Thursday, July 23, 2009

UNECOM: An Institution of Higher Earning


$200,380
(Average indebtedness for 2007 UNECOM graduates who incurred medical school debt)



It's official: The University of New England College of Osteopathic Medicine has set its students up to be #1 in debt for any medical school in the country.

More than twice as much debt as our friends at Hopkins and nearly three times that of those at Stanford, we, the indebted, must really be getting a bang-up education. We must all be gunners, all selling ourselves to the research giants or schmoozing our way into highly paid specialties.

Oh, here's the COM's mission statement:

The University of New England College of Osteopathic Medicine transforms students into health care leaders who advance patient-centered, high quality osteopathic primary care and community health for the people of New England and the nation.

Well, that doesn't seem right. How are these future primary carers going to pay off this mountain of promissory notes with their meager community health salaries? Maybe the mission statement is all just PR bullshit and students are really just here to make money. Maybe they can pay back the debt...
  • 70% of its graduates practice in primary care disciplines (Family Medicine, General Internal Medicine, Pediatrics, and Obstetrics & Gynecology).
  • State of Maine: 9% of practicing physicians are UNECOM graduates, comprising 15% of Maine’s primary care physician workforce.
  • 24% of UNECOM graduates practicing in Maine serve in rural areas.
  • New England: 17% of UNECOM graduates are practicing in medically underserved areas."
  • http://www.une.edu/com/
Guess not...

---// Feel Free to skip the Numbers and jump to the end. //---

At the 8.65% APR most of us are getting on our loans, the average student is paying $17,332 per year in INTEREST ALONE. Since most students won't be able pull that scratch together during their residencies while their making less than a first year high school teacher, we might as well bring that average debt number up to 250K.

Now where do these numbers come from? Heating oil is the cheapest it's been in years; the building is relatively new and doesn't need repairs; the university owns the land it's sitting on, and it's Biddeford - is the cost of living really that high? What betterment in our education - what necessity - prompted this stark increase in an already steep price tag? It must have been serious, because after reporting 2009-2010 tuition and fees to the federal government (to set the price for federal student loans) UNECOM raised tuition again. Now, students must take out GRAD-Plus and private loans to simply pay the baseline tuition.

---// Ok, no more numbers: Start reading again. //---

Is the school hedging its bets against a bad economy? Is the tuition hike meant to pay for the soon-to-be money tree of pharmaceutical research that is the Pickus building? Is the larger UNE family just squeezing the COM's teet a little harder than usual? That sounds right, but no one knows. As a private institution, UNE reserves the right to keep its books secret from its students. With a policy of financial opacity we can only guess.

My guess is the administration wants it both ways.

They wa
nt to bring in the cash to bolster the institution all the while believing they are setting up their students to practice in underserved areas. They've probably talked themselves into believing that National Health Scholarships are freely available and that military service is an easy 4-year option with no strings attached. With all this magical thinking and willful ignorance, though, they neglect the greater truth: Students should not have to sell their souls or become indentured servants to get an education that's meant to serve the poor.

I fear this whole thing is like that Cat Stevens song where a father is shocked to see his son repeating all his own mistakes after giving him a lifetime of bad examples. The administrators at UNECOM probably think their moral and financial compromises are serving to aid the medical students and their future patients. The day will come, though, when they realize a profit centered medical education has created profit centered physicians and all those good intentions will be for naught.


With irony, sarcasm, and no hint of professionalism whatsoever, I dedicate this song to UNECOM. Lucky us...


5 comments:

  1. what i like is that you've used a picture of me throwing my scrubs into the fire...

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  2. I like to think of those scrubs as money.

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  3. see, now you're just being depressing. it is all this talk of money, however, that is making me wish i had taken one more crack at my state school; in-state tuition is looking mighty glorious right about now.

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  4. As an entering first year, I did some of these same calculations myself and was planning on NOT going; then, I came across an article about public service loan forgiveness! What that means, is regardless of whether the tuition is justified or not, I don't have to worry because my loan payments will be based on income, and I will have the balance of my debt forgiven after 10 years if I work in government or for a non-profit! So we can have our cake and eat it too, though it will add a little to everyone's taxes. I figured that as long as my debt is over 100,000, this debt forgiveness program for Stafford and Grad PLUS loans will probably always be better for me, since I plan in working in primary care in Maine. Hope this helps--not with whether the tuition was just or future-thinking, but with your actual situation now and in the future!

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  5. 3 September 2009
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    As recent events unfold, I'm inclined to think my comments should be redirected to the university at large and not specifically the College of Osteopathic Medicine.
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    At present I trust that Doctor Bates is the person most capable of finding a diplomatic solution to the problems, both financial and ideological, between the COM and the University. I hope that he and the Board of Trustees can find common ground on how to further the stated goals of the institution without compromising on the principles we hold most dear.
    -
    While I will continue to comment - inappropriately, irreverently and indiscriminately - concerning the goings-on of the institution, I understand that the stakes of this debate are three-dimensional. They require more thought and empathy than a web-log entitled "Satire and Ice" can or should offer. My only goal for this or any of the posts on this site is to get my girlfriend to think I'm cool. And, in this end I hope I have succeeded.

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