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Serving Over 20,000 US Medical Transcriptionists

You can thank offshoring and the companies who offshore for most of this. SM

Posted By: MT on 2005-11-15
In Reply to: !@#@!$## Is it just me or is it everybody! sm - FootOnMyNeck

Been in the business well over 20 years and I am working twice as hard for half as much.  It started with offshoring and the big MTSOs who bolted the US like their pants were on fire.  They used the excuse that were not enough US MTs.  LIES.  All LIES.  They forced the smaller MTSOs to charge less.  We got paid less.  Many of the smaller MTSOs got gobbled up by the Squid (MQ).  Now there are only one or two superpowers and they all offshore.  Some of them lie about it, some are very open.  This business is not even close to what it should be as far as making a living. 




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Boycott offshoring companies (sm)
If everyone would just not work for companies who offshore, it might stop.  In our business, there are plenty of other jobs we could get besides those companies.  Just my opinion, of course.  And yes, I have put my money where my mouth is.  Quit a job I had been at for a long time when they started offshoring. 
No job security with offshoring companies
x
That is nonsense! Most hospitals do not support offshoring and the companies
doing it are going against their contracts without the client/hospitals knowing it.

Come on as a small MTSO myself, we are paid way more than 8 cpl, more into the 15-20 cpl range. Share the wealth with those who are doing the work, and you will always be successful!

I am so tired reading about how the MTSO can only charge so little. That is nonsense! You know it and I know it.

Be honest -there are some very hard working MTs with excellent quality and work ethic, and they need to be paid for their expertise!

That's all I have to said. I am very irritated reading post after post about how little profit there is in the MT industry. That is a joke. This is a multi-billion dollar industry.
Which companies do we know do NOT offshore?
x
re: Which companies do we know do NOT offshore?
Transcend.
If all they had was the offshore companies
to transcribe, do you know how unhappy the M.D.'s would be.  They are already complaining.  There would be enough jobs if no one worked for the offshoring ones.  Idealistic?  Yes, but.............
Companies that offshore should have to pay a
X
So many companies offshore that there aren't
enough companies that don't to take on the displaced MTs.   Standing up for what you believe in is a good thing, but when it comes to putting food on the table you do what you have to do and then you have those that just don't care, give them a paycheck and that is all that matters. 
They also try to place you with companies that offshore.
t
There are good companies that do not offshore -hopefully will never have to.
nm
I know of 2 companies, neither of whom offshore, that are slammed with
overflow from the MQ shutdown. I think clients are looking for anyone that works on platforms they use to pick up the slack.
Speaking of offshoring MT work, who does not directly send work offshore?
Just curious.  Has anyone got a list of companies who do not send work offshore?  Precyse?  MQ?  Spheris? 
If we boycott working for companies that offshore,
boycott medical providers that offshore, and write to our politicians, maybe we can change things. I won't go to any local doctor that uses an offshored transcription outsource. Hit 'em where it counts, right in their big fat wallets. They put us out of work and reduced our wages, so why do we owe them any loyalty? Why should we pay higher medical bills when they're too cheap to pay us what we're worth? Pretty soon, we'll all be on unemployment, foodstamps and Medicaid. One way or another, they'll have to cough up.
This is not a new market. Is being done with all offshore companies I have ever worked for. nm
:+
You idiot, there are plenty of jobs with companies that DON'T offshore. Go somewhere else and

quit your raggin on this board. 


all 3 major credit-reporting companies offshore
Equifax
Experian
TransUnion

all 3 offshore your information

there's just no fighting it by refusing to do biz with them

the only fight to hold is with the govt for allowing this ridiculous practice


Working for offshore owned companies and feeling
j
I have an idea...we can picket those facilities who use companies that offshore. sm
Every patient going in and coming out of that hospital/facility will know their private medical record is going offshore to be transcribed and therefore, there is risk of identity theft, lack of privacy, etc Just like those for ProLife and the like.

I think that will bring attention to the matter!

I know a huge hospital system in my town outsources their TX to MQ, who is now CBay, and now everything will be offshore. I think I will make my point and concerns when I have picket signs outside the President's window in a public area, so as not to be trespassing.

Free Speech in America.....right!!!
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!
Today is different and you cannot fight companies who LEGALLY can offshore work.
So all Americans refuse to buy goods, shop at stores, or work for companies who offshore.  That leaves a mess.  Do you realize a lot of American companies are actually owned by foreigners?  Get real and move into 2005.  You are going to spend a lot of time boycotting once you do the research.  I doubt you will be able to shop or work at all.
I guess you forgot about India and all the other offshore companies they deal with, ASR and EMR.
That is the plan. They have hired all management lately that have been involved very heavily with overseas companies. Now why do you think that is. I dont think you see the whole plan here.
Bad news today regarding taxing companies who offshore..Microsoft SM

says they will hire more offshore employees and cut US employees because of the cost.  This could cause our jobs also to go to offshore companies.


http://www.bloomberg.com/apps/news?pid=20601087&sid=aAKluP7yIwJY


 


I was told today that all the big computer companies offshore their technical service. Does anyone
x
Please post offshore topics on Offshore Concerns board. (NM)

Thank you. 


Goldbird


Offshoring to India...Offshoring.
nm
Offshoring
Just remember YOUR elected representives allowed this offshoring to happen. Nothing illegal thanks to the politicians is happening when work is shipped offshore while allowing Americans to lose jobs while increasing taxes.

This is all the fault of the greed and power of the politicians and the corporations. It's not about an Indian worker who has been offered a job and can't lose their accent to please the consumer.

As far as contacting you in a few years when our jobs are overseas, they are shipping them out daily. Where have you been? Check OSI, Precyse, etc. They all offshore some outright and some undercover.

I don't have problems with the workers. I have problems with the government allowing this to happen and the corporations who cut costs while cutting quality by shipping work out of our country.

Keep you eye on your enemy and it is some Indian who is trying to keep a job to make a living.
To those against offshoring...
Have you noticed that anywhere you call, whether it be the phone company, the gas company, the insurance company, you get someone foreign on the phone.  Oh yes and do not forget Microsoft and other computer related companies.  I realize this cuz i get so damn mad because i can't understand what they are saying to me and they don't understand what i am saying to them.  Now I noticed the post below about Earthlink and I am wondering...all of you who are against this..what are you going to do about the fact that the computer company that creates most of the software you use has places in other countries..your gas company..you insurance company, etc. etc. etc.?  I, too, do not agree with offshoring, but I do not think there is REALLY anything we can do about it.  Not working for companies that do it, yes thats a start, but what are you going to do about the rest of reality and everyday living?  Just curious to opinions on this.  I am not flaming..just concerned.
Offshoring - don't be too sure.
Look at history....work will be outsourced whether we like it or not. What happened to the steel, printing, shipping, automotive, and many other manufacturing efforts is happening to transcription. While we may produce a better product, if it can be produced cheaper somewhere else it will be. Sometimes MTSO's are forced to look at other avenues because they can't hire and maintain TATs. Clients want their costs reduced when it is already at rock bottom. Transcriptionists want higher pay and the profit margin isn't there to allow this. The transcription business has changed and will continue to change. After all....the only constant in life is change. The offshore MT is hungry and willing to give up just about anything to put food on the table. They probably don't argue, call in sick, complain or quit without notice. They don't bad mouth their employer. They just want to work...much like American workers decades ago. Take heed. I'm in the same boat and don't want to see it happen, but there are many factors that result in change. Transcriptionists are by nature not an organized group. We are mostly solitary and therefore have no voice or at least not one loud enough to be heard. We're all on production. We don't have time for such things. There is no large group lobbying for us. There isn't enough money in transcription anymore to have lobbyists and that is how...regardless of our protests...change happens...silently. People in India and other countries will learn to transcribe. It's only a matter of time. For myself, I am just going to try to do the very best job I can every single day and hope it is appreciated and know that I am not adding to the problem. Actually....I need to get back to work.
A - As soon as I tell them my pay has gone down about 40% since the offshoring (sm)

they are no longer interested in entering this field.  In fact, their mouths about drop to the floor.


Having another American MT is not going to save another American job.  They will send their work offshore if you are living next door and can do a 4-hour turnaround, just because the price is lower.


I'm getting out also, only doing part-time now and probably won't be doing part-time much longer.


offshoring
Don't know about this company, but there are companies that offshore and lie about it.  Know this for a fact.  I work for one.
OSi Offshoring - sm
If you are an employee of OSI, you should be able to access that article from the employee web page, try going back to about April or so...it should still be there, where it was originally posted. Read it for yourself and maybe then you'll believe it.
Offshoring

Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me.


I probably got myself on the $hit-li$t now, but that's okay for something I did today to see any reaction.  It wouldn't be the first time I've been on the list and probably won't be the last.


I will stay, though, as I really do like working for them...and I like the work..


OSi Offshoring

Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me. This breaks my heart.


I probably got myself on the $hit-li$t now, for something I did today to see if there was any reaction, but that's okay. It wouldn't be the first time I've been on a list and probably won't be the last.


I will stay, though, as I really do like working for them. I like the work, and really don't have much of a choice anymore.


I think if these companies are going to offshore, they should send the work from the ESL's that can't speak English correctly. That work should be easy for the offshore companies for them to do.


Offshoring
I just wonder who these big businesses think is going to buy their products/services when all the jobs are in foreign countries.  Not only that, when there are no jobs, or only minimum wage jobs, who's going to pay the big fat salaries of our idiot politicians?  Heard on Lou Dobbs the other night that while the minimum wage remains stagnant, the senate voted themselves a hefty $30,000 raise!!!!  Doncha wish we MTs could "vote" ourselves that kind of raise?  Or maybe we're not so greedy and we'd settle for a fraction of that.
Offshoring
Is there any way you can share as there are others of us who suspect this also and maybe it's the same company. If not, that's understandable too.
Offshoring
Keystrokes does not!
MQ OFFSHORING

 


I need some Positive Proof that offshoring is occurring.. .will help in our hospital's fight against outsourcing all of us..  thanks


 


Offshoring
There was an article on the internet quite some time ago where a MQ bigwig admitted to MQ offshoring. I have posted on here before regarding offshoring, tell all your family and friends that when they go to the doctor, they need to tell him/her they do not want ANY part of the their medical record being offshored, including transcription. You have that right as a patient. My family and friends know. Unfortunately, none of us have been to the doc lately.
offshoring

I agree.  I am also wondering where they are making out on this deal.  I have lost 5 Docs due to outsourcing to India.  They are not making out in the end.  They just think they are.  It is such a shame that the US Transcriptionist is the one that are suffering because they do not know what they are doing.  Maybe they should have asked one of us to do the math and we could have showed them that they are not making out.  Also, you have to take in consideration that all these people's(patient) records are going over to another country.  I bet they would have something to say about that.  It is such a shame that someone thought they were going to save a buck and did not do the math, and now we are the ones that are being hurt.


 




 


Offshoring
I too have been affected by offshoring, and whether we see some advantage or not, it is here to stay, and will eventuallly grasp more than half our work in this country. In my experience, I too am amazed at how much doctors will put up with this poor quality work. I personally know of, and have seen large medical offices, radiologists, large clinics, send their work to India, and put up with their error rate as if it were an acceptable part of the equation. BUT, if an American Transcriptionist put out an inferior report, we would most certainly get that pointed out immediately. I watch with amazement at how much those clients are willing to put up with all because they are paying 6 to 8 cents a line. AMAZING. I know of one radiologist who sent his work to India three years ago, kept one transcriptionist in his office to edit. Three years later, she is still marking all the reports in red ink. She has confronted him with the red-marked reports under his nose, and told him how much he is really paying for the reports as she spends her whole day editing. He won't look at her in the eyes, ignores her comments as if she were not in the room, and goes about his business - three years later! I have been told by CFO's that this is only a transition period, that eventually, the Indians will get it right, and it will be worth the hassles, as this makes "good business sense." We all need to realize that right now is the time to be smart and start training in some other field because even if it takes the Indians 10 years to "get it right," this offshoring has dropped the American wage to a paltry low.
No Offshoring
This may have been asked in the past, but I am pretty new to the board.  What nationals do not offshore their transcription?  I am currently an in-house transcriptionists, but I am looking to do some at-home transcription on the side.  I do not want to support any nationals that offshore.  We need to keep our jobs in the US!!!!!
Offshoring
Yes post a list, and I for one will write..as that will be so helpful.. can you post addresses also?
because that is offshoring
and nobody wants that.
Say something against offshoring and see how
x
offshoring
Excellent letter. You've inspired to start writing my senator too.
Offshoring going away too?
Hi all;

Offshoring may not be the problem. All of the local med facilities here are moving to EMR (Electronic Medical Records) and releasing ALL of the transcriptionists, both in-house and contracted. Truth be told, we are more than a little worried over this. Has anyone else seen this move in their area? Is there a way to 'cash in' on this move to EMR? Thanks.

so does offshoring. nm
xx
Aside from offshoring
Regarding a post down the list a ways ... what about the EMR software that the president might be pushing for? - I think that is probably a bigger threat. Shouldn't we write about that as well?

From below: "Basically just wondering if we should write to Obama regarding keeping the same systems in place and just putting the electronic files now dictated together (rather than specific software for the docs to do their own).

We could mention that we don't want to lose our jobs."

again, offshoring.
nm
MT companies negotiate with the insurance companies until they get what they want

It is strictly up to the agreement between the employer and the insurance company.  Your new employer can tell you what the pre-existing clause is in your new policy.  Some require proof of insurance for the past 12 months.  It may say something like if a diagnosis has not been made NOR treatment received within the last __ months.  Not good when companies negotiate with a pre-existing clause in order to get a lower rate.  Better check with your HR with your new company before doing anything.  It really gets hairy !


Offshoring and tax time. sm
Don't forget, a lot of these big box tax preparers and even some local accountants send the work to India to be done.  Ask ahead of time.  I did, so I went back to doing them myself.