
Ep111: Medical Student Debt after OBBB: RAP Rules, PSLF Updates, and Refi Strategy
From Finding Financial Freedom with The Frugal Physician - Finance, Wellness, Budget, Student Loans, Wealth, Doctor, Fitness, Money by Dr. Disha Spath, MD, FACP
October 3, 2025 · 38 min · Season 1 · Episode 111
About this episode
Dr. Disha Spath and guest Aaron Smith discuss significant changes in student loan policies and repayment strategies for medical professionals.
Big changes are here for student loans—and if you're a doctor, student, or high-debt professional, this episode could save you thousands. Dr. Disha Spath sits down with Aaron Smith, co-founder of Savi and longtime student loan policy advocate, to break down the One Big Beautiful Bill Act and what it really means for your financial future. Aaron has worked with the Department of Education, Congress, and the White House—and he's carried student debt himself. Together, he and Dr. Disha unravel the brand-new Repayment Assistance Plan (RAP), the elimination of Grad PLUS loans, and how these reforms reshape repayment strategies, PSLF, and refinancing decisions. Key Topics Covered: 1. The Big Beautiful Bill, Simplified What's changing in federal student loan repayment. Which repayment plans are gone, and the details behind RAP. 2. RAP vs. Current Plans Why RAP bases payments on gross income. Why locking into an income-driven repayment plan before 2026 could be a smart move. 3. PSLF Stays Strong The good news: PSLF wasn't touched by the new law. How to avoid errors with employer certification and payment tracking. 4. Goodbye Grad PLUS Loans How cutting Grad PLUS reshapes graduate and…
People in this episode
Host: Dr. Disha Spath
Guest: Aaron Smith
Topics covered
- student loans
- financial future
- repayment strategies
- PSLF updates
- refinancing decisions
- medical student debt
Keywords
- student debt
- financial advice
- RAP
- PSLF
- refinancing
- Grad PLUS loans
- One Big Beautiful Bill Act
- repayment plans
Mentioned in this episode
Organizations: Department of Education, Congress, White House, PSLF
Products: Grad PLUS loans
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