regarding loan payment -- there are many different programs for loan repayment. one involves total forgiveness of loans if you've done 120 consecutive payments AND worked for 10 yrs (get it?) in public service of some kind. but if you check out the options on the national health service corps website (NHSC, which is affiliated with HRSA), there are jobs listed where for two years of work at an approved site, you get $60,000 of loan forgiveness (federal or private bank loans), with additional awards for sequential years.
there are other options, but the NHSC one is the most commonly discussed option (i say discussed cause i'm currently racking up all of my debt at OHSU in the CNM program, so i just hear the discussion amongst students -- not amongst ppl who are repaying debt yet... what am i even doing?! oh right, living my dream, haha! YES! that's it!)
on top of those two options, there's becoming an NHSC scholar at the start of your program -- you apply for their scholarship
program, get accepted (hopefully!), they pay your tuition AND give you a stipend for living/books. then you owe them two years of your time working in an underserved area. downside is that i hear (hearsay! this is hearsay!) that a lot of the CNM NHSC jobs are doing more well-woman care, fewer deliveries, AND that there aren't a lot of 'scholar' positions even available once you finish your program -- so you might not have too much autonomy in where you end up (have to take what's available, which might not be too many positions).
anyway, that's what i've heard. haven't applied for anything yet though so i haven't been talking to the actual agency -- just other students. but there is hope, if you look hard enough!!! good luck with your applications!