I'm not in a rural area. I'm in a big city and everything is SM
Posted By: SF on 2007-08-30
In Reply to: I stated the same thing in another post...sm - tbpmt
outsourced. My beloved company, run by a very decent man, was bought out by Edix. I thought they were bad until Spheris took them over. God help us.
Then there is the large community hospital, who has a "sweetheart deal" with another outsource company. You would not believe the garbage that goes on in this field.
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Do you think a company pays less for rural pay than city?
Does not make sense to me.
Just moved to a rural area
Have a satellite dish, no cable. The phone company out here does not provide ULD. One job I would like you need ULD, and the other you need internet access, no satellites accepted. Does anyone have any ideas? Is there a way you can get even dialup without having to use long distance?
I am am in a rural area with lots of trees - sm
so when I had Bluesky (or what ever the name it) come out they said too many trees for the satellite. My one neighbor just got Directv high speed.....she also has lots of trees. So I may be looking into that (have Directv now just not the internet hookup). But I currently use a Sierra Wireless Aircard 875U. Unlimited and costs me $67 a month. It is through AT&T but I know Verizon has it too, as well as Sprint. You need to make sure it works where you are first though, but their websites can help you there. I love it. Not as fast as DSL but a huge step up from dial-up. I have it set up to use on my desktop, laptop, my backup desktop, and my daughter's computer. The only thing I have with it is it does not work everywhere...when I try to use it on my laptop...unlike the commercial where they show the guy in the middle of Africa or wherever he is. But I have been very happy with it.
Yep, I agree 100%. I live in such a rural area, though, that my neighbors, the natives, think I'm
NUTS cause I keep my dogs in the house, and actually still walk them on a leash in my yard. We all have about 2 - 5 acres minimum each of woods in our neighborhood, and no real dog laws at all! Dogs run at large 24/7, which is no picnic for me with my dogs on leash, either! And they ALL keep them outdoors, tied up with the chain and the smelly old dog house. I think they just look at dogs strictly as deterents? Not sure really, come to think of it! Cause even if they were getting robbed, Fido couldn't get off the 6 foot chain! Oh well! I used to be sad all the time for the plot of the dogs here, but I can't save them all! Only my guys!
You must live in a metro area because rural areas pay even less per hour.
Of course you can buy a big house for 130,000 in a smaller town and the same amount won't buy you a pot to pee in, in a place like San Diego or the D.C. area. It's all relative.
I live in a small rural area and they housed some evacuees at a nearby military base
crime went UP in our little community that previously HAD a ~very low~ crime rate. It is a FACT. I'm not saying all NO residents are like that, but MANY seem to be.
My mom was raised in conditions like this poster describes. Mom's parents died when she was 7 (father) and 9 (mother). Her teenage sister (newlywed) raised her and 4 other siblings. They had next to nothing. Not ONE of them turned to a life of crime. Not ONE even graduated high school but they still made good lives for themselves. Life was rough for them, but they didn't blame it on everyone else and cry around about what the president should be doing for them. It is all about RESPONSIBILITY and taking what life throws your way. IMO.
I am in the Kansas City area... nm
nm
I live in the Kansas City area and this summer we have had a rash of pit bull attacks especially
in the Independence, MO area. The city governments have passed laws banning pit bulls and last week something like 100+ pitbulls were picked up by animal control or dropped off at the city pound and all were destroyed.
Personally, I think the owners of these animals should be held just as accountable as the dog. Well, I guess maybe putting the owner to sleep is a bit extreme.
I'm so sorry about your lab.
Tampa Bay and area, Tampa a city. sm
Tampa Bay is actually the water in the Bay, but the communities along the shore have come to be referred to as Tampa Bay. Not a town, though. Tampa is an actual town.
Oil City High School, Oil City, PA
nm
PA - Pittsburgh area is one locale, Philadelphia area also.
TriState area - PA, NJ, DE.
I worked for a rural doc. So much fun! :)
We even had a patient in the waiting room one day that brought in a paper bag with baby chickens in it as it was too hot to leave them in the car. Nobody in the waiting room gave it a second thought.
It was great fun to work there. They called it a "medical center" but it was in an old house with less than state of the art equipment. The country folk swore by "Doc" and "Doc" didn't think twice about going out at 3:00 a.m. to make a house call.
He never would have dreamed of asking for a co-pay up front and even let one farmer's wife pay with fresh baked pies.
They sure don't make them like they used to.
P.S. We still had typewriters back in 1994. :)
I have the same problem and we are not THAT rural....sm
It is very frustrating to feel so limited in your job choice b/c of something like that. I have never really had any major problems with my dial-up and have been told by two different techs. that I have excellent connection speed considering it is dial-up. Frustrating though....
rural hospitals
If this is an extra job I would certainly make it worth my while. I worked at small hosp. for 5 yrs that did not want to work us from home. Kept saying they could not but I knew better. Eventually I went off on my own and have been home since. We had 3 FT. They hired 2 in my place and 1 PT for wknds. I type at night now to catch them up. They still had 1 PT and 4 FT, but I charge them 15 cpl. I clear in 5-8 hours what they all 4 do in 1 day, literally. Still did not want to put me or others at home. Want me to drive 45 miles 1 way to type, after I've pulled my reg. 8. Now what I do, whether they know it or not, I dial up on my C-phone into thier system and type at home, save it to disc (they monitor email + HIPPA) drive over for about an hour and transfer work into thier system. So if they have a phone in line you might check with them about on call stuff being typed at home, especially if this is stat work. It will certainly get back to them quicker. This is just fear of the unknown. This same hosp. has now, instead of firing those not doing work and hiring a good worker or paying them OT will pay me double the amount. They have also moved the weekend girl to FT and are letting a file clerk/PT IC do the weekend x-rays and still want me to help. That's 5 full time typist and 2 PT for a 43 bed hosp. Thier may reason was not to put thier network on home computers, which they all ready do. Won't give me network access but have given it to the weekend girl. Plus they are paying a consultant out the wazoo to tell them why this is not working!
If you are going to be on call, make sure you have set days or hours that you will be on call and that you are compensated. Don't let them just pay you for the work you do. Your time is worth money also. In other words don't sit home all day 3 nights a week waiting for a phone call and get paid for 1 hours. I have done this in the past where I worked and was on call on weekends for x-rays. There might be 1 or 21 or none. I got paid by the hour. If there were none I got paid for 1 hour for showing up. Ask an x-ray tech or someone who gets on call pay. They get a flat rate for being on call and then they get paid for the individual call.
Actually, I live in a rural community sm
and left a hospital where that was very good pay. Starting wages for MT was $8.00 an hour with a 25 cent raise every year if you were lucky. $11.50 would be like gold for the transcriptionists that work there.
Rural America wages
Last year interviewed for two transcription jobs. Neurology office $13.50, hospital $16.00. (the most I have ever been offered) I was offered the neurology position, but declined and the hospital job was given to someone with less experience, i.e. less $$$, they were hoping to add an addition MT on, but did not. I have over 15 years multispeciality office transcription experience including running my own business for 10+ years. I basically learned on the job, sort of fell into transcribing 20 years ago. I am also a Certified Medical Assistant (silly me, actually went to school for that), I have worked in physicians office over the past 20 years part-time doing medical assisting and transcribing and worked my way up to $11.50/hr. Unfortunately in the office MAs are being replaced by regular high-school graduates, $7.00 per hour, etc, and of course they can do transcription too.. ha ha. Since I live in a rural area the opportunities are limited and each position would require a lengthy commute and with high gas prices that is just crazy, so I decided to go employee with national. Since I get paid by production I can make more $$$ that way overall but the cpl rate is not nearly what it should be, you just keep working harder for the $$$. I would not recommend anyone get into this field by choice as technology will eventually whittle us away to almost nothing. If you want medical, go for the top.. doctor, RN, nurse practitioner, PA, etc. Decent wage and some respect, too.
Rural doctor situation...
I hate going to the doctors office. My daughter has had a sore throat for a week and went in to see doctor this morning, sat there for three hours. We have gone through six different pediatricians/primary doctors in 11 years. How are they suppose to know if there is something really wrong. Doctor looked at her (daughter, 17) throat and asked why she had not had her tonsils out. Did not ask her history. She has not had a throat infection in over 10 years. As a toddler she had frequent throat infections and naturally large tonsils and doctors never once stated they should come out. Now, she is worried. She is a vocalist and does not want to that to effect her singing. Anyway, I'm getting off the subject here. We went in to see the doctor in clinic to find out he quit Friday and there is an interim doctor (who we've seen in ER and who has filled in for other M.D. in the past and like a lot better than current M.D. Too bad he is not staying). Is it that inconvenient for doctors to locate a practice in a rural area? Our area might not have much but we are only 30 minutes away from one medium city and 45 minutes away from a moderate one. Our little town is now down to one doctor when at one time it had 4-5 family practices. We have a hospital, but no doctors. LOL.
Thanks for letting me vent, but this is really getting riduculous. The doctor today did inform me that he was trying to recruit either some doctors finishing their residency or maybe some middle aged doctor from the N.O. area that would like to start over. We have great facilities, just no doctors.
I give, where in rural Georgia
are you talking about? I think I could put up hearing that more than I can with what I hear out of the Atlanta stations, at least it is not butchering the English language - just maybe their own language like I had mine from moving from Tenn. I understand that nexted above- I have heard that and even worse. I have a daughter-in-law who is parapro right outside of Atlanta (Jonesboro) and supposedly they are not to correct children when they speak incorrectly- she says heck with that and does. Can we say ebonics?
Regarding unlocked doors, rural or not
My sister once left this true-crime book at my house and I read it, I guess because I wanted to have nightmares for a week. It was about serial rapists (WHY does she read this stuff?) Anyway.... one thing I noticed was that almost ALL of these perps walked into people's houses thru their unlocked doors, usually in the middle of the day. Sure your husband may be right about if someone wants in they'll get it, but just like anyone else, criminals prefer to do things the easy way. Why help them?
I'm an IC for a mid south rural hospital...
Although I get paid per minute of dictation, I have done the math and I make 10-11 cents per line. Patti is right, it doesn't matter per line or per minute. Its what you make per hour. I do radiology and the basic four every day with the same dictators with a new one thrown in every now and then and have been doing so for 13 years and make anywhere from $20-35 an hour working average 5-6 hours a day. Did not ask for a rate increase until my 8th year in which they balked at and began looking elsewhere. Two years later asked for another rate increase in which they readily agreed to but keep better track of what I do. Better to start low and become valuable to them than start too high.
IC working for a small rural hospital
I have worked for a small rural hospital as an IC for 9 years, this year I asked for a raise. Hospital thought about going to a national until they found out how much they charged. They contract their transcription themselves.
In 1995 I was making 12 cpl for a small, rural
Changes were gradual. First, we were allowed to start working at home at 12 cpl, instead of the hourly wage. We still were employees and had the same benefits. This saved the hospital money in overhead and we were all happy. Then they started using outsourcing services for holidays and weekends. Gradually, the whole MT dept was phased out and we had the option of going with the service handling the hospital transcription or finding another job. The service kept us at this rate of pay for a short time and then gradually started implementing "incentive bonuses" and lowering the line rate of pay. It evolved over the years to what it is today. Starting line rates were lower and incentive bonuses done away with. Health insurance is contingent on production, but their platforms crash regularly (as do many, many others) and we either have to work extra to make up the loss or just eat the financial loss altogether. The services overhire to make sure that their TAT is met, which means unstable availability of work, which in turn affects production, in turn affecting benefits.
The logic today behind all the changes is the "lack of experienced MTs in the U.S.", thus the need to hire people outside the country, who have even LESS experience with the English language and slang medical terms, at half the price of hiring American MTs. The MT field in general has to be able to compete and so must lower their rates to keep clients from going offshore at half price. And now with the advent of VR, the MTSOs using it try to justify the cut in line rate to the fact that we're no longer "typing", we're "just editing." It's been a gradual evolution, but not in a positive direction.
And in all of this, AAMT has not come to the aid of the transcriptionist. It has furthered the promotion of offshoring and has developed ways to enhance the MTs adjustment to VR instead of enhancing the MTs value and amount of worked involved in VR. When the AAMT doesn't step up for the very ones it says it represents, why would the ones using the services respect, understand, or value the MT either?
It is pretty rural where I am too, but the sprawl is coming - sm
My friends in the area (been here 8 years now) are people from the old school my kids went to, now a couple parents at the new PS they are going to and my neighbors. I am lucky in that I live on a private road with 14 houses on it. It is our own little world/community and we all get together now and then and have about 2 big parties a year (Daytona and 4th of July). I am close friends with one neighbor. I don't really have a "best" friend here (they are back home where I grew up in PA who I see 3-4 x a year) that I go shopping, etc. with, though Mary and I do things now and then with our kids. See if you can get friendly with your neighbors, good to have a local support system in place if you need it. Maybe a local library or club. Our area is slowly building up, have a supermarket now 5 minutes away versus 30, a local library, 2 dance studios, martial arts, a couple restaurants, Curves, movie store, etc. Try to get involved in some local club or activity, great way to meet people, or voluteer down at your local elementary school 1 day a week or something, they can always use some help. I keep very busy with work, Curves, taking the kids to dance (there are adult classes too), library trips in the summer, etc. I am pretty social though I don't mind being by myself either; so I try to keep a happy medium, but getting out and involved in something is the key to meeting new people. Give it a shot.
I worked in a rural physician's practice for years.
He eventually ended up joining a group. He still has his office in the same place, but is financially part of that group. Unless they join some sort of group/organization so that they can get group rates on lab, insurance, etc., it is really hard for them to survive. The community lost its hospital several years ago. You said your community has a hospital, but is it a full-service one? Our next nearest town with a hospital is about 35 minutes away. Now the 2 hospitals in that town each have satellite physician clinics in our little town. When I was working for this physician, we had a total of 4 doctors in town. Now, through these satellite clinics, we have a good number. Before this physician joined this group he recruited numerous physicians over the years. Unfortunately, he was not able to assure them enough of a salary and benefits to keep them. There is simply not enough money coming into these small clinics. They have to satisfy Medicare and insurance regulations, just like the big clinics. The recruited physicians all eventually left for greener pastures after being actively recruited by other facilities. One physician I remember tripled his salary when he left there.
just some information for MTs in rural areas where high speed is not available
Hi all,
Was just on the Sprint website a little bit ago and checking out wireless cards for my laptop since I will be moving to an area that doesn't even have landline service available yet. Sprint is now offering a wireless card that is a USB card and apparently will work with both a laptop and a desktop as long as you have an available USB port on your computer. Might be something to think about 
Opinions please! I have been asked by a small rural hospital to do their overflow. SM
It is clinic notes that are pretty easy to type. Some of the work is digital and some is still on tapes. They want me to come in and pick up tapes, and they want me to print and deliver reports when I pick up the tapes because they don't know much about setting up a remote printer. I made an introductory offer of 12 cpl for the first month and then 15 cpl if we both feel like continuing to work together. I felt that since I am going to be out the cost of gas and ink, my offer was more than reasonable. Well, they countered with a flat 12 cpl period with a one year contract and then we reevaluate at that time. While I was mulling that over, she called back and asked if I would be interested in doing some radiology for them in addition to the clinic work. So basically this account will keep me very busy and is not going to be just overflow.
So now I'm back to thinking 15 cpl and because they balking, not offering the introductory rate anymore.
What does everyone think?
The phone line has to support DSL signals. Most rural lines don't due to distance from central of
x
There's a law in our city that you can't have more than
a certain number of pets in your yard or home. Have the neighborhood band together and sign a petition or turn him in on every tiny infraction. Get rid of the guy. Take back your neighborhood.
Sex And the City! : )
x
What city? - NM
x
What city is LCC out of? Do you know? (nm)
xx
what are you trying to do, build another city...
please go down about four posts and see the one titled "It never fails to amaze me" and see what happened to that train of thought and the responses to the same. You might get a clue to your answer. Have a great day.
It's certainly UNBELIEVABLE that they'd do this the city, but
I guess I don't know enough to understand why? What could the government of NY had done to prevent this? What were the grievances? I really think we need to blame the right people here, so hopefully someone will be able to share more info on why this happened.
Kansas City, MO Thanks! nm
nm
Why does everyone think Kansas City, MO is
Kansas City, Kansas as well, but for the most part when you hear KANSAS CITY it is referring to Missouri. The Kansas City Chiefs are in MISSOURI, not Kansas. Downtown Kansas City (the one you hear about) is in MISSOURI, not Kansas.
Those City folks
I can really relate to your situation and wanted to tell you this story.
I live at the base of a mountain. There is an RV place out here and every winter the hunters camp and .....leave aggrevation everywhere (garbage).
Yesterday i drove the 15 miles to town to the post office where they know everyone by name. I was packaging my book to mail and was listening to this conversation: A gentleman handed a change of address form to the Postmaster. He says," You just moved in that new house on the hill last fall. Is everything okay"?
Naturally everyone looks that direction. The gentleman says " We don't like that housing developement on the hill. There is way too much snow".
Continuing with his story: My wife had the kids were in the SUV and the road was covered with snow and ice. (duh, it is all winter long). She had to stop because of the herd of Elk standing on the hill in the middle of the road. She slid back down the hill and wouldn't drive up again until I came home from work".
So i have asked my husband for a snow maker!!!!!! Maybe they will all move back to the city. At the base of this hill, a herd of Elk always graze in the field. There have been many occassions i drive the grandkids that direction to watch. The 3-year-old asks to me take him to see the funny cows.
So if anyone has a spare Snowmaker please send it to me.....I would love to drive the rest of the city folk out of there!! 
city folk
I'm a city girl who moved to the country a year ago, and just want to tell you we're NOT all like that! Glad your game warden & cops did that!
My family & I respect our environment and animals (neighbor's pets and wild ones)& are upset to see garbage alongside the beautiful country roads! Even went out & cleaned it up a few times (by next day it was a mess again!). We have a teen boy on our street who drives like that, too....and he's always lived here in the country!
That kid who killed the deer & tried to hit your dog will get his..."what goes around comes around".
You think we stereotype that all country people are dumb...well, aren't you stereotyping that all city people are like that family?
Johnson City HS, NY
How do I reach them? What city are they in? Do sm
you work for them?
If within city limits, you will.
I at one time ran an ad in Yellow pages with my last name and then "Typing Service" as I was trying to get students and those needing resumes. The city called me and told me I needed a business license. It is a small percentage of the gross annual income. Then, you can display it. They also want to know if there is incoming and outgoing people, whether I would be selling a product or if it was a service and whether it will be in your home and if so, would there be traffic coming and going. I did not contact my insurance company but probably should have...(I had very little business lol).
HA, I always thought her name was the city she was from!!!!
silly to have to point that out about yourself!
I'm in AL, too! Phenix City. nm
n
Hey Forrest City (sm)
I grew up close to there and attended high school at FCHS. Wonder if we knew each other?
Do you mind if I ask what city...
you are working in? I live in TN and all of the jobs I have seen advertised pay under $13 per hour. I had no idea the hospitals here pay that much.
RE: Do you mind if I ask what city...
Memphis.
Depends on your city
I was first told no and now have been told that yes I do. So check with your city and they will let you know. You are running a business just as any building contractor, consultant, painter, plumber, etc. and so they are making us do this more and more. You usually pay a percentage of your earnings. But since we have no foot traffic I did not have to get the approval of my neigbors for the business. This is in Portland, OR.
Y-City star
I guess they don't have the public voting ready yet. It should be ready tomorrow. I will keep you posted. Thanks on the hair color. My stylist thanks you too. I can honestly say it WAS my natural color when I was 10
Y-City Star
I definitely will keep you all posted. You should be able to hear a 90-second audition clip tomorrow. The first show will be July 15th and the second July 29th. The first 20 will be narrowed down to 8 and then the winner. This is a lot of fun and I am definitely singing for "All the Girls" I was never one to get up in front of people and talk much less sing. Finally got the courage. THANKS FOR THE VOTES!! 
Is that the wendy city??
NM
I believe that would be TNI, LLC, a company, not a city. nm
nm
How would the city or your neighbors know
you supposedly ran a business out of your home. Do you have employees, a parking lot at your home to have the employees park there, overhead including insurance to cover disability in case 1 of the employees has an accident on the job. First of all, no neighbor of mine knows I have a business (if you want to call it that, I don't) but secondly if someone from the city came by asking questions the answer would be I don't know. In fact I had the city to come by 1 time to inquire about work I had done inside my house, told me they needed to come in and I said no to them. Never heard another word about that. I do not know what kind of work the person on the right or left does, oh I do know 1 lady said she works for IRS and that is that. She might have a zoo in her home for all I know. I would never think about putting myself on the line to say I need license. Bunch of crock.
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