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Question for Americans

I’m watching tv and there’s a woman who has $100,000 student debt.

I have heard that size student debt is fairly common in USA. How do people manage that and also what if the had to pay medical debt too? How do they manage?
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It's the 2nd reason we chose to not live there. The way my pregnancy went too, it would have cost us around 500k. She would be paying that off long after we're gone.