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Serving Over 20,000 US Medical Transcriptionists

Then the unions would be in bed with AHDI (AAMT) huh!! sm

Posted By: MTisME on 2008-12-12
In Reply to: What a union could then do is - require we all be certified.

Don't we already have that going on anyway?

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This has nothing to do with AAMT/AHDI.
This has to do with a gal going out and taking a difficult test and passing it and wanting a tiny bit of validation from her peers. I am a nurse and lived through globalization with nurses coming into our country from everywhere .. transcription has been left alone for a long time and because it is us, we all scream like crazy. Did you care when it was nurses, or auto workers or garment workers or is it all about you? I am a nurse who came into this grind by choice .. can hear the grass grow and know how to punctuate and create a sentence. I read my account specifics and I follow the rules and make a very good living. Let your politicians fix what they have destroyed. Exercise your arm and vote for people who will not solicit money and gain off the backs of the constituency and turn their backs. Don't beat up a gal who is proud of an accomplishment .. this is part of the reason our industry is a mess, we cannot support each other first and throw out even a crumb of kindness. Stop feeling entitled .. nobody owes us a bloody thing.
AHDI is the new name for the AAMT.
it's AHDI now, not AAMT.....sm

because they became an organization NOT for the American MT - and over the years, many of us griped about it and so FINALLY they changed their name (last year) to AHDI............since they have promoted offshoring for the past 15-20 years...........


BOS is just one more AHDI/AAMT rip-off. -sm
Just a bunch of busywork, and needless 'rules'. There may be one or two things that make sense safety-wise, such as 'daily' instead of q.d., but REALLY...

All the nit-picking the BOS spawns just takes the focus away from the main point of MT -- to type a readable and correct medical record.
Since when has AHDI/AAMT cared about anything
where US MTs are concerned? 
AAMT/AHDI is what is sending all US MT's to
Anyone a member of AHDI/AAMT? (sm)
I'm interested to find out what benefits you actually get and use for your money, and if any employers are at all interested in the fact that you are a member etc. It's not a inexpensive prospect to become a member, that is why I wonder if the benefits are worthwhile to the working MT.

AAMT/AHDI - Crooks, that is what they are!
I am one of the oldtimers who took the MT certification test in 1983. It only cost $75.00 back then. I had such high hopes that this industry was going to be a wonderful career move. But AAMT, now AHDI got GREEDY and tried to suck as much money as possible out of their MTs and never stood up for us. Money is all they cared about. And YES, the board members do receive a substantial salary. Who do you think is paying their salaries? Anyone who is idiotic enough to become a member. They lure in the newly graduated transcriptionists with their lies. I have been a Transcriptionist since 1980, and I have NEVER been without work. I only wish that I had not remained a member for 13 years. I regret that immensely. That money would have been better off in my pockets. I think they definitely be investigated and persecuted for their deceitfulness. They never intended to help the MT. They are a scam organization and only interested in stealing our lowly income. I hope they rot for their sins!
AAMT/AHDI is an organization that should be

AAMT/AHDI is the the same organization, and it -
has played the largest part in lowering MT standards and MT pay. They claim it's been 'raised' by their attempts at standardizing all MT work, and by offering bogus 'CMT' credentials, but all it's done is backfire for the American MT. We paid our US Dollars for these credentials, (at a higher rate than the Indians, I might add). AAMT/AHDI's power grew stronger as the duped more and more medical establishments to do things their way, due to the cut rates they were getting from national MTSO's who were in bed with AAMT/AHDI, and sending more and more of their work to India. That in turn has decimated American MT wages. I know of few (if ANY) other companies, other than those who are facing bankruptcy, that are paying workers less and less each year. The MT business is alive, well and growing, but each year its workers see less and less in the way of compensation for a job well done. It can't go on forever. Eventually they're going to hit the zero-point. Then what? Maybe we'll pay THEM for the 'privilege of doing MT work?

It's imperative that MTs start getting in touch with each other. Their co-workers, MTs they meet online, MTs who work at other companies. It's time to start comparing notes, and start coming up with a plan. Regardless of whether it's a walkout, a sickout, a letter-writing or phone campaign, posters, flyers, radio time, or an ad in the newspaper, the more people that contribute, even a tiny contribution in the way of time, skill, or just their own voice, the better our chances are of still turning this thing around before we all become extinct.
So go hang with the dogs at the AAMT/AHDI...
Fit right in
CMTer, AAMT/AHDI has done really nothing for me. I tried to see the forest that you
thanks to the way AAMT (now AHDI) has caved on US MTs over the years.  It is my professional opinion (and after 24 long years, yes, I consider myself a professional in this industry), I believe taking the CMT is a waste of time and money.  If you call my opinion a grudge, so be it, however to this end, it is my opinion based on many, many years of experience.
The only thing AAMT/AHDI "did their best" on was
I think it's a company that the Feds should consider investigating. What happened to US MTs is probably just the tip of the iceberg.
AAMT (now AHDI) destroyed our profession by
convincing the hospitals to outsource to services to save money. I have 25+ years experience too and remember when this profession could hold its head high. The numerous MT schools making unrealistic promises lured students into thinking this was going to be a dream job and easy money to work at home. All of us old timers know the sweat and long hours it takes to be a successful MT. The hositals are to blame also for being greedy. Most MTSOs cannot bid high on jobs because the hospitals want more quantity for less quality these days, and then in turn must pay their MTs lower wages.
Don't get sucked into joining AHDI (formerly AAMT)

Best recommendation is chooosing an AAMT/AHDI approved course
AAMT/AHDI is run by and for the management of companies that offshore!
I too used be a member and an officer in the local chapter.  I too attended all the activities.  I have since let my CMT lapse.  Never once has being a CMT earned me a better job or more money, it's all about the experience and the quality of work you can produce, not whether or not you're a CMT!
didn't you ask this last week? We told you, AAMT is now AHDI. sm
It's the SAME organization, but they changed their name over a year ago, hence the change in website. Look up the AHDI website.
No offense, but you were unaware of the history of AAMT/AHDI
I would suggest that you learn more about the history and realities of these subjects before calling for a big strike or walkout. Credibility is an issue here.
AHDI (formerly AAMT) group disability insurance plan ... sm
I'm in the process of trying to find an affordable individual disability insurance plan. I was browsing through AHDI's website and found that they've made arrangements for members to participate in a group plan for this! The cost of membership to the organization might be worth it for me to take advantage of this.

Has anyone here participated in this plan? If so, what was your experience?

Thanks in advance.
unions protect unions, not employees...sm
those days are gone. The unions got too big and too greedy. The concern of the union is the union, not the employee.
And just WHY do you think they are now outsourcing everything out of the country, manufacturing, etc. Because the unions demanded so much and the companies basically said **** you-- we'll just take it somewhere else. So what did they gain? Now there AREN'T any jobs period unless you want to move to Mexico or India, etc., that it.
If it would improve anything, I say yes.  The status quo has never worked and never will except for the MTSOs. 
I guess a lot of this all depends on where in the country you live.  In my area, most of the grocery stores are union and that is why they make the better wages.  I like to support those stores, though, as I said above, but I think that perhaps in some regions of the country, this is not the case, so thanks for opening my eyes! 
Never belonged to one myself but know hospitals don't like them.

To generalize a bit, it seems that everyone in American work force (those of us who still have jobs)feel unappreciated, under paid and with a vulnerability that we could easily be easily replaced no matter how good we are or even how bad we are at what we do or even how well-educated. It's just the nature of the beast these days and the outcome of and competition. It's very corrupt and defies the constitution of the United States. Until we have CHANGE in Washington, we will have more of the same.
against unions

I'm against unions because unions are greedy.  Why do you think jobs have gone overseas...it started with manufacturing because unions wanted more and more for their members to the point it has become ridiculous-$72 an hour to put together a car that is mostly done with robotics.  Yes, I saw that on a news report on the auto industry and a union member trying to justify making that much money per hour.

I totally agree with the fact that we should have a union. AAMT or AHDI as it is now called has been lobbying in Washington for us for years.
No to unions.

Why I am against unions
Unions had their time and place in this county, and IMHO, it is long gone. There are many reasons that I am against unions, a big one being that they protect mediocre and inept employees. Unions bring everyone down to the lowest common denominator. Also, it seems a common misconception that unions exist to protect the worker. This is NOT true - they exist to protect themselves and their own fat cat salaries. I recently heard a quote from an official of the teacher's union who said, when asked when they were going to take into consideration the needs of students when it came to terminating incompetent teachers (which they are against, of course), his reply was "When the students start paying union dues." That puts it in a nutshell. I want nothing to do with a union. I don't need anyone to negotiate for me, and I'm not going to spend my time whining about the state of the MT industry. It is what it is, and you either need to adapt with it or move on. By the way, I've done quite well as an MT and have continued to do so by moving and finding a better spot if I don't like the situation where I am. Things are never going to return to the "good old days." Change is here to stay.
I'm new to this forum, having just graduated from Career Step. However, I worked as management for 8 years at the Port of Los Angeles with one of the most powerful unions in the United States- the ILWU and I would like to submit some of my thoughts.
Firstly, I am a liberal Democrat who believes there is a place for unions. They DO provide protections for workers that MOST companies would never do on their own. They DO insure that their employees make a living wage and can be protected from most company driven forms of exploitation.
As an ex-manager, I can tell you that MOST companies are driven by THEIR bottom lines only, with little regard for the workers.
Secondly, I supervised up to 40 ILWU workers per day and my experience was that about 50% of the union employees were great workers who did not take advantage of their union status. The other 50%, however, worked as little as possible, were rigid and inflexible and made life h*ll for me and my fellow managers. The ILWU OCU (office/clerical unit) base pay was $43.50/hr in 2006- the year I finally quit as I couldn't take the US vs THEM mentality any longer. Those 50% were only out for themselves, without any regard for anyone else- including the company. I have to say that during their last contract negotiation, they attempted to have the company pay for PET INSURANCE.
Yet- the United Autoworkers have taken several wage/benefit cuts over the last decade in order to help their companies survive.

I believe that if a reasonable balance can be achieved between union workers and the companies they work for- then life can be good for all concerned. However, human nature being what it is, both sides need to be aware and on guard against the "SC**W the other side" mentality, because once it takes hold- no one wins and a war zone is not a nice place to work.

I found a website which has instructions on how to start a union. I also have some contacts within the ILWU who would be more than happy to help start an MT union if anyone is interested.
transcription unions
Has anyone ever heard of a medical transcription union and how do you get it started?
Unions are a way of the past

My ex was and is still in a union as a truck driver but they are slowly being phased out and it will be that way everywhere.   That industry was hit prior to us with more or less outsourcing when the Fair Trade act or whatever it is called  opened up with Mexico and Central America.  You do not see many English speaking truckers anymore and their income went from 70 to 75K per year down to $35 to $40 and so we are not the only ones that hit by more or less outsourcing.  And now the place where he works, has a union and  non union company and at each terminal when the union contract comes up for renewal, the non union side bids lower and it goes that way.   He is in the last terminal that is union and I doubt it will be that way when their contract expires in two years.   So unions are on way out. 


we need legislation, not unions.
IMO we need laws to keep our work from being off-shored, or at least make that option very unattractive (with penalty taxes?). On a parallel track, we need well-trained MTs that will not work for peanuts, who are willing to work some weekends, holidays, night hours, etc.
Yes, and Unions are killing GM and the like.
To the people who are against unions...

My question is why are you against them?  My husband is a union member and we have good family benefits plus he gets a very decent wage.  Granted, he hasn't been a member very long, about 1 year plus, but so far everything seems good.  Yes, unions are political, but so is everything else today.  There are lobbyists for everything in Washington and as the saying goes "you scratch my back, I'll scratch yours".  But at least unions are there to protect their workers, or so it goes in theory.  US MTs have no protection whatsoever and our profession as we know it is on its way to becoming obsolete.

On this MT site alone, post after post is negative and it's mostly about MTSO's and the way they treat their workers who make them $ - US.  I've been an at-home MT for about 3-1/2 years now and previous to that worked in-house.  I work for a well known national and when I first started it was good - I was making really good $, more than I did in-house, had a great supervisor, good accounts, and they always gave us opportunities for bonuses that you could actually make some $ on.  My sup even sent me a B-day card and a Xmas card by snail-mail  and in her own handwriting no less!  The good times lasted for about 1-1/2 years and it has all been downhill ever since.  With the combination of ILP and ASR, the transcription industry is going down the tubes and FAST.  The big fear in the past was hospitals outsourcing and in-house MTs losing their jobs.  That fear became a reality as more and more hospitals realized they could save $ by outsourcing a portion, if not all, their work.  Now today the fear is outsource companies outsourcing overseas (kind of funny when you think about it - outsourcing company outsourcing) and machines taking the place of humans, again MTs losing their jobs.  When will it end?  We can come on here and post our frustration and moan and groan, but what is that really going to accomplish.  Some may think (and hope) that MTSOs read this board and our e-mails and suddenly one day the light will come shining down from the heavens and the angels will sing because the MTSOs will finally come to their senses as to how rotten they have been to us, their loyal worker bees, and will shower us with praise and gifts of gold and $.  Well, to those MTs who think this way, WAKE UP.  MTSOs do not care about us.  They may say they do, but they know that right at this moment in time they still need us.  ASR and ILP are not as efficient as they need to be to get the job done correctly at dirt cheap rates, but it is only a matter of time before they become dominant and transcription as we know it is in the archive books.  MTSOs main objective is to make the most $ and pay out as little as they can get away with.  They chip away little by little - sending more accounts overseas, cutting rates, reorganizing to fit their needs but not taking into consideration how it affects the MT.  They are business people doing what business people do by trade and they are accomplishing what they are setting out to do - make the most $ and pay out the least.  So what are MTs supposed to do to protect our professional trade?  Voicing our opinions, whether it be here on this board or by e-mail or phone, isn't going to change a thing.  Maybe it's time to get proactive and actually DO something rather than complain or just up and quit and then the MTSOs can say they HAVE to have ILPs and ASR because there aren't enough qualified US MTs.  I for one would be interested in seeing a union or other organization be formed to protect the US MT industry from it's downfall, but I wouldn't know where to start.  If nothing is done now, I'm afraid that in 10 years or less my job as I know it will be a part of history.  If anyone has any other proactive ideas, please post them.  I'm sure there are plenty of MTs who would be willing to join a group venture to protect our profession.

YES to unions! And the sooner the better!

practical unions
How exactly does anyone propose that a union come into this business? They would probably only find it worthwhile to unionize the large MTSOs. The little ones have too few employees for a union to look at. My guess is the big companies would then outsource more.
Why I'm FOR unions: They protect the WORKER.
Unions protected workers from exploitation
It seems me that had the unions had a watch dog group, abuse of that system would not have occurred. And there was abuse. A small percentage of people always seem to look for loop holes and then milk something good as long as they can until they ruin it for everybody.

But please, unions are good. If there were unions in Calif for the field workers, conditions would be improved and these unemployed workers across America who have lost their jobs to outsourcing could actually make a decent living at them without work that puts you into a chiropractors' office in ten years.

Of course, the price of food would have to go up or perhaps all of those filthy rich ranch owners would, instead, have to take a cut in income (now there is a possible answer).
Most unions have a training program with apprenticeships
MTSOs who participate would be allowed to have up to a certain percentage of their union workers be apprentices, who would make a percentage of the union scale (generally the percentage goes up annually until the person is considered fully trained and experienced...called a "journeyman" in some trades). This training/apprenticeship program is what makes union participation attractive to employers...they get properly trained workers at pay rates which correspond to the experience level.
Unions are increasingly a thing of a by-gone era. In this global economy,
Oh, someone benefits from AAMT - AAMT DOES!
I had been a member of AHDI, but when I had a problem with a MTSO not paying I contacted them. The reason I contacted them was to ask in their assistance, not in my instance, but to protect their membership from this type of company. They completely ignored the context of my letter and referred me to local agencies. My thought was that with this industry being so new and unprotected online, that they should take an interest in have legislation passed... went right over their heads. Thus, I did not renew my membership.
SO well-said! I think AHDI should be
what is AHDI and sm
why are only 1/4th of them medical transcriptionists?

Wouldn't you think they all would be?


I started a thread below about the government stepping in and making the MTSO companies step up to the plate and conform to a standard form of counting lines for US based medical transcriptionists and to perhaps have a baseline pay so that MTs are not sitting all day long waiting on one more report to try to make a count that is making the MTSOs richer. While not everybody agreed with my points, let me say that there are probably far more MTs in this country who are not independent contractors and who are trying to support themselves than not. ICs would almost be classified as (mini) MTSOs. Not everybody has the luxury of negotiating what they will work for. That whole conversation is moot when we are talking about the industry as a whole. ADHI has spoken for years that they support standardization but when they were recently asked about "policing" the MTSOs methods of counting lines, they dropped the ball. This is just my opinion, but there definitely needs to be an accountability to the U.S. worker concerning this industry. While on one hand we are described as highly skilled workers with a wide base of knowledge, we are then described as home-based, bunny-slippered, pajama mamas.  It cannot be both ways. We are highly skilled and do have a wide base of knowledge and we need to band together. I do like the name United States Medical Transcription Association. Works for me. 


I am not sure it matters who is behind ADHI or their corporate sponsors. The reality is that the U.S. based MTs need to quit taking a knee jerk reaction to them. ADHI started small. Your comment about the displaced workers just proves my point that the government and the Dept of Labor do need to be involved in the restructuring of the MT Industry.  When a major MTSO company can initiate a program whereby it cuts the salaries of thousands of it's employees for its own gain, there is a problem there. In the area where I work, there was an article in the newspaper about the outsourcing of the radiology dept on weekends to Australia so that coverage was 24/7. This is a U.S. owned company who employs radiologists from Australia. I am betting those doctors over there do not make less than their counterparts over here. So, it is up to us, the MTs of the U.S. to start to organize in order to reinstate the true value of the work we are entrusted to perform day in and day out.

Completely with you. making almost minimum wage for over 30 years of work. mostly because of account specifics, slow platform, always blaming it on the Internet, awful audio.
AHDI: BOS...............
Yes, it is:
For instance:

AHDI tells us:

5cc's was injected.


1. Why has there to be an apostrophe cc's? It is just only the plural of cc, css is right, like MTs, the 70s, etc.....

Why 'was' injected; ccs is plural, consequently 'were', this is the right grammar.

But, AHDI says:
'NO, you have to look at it as a UNIT, 5ccs, is a UNIT, so you have to type 'was'. BS!

And there are a lot of these examples.

Yes, but AHDI is quite the
wishy-washy change horses in midstream type - maybe they will smell conflict coming and hop on the no-outsourcing bandwagon if too many MTs lose interest in AHDI membership.  At any rate, it will be fun to see what happens.