I just send the crap to QA and let them deal with it!

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...but cheaper crap.  Maybe as long as hospitals and MTSOs figure they are going to get schlock work anyway, they would prefer it to be cheaper offshore work, and go through the many layers of QA and proofing?

Insurance companies are one thing, but I have to wonder what happens when a report with serious medical errors ends up in court as part of a megabucks malpractice suit.  I mean if the doc dictates something like "50 mg of potassium" which the MT does not question, or some other horrible boo-boo that QA or the doc never catches.   We are at the bottom of the pyramid, with QA and the doctor himself also responsible for catching mistakes before he signs. Anybody know of any histories of this? 

I think things started going downhill when impersonal MTSOs took over the transcription business, then started buying and trading us like cattle.  We truly don't know our coworkers or bosses.  We're all just faceless typing machines out here.  I don't know about any of you, but I did not get a raise the last five years I was with one MTSO, only 1 raise during the entire 10 years, and certainly no praise for a job well done - ever. 

Yeah, I know, we still all should do our best all the time.  But motivation is sometimes lacking when you feel depersonalized and as though at any moment your company will be sold, your job sent overseas, or you will be turned into a VR Editor against your will.  Maybe some MTs are all about just typing as fast as possible while it lasts. 

Did the MTSOs start this by going overseas for cheap, causing us to say 'what the heck' and become low quality?  Or did we start this by being low quality, causing the MTSOs to go overseas since they were going to get bad work anyway?  Opinions?

Both parents are mid-60s now and for the most part quite healthy, though mom has had Parkinson's for a few years, which is thankfully very slow in its progression thus far. My biggest fear is that she progresses to mental decompensation from it.

I think my brother would shoulder as much responsbility as he could along with me for our parents. I'm already thinking about my next house being larger than we need just in case we have to accommodate one or both of our parents later. Neither my bro nor I live particularly close to our parents, either.

It's a daunting thought from all angles.

happens once the information reaches India and is processed by the India MT.  So what if the dictation is "encrypted" and sent through "private lines".  What happens to the information once it's UNencrypted? That is where the problem is because then that private health information can be compromised and our illustrious HIPAA law can do NOTHING, NADA, ZIP to protect the poor patient...why oh why...again, because HIPAA is a U.S. law and is not enforceable outside of the U.S.

The next thing that doesn't ring true is the so called "aging" American Medical Transcriptionist labor pool.  Let's get real Mr. Paulik.  The FACT is that YES there is a shortage....a shortage of experienced MTs willing to work for PEANUTS!  Pay us a decent wage and watch those experienced MTs come out of the woodwork!  Also, take a good hard look at every single MT website and see the enormous number of American MTs, EXPERIENCED MTs looking for work.   

I am so fed up with these corporations using this same lame excuses time and again to justify what comes down to the almighty buck.

A steady diet of difficult doctors and bad reports = no lines an hour.

No lines an hour = Broke city.

If you took a cent a line pay cut and only did ER work you'd make more money!