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 🩺💷Let’s paint the picture.

You’re 18. Bright. Motivated. Naïve enough to believe that becoming a doctor is a noble calling. So you sign the dotted line.

£60,000 in student loans later — and that’s before interest stretches it like hospital waiting lists — you qualify.

You’ve survived the exams. The night shifts. The tears in A&E at 3am. The cold tea. The rota gaps. The moral injury.

And then the repayment statement arrives.

📉 The Interest Is Working Harder Than You Are

That £60,000?

By the time interest compounds under the current student loan structure, many junior doctors are projected to repay £120,000–£150,000 over their careers.

Not because they borrowed that much.

But because:

  • Interest rates climb 📈
  • Salaries stagnate 💸
  • Repayment thresholds move
  • And the system quietly assumes many graduates will never fully clear the balance

So what happens?

High earners — including doctors — pay back not just their loan… but effectively subsidise the shortfall from others who will never repay in full.

Now cue the uncomfortable internal monologue:

“Should I have gone into accountancy?”

Less debt.

Earlier earning.

Remote work.

No one dies if you miscalculate VAT.

Meanwhile, the doctor who studied longer, trained harder, and carries life-or-death responsibility ends up questioning the financial wisdom of saving lives.

🏥 The Calling vs The Calculator

We tell young people medicine is a vocation.

We clap for them on Thursdays.

But financially?

  • Years of training
  • Below-inflation pay awards
  • Crushing workload
  • Six-figure lifetime repayments

And then we wonder why they’re emigrating to Australia. 🇦🇺✈️

Or switching careers.

Or quietly advising the next generation to “consider finance instead.”

Because here’s the awkward truth:

The system relies on idealism.

But compounds interest.

🔥 Challenges 🔥

Should doctors — who fill rota gaps, carry clinical risk, and keep the NHS breathing — be repaying more than double what they borrowed?

Is this a fair graduate contribution model?

Or are we financially penalising public service?

If you’re in medicine — or left it — drop your experience in the blog comments. Not just a scroll-past reaction. 💬

👇 Comment. Like. Share.

The most honest and powerful responses will be featured in the next issue of the magazine. 📰🔥

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Ian McEwan

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