 and 12). We moved 70 miles accross town so I could be closer to campus. My wife has fallen in love with our new neighborhood and feels that we are now building the new home of her dreams. We moved in August, so the boys could start school with the school year at the new school. We have yet to sell our old house, as it sits vacant (market slow-down
); and are renting a smaller place, 2 blocks away from the new place, while we wait for construction to be complete.
Let's talk financial pressures, yeeow
Hopefully, I can help some of those who have families.
I agree with Q...it is absolutely best to take a close look at family budget and see where cuts can be comfortably (or not) made.
Next, it is such a blessing to have a spouse who continues to bring in a salary and benefits. However, reasonable financial alternatives still do exist, even without a spouse, or without a spouse who can support the family for at least 4 years.
I had been considering the HPSP through the military for years, and only at the last minute decided not to do it (for family / personal reasons). Financially, it is a smokin' hot deal. The service to your country is a plus. Overall, it is worth consideration. They currently pay ther students around $1400 per month (in March I think they are increasing that by $1000 or so) while in school. They pay all tuition, books and supplies, lock-stock-and-barrel. You have access to some of the best residencies around, and get paid around $70,000 while doing them. The catch is you owe 1 year of active duty service for each year in the program, not counting residency.
I actually opted for a state program that awards a scholarship (actually a forgivable loan) to residents (5 years miniumum) of $17,000 a year, which covers my books, supplies and own personal expenses (gas, car insurance, lunches, clothing, etc). My wife's salary and benefits covers the rest of our family's expenses...including the insane mortgage + rent we are currently paying
Worst case scenario, if I leave Arizona and chose not to practice medicine here, I owe the state 1/2 of the money the gave at 8% interest, no penalties. Check with your state. There might be similar programs out there (some are probably more stringent on service requirements than others, but options do exist)
Of course, that does not cover tuition, which we decided to cover with student loans. So, if we stay in AZ, I will graduate with around $140,000 debt.
Not ideal but manageable...we think.