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I'm not sure how this works, because you will get a lien placed on your future earnings at some point, which means it's not up to you whether you repay or not.
The only ways around that (that I know of) are not working or only earning income under the table.
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Still, I think avoiding repayment puts a pretty significant limitation on earning potential.
They will be discharged upon the death of the loanee.
Many people just wont pay them, or just pay the bare minimum.