A truly remarkable proposal: make med school free, but make specialties really, really expensive. Read it here, comment you know where. My own view: If you think doctors are maximizing the following function:
Income = f(x) + $155,0000 (Where x is choice of specialty)
Then the same x will maximize the following function:
Income = f(x) + $0
In other words, it cannot be true that the choice of specialty will be affected by the fixed cost of attending med school in the first place.
The other part of the argument is that we need to charge for studying specialties. For some reason, our brave authors assume this is a fixed choice: "There are nearly as many doctors enrolled in specialty training in the United States (about 66,000) as there are students in United States medical schools (about 67,000), the forgone stipends would cover all the tuition costs."
I have news: if this cockeyed plan is implemented, those numbers will change, quite a bit. And only the people with specialties will have those big debts. Which will mean elective MRIs for everyone; papa's got debts to pay!