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There are companies that take a stand against offshore and mean it. sm

Posted By: Angry4U on 2006-05-09
In Reply to: This is tragic. I hope you also write to AAMT who - SM

I would look for those. I know for sure that Execuscribe, JLG, Keystrokes and MDI-MD do not send work out of the USA. I am sure that there are others.

I forwarded the entire thread about an hour ago to my Lead Transcriptionist, HR and to the owner of the company I work for so that they are aware of Heartland doing this. The owner has already answered me and said that they will watch out for displaced Heartland MTs and give them special attention. She agrees that no one deserves this treatment. I am proud to be an MT, but discouraged and worried that things like this happening will chase away my fellow professionals. I hate to say it, but we really do need more structure if we are going to make a difference.

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I don't come here enough to know the companies that well...what does SGS stand for? TIA (nm)
I think that it is a cop-out. The companies that stand their ground will prevail in the long run.
Companies that offshore
I am about to make a move as far as employment goes. I'm an editor. I am not interested in editing  for a company that offshores. I'd like to know who they are. If you are aware of any, please list them.  Thanks.
Companies that offshore can now

from main board:

MTStars has been staunchly against the offshoring of American Private Health Information, but realizes that MTStars must evolve with the ever changing views of conducting business in the global economy. The hands of time cannot be turned back on the widespread transfer of information globally and as of January 1, 2006, MTStars opened itself up to include the global environment.

I try not to keep companies going that offshore.

Find All Related Messages: Diskriter

A growing number of healthcare facilities have reduced costs significantly with our breakthrough transcription program. By eliminating the high labor-related inherent with traditional outsourcing, our SmartSourcing program will save you 25% or more.

Diskriter is involved in Offshore Outsourcing (sending sensitive private health information of US citizens to countries such as India, Pakistan, Philippines, etc...).

Official Website: http://www.transcriptionsmartsourcing.com

Need to know which companies offshore
Need to start looking and need to know which companies to avoid...please share the names of companies who offshore.

not 100% sure but I do know that both companies offshore. sm
why would a client pay for US people to do the work when India can do it for much less?
Two companies that do NOT offshore
are MDI-MD and Landmark. Let's support American jobs for American workers.
Two companies that do not offshore
are MDI-MD and Landmark. Both are good companies with decent, honest people who will treat you fairly. As to offshoring, I might mention that a friend of mine was laid off this week (along with 250 other people) from Wal-Mart because they are now going to send the work to Mexico. Although I am poor, I will NEVER again give my business in Wal-Mart. There is a great DVD called THE HIGH COST OF LOW PRICES. I realize that we are not Wal-Mart workers, but the same principle applies. AMERICAN JOBS FOR AMERICAN WORKERS! Do not patronize companies that offshore. They are giving America away. (If you don't believe it, look at the mess we currently have in California--the state is going to go bankrupt.)
Companies that do not offshore

For anyone wanting to keep the work in the USA!!!!!

















Companies that do not offshore work

Are there any companies that pay a good line rate and are good to there MTs that do not offshore there work?  I am trying to help a friend looking for part time work, but she is staying clear of those that offshore..

Any help would be appreciated.

If companies offshore they are not allowed to
post ads on MTStars.  TM is not one of those companies.  They are not an MT company, more like an employment agency.  If a company pays to advertise on MTStars any post that doesn't glorify them is removed and evidently that is what happened.  
offshore - most companies send
only what their current staff cannot get done or if the hospital specifically demands it - how does this take away from the MT or is it the fault of the MTSO?? I think everyone is angry at the wrong party - - everyone (companies and MTs) do what the hospitals are demanding
I think they are trying to be competative with the offshore companies for one,
but I think some are just greedy and they want you to think that they must lower their rates to keep an account and that trickles down. 
She tries to hook you up with companies that offshore. NO thanks.
More and more companies offshore. Lots of them
say they don't, but they do.  It is getting harder and harder to find a company that doesn't offshore, whether it be to India, the Phillipines, or Trinidad.   If you have children to feed and a mortgage to pay you HAVE to work.   Unless you've figured out a way to get the bills paid and not work you do what you have to do.  
Yes. I will not work for companies which offshore.
If we all did that, the companies would have no choice but to come back and give us our jobs back.
Is there a list of companies that DON'T OFFSHORE?

If not, can we list them here?  I'm tired of getting laid off or not having enough work from companies who're sending work to India. 


If you know of a company that doesn't offshore, it would also be nice if you could say whether or not they require VR.


Thanks in advance to anyone who participates -- we're all in this together!   

Here is a list of companies that offshore ... FYI

See study overview table from 2008 MTSO study:


Nearly all the offshore companies have front offices in the U.S. sm
Sometimes their actually hotel rooms.  They use international phone numbers and purchase a phone # in the U.S.  In point of fact, clients many times don't even know they are dealing with an offshore company.  The owner of this website has done extensive reseach and knows who offshores and who doesn't.  It isn't that hard to figure out when you start connecting the dots, i.e., visit the website and there is no place for MTs to apply. Almost all U.S. based companies have a place to apply.  Notice that all the offices, including those in other states, all have the same address and phone number.  And notice if you call that 24/7 phone number you always get a voice mail.  There are lots of ways to tell.   The offshoring companies are getting more sophisticated about how they work things.  And some hospitals are getting more persistent about not contracting with services who are offshore.  It's a shill game. Dishonest and deceitful. 
Is there an easier way to find out if companies offshore?
I have worked for 3 companies that all offshored and were absolutely not forthcoming about it upfront. I never want to work for one again. Is there a list somewhere or am I banging my head on the wall. Again.
How about this? In a nutshell, which companies DO NOT outsource OFFshore?

I though offshore companies could not advertise on this site?
Guess I am wrong about that.
OP asked for a list of companies that DO offshore (sm)
Inside the post she asked to start a second list of companies who keep work here in the USA.  I understood the post, and was merely listing Keystrokes as someone who does NOT offshore to go on the second list of companies that keeps work here.  KS does NOT offshore and they never will.
WHOOPS, referring to companies who do not offshore.
Unrealistic view that a lot of MTs do not understand. The offshore companies sm
have very deep pockets and make it attractive for companies here to use them. Even if every smaller MTSO refused to do it, do you think we would be able to compete with Spheris and C-Bay just to name two of the bigger companies that use the offshore transcriptionists?

Hospitals, unfortuneately, often care more about the bottom line than the perfection we expect from ourselves. Many doctors do not read the reports (most from what I understand) and just care that they have satisfied JACHO requirements by having a record in the charts.

Offshore transcription is not going anywhere. Sad but true. I do not support it but I am a small tree in a very, very, very big forest.
Are there any companies left who don't send work offshore?
I think the 2 largest companies that do not offshore are Webmedx and Keystrokes. sm
Webmedx is in the $25m range with 750 employees and Keystrokes in the $20m range with 600 employees.

I am not sure about SoftScript or Transtech but I do not think they are bigger than those two.

I know that both have goals to be in the same size range as Spheris. I worked for Spheris in management for a while before coming to my senses and both companies were discussed frequently.

I just hope that MQ or Accusis does not buy either of them. The rumor is that neither will even think of selling but $$$ talks and MQ still seems to have plenty even after losing the lawsuits AND after having a negative income for several years. Not sure how or why, but their pockets are deep, as are those at Accusis.

Actually, companies get BIG tax breaks if they do offshore thanks to Prez Bush; who we all know supp
Everyone is always wondering what companies offshore and i found a link to a bunch



Notice AlphaBest is on there and she SWEARS she does not  send work to India.  I worked there and i knew she did but she refused to admit it even though it is in writin now.

Wrong. Companies chose to or not to offshore work, nobody makes them. sm
My company does not offshore work, absolutely will not. We've actually gained/kept accounts assuring clients that we do not. We have many clients, cutting edge technology for both customer and employee, a healthy growth rate and a high MT retention rate. It's not impossible to have a successful USA-only based company. Sadly that may not be the norm anymore, but it's a choice MTSO/CEOs (whatever they may be) make and in my opinion maybe cutting some of the bottom line and offshoring is being done in place of producing a high quality of work that keeps a customer happy and not looking around for other service options. Subsequently I think these companies then suffer inferior work further because they are paying less and/or maybe have contractural obligations. Personally I'd like to think they'd still prefer high quality to low prices and inferior product. I have to wonder if these offshore companies are losing just as many accounts because of their product. I just know I am glad I work for a company who doesn't outsource, doesn't plan to, and has every intention to remain successful because quality does count.
Boycott the BOS? Why not boycott the companies who offshore? Makes more sense to me.

You have to admit when doctors say stuff they don't necessarily say/spell it right.  It's your job to do so, and that includes producing a readable, understandable report that is uniform with those that are in use in whatever facility it goes to.  If everybody did things their own way imagine what a mish-mosh of things would wind up in a patient's chart, not to  mention there would probably be no end to made-up things or things inserted because it seems to fit.   

I wrote a letter to Hillary Clinton today, and I also wrote one to Mitt Romney.  I am also going to write ANOTHER letter to the Editor as soon as I can compose my thoughts.  Just think, if we ALL did this someone might say, well what's up with all this? and maybe we would eventually see a change.  This didn't happen overnight and it won't change overnight.  And it certainly won't change at all if everybody just sits around and complains.  Strength in numbers, they say, and I'm sure we MTs are a large one. 

And I would type 40, three refills, I believe that's what the BOS says.  I don't see it as particularly rebellious on your part. 


offshore overseas.... not outsource .... correct term is offshore.
This seems to be pro-offshore board. Messages against offshore often just disappear.
At least you stand up for yourself!

I am the HR person, QA, and trainer for a small company.  We've had the same employees for more than 5 years, some as long as 10.  Recently we had to hire a few new people because of growth. 

People talk about wanting to be respected and wanting to keep the work here.  I agree this needs to be done but in order to do that we have to have qualified people.  IF somebody passes our simple test, which is transcribing real files, and we hire them, we tell them their line requirement.  We don't even require set hours.  We get people who won't do 200 lines per day, much less what is required.  We get people who say they have 10 years of experience, yet require total read throughs, which cost us money.  The incredibly bad ones we have to let go, which is incredibly hard for me to do, then come here and post how horrible the employer is.  They don't mention the fact that 1) they still have our equipment even though they have their last check, 2) they failed to do their required lines per hour, 3) half the time they just didn't work at all PERIOD.  Or I invest a great deal of time in training them and they quit with reasons like I didn't realize it would take four hours to work part time and get my lines, I didn't know working at home was like having a REAL job.

I don't know anything about your company at all, but I do know the frustration at being hammered on these forums without the real stories being told, so I think it's great that somebody actually takes up for their company.  We do not outsource, but I have edited for companies who do, and the work is there ON TIME, even if it has to have minimal editing.  If someone is sick, there's somebody to back them up.  No whining, no emails from people who say that for the 10th time this month there was a wreck and their power is off, the dog is sick, I fell and hurt my back again, my dad is going to be ill in December so I'll need time off, my car broke down and I had to walk 5 miles home so that's why I am 8 hours late getting on, I was out all night partying and I have too much of a headache now to work.  It's a real shame for the people who actually do work their tails off.


What does TTS stand for? nm


Take a stand.

Lest we get redirected to the politics board, let me make a few general observations.  I would not look to the companies for resolution.  They are only one player among many whose greed holds our country in their clutch...a tight, squeezing grip that impoverishes the poor, enriches the wealthy and make economic refugees of the ever-shrinking middle class.  Look beyond the corruption of the politicians and whatever despair, frustration and hopeless you may feel.  For a long and single moment, stare far back into the eyes or our history and ask these questions over and over and over again:

Why are we paid wages like we're a third world country. It'd be nice just to meet the bills, but between low wages and high costs of having insurance, which we have to have because our antidepressant medications are so flipping high, who can survive doing this anymore? 

They are your questions.  They are mine too. Why, indeed.   Go and find your answers.  Seek educated and balanced debates pros and cons, right and left. Here's a hint on how to start.  You'll have to switch to something besides Fox and CNN to find this.   Listen to the candidates.  Follow the rhetoric and their platforms.  Watch closely and be a tough critic.  Put yourself around others who share these perspectives.  Listen and contribute, teach and learn from one and the other.  Identify your agenda and then go out and promote and support it. 

Do this between now and this time next year.  Then show up at the polls.  You will know what to do.  If you don't get what you want from the leadership and the legislators, do not disappear into the corner of the country.  Get out there and go for it, over and over.  This is not wasted effort.  If you were a child of the 60s or 70s, you would believe this.  In my life, sweeping, long-reaching and lasting reform has come and gone.  Minorities and women still reap the benefits of those efforts from so long ago.   The time is ripe for history to repeat itself.

PS:  If this were 1970, you and I would be organizing (watch out, here comes that dirty word) LABOR UNIONS. 

Could not stand it ..
First post I read was how nobody needs the BOS. Then I read this .. some days you just have to wonder how in the world people make a living if they really feel there need be no rules or standards. Forget India or Manila or Pakistan and for God sake, remember patient safety. There is a reason for standards and every time I come here I see someone shooting themselves in the foot with their incredibly illogical logic. Our jobs are about patient safety .. first, foremost and always.
What does LTS stand for?
Can't stand it.
I hate the way it searches patients, I hate the autotext format...basically can't stand it. I only live with it because I play it in express scribe and type it in word and then copy it over.
what's TT stand for ? nm
Where is YOG or what does that stand for???
Does this company still exist?  I tried to look on Google to see what company this is and cant find it.
What does it stand for, please? (SPi) (nm)

Who is going to stand up for us?

We are all spread out, and the company I just came from kept everyone's name a secret, including how many working on the account, changes in schedules - everything.

And this is exactly why, so we CAN'T do anything about anything.

I was with them about a month. I could not stand the
account they had me on and they got pretty rude about it.
what does MTSO stand for? nm
It would only stand to reason that they
ALWAYS on the verge of losing accounts, probably because of the cherry-picking, lazy, idiot MTs they employ.

Also, as was posted by Deb the last time this issue was brought up, it is because it is a different platform. Do they offer any of us without work the chance to train on the new platform? Of course not!
I stand corrected...

If they do not have the integrity to stand up and say they have
enough staff, then I have lost all respect I had for any of them. Most of them have no ability anyway, so when they lose those jobs, they will be on the welfare lines.
I see. I stand corrected.
I absolutely cannot stand it - sm
When people feel the need to correct errors in posts!