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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

$220 – $298

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
$187K
Time to done
10 yrs
Total paid
$187K
Monthly
$2K/mo

Forgiven (~$235K tax-free)

Standard repayment

True total cost
$565K
Time to done
14 yrs
Total paid
$424K
Monthly
$3K/mo

Fully paid off

Aggressive payoff

True total cost
$655K
Time to done
10 yrs
Total paid
$377K
Monthly
$5K/mo

Fully paid off

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Time to payoff

14 yrs

Standard 10-yr amortization

Monthly payment

$3K

Residency ≈ $259

Total interest

$174K

Total paid $424K

Net-worth crossover

Yr 7

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

$141K

If the $83K 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$3,111$263,139-$258,050residency
Year 2$67,958$3,407$275,981-$264,989residency
Year 3$71,050$3,716$288,515-$270,748residency
Year 4$74,282$4,040$300,725-$275,254residency
Year 5$280,000$40,976$278,646-$176,602attending
Year 6$295,610$40,976$255,088-$67,679attending
Year 7$312,090$40,976$229,953$52,162attending
Year 8$329,489$40,976$203,134$183,604attending
Year 9$347,858$40,976$174,519$327,372attending
Year 10$367,251$40,976$143,988$484,233attending
Year 11$387,726$40,976$111,412$655,001attending