The cost of obtaining a medical education has been spiralingupward for the past 20 years. Despite a lot of rhetoric in articles1,2and at meetings of the Association of American Medical Colleges,nothing has happened to change the alarming pattern. The averagetuition and fees at public medical schools during the 20032004academic year amounted to $16,153, and the corresponding figurefor private schools was $32,588.3 Adding $20,000 to $25,000for living expenses, books, and equipment brings the estimatedcost of four years of attendance to about $140,000 for publicschools and $225,000 for private schools.
Dr. Morrison is the Vice Dean for Education, University of Pennsylvania School of Medicine, Philadelphia.
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