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PSLF vs refinance vs aggressive payoff, side-by-side. 16 specialty presets. Charts redraw the moment a number changes.

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Med School Debt Simulator

PSLF vs refinance vs aggressive payoff · 16 specialty presets

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Your best strategy

Pursue PSLF.

PSLF saves you an estimated six figures vs standard repayment given your $250K debt and lower-paying specialty.

via MGMA + AAMCvia studentaid.gov
Estimated timeframe

Debt resolved in ~10 yrs

Monthly payment range

$300 – $406

Key assumption

Assumes continued employment at a 501(c)(3) non-profit or government employer for 10 qualifying years.

How we chose this

Quick scenarios

Strategy comparison

All three paths, side by side.

Same inputs — three different repayment philosophies. The recommended row is the one our engine picked for your scenario.

via studentaid.govvia IRS guidance

PSLF (forgiveness)

Recommended
True total cost
$205K
Time to done
10 yrs
Total paid
$205K
Monthly
$2K/mo

Forgiven (~$211K tax-free)

Standard repayment

True total cost
$545K
Time to done
13 yrs
Total paid
$402K
Monthly
$3K/mo

Fully paid off

Aggressive payoff

True total cost
$618K
Time to done
9 yrs
Total paid
$358K
Monthly
$5K/mo

Fully paid off

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Time to payoff

13 yrs

Standard 10-yr amortization

Monthly payment

$3K

Residency ≈ $353

Total interest

$152K

Total paid $402K

Net-worth crossover

Yr 6

First year back in the black

Loan balance

What you owe, year by year

Standard repayment plotted against the PSLF projection when enabled.

Net worth

When you turn the corner

After 32% tax · minus living expenses · minus loan payments.

Opportunity cost

$143K

If the $88K you paid above IDR minimums had been invested instead, it would grow to roughly this over the payoff horizon.

Assumes monthly contribution of the “extra” and compound growth at your assumed market return.

Audit trail

Year-by-year snapshot

YearIncomePaidBalanceNet worthPhase
Start$250,000-$250,000residency
Year 1$65,000$4,241$262,009-$258,050residency
Year 2$67,958$4,537$273,722-$264,989residency
Year 3$71,050$4,846$285,126-$270,748residency
Year 4$250,000$38,851$264,193-$189,739attending
Year 5$263,938$38,851$241,857-$99,628attending
Year 6$278,652$38,851$218,025$163attending
Year 7$294,187$38,851$192,598$110,247attending
Year 8$310,588$38,851$165,467$231,274attending
Year 9$327,903$38,851$136,519$363,930attending
Year 10$346,184$38,851$105,633$508,946attending
Year 11$365,483$38,851$72,678$667,093attending