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off shoring means the company actually moves there. - of course I mean outsourcing to foreign lands.

Posted By: Old MT on 2006-06-01
In Reply to: Outsourcing doesn't always mean overseas, you - mean offshoring, right? sm

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?


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

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.


 


isn't SPI a foreign company
Maybe you could work for them.  They bought out Cymed.
My company foreign owned but they have US office people
p
Hey rimrods!!! He fully disclosed he was foreign, it was foreign
trying to catch him telling lies when he already told you he was. Really smart people around here. Call names, insult, tell everyone to leave and go to another site and then wonder why your posts are being deleted. At least he's not feeding everyone a load of CRAP about offshoring. He simply told the truth.
That sounds to me like possible outsourcing at your company.
That is a long time to pass for the doctors to be dicating on their patients..I have seen that before with an old company I worked for and they were outsourcing come to find out...just putting a bug in your ear!!!
I am curious as to why you aren't going with the company the hospital is outsourcing too??
nm

What do you do when a mosquito lands on you?
nm
In our county, 10 days lands you in court sm

excused or unexcused. They found the schools were failing NCLB criteria mostly on attendance. Now you have to show a judge the reason your child was absent (hospital records, etc...). Above a certain age, it is a truancy issue that the student is held responsible for. Below a certain age, the parent gets in trouble. 


They put out a very wide net in order to catch the people who simply don't feel like taking their kids to school on certain days and the families with joint custody who simply yank the kids back and forth between different schools.  Unfortunately, many people who have valid reasons for the absences are having to go prove themselves in court.


he moves CIRCLES around you....nm
x
Boy, this thread moves fast!
You hit the nail on the head. Only, I don't think he makes everyone around him miserable. He is definitely a charmer and would have another person in here in a heartbeat. However, as the saying goes, "you hurt those closest to you the most." I have told him he should stay single next time around, but you never know, he may meet his match. ha!
And yet when he moves and does what he does best, Simon bags
x
Here's a hint. The post moves around.
/
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
My shift+tab only moves me around within my current document
Alt+tab will move me between different applications.

I've been asked by my company not to use IE7 yet. I generally don't do the upgrades for several months so that all the kinks get worked out.
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


Trend Micro House Call. It is free, and mine moves must speedier now.
x
it's spelled right. Exo means outside and you know what phrenic means. nm
:
foreign....

Oh, boo hoo!  Those foreigners learn our language so they can take our jobs and our money, you numbskull.  They aren't here to help us.  They take advantage of our laws which actually seem to favor foreigners over citizens, especially if the foreigners are "minorities."  (An interesting term since the only true minority in this world is white people.  About 85% of the world's population is non-white.)  


People like you who think you are so tolerant, are part of the problem.  In this country we would all be learning Chinese if the situations were reversed and China was the country with the open door policy and all the wealth. 


BTW, I lived and worked in Latin America and learned Spanish BEFORE I went there - I didn't expect the people of Colombia to pay to have everything I needed translated into my own language, which is precisely what these foreigners who come here to leech off us expect.


I'm an MT....slavery is not foreign to me.
Whatever it takes.
foreign docs
And why do a lot of those same ones who speak such poor English also make no sense in putting together their sentences?  I have several that sound like they are clenching their teeth together and straining to get the words out which makes it even worse.  I know exactly what you mean.  Their oughta be a LAW! 
Those foreign guys

Yeah, we've all had our share of "those" guys.  I worked in Radiology for a Spanish guy for about two years.  He thought his English was perfect, so anytime there were blanks he went off of his latino-rocker.  So I finally get this guy "nailed" where I can transcribe his reports just as fast as the others, and then what happens..  ? I lose the stinkin' account to VR!  So he still sends me work on occasion and guess what .... he's crystal clear NOW, and why?  Voice Recognition doesn't DO gibberish ... it trained HIM!  HA!   (Course he has to speak slowly now, losing lots of "billable hours"  And of course, they had to hire an Editor to clean up the reports, punctuate, and correct his English.)     Go figure!  ');>


Seriously, though, if you can't stay with that ESL day-in and day-out for at least a month, you will never get him.  Why companies bombard MT's with different docs from day-to-day is just beyond me.  If QA were REALLY that important, they wouldn't do that.



You all are talking foreign to me
I have ShortHand and love it, but you left me way behind. A Shorthand course would be great.

foreign dictators
Wow, you sound so full of hate!!!Do you even know how difficult it is to learn another language? Have you ever tried to speak another language?

I don't particularly care for ESL's but...
foreign dictators!!

From one blondie to another--I couldn't agree with you more!


Drives me crazy, not to mention my so-called "productivity!"


What does the site being down have to do with foreign MTs?

Bonus from OJT - foreign dictators. (sm)

I learned OJT in a small hospital with a PDR, Dorlands and a boss with an attitude from &*^%&*^.  There were only about 7 doctors on staff, 4 of which were foreign.  I started off learning to cope with a Thai accent in a physician who had had a speech defect, a Nigerian, a Swede and a Czech.  It was a painstaking way to learn, but I am greatful every day that accents have become a way of life for me.  I almost prefer them to some of those mealy-mouthed speed demons. 


I can remember cursing when they would say "Go back up and change this".  Just rip that paper out of the typewriter and start again. 


My children can't imagine a time before computers.  Will have to take them to a museum someday and show them what life used to be like.


 


 


 


It's not the foreign workers who are at fault sm

The fault lies with the big US corporations who are the greedy SOBs that have outsourced the jobs so they can save billions over what they would pay workers in the US. 


So, to be rude to and cuss out these working people is not going to get us anywhere.  What we should do is boycott the corporations who are sending the work overseas.  Maybe if they lose enough business they will get smart to themselves and bring the jobs back to the US workers. 


I don't do foreign-speaking docs....
Either they speak English and speak it clearly or they don't have me for their transcriptionist. I'll be danged if I'm going to spend 15 minutes trying to figure out their dictation because they "don't speekee English," or they dont' want to take the time to speak it clearly. Let an MT who doesn't value their time or money transcribe for them! Some may think that's heartless, but that's just the way it is. I'm in this business to make money, not coddle docs who can and refuse to speak straight.
First Job, given only foreign dictators, and never the same. Doing allright, however, should I look
This is my first job, and I am never given the same dictator.  Also, this is hospital work with basically any kind of reports.  Only doing about 200 lines a day for 6 cents.  Should I look for another job???
Focus stands for Foreign

Focus is an Indian company, you know.  Most who have been there were not happy, and many MTs only go there because they are fresh out of school and find it hard to get the experience they need.  Just FYI.


I do have a 2nd job with US owned co. that I love. Foreign
s
It's shameful if the new owner is foreign but
65e4
IF I WENT TO A FOREIGN COUNTRY TO WORK

This is NOT racisim.  This is plain common sense and courtesy. 


Aruba is a foreign country. Their laws
are different than U.S.  Father said "no body, no crime" because he knows in their system if they have no body, they have no crime. Therefore, they have to find a body...or they can't prosecute for murder.... Their laws, not ours.  That is what it is when you travel outside the country, you are under the foreign country's laws.. Really too bad but that is how it is.
I think the foreign kid adoptions are liberal Hollywood

I don't think these kids are anything more than a fashion accessory/photo op for these phonies. I'm sure she and the other "stars" who adopt these kids for whatever attention/approval-seeking reasons have a full staff on hand 24/7 to take care of the kids when the cameras aren't rolling.


I doubt Angelina's ever been vomited on or crapped on (at least not by her kids anyway). 



It's the topic of the moment. You must be in a foreign country maybe.
There was a catastrophic hurricane with a devastating flood afterwards! A disaster of biblical proportions! Many people lost their homes, the worldly positions, billions of dollars in loss. Lives were lost, the poor, the elderly and the infirmed. We watched it on the news (it was on here in the U.S. around the clock). Try www.cnn.com for all the details.
I think MTSO should inquire of foreign docs if they want their

Like it should be standard practice for transcription services to require hospitals to ask------------------


Dr. Pammmmbogmamajama - would you like your dictation to go to India.  Check YES or NO.


Dr. Filiyambo - would you like your dictation to go to PHILIPPINES.  Check YES or NO.


Dr. MacIntiremeout - would you like your dictation to go to IRELAND.  Check YES or NO.


Dr. Chinese - would you like your dictation to go to CHINA.  Check YES or NO (we have to know they are creating offices in Shanghi as we speak)


Hey, I can deal with "the boys" from home.  But I'm sick and tired of  feeling like I chose the wrong profession and should be working in the State Department as translator and should certainly be drawing down lots more salary and getting a WHOLE lot more respect. 


That way we could keep the English dictation in the United States and have it being done by people who have English as their first language.


Ha! Those jobs they'll just import the foreign PhD on
on one of those work visas as they do nurses and teachers. Pay 'em less and put another American out of work.

Wake up, America! No job is safe any more.
Do you charge more for foreign-speaking doctors? nm
*
really?? Worse than the offshore foreign transcriptionists?
That's odd.
venting re foreign patient names
I just typed a long report where the patient has some weird foreign name so it's difficult to tell gender. The doc dictates as a male throughout, i.e. he, his etc. At the end changes it to a female.
Tired of these low class foreign doctors
They live here but they cannot learn the language.  Most should not be here in the first place.  They were admitted to medical school with the proviso that they return to their own countries to work as doctors and help their own people;  they got all these fancy or free grants to pay for their schooling; American citizens were pushed aside to fulfill the foreign student enrollment requirements for medical school to "help the needy countries health problems".  Then they got dollar signs in their eyes.  They refused to learn how to talk.  They are arrogant, sloppy, nasty, and are too mentally compromised to even learn how to push the right buttons to enter patient numbers into systems.  What pigs!!!!!!!!!!!  And they expect perfection?   I think we should sign every report off with a blurb saying unable to understand dictator, please return him/her to his own country. 
are you working for third world foreign doctors?
This has been my experience.
TransTech does this group, too. Awful foreign residents! nm
s
I was living in a foreign country with my parents, probably getting ready for
elementary school. Didn't even know who he was. I don't remember my parents mentioning it, but it was shortly after that when the stupid joke about "What would it take to reunite the Beatles?" came out.
Site was foreign built from the beginning..just listed at top only for US
NM