Some, if not most MT co's are in bad financial shape and

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Even if you took away the financial pressure - we have high QA standards to meet.  People's lives, and our jobs, are at stake with every report we type - the buck stops here and we are expected to clean up after careless dictators, fix messy demos, all kinds of things where other people drop the ball!

Other professions have days when you can goof off, situations when its not a big deal when you make mistakes, or you don't get much done because you're juggling work and personal drama, etc.  You can go there hungover or emotionally stressed and occasionally just coast through your day.  Not here.  You're expected to consistently produce perfection as fast as you humanly can, or out you go!

So when I tell people I MUST have enough sleep to keep my wits sharp, I MUST have a serene state of mind to work in, they MUST save their drama and demands until after my shift, I'm not kidding - my job demands it!  But they'll never get it until they actually do my job.

etc., shouldn't be offshored either, since there would also probably be little legal recourse if something happened with any of that. 

Regarding what could happen with your medical info, there was an incident with a Pakistani Transcriptionist that illustrates what could *possibly* occur as far as that goes (see link below):

Moderator: This might belong on the Company Board. 

I had occasion to look at the 10-K form that Spheris files with the government and noticed that the company has reported net losses every year since 2004, starting with $3 million that year and accelerating to $19+ million in 2008 for a total of $57 million.  In other words, it would appear that the company wouldn't have paid any US federal income taxes since it was formed. 

At the same time, the company employs 4500 transcriptionists, of whom 2000 are in India.  Last I heard, transcription companies in India receive very favorable financing and tax treatment from that government. 

At the moment I'm not exactly sure how or why, but it's interesting to consider these two facts together.   You can read the 10-K yourself at the link below.

That small overflow account acquired has not paid yet, and the HUGE hospital they lost is no longer paying them.

I really think TT is in lots of trouble right now money-wise.  Keeps changing payroll companies due to *floating* and not having the money for the payroll company, is my thoughts.

We had the best payroll company in the world -- but TT all of a sudden changed . . . and I mean ALL OF A SUDDEN, so much so that all our payroll information was WRONG, etc.  Horrible time with this new payroll company, but it was a FAST decision made on TT's part.  Probably had no choice except to change payroll companies.

TT is not stable as far as financial backup.  Just imagine after losing a HUGE hospital account how much less money was coming in this week and prior.  Those little overflow accounts just don't bring in a lot of monies.  Dictaphone controls how much money TT gets -- due to Dictaphone owning the platform and dividing up the work between Dictaphone's customers ! 

 times for TT now.