For dentist with student debt, repaying is like pulling teeth VACAVILLE, Calif. - His jaw clenched beneath a blue surgeon's mask, Opanin Gyaami jerks his right arm and pulls out a prize: the decayed tooth of patient Larry Butler, also known as state prison inmate J22312. By the time he is done, Gyaami's smock and mask are spotted with the inmate's blood. He gently pats Butler on the shoulder and wishes him well. The 71-year-old dentist reports to the state prison in Vacaville day after day, long past retirement age. He wishes he could have hung up his drill and forceps years ago, but he's still paying off a student loan. After borrowing $50,000 in the 1980s and ignoring payment notices, Gyaami owes more than $500,000 with penalties and interest. The Justice Department took him to court and is seizing $3,000 from his paycheck each month. Gyaami doesn't expect any sympathy; he knows he's at fault and has added to his problems by falling behind on his income tax. He acknowledges he made some bad decisions along the way. "I don't want to sound like I'm blaming someone else for my woes," he said. If you take a loan and don't pay it, you're responsible. It became so overwhelming. I got scared, and it didn't go away. Student-loan debt in the United States has surpassed $1 trillion. A record number of loans are in default, according to several recent reports, and lawmakers in Washington are pushing for reform to make it easier to discharge some of the debt in bankruptcy. Although economists' concerns about this debt are typically focused on the young and newly employed, about 2.2 million Americans over age 60 collectively owe more than $43 billion in student loans, according to the Federal Reserve Bank of New York. Many of those loans are in default. "People think they're kids, but I'd say half the people who come here are over 40, and we have a lot over 60 and some over 70," said Elena Ackel, a senior attorney with Legal Aid Foundation of Los Angeles, which often advises people with student loan debt. It just doesn't end because of all the fees and everything. By the time Gyaami graduated from Loma Linda University in 1983 with a degree in dentistry, he had taken out five loans to pay for his education, including $50,000 from the federally guaranteed Health Education Assistance Loan program. The special loan program, offered from 1978 to 1998, lent $4 billion to 157,000 aspiring doctors, dentists, podiatrists, chiropractors and other health professionals. The Department of Health and Human Services, which oversaw the loan program, reports that 935 of the borrowers are in default, owing $115 million collectively. After graduation, Gyaami owed about $100,000 and made monthly payments to Loma Linda, none of which was applied to the $50,000 loan. Those payments, he later discovered, should have gone directly to the bank that issued the loan. When late notices started to arrive, Gyaami ignored them. "There was nothing I could do about it," he said. I was behind with my business. Gyaami admits he's better at dentistry than business. He didn't realize how dire the situation had become even after hearing from the Justice Department, which sues borrowers who default on federally insured student loans. Gyaami's $50,000 loan had grown to $195,000 with penalties, interest and fees. He continued to discard the collection notices. He said he couldn't afford to pay. By June 2010, the $195,000 debt had jumped to $522,214. The dentist offered to pay $150,000 to settle the suit and close the loan - the money would come from taking a second mortgage against the family's house - but the Justice Department rejected it. A department representative declined to comment on Gyaami's case. In December 2010, the government reduced the debt to $400,000 and agreed to collect $3,000 a month from his monthly checks, Gyaami said. He thinks it will take more than 10 years to pay it off. "It's not easy to deal with," Gyaami said. It looks like I'll have to work until the day I drop off and die.