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Interestingly, and the article touches on this a bit, a disproportionate fraction of this forgiven debt goes to those who got terminal professional degrees, lik
by dangerlibrary 10y ago
Interestingly, and the article touches on this a bit, a disproportionate fraction of this forgiven debt goes to those who got terminal professional degrees, like doctors and lawyers.
> Critics, including academics across the political spectrum, say the income-based repayment program isn’t targeting the neediest borrowers and instead bestows big benefits on those who attend pricey colleges and graduate schools and earn high incomes.
Take a new surgical resident who just graduated from med school with a slightly above average amount of debt - $300k [0]. They consolidate their loans and put themselves on an income based repayment plan, and start their residency at a nonprofit hospital. After 120 payments (at most one per month) made while working for a 501(c), their remaining loan is forgiven, tax-free. [1]
At the outset, the income based plan really is the only option. They'll be earning a modest salary as a resident - 40-60k per year. During this period their debt will accumulate unpaid interest as their payments are capped at 10% of their income (above 1.5x the poverty line, so something like max_payment = 0.10*(income-20k); $200-300 a month, at most). After ~7 years of surgical residency, depending on specialty, the doctors begin earning $300k-$500k/year. At this point their total loan amount at 7% simple interest (unpaid interest isn't compounded under these programs) has grown somewhere on the order of 40-50%. Now they are making the maximum payment on their debt assuming a 20-25 year repayment term. Unfortunately, they'll only be making those payments for 3 years before the entire balance of the loan is forgiven - tax free.
The end result is that for doctors whose residency and subsequent career begins by working at nonprofit hospitals, the government will end up forgiving the full amount of their medical school tuition, usually plus a little bit of interest. Med schools, law schools, and other professional schools know this, and actively promote these programs as a way for students to justify going into unbelievable levels of debt. [2]
In general, those with less than about $40k in debt will see no change to their monthly payment by moving to an income based repayment program, so they have little incentive to go through the hassle of signing up.
[0] http://grad-schools.usnews.rankingsandreviews.com/best-graduate-schools/top-medical-schools/debt-rankings http://grad-schools.usnews.rankingsandreviews.com/best-gradu...
[1] https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancell...
[2] https://www.law.gwu.edu/loan-repayment-plans https://www.law.gwu.edu/loan-repayment-plans
- reader5000 10y agoYes, implicit public subsidization of medical schools, which the taxpayer signed up for 100%.
- djb_hackernews 10y ago> The end result is that for doctors whose residency and subsequent career begins by working at nonprofit hospitals, the government will end up forgiving the full amount of their medical school tuition, usually plus a little bit of interest. Med schools know this, and actively promote these programs as a way for students to justify going into unbelievable levels of debt. So we get more doctors that work in hospitals that aren't motivated by profit and you make it sound like a bad thing.
- dangerlibrary 10y agoWe also get completely unrestrained tuition growth, which is really the core problem. And we forgive hundreds of thousands of dollars in debt to professionals earning 10x the median income. Also: don't kid yourself. Non-profit hospital chains are enormous businesses. [0] [0] http://www.beckershospitalreview.com/lists/25-top-grossing-non-profit-hospitals.html http://www.beckershospitalreview.com/lists/25-top-grossing-n...
- djb_hackernews 10y agoMy SO is a resident at a non-profit in an east coast city. I'm not "kidding myself". I made no claim that non-profit hospitals aren't enormous businesses so I'm not sure what your link is proving. Though to me that link does actually make the point that we should have more non-profit hospitals, imo. 2 more points: 1) You are grossly over exaggerated the compensation of doctors after residency in non-profit hospitals. Of course they do make more than the median income but it is no where near 10x. 2) I think you should consider what the benefit of a) having non-profit hospitals and b) loan forgiveness programs for doctors at non-profit hospitals is.
- dangerlibrary 10y ago