Yes, I am fighting back. Thank you!!

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organize MTs throughout the country?  It seems like, judging by what I read in MR forums, that part of the problem is that when people first come into the business, they have no idea of what their hard work is worth.  Regardless of the fact that hospitals want to pay the lowest possible price for transcription, the only people who should be settling for less than 10, 12 or more cents/line are ESLs in India, etc.  American workers should be standing up for American wages.  Yes, there are some companies who will say, Fine, I'll contract with India.  Believe me, you wouldn't want those companies as employers, or to work for hospitals or clinics that operate that way.  Heck... I sure wouldn't put my care in the hands of a doc that uses offshore transcription services, that's for sure! 

SO, what I'm saying is, there must be some way to bring MTs from all areas, and of all experience levels together (OUTSIDE of AAMT, which has been in large part responsible for alot of the problem!), and organize for a decent living wage and health benefits.  If all of us were to stop working for 3 days, 1 week max, do you think that work would all suddenly be sent offshore?  I don't think so.  Some might, but then again, it's a good way to week out the undesirable clients & employers. 

I think we our often our own worst enemy when it comes to wages.  If we continue to accept less than what we're worth, then that's all we can expect to earn.

Also, I'm surprised that some entrepreneuring MT company hasn't cashed in on all the newbies and in-school MTs out there who just want experience and a chance.  Imagine if one of the larger, more respected services were to open an MT SCHOOL as well.  They would receive an income from instruction fees.  MTs could gradually cross over from student to trainee.  MTs could earn extra money as teachers.  (And should be paid well for it, too.)  The company training the MTs would have first pick of the best and brightest for work in their own company.  Beyond that, there would be more money to be made when it comes to referrals. 

The healthcare industry needs to be more educated in the fact that transcription is a vital part of their work, and how well their reports are done is a direct reflection of their competency.  If you look at how much money is wasted in these establishments on FLUFF -- excess management, inept management, some community programs, and in some cases excess in building glitz and glamour, one has to wonder why they feel transcription is a less-valuable service than those provided by their janitors, groundskeepers, or food service personnel.

One way to fight the low-wage problem is to continue to lobby for an end to offshoring of personal information, not only in the healthcare industry, but in ALL American industry.  NO personal data: phone numbers, credit card numbers, etc. should EVER leave American soil without the express written consent of the owner of that data.

Another way to fight low wages is to do as much research as possible on prospective employers.  Remember, they are not just interviewing you, you are also interviewing THEM!  Go with the best-paying company you can find.  If you are new to the field, that will be harder, but in your case finding the best learning environment is your best bet, and then work hard at getting proficient enough to be able to LEAVE a low-paying employer ASAP for a better-paying one. 

In terms of being an IC, I know it's difficult to deal with people undercutting you.  But once again, don't forget that when someone turns down high-quality transcription and goes with the lower-quality provider, simply because of a couple-cent-per-line difference in cost, the way to look at that client is Good Riddance!  I used to have my own, non-MT, service-related business.  I had two ways of weeding out the undesireables: 

One was a waiver of liability.  If they squawked about signing it, or started picking it apart like they were big legal experts, then I knew right away they were a future legal liability.  (Of course, that is less of an issue with MT... I don't know of MTs that make clients sign waivers!  It's just a 'fer instance.)  But the best way to weed out the cheapskates and nit-pickers was to charge a slightly HIGHER fee than my competitors.  I offered a higher-quality, more personalized service than my competitors.  So I stood firm on my prices.  And you know what?  There are clients who will actually LOOK for the higher fee, knowing that if you can command and get a higher fee, you are probably a better service provider. 

Also, steer clear of new clients who want a special deal or discount right off the bat.  They will NEVER be satisfied; give them an inch and they'll take a mile.  I believe that discounted rates are EARNED, not given out on demand.  A long-time client who is honest, pays on time, tips, is slightly flexible, etc., who gives you steady, reliable work that is easier to do, should be rewarded with a deal.  But that deal should only be between you and them, and not broadcast to other clients.

Some of my BEST business clients turned out to be people who at first pooh-poohed my fees, and went with the cheaper provider.  Quite a few of them came crawling back on their hands and knees later; sadder but wiser, and more than willing to pay what I charged.  And often they had such a big mess that needed to be straightened out (usually caused by the cheaper provider) that I initially had to charge EXTRA, on top of my normal fees, to straighten it all out!  These people often came to be my biggest TIPPERS, as well! 

 I think we have all been conditioned to believe we are lucky to have a job at all, and we need to start rethinking that.  MT's need to stick together, network, lobby against offshoring and unfair pay, UNIONIZE if at all possible or beneficial, and be far more VOCAL.  The normally quiet nature of most MTs and their behind-the-scenes work usually works against them when it comes to fair labor practices!  Those of us with many years of experience & skill need to TURN DOWN job offers that are insultingly low. 

Anyway, that's my take on the el-cheapo employers & clients, and the low pay they think we'll get down on our knees and thank them for!   

Happy 2007!  

The accounts weren't too horribly bad.  The reason I ended up leaving was because slowly but surely they began to inch closer and closer to paying QA by production.  When I first started, the quota was something like 30 reports a day.   We simply had to make sure that we QA'd all reports that were close to being out of TAT first and then do the rest.  Then, my supervisor left and they hired a new one who immediately called a big teleconference meeting and said we had to up production to 60 reports a day.  Then, they started counting lines.  Which was fine because they were still paying hourly.

Next, there was an MT who used VR software because she was blind - yes blind.  Again, when I first started, I was told we had to edit her entire reports because she used the VR software and we had to make sure that everything was correct and made sense.  Then, we are told only check the blanks.  I wasn't comfortable with that and I continued to completely proof every word.  Then I was called on the carpet not because I wasn't meeting the production quota, but because I was ONLY meeting the production quota.  I told them I was proofing all of the MT's work that used VR, I was told that no one ever told me to proof every word of the VR reports and that I needed to fill in blanks and move on.  When I voiced my concerns, I was told that was my job, to fill in blanks and I should move on and strive to product above the standards.  Next thing you know, rumors abounded about changing the QA staff to being paid on production.  So I left. 

There just seemed to me to be too little concern for quality and more emphasis on quantity and I just didn't want to be part of company who would take money out of my pocket just to line their own and that's what they were doing by putting QA on production.  I also am not comfortable with the job of QA being thought of as a blank filler.  There is much more to the QA profession than just simply filling in blanks. 

I don't know if Transcend ever did start paying QA by production, but I could see that the idea was being floated there.  Maybe there was a enough protest that they didn't change from hourly. 

Good luck to you!

happier.  I am on a different account then the first time and it is as if it is a different company.  I have a great lead who leaves us alone most of the time but is there when I need her.  It showed me that you can have a different experience within the same company.

I have to say that in the few weeks since they have the new office, it is much more organized probably because there are a lot of people there all the time.  I had the pleasure of speaking to the new HR manager who was HR at a hospital, got my questions answered about insurance as I am going to full time and had a live voice pick up the phone.

Not all change is bad.  This is one company that has changed for the better. 

This is a message on the main page...

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.

If anyone is interested, I have an oral surgery account that I need back-up help with every once in a while.  This will be p.r.n. Very easy.  0.07/65-character line with spaces.  Will need wave file player and MS Word.

BUT..........that does not mean that they work...duh!

How can so many MTs do this job and NOT know anything about their computer?