It'll start with more midlevels for the poor folk and more "medical tourism" for the rich. But if pressure keeps building and hospitals are willing to fund schools or the students just don't enroll, we'll see med school tuition eventually get "discounted" and then actually drop.
It means Multi User Dungeon. It's a networked multiplayer game, usually focused on dungeon-crawling as the name suggests. Early ones were based heavily on BD&D and AD&D, but others got more creative.
That's the joke, they never "started", MAGA always defended and always was a pile of pedos. Anyone in that cult who doesn't understand that is a brainwashed idiot.
So, he wants to shut off more trade in a tantrum. Interesting tactic.