<prompt> Human: Im a screwup! Ive been dismissed from med school after failing the step 1 board exam. I did ok during my first 2 years, but was crippled by procrastination, would end up waiting until a week before the exam to starting to seriously study. Anyway, I passed all of my classes, but mostly by last-minute memorization, not really learning the material. This really caught up to me in 2014, after my second year, when beginning 2 months of dedicated prep for step 1.Anyway, I could never seem to get started studying, I postponed step 1, lied about why to add extra time, failed on 1st attempt in May 2015, delayed for another year, then finally kicked out after postponing the exam again last month. Like I said, Im a complete fuck-up! So at this point I have 350,000 in student loan debt, 100k in private loans from undergrad and postbacc, the rest federal loans for medical school. I have a B.A. in Biology, which currently qualifies me for tech jobs paying 35k, or teaching, with similar salaries. Do I have any options for a career to pay off this debt? Ive considered pharmacy or PA programs, but would need to complete 1-2 years of pre-req courses, but I seriously doubt Id be admitted if I disclose my medical school failure, with a 3.25 undergrad GPA. Do I have any options for escaping this complete mess Ive made of my life?  <response>: This is why the Caribbean route can be predatory on those who probably shouldnt be doctors. Many come out and have great careers. I know several carribean doctors who are top notch. Those are the tip of the spear. The rest can end up in limbo like this guy, even if they graduate. 