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Smith and his girlfriend, both 26, graduated in 2004 from medical school in Nottingham with almost £60,000 in student loans between them.
The combined impact of government cuts and the rising cost of serving student loans mean that the couple are 'running to stand still'. 'Since I qualified my pay hasn't really changed at all because the government has effectively down-banded everybody, our rotas are all over the place and we've ended up working fewer hours as a result of the working time directive,' he says. Smith started work in 2004 on basic pay of £18,000 plus another 60 per cent because he was 'working every hour that God sends'. But EU working time legislation has cut doctors' working week to 56 hours and by 2009 it will be 48 hours - with his overtime pay falling commensurately.
'When I qualified my pay was more than both my mum and dad's put together,' reflects Smith. 'I feel lucky because they helped me out and, together with my brother and sister, we were the first in the family to go to university. But do I feel well off? No, I couldn't say that... The way the media portrays it is that doctors are all loaded. I feel that even some members of my extended family think that. But it's not like that. Frankly, we get excited when we get a free sandwich off the drug rep.'
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The couple hope that 'eventually the government will write off [our student loan]. At the moment we do not know how we are going to repay it.'
Sarah Glover, a 28-year-old English teacher at Haverstock School in North London who finished her PGCE in 2005, said she 'almost had a heart attack' when she telephoned the Student Loans Company recently. 'I borrowed about £8,600 and the last statement they gave me, in April 2007, the amount had gone up to £8,856.'
After graduating, Glover taught in Australia and Ireland where her loans increased without her paying off any money. The prospect of her, or her partner Ed Barker, a qualified architect, paying off their debts is still some way in the future. The couple's combined student debt is about £30,000, including credit card and overdrafts. Barker took out a student loan of £12,000 to qualify as an architect.
Glover's salary is £28,500 and Barker's about £30,000. Glover has been on maternity leave since last October, and their daughter, Izri, was born the following month.
Could Barker's career in architecture take the pressure off? 'Far from it,' he says. 'People assume that because you study for as long as you do for comparable professions, such as the law, that architects would get decent enough salaries. It is no better than a lot of jobs. You don't end up paying your loan any faster.'
'It is frightening,' says Glover. 'We're well qualified, work hard and enjoy what we're doing, but there's a very fine line between surviving and falling further behind in debt every month.'
guardian.co.uk © Guardian Newspapers Limited 2008