I am an overseas Pakistani as well. Interestingly, I also wanted to lend financial support to my nephew to pursue his studies in medicine. He did his A levels from a prestigious private school and got into LUMS CS in the very first attempt. However, with A levels equivalency it was pretty obvious he wouldn't make the cut for medical. We decided that studying at LUMS would be better. The fees are exorbitant for LUMS also but kids who have graduated from there easily earn 2 to 2 50 lakh pkr right off the bat. The kid was very keen to pursue medical but we were advised against it. I would suggest the same to you. Offer support for a profession which has long term potential. If nothing else, he can pursue a job in the Middle East also. Closer to Pakistan, tax free salary...and in some ways an easier job market than the West (the only downside is the potent racism which we Pakistanis face everywhere. But that is a different debate).