BriefingBMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7107.3b (Published 30 August 1997) Cite this as: BMJ 1997;315:S3b-7107
The BMA estimates that the recent proposals to introduce university tuition fees could result in medical students graduating with debts of up to £25 000. The arguments that this will deter the less well off from contemplating a medical career are well rehearsed, but the changes, if implemented, will have other effects too. When large debts are commonplace (as in the United States), graduates must run for the money to the specialties with the greatest prospect of remuneration. Plainly this may be at the detriment of less well paid options, such as primary care; though, ironically, this is probably not in the public interest. Large debts will also have a regressive effect on the potential for career flexibility, particularly in the early years.