America already has a doctor shortage. Republicans just made it harder to become a doctor, and that's only part of it.
The Big Beautiful Bill eliminated Grad PLUS loans for new borrowers on July 1. Federal borrowing for professional programs is now capped at $50,000 a year and $200,000 total, and that total includes any federal loans taken out for undergrad. The median four-year cost of medical school for the class of 2026 is $297,745 at public schools and $408,150 at private ones. Students are left to cover $100,000 to $200,000 or more through private loans that need good credit or a cosigner. Most 24-year-olds have neither.
Nurses got hit too. The Education Department's final rule left graduate nursing off its list of "professional degrees," which would have capped nurse practitioners, nurse anesthetists and midwives at $20,500 a year, less than half of what medical students can borrow. A federal judge stepped in and nursing was put back on the list for now, but the administration tried to make it harder to train the people we already don't have enough of.
Then there's the earnings rule.
Starting July 1, 2027, programs whose graduates earn less than a set benchmark, roughly what a high school graduate makes for undergrad programs, can lose federal loan access if they fail two years out of three. It doesn't look at what the college charges, only at what graduates earn afterward. The New Republic reports that art, music and social work programs are hit hardest.
So the government isn't fixing tuition. It's cutting off the loans for the programs that lead to lower-paying jobs and capping them for the ones that lead to higher-paying jobs. The kids who can pay out of pocket will be fine, and everyone else gets told what they can afford to become.
The AAMC warned that ending Grad PLUS would worsen the doctor shortage.
Republicans wrote it into law.