Resident physician here. I have > $200,000 student debt. Doesn't feel good at all.
I’m a resident in Australia. 11 years at university (took some side tracks), $70k in debt for the whole time, now gone, and we are paid between $70-110k a year as interns.
Although our training pathways are longer because we are required to do 2 generalist years
I think one could study at much lower cost in China, Russia, Eastern and Central Europe. They have now courses in English, and have become the new hub for medical education.
Cost is cheaper, yes. Quality varies a lot across the country. Some countries are doing better than others. But medical degree is still not easily convertible, so if you study outside the US, but practice here, it's not simple. Language is not the main issue, different approaches, different standards, etc.