I tried to err on the side of understating things (I found higher figures for cost estimates as well knowing residencies/fellowships could go a lot longer... and that was ignoring continuting education/certification/training and costs of running a practice). I think that people see the dollar figures for some specialist and make two errors: extrapolate it to all doctors and ignore the huge investment/risk to get there.

Congratulations to your partner (and you)! I for one still think its a noble and altruistic calling.