Malpractice insurance cant be the main cause as doctors not working in private practice usually have insurance provided to them by the hospital&#x2F;HMO.<p>The biggest problem that I can think off is med school tuition costs.
The cheapest med school in the US costs over 30,000 per year, the median yearly tuition cost for US medical students is around 50,000 USD.<p>So that&#x27;s 2-3 years of pre-med and 5 years of med school which can cost upwards of half a million dollars in the US.<p>When most doctors start their career with nearly 300,000 dollars in debt which they pay interest on you going to be damn sure they&#x27;ll require a hefty sum to pay it back.<p>To put that in perspective if the doctor can pay out 25,000 per year on their student loans it would take them about 15 years to pay out their debt.<p>To put that in perspective 25,000$ is the average yearly salary in Spain.