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I will only agree with outsourcing and off-shoring when Americans have carte

Posted By: blanche to go to the countries the jobs on 2006-01-27
In Reply to:

are going to.  Like, the companies that enjoy the protection and luxuries of operating out of the United States -- when those companies work deals with the COUNTRIES they are allowed to send our jobs to SO THAT WE CAN VISIT, MOVE TO, EXPLORE, SHOP IN........when we can go to those very same countries without question, passport, or visa, then I will say I will not fight off-shoring and outsourcing.


But the way it is now......basically we are being held PRISONERS IN OUR OWN COUNTRY while our JOBS ARE GOING OUT THE DOOR.


 




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The point was the reason for outsourcing, not off-shoring. sm
Every facility that pays a vendor to do its transcription - including US vendors - is outsourcing and yes, the main reason is a shortage of qualified MTs so that many facilities, especially those in less populated areas, cannot hire enough qualified local MTs.

This is a different argument from the reason for off-shoring the work, which undoubtedly is the cost differential.
off shoring means the company actually moves there. - of course I mean outsourcing to foreign lands.
they may up their ante but they will always undercut us in price, because they can. No Work Comp, no EOE, no OSHA, no health insurance. If they charged the same as us, what would be the point?
I hate outsourcing but I have to kind of agree
that while this does not apply to everybody, there are definately many 35 years old that act like they are about 10 including my husband who likes to throw temper tantrums for about just about everything.
off-shoring
My mom's cardiologist told me their group of doctors off-shore to India because it is so cheap do to so... they pay them 3 cents a line.  I talked to him about the quality of the reports and he said they don't care about the quality, it's all about saving money
That's about the same state of MT, without the off-shoring.
xx
In-shoring jobs for MTs.

http://health-information.advanceweb.com:80/Editorial/Content/Editorial.aspx?CC=200503


 


Off-topic story about off-shoring

Recently, my father cancelled his JCPenney credit card b/c he was furious that they had outsourced their customer service dept to India. Long story short, he cancelled his credit card & wrote them a letter complaining about the language barrier and told them that if they want to accept American dollars, they should hire American workers.


A few days ago, he received an incorrect billing statement from him. He called the customer service dept and quickly realized he was speaking to an American. The woman on the phone told him that JCP had received so many complaints, that they are closing their India office and bringing the jobs back to America. She said it was b/c of the lay-offs in India is how she got her job.


I think you are missing one of the worst points of off shoring. sm
All of these people working off shore are not paying income tax, social security tax, medicare tax, or state tax. The government is losing a small fortune on these salaries, and as the price of their programs go up, so will our taxes. Someone has to pay for it. The people making minimum wage will not be hit hardest, it will be the middle class, those of us doing this profession, teachers, accountants, etc. Maybe when your tax hits 50%, you will begin to see the light.
off shoring tests for health care professionals











Below is an ad I found were they are offshoring the devlopement of questions  now this is scary


 


Title: Healthcare Exam Question Writing


PROJECT DESCRIPTION

The client is based in the United States that is providing training and education to health care professionals.
The client is looking to outsource the process to outsource agents who can write exam questions from the source material (source material can come from journal articles, books, etc.)
1. The client will provide the source material either by email or by providing the web address.
2. The outsource agent will write multiple choice questions from the source material provided. Each question will only have 4 possible answers, with only one answer being correct.
3. The client will designate the number of questions required per course.
4. The outsource agent will format the questions in a format that will be provided.
5. The outsource agent will email the questions to the client for review and editing.
6. The client will email the edited questions back to the outsource agent.
7. The outsource agent will upload the edited questions to the client website.

The client will pay one dollar US ($1) for each question written.

We believe that for a typical set of question will require 15 questions and will most likely take about 3 hours to complete. This equals about $5 US per hour. We anticipate rejecting some of the questions that are developed, though the client will consider paying for the development. The client will work with the selected agents in the future to assist with question development.

No Project Files


As Americans....
All I see us doing is "convicting" Natalee and her mother.  I just want to know why some come to the defense of the ones that are thought may be guilty and the ones that are actually being held, yet at the same time are so ready to tear apart the victim and her family.  I mean come on, let's complain about the mom's make up for crying out loud, or the fact that she is distraught and saying things that aren't right.  PLEASE PEOPLE.  Get real.
Believe me, when we Americans are
fed up with anything something will be done!!  What do you think the original American Revolution was about???  I know, I know....so many Americans have become just "sit on your butts watching TV and let someone else handle it" idiot!  But I do have faith in plain ole common horse sense.  This is our country and we must do and shall do what is necessary to keep it that way.  People will rise up when the situation gets bad enough and quite honestly, I think we are almost there, don't you? 
spy on all Americans....did you not...sm

Did you NOT see all the newswires on this very subject about the govt spying via Google's new desktop?  Read and then go to Google and read some more!! 


 


February 09, 2006



Google Copies Your Hard Drive - Government Smiles in Anticipation


Consumers Should Not Use New Google Desktop


San Francisco - Google today announced a new "feature" of its Google Desktop software that greatly increases the risk to consumer privacy. If a consumer chooses to use it, the new "Search Across Computers" feature will store copies of the user's Word documents, PDFs, spreadsheets and other text-based documents on Google's own servers, to enable searching from any one of the user's computers. EFF urges consumers not to use this feature, because it will make their personal data more vulnerable to subpoenas from the government and possibly private litigants, while providing a convenient one-stop-shop for hackers who've obtained a user's Google password.


"Coming on the heels of serious consumer concern about government snooping into Google's search logs, it's shocking that Google expects its users to now trust it with the contents of their personal computers," said EFF Staff Attorney Kevin Bankston. "If you use the Search Across Computers feature and don't configure Google Desktop very carefully—and most people won't—Google will have copies of your tax returns, love letters, business records, financial and medical files, and whatever other text-based documents the Desktop software can index. The government could then demand these personal files with only a subpoena rather than the search warrant it would need to seize the same things from your home or business, and in many cases you wouldn't even be notified in time to challenge it. Other litigants—your spouse, your business partners or rivals, whoever—could also try to cut out the middleman (you) and subpoena Google for your files."


The privacy problem arises because the Electronic Communication Privacy Act of 1986, or ECPA, gives only limited privacy protection to emails and other files that are stored with online service providers—much less privacy than the legal protections for the same information when it's on your computer at home. And even that lower level of legal protection could disappear if Google uses your data for marketing purposes. Google says it is not yet scanning the files it copies from your hard drive in order to serve targeted advertising, but it hasn't ruled out the possibility, and Google's current privacy policy appears to allow it.


"This Google product highlights a key privacy problem in the digital age," said Cindy Cohn, EFF's Legal Director. "Many Internet innovations involve storing personal files on a service provider's computer, but under outdated laws, consumers who want to use these new technologies have to surrender their privacy rights. If Google wants consumers to trust it to store copies of personal computer files, emails, search histories and chat logs, and still 'not be evil,' it should stand with EFF and demand that Congress update the privacy laws to better reflect life in the wired world."


For more on Google's data collection:
http://news.com.com/FAQ+When+Google+is+not+your+friend/2100-1025_3-6034666.html?tag=nl http://www.boston.com/news/nation/articles/2006/01/21/google_subpoena_roils_the_web http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2006/01/20/EDGEPGPHA61.DTL http://news.com.com/%20Bill+would+force+Web+sites+to+delete+personal+info/2100-1028_3-6036951.html


Contact:


Kevin Bankston
Staff Attorney
Electronic Frontier Foundation
bankston@eff.org


http://www.eff.org/news/archives/2006_02.php


 


You all must be the Americans sm
Do you have any idea how it feels to natives of other countries who speak a different language, when Americans go there and insist that everyone speak English with them? Not even the courtesy of being able to say please or thank you in any language other than English. It is rude. It is selfish and it is no wonder that much of world holds this opinion of Americans...rude, selfish, bigoted and mean!

Not only that, I have been around these boards long enough to notice that MOST OF YOU aren't very articulate. I watch many of those acting as "grammar police" are no better. So many of you cannot spell and will not learn (or even use the spellchecker). Overall, many if not most of your have a rather tenuous grasp of the English language. It is sad to remember that you all are MTs.
please don't condemn ALL americans...sm

PLEASE do NOT condemn ALL Americans for what the Ignorant Americans do......most Americans are NOT this ignorant and would never do something like some of these people *owned* up to doing.....


 


HE is disrespectful of ALL Americans
She is completely right. She has a right to her opinion and she is free to express it on this board. This man has disgraced us on the world stage and is not deserving of respect in my opinion. He certainly did not respect the 3500+ soldiers that died fighting a trumped up war. He does not respect the American people when he disdains public opinion and pushes his own agenda. This is a free board and as far as I know nobody's children have any desire to read anything on this board.
Most difficult: Americans!
I absolutely cannot get the American accents in which the doc sounds like he/she is running an auction. At least with the ESLs I can get into the rhythm. Not with these guys. Although once I figure out what a grunt or a cough means I make a normal LOL.
I had some decent Americans,
some decent nurses, and then started getting probably the worst dictator on my account. Is 15 blanks a problem? :o}


It is because she HAS a job, which many Americans would love to have right now.
She is going to quit her job to get the assistance. She is not in need of it as she thinks she is. When people abuse the system, it runs funds down and then the people that truly need the help don't get assistance. If she in fact had lost her job, I would feel differently, but she has a paying job. Why can't she use the money she earns to pay for insurance? If what the posters below are saying is true, this is not a surprise pregnancy, but planned. Shouldn't they have included in their plan to have a baby a way to pay for it? I would love to have another kid, but I would never dream to do it on taxpayer money. Why should someone else have to pay? That is what I wrong with America. Too many feel so entitled to live the life they want yet don't want to work for it.
Opinion of Millions of Americans
Hate to tell you, Bush lover, this is the opinion of millions of Americans..Shrub is a failure, a jerk, an idiot, a warmonger.  This country has not been this divided and torn apart since the Vietnam war.  Bush was a uniter and compassionate conservative, yeah, right..The guy is a lying murderer and he alienates the world and half of American from him and his followers, who follow blindly, even though we have proof he lied about this illegal war, his advisor, Rove, outed a CIA operative and so much more..The guy is terrible and thank GOD he will be gone in three years.
Americans don't want to work...that is just hogwash.

not that Americans dont want to work, we just

What we deserve, but paid what it actually costs to LIVE in America, to afford the insanely high medical care, insanely high gas, insanely high food, etc.  We can never work for less than what we get because we'd then have to move to a different country where we can afford their cost of living.  Its all backwards.  Thats why CEOs are all slime...they're sitting pretty up there and do not care what goes on because they're comfortable and well taken care of. 


What's really sick is when Americans can't understand
plain and simple sarcasm
I tell them they are taking jobs from Americans and...

I do not do business with anyone not in the U.S.A..  I try to say it very nicely, though.  I totally resent having my financial records (let alone medical records) in the hands of other countries! 


If everyone would refuse to deal with them, U.S. companies would be forced to bring the work back home. 


oh yeah, like white americans and others...sm

another one who needs their head examined - blaming all the crime in America on illegal aliens.....you're very sick......


Just look at the predators going after kids - NOT ONE IS EVER FROM ANOTHER COUNTRY - only white trailer park trash oh and priests.......pedophiliacs......


Gang rapes - usually done by white men.......


drugs were around way before the illegal aliens - street gangs were around before illegal aliens (think MAFIA and then Bloods and Crips)........


Geesh - you need to just quit posting is all....ill-educated as far as the street goes, eh?


look in the mirror before you falsly accuse Immigrants!!


Trailer park trash has been on the welfare rolls for 4 decades in this country!!  They keep having more babies thinking they can stay on forever.  Good thing the welfare laws are changing!! 


 


regarding post below - How not to hire Americans
I sent an e-mail to Hillary Clinton's website with the article and video - visit and leave your comments - democrat or republican - I just want an American to work on this very important topic. Low or middle class - to strengthen it we need our jobs - not to mention the security of our personal information by not off shoring.

http://www.hillaryclinton.com/issues/middleclass/

Now I am off to visit other politicians websites.
Many newbies and even oldies and VR - Americans only.
nm
If it weren't for us Americans, he wouldn't be the star

Huh? Your logic is amusing. She deserves Americans looking for her?
That's just not how its done, as the poster below for eloquently explains!
Ditto. I hope you others realize that most Americans are NOT this way. nm
x
We have to stand firm for the Americans of the future here!
When the trade agreement was signed with China, the imbalance of imports and exports was not suspected to occur since they have like a trillion residents. Did not happen as they had anticipated.

Think again of the cheap merchandise coming our way. It turns into garbage within two years most often since it isn't built to pass the test of time (unlike higher priced American and German products). So, the tons of imports turn into tons of landfill. Pollution is what is basically ends up being.

And yes, I do believe China will not stop until it is in a position to control the world economy.

I waited for coverage of the currency in China which they took off the world market. This will cause, or should cause, Wal-Mart prices to go up and allow other stores to continue competing (and providing jobs within this country) in the American market.

This is appalling.
Bullfeathers. Americans work the longest hours.

We average 1960+ hours worked per year.  Google "Americans work the longest hours".  Nobody else can touch us.  Provide us with a link proving your theory that Americans don't want to work.  Young people want to work as well.  Every young person I know of is working on top of going to school fulltime.  Maybe it's just the people you know who don't want to work, because I can tell you that everyone in my family has a good work ethic.  Google "American youth don't want to work".  Oopsy, no hits.  Guess that blows your theory.


Gee, I dunno. Maybe since you find Americans fat and arrogant is a start
so we're stuck with your nasty ol' hair-ball self
I hope you realize not all Americans are this nasty and arrogant.
ss
Americans should be so lucky as to be paid what some Canadian transcriptionists are.

Job security, union jobs, full benefits, 1 year of maternity leave, parental leave, vacation time, sick time, $18 or more an hour...


Glen Beck right now: How not to hire Americans video!!!
NM
Maybe she should have stayed in America where Americans look for drunken teens everyday.
If you go to a foreign country, you are under their laws and their policing.  If you don't like it, DON'T TRAVEL OUT OF THE COUNTRY!  In the meantime, TEXAS TEAM IS SEARCHING IN ARUBA WITH PERMISSION AND ARE VERY HAPPY WITH COOPERATION FROM ARUBAN GOVERNMENT!  
Iranian, Cuban,England,Faster than lightening Americans sm
They're all self-explanatory. The English (from England) speak this way. "This young chap was involved in a fisticuff a fortnight ago full stop." You can't really change too much, but what it means is this young man was involved in a fight (or altercation) two weeks ago (period). Jeez! Full stop means period, it gets on your nerves after two pages of it! Type it like he dictates it and add the period after every "full stop." Period.
OUTSOURCING....
http://msn.com.com/2100-9589_22-5757832.html?part=msn&subj=ns_5757832&tag=tg_itdc
outsourcing
In this day and age, especially with globalization, any one of us can be replaced quite easily..not just in the MT field, in all fields.  When I heard they are outsourcing radiology work to India and hospitals are letting some radiologists go, I almost choked!  The other day when I called the local court house to postpone my jury duty service, I talked with a lady who had a thick Indian accent.  I was tempted to ask, are you in India.
outsourcing ad
about 20 or so posts down, subject "censorship" ... two advertisements at top of page, one soliciting transcription to be sent to india for great savings, etc. outrageous.
Outsourcing
Great article-- but do you think the CEOs care?  They are too busy with their big 6-7 figure salaries and bonuses to worry about us.  All they care about is the bottom line-- how to save an extra nickel so they can line their pockets and buy that new yacht every year.
Outsourcing

I think it will get to the point where everybody will outsource at least some of the work.  With all these companies begging for employees it doesn't seem like there's enough of us.  The employer I just left was a private owned company and one of the biggest accounts decided to outsource. Don't know who they chose to do this for them, they didn't say, but my income was cut from 4500. a month to 1300. a month.  Right now just desperate for a good job.


outsourcing
No way. It's here to stay. There just aren'the enough transcriptionists out there to do all the work and turn it around as quickly as it is expected these days. I would not worry. There is enough work for everyone.
Outsourcing
...I hear you. The more we rely on technology, the greater the risk, and the more our private information goes bye-bye to India, Timbuktu, or where ever, the greater the risk we are putting ourselves. Interesting to find out China, the sleeping giant, has thrown out all things MICROSOFT in the country. See, there're thinking ahead, years down the road. They use only Linux, won't chance anything to a world wide shut down someday by terrorists or otherwise. THAT, I find interesting. I also wonder if our powerful men in politics, especially our President and his administration have arranged to keep their private healthcare records state side ... hmmmmm...
outsourcing

I agree with the posters. Check your medical reports, some of them contain serious errors, I was misdiagnosed in an op report as having a serious condition I was determined "not" to have.


I also was treated like a common criminal by a foreign country because I bought a laptop from someone who lost their job in 9/11. I paid a little more than I should have because I felt sorry for him and unless I pretended to be "him" they would not help me. I finally after two months got the right part from an American company and my laptop worked just fine after two shipments of the wrong part and a whole lot of aggravation and misinformation.


They are a third world country and we will take their place soon if we don't watch out. They'll be taking over more than our jobs. It's very dangerous. It is life-threatening as far as information goes. Some will be saving money but losing lives.  


outsourcing
What worries me is it's bad enough when they mess with our finances because they don't understand how things work in our country. But now with transcription being outsourced, they are literally messing with our lives! A transcription mistake of left versus right, Klonopin versus Clonidine, 0.5 mg versus 50 mg, could mean disfigurement or death if not caught in time by an overworked nurse or doctor.
Outsourcing...

In response to: People say outsourcing will happen.....It is happening!! There are a few National companies (which will go unnamed, but you know who they are) who have contracts with facilities who know the work is being outsourced and they want it because it cut their line rates significantly. This is our biggest competition right now. Overseas, the piddly line rates of 6 cents/line is a lot of money to those people. They are getting better and better at it (the offshore countries), and in time, they will be so good that there will be little editing needed. It is just like newbies here in the US, it just takes time for them to improve and learn...and before you know it, we'll wake up one day and poof...very little if any work in US, all overseas! It is a global economy and what we think is peanuts, they think is a fortune! I am currently retraining in another profession (nutrition) because I have been watching this evolution for the past 7-10 years. I managed a company back in 1997 that first sent transcription overseas and I had to proof and edit that crap! I think in 9 years, they are probably getting better at it and with time, they will improve even more. Don't be so sure that outsourcing will not continue to be a current event! IMHO.


Outsourcing

I originally posted this on the "Company Board," but one kind soul there suggested I repost it on the Main Board, so here it goes:


I'll tell you my personal take on this.  I'm a very small MTSO and am fighting like heck to keep my jobs in the good old USA - hiring only Americans, etc.


We face stiff competition from companies who offshore, use EMR, etc.  I charge my clients what the market will bear.  I've already had to lower my rates to 2 of my largest clients because even at the lower cpl rates I was charging them at the time, they were ready to walk to India, and in fact were testing out some Indian MT companies - this after I had, in fact, already lost 2 other doctors' offices to offshore Indian companies.  I feel I am fair and pay my IC transcriptionists 2/3 of whatever I make from my clients.  But whenever I advertise for experienced transcription help, I am pretty much told to go jump in the lake with the rates that I'm able to afford to pay, even though it's good, steady work.  So the bottom line is that I really find it difficult to get any competent help from American MTs. Not that there aren't many around, just that I and many like me can't afford them.  Not blaming the MTs (American OR Indian) for wanting to make a living either, I'm just saying this to demonstrate the dilemma I find myself in. I suspect it's the same for other small MTSOs.  Can't really raise my rates, because from prior experience, many doctors offices have no scruples about sending work offshore.  I've never resorted to offshoring anything, but I'd be lying if I said I wasn't tempted.


Not singing the blues, just telling the facts.  Personally, I'd rather be selling hotdogs on the beach.


outsourcing

I am the only Transcriptionist in a doctor's office.  We started sending some work to a transcription company in November and later found out they were outsourcing to India.  I thought my doctors would be upset, but guess what??? NO!!!  It has been the biggest "mess" for me to correct.  It has been far more trouble for me than if I just typed everything.  I started leaving all the blanks, etc. and let the doctors start dealing with this and as of 6/15/07 we are no longer using that transcription company.  We found someone locally (IC) who is typing our work for the same amount per line.  YEAH!!!!! 


ASR/VR/Outsourcing
Right. Hopefully the other companies do not do the same as Medquist. One company can ruin it for everybody.

The truth of the matter is if you can get the same item at a different store for half the price, you are going to go to that store to get it (which in turn would cause the other stores to have to lower their price).

I am just putting a warning out there for people to know that this is out there. Medquist will tell you that you will be able to produce more work and will lower your cpl to 5 cents/line; however, as you said, the quality VR puts out is horrible and it takes just as long to edit the VR work as it would to type it. They (Medquist) are also outsourcing work to the Phillipines. Our pay is lowered as the cost of living goes up.




maybe it goes along with outsourcing.
If you can outsource paperwork, why not babies? The article says all nationalities are involved. It does make one wonder.