Actually, companies get BIG tax breaks if they do offshore thanks to Prez Bush; who we all know supp
Posted By: Bush on 2006-01-31
In Reply to: Here's my response to your post....sm - Current Transcender
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Prez - probably prez is monitoring all proofing for costs, not individual
questions, so all email probably goes to Prez email.
I know about the tax breaks, but what about taxes for overseas, .... I know companies don't pay t
I know companies don't pay taxes for them. So, is it also an advantage to overseas jobs for companies not to have to pay insurance, taxes, social security? Do you know how many American jobs are overseas with not one of them paying Social Security? I am also not for illegal immigrants per se but my heart goes out to people in a strange land who can't find anything but menial work trying to get out of a desperate situation in Mexico (it must be desperate to go to the extremes to get over here), and of course can't get a Social Security card, driver's license. Surely it is humanitarian to care for these people.
The thing is, even voting for the one who says they will stop it (and it is not Hillary Clinton, she has even gone overseas to promote jobs to countries), the businesses have the money for lobbying and big business is not going to go down without a HUGE fight.
Medware and AAMT's prez
Its no coincidence that Medware has been employer of the year while one of their top people is AAMT president. However, AAMT members should be outraged now that the cat is out of the bag regarding Medware's policy of hiring and developing Indian MTs and Medware should certainly NOT be employer of the year ever again. There are now more Indian MTs working for Medware than there are North American MTs.
It seems very un-American to be promoting/accommodating India while representing US MTs through AAMT, who are losing their jobs because of India.
And before anyone thinks I'm racist, let me say that I think all people on the earth should be allowed to work at a job which provides them with a home, food, clothing and creature comforts, but one should at least have to be proficient at the job. These Medware India MTs are not, nor are their editors.
And if they are receiving these jobs at someone else's expense, then whoever is profiting off that should not be allowed to represent an association that is supposed to be for the benefit of those same misplaced workers. Seems a little two-faced to me.
Companies that offshore
I am about to make a move as far as employment goes. I'm an editor. I am not interested in editing for a company that offshores. I'd like to know who they are. If you are aware of any, please list them. Thanks.
Companies that offshore can now
from main board:
MTStars has been staunchly against the offshoring of American Private Health Information, but realizes that MTStars must evolve with the ever changing views of conducting business in the global economy. The hands of time cannot be turned back on the widespread transfer of information globally and as of January 1, 2006, MTStars opened itself up to include the global environment.
I try not to keep companies going that offshore.
DISKRITER
Find All Related Messages: Diskriter
A growing number of healthcare facilities have reduced costs significantly with our breakthrough transcription program. By eliminating the high labor-related inherent with traditional outsourcing, our SmartSourcing program will save you 25% or more.
Diskriter is involved in Offshore Outsourcing (sending sensitive private health information of US citizens to countries such as India, Pakistan, Philippines, etc...).
Official Website: http://www.transcriptionsmartsourcing.com
http://www.diskriter.com
Need to know which companies offshore
Need to start looking and need to know which companies to avoid...please share the names of companies who offshore.
TIA
not 100% sure but I do know that both companies offshore. sm
why would a client pay for US people to do the work when India can do it for much less?
Two companies that do NOT offshore
are MDI-MD and Landmark. Let's support American jobs for American workers.
Two companies that do not offshore
are MDI-MD and Landmark. Both are good companies with decent, honest people who will treat you fairly. As to offshoring, I might mention that a friend of mine was laid off this week (along with 250 other people) from Wal-Mart because they are now going to send the work to Mexico. Although I am poor, I will NEVER again give my business in Wal-Mart. There is a great DVD called THE HIGH COST OF LOW PRICES. I realize that we are not Wal-Mart workers, but the same principle applies. AMERICAN JOBS FOR AMERICAN WORKERS! Do not patronize companies that offshore. They are giving America away. (If you don't believe it, look at the mess we currently have in California--the state is going to go bankrupt.)
Companies that do not offshore
For anyone wanting to keep the work in the USA!!!!!
AMPHION
AXOLOTL
ENCOMPASS
FAST CHART
KEYSTROKES*
LANDMARK
ORACLE (OTI)
SILENT TYPE
SOFTSCRIPT
TRANSFORM
TRANSHEALTH
TRANSTECH
TRX
WEBMEDX*
ZYLOMED
Companies that do not offshore work
Are there any companies that pay a good line rate and are good to there MTs that do not offshore there work? I am trying to help a friend looking for part time work, but she is staying clear of those that offshore..
Any help would be appreciated.
If companies offshore they are not allowed to
post ads on MTStars. TM is not one of those companies. They are not an MT company, more like an employment agency. If a company pays to advertise on MTStars any post that doesn't glorify them is removed and evidently that is what happened.
offshore - most companies send
only what their current staff cannot get done or if the hospital specifically demands it - how does this take away from the MT or is it the fault of the MTSO?? I think everyone is angry at the wrong party - - everyone (companies and MTs) do what the hospitals are demanding
I think they are trying to be competative with the offshore companies for one,
but I think some are just greedy and they want you to think that they must lower their rates to keep an account and that trickles down.
There are companies that take a stand against offshore and mean it. sm
I would look for those. I know for sure that Execuscribe, JLG, Keystrokes and MDI-MD do not send work out of the USA. I am sure that there are others.
I forwarded the entire thread about an hour ago to my Lead Transcriptionist, HR and to the owner of the company I work for so that they are aware of Heartland doing this. The owner has already answered me and said that they will watch out for displaced Heartland MTs and give them special attention. She agrees that no one deserves this treatment. I am proud to be an MT, but discouraged and worried that things like this happening will chase away my fellow professionals. I hate to say it, but we really do need more structure if we are going to make a difference.
She tries to hook you up with companies that offshore. NO thanks.
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More and more companies offshore. Lots of them
say they don't, but they do. It is getting harder and harder to find a company that doesn't offshore, whether it be to India, the Phillipines, or Trinidad. If you have children to feed and a mortgage to pay you HAVE to work. Unless you've figured out a way to get the bills paid and not work you do what you have to do.
Yes. I will not work for companies which offshore.
If we all did that, the companies would have no choice but to come back and give us our jobs back.
Is there a list of companies that DON'T OFFSHORE?
If not, can we list them here? I'm tired of getting laid off or not having enough work from companies who're sending work to India.
If you know of a company that doesn't offshore, it would also be nice if you could say whether or not they require VR.
Thanks in advance to anyone who participates -- we're all in this together! 
Here is a list of companies that offshore ... FYI
See study overview table from 2008 MTSO study:
![[image]](http://i717.photobucket.com/albums/ww177/mtfallenstars/studyoverview2008b.png)
One word: BUSH
.
Nearly all the offshore companies have front offices in the U.S. sm
Sometimes their actually hotel rooms. They use international phone numbers and purchase a phone # in the U.S. In point of fact, clients many times don't even know they are dealing with an offshore company. The owner of this website has done extensive reseach and knows who offshores and who doesn't. It isn't that hard to figure out when you start connecting the dots, i.e., visit the website and there is no place for MTs to apply. Almost all U.S. based companies have a place to apply. Notice that all the offices, including those in other states, all have the same address and phone number. And notice if you call that 24/7 phone number you always get a voice mail. There are lots of ways to tell. The offshoring companies are getting more sophisticated about how they work things. And some hospitals are getting more persistent about not contracting with services who are offshore. It's a shill game. Dishonest and deceitful.
Is there an easier way to find out if companies offshore?
I have worked for 3 companies that all offshored and were absolutely not forthcoming about it upfront. I never want to work for one again. Is there a list somewhere or am I banging my head on the wall. Again.
How about this? In a nutshell, which companies DO NOT outsource OFFshore?
I though offshore companies could not advertise on this site?
Guess I am wrong about that.
OP asked for a list of companies that DO offshore (sm)
Inside the post she asked to start a second list of companies who keep work here in the USA. I understood the post, and was merely listing Keystrokes as someone who does NOT offshore to go on the second list of companies that keeps work here. KS does NOT offshore and they never will.
WHOOPS, referring to companies who do not offshore.
x
Because the lefties have more fun bashing Bush.
nm
Unrealistic view that a lot of MTs do not understand. The offshore companies sm
have very deep pockets and make it attractive for companies here to use them. Even if every smaller MTSO refused to do it, do you think we would be able to compete with Spheris and C-Bay just to name two of the bigger companies that use the offshore transcriptionists?
Hospitals, unfortuneately, often care more about the bottom line than the perfection we expect from ourselves. Many doctors do not read the reports (most from what I understand) and just care that they have satisfied JACHO requirements by having a record in the charts.
Offshore transcription is not going anywhere. Sad but true. I do not support it but I am a small tree in a very, very, very big forest.
Are there any companies left who don't send work offshore?
?
I think the 2 largest companies that do not offshore are Webmedx and Keystrokes. sm
Webmedx is in the $25m range with 750 employees and Keystrokes in the $20m range with 600 employees.
I am not sure about SoftScript or Transtech but I do not think they are bigger than those two.
I know that both have goals to be in the same size range as Spheris. I worked for Spheris in management for a while before coming to my senses and both companies were discussed frequently.
I just hope that MQ or Accusis does not buy either of them. The rumor is that neither will even think of selling but $$$ talks and MQ still seems to have plenty even after losing the lawsuits AND after having a negative income for several years. Not sure how or why, but their pockets are deep, as are those at Accusis.
Thoughts?
whoops - should've said YO BUSH BUDDY....lol.nm
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So your saying you're a Bush follower since QT outsources? nm
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Everyone is always wondering what companies offshore and i found a link to a bunch
http://www.angelfire.com/mt2/transcription/medical_transcription_services.htm
Notice AlphaBest is on there and she SWEARS she does not send work to India. I worked there and i knew she did but she refused to admit it even though it is in writin now.
Wrong. Companies chose to or not to offshore work, nobody makes them. sm
My company does not offshore work, absolutely will not. We've actually gained/kept accounts assuring clients that we do not. We have many clients, cutting edge technology for both customer and employee, a healthy growth rate and a high MT retention rate. It's not impossible to have a successful USA-only based company. Sadly that may not be the norm anymore, but it's a choice MTSO/CEOs (whatever they may be) make and in my opinion maybe cutting some of the bottom line and offshoring is being done in place of producing a high quality of work that keeps a customer happy and not looking around for other service options. Subsequently I think these companies then suffer inferior work further because they are paying less and/or maybe have contractural obligations. Personally I'd like to think they'd still prefer high quality to low prices and inferior product. I have to wonder if these offshore companies are losing just as many accounts because of their product. I just know I am glad I work for a company who doesn't outsource, doesn't plan to, and has every intention to remain successful because quality does count.
How it breaks down...... sm
I stated earlier that I had almost 20 years in the business; I have 17 to be exact with 10 years as an independent contractor with my own accounts and 7 years working for various national and smaller companies. I started out with Edix and HealthScribe, so I have been through the acquisitions and merger thing as well. I have been with Webmedx for less than a year, and no, I am NOT in management. I have been in management at 2 other companies in the past, however.
I still see technology as the driving force of this industry because it is what brings about the changes we are all seeing right now. The MT, in my opinion, is the backbone of the industry, but that backbone has to be flexible enough to accommodate the changes as they occur. ASR is a major change in our industry right now, and yes, it does put out some garbage. It will never be perfected to the point that there is no need for it to be cleaned up by good, knowledgable MTs who are willing to accept the challenge of learning new things. I don't like it any more than anyone else because it has cut into my earnings because of the lower pay rate, but I realize that I must accept that challenge if I want to continue in this business. No one of us can make ASR go away, unless of course one has one's own accounts and can call most of the shots. I love medical transcription and realize that I must make changes within myself to meet the ongoing changes within the field or I will find myself out of a job. Like I said before, I may have to eat my words one day, but until that day, I will strive to make myself as marketable in this industry as possible.
People seem to forget it was Pres. Bush pushed EMR in 2004. sm
Try googling 2 words: EMR Bush.
Found this article. Hope links are allowed.
http://www.usatoday.com/news/politicselections/nation/president/2004-05-27-bush-medical-records_x.htm
You take lots of breaks!
xxxxxxxxxxxxxxx
Sorry but the tax breaks have been there for years. (nm)
NM
You are most definitely upset that your Bush **s-kicking ways have rendered your eyes caught in the
Without MTs, companies would not exist. You and many others have no regard nor respect for hard-working MTS. You can't take it with you. I feel sorry for you. Do the right thing...and, you know what that is.
Breaks & Line Count
The company I work for lets us take our breaks, but our line count is still based on 8 hours. They deduct the 1/2 hour for lunch (shift is 8.5 hours) but don't consider our break time, so isn't that basically like we really aren't getting breaks since we are penalized for it paywise?
Apprectiate any thoughts on this and if it is standard.
Link inside to Fed DOL on breaks/lunch
interesting reading, don't know if this varies by state as overtime laws do, but anyway...
you borrowed money from someone who breaks legs?
I know you're probably kidding about the breaking legs. If you've been paying payments for 4 years, shouldn't you have that thing about paid off?
No one is changed to desk or have to post potty breaks. Probably better than ever,
zz
Maybe they mean sign in and out for breaks etc to keep track of the 8 hours that you are to work. nm
:
Talk to a tax guy. There are plenty of tax breaks, supplies, mortgage, electric,
;P
Boycott the BOS? Why not boycott the companies who offshore? Makes more sense to me.
You have to admit when doctors say stuff they don't necessarily say/spell it right. It's your job to do so, and that includes producing a readable, understandable report that is uniform with those that are in use in whatever facility it goes to. If everybody did things their own way imagine what a mish-mosh of things would wind up in a patient's chart, not to mention there would probably be no end to made-up things or things inserted because it seems to fit.
I wrote a letter to Hillary Clinton today, and I also wrote one to Mitt Romney. I am also going to write ANOTHER letter to the Editor as soon as I can compose my thoughts. Just think, if we ALL did this someone might say, well what's up with all this? and maybe we would eventually see a change. This didn't happen overnight and it won't change overnight. And it certainly won't change at all if everybody just sits around and complains. Strength in numbers, they say, and I'm sure we MTs are a large one.
And I would type 40, three refills, I believe that's what the BOS says. I don't see it as particularly rebellious on your part. 
offshore overseas.... not outsource .... correct term is offshore.
nm
This seems to be pro-offshore board. Messages against offshore often just disappear.
:+
Lists and lists and lists of offshore MT companies and
some from here on that emply the offshore MTs. Not to mention all the wonderful things AAMT is doing over there.
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