I laugh at the comedy board not at a strike.

After 20+ years as an IC I have seen my salary go down, down, down! Not because my speed has decreased, no, it has in fact increased dramatically due to the availability of shorthand programs. No, my salary has gone since the inception of AAMT and their "standards" and practices. The organization that was going to help MT's become more respected has done the opposite. Yes, there were doctors out there who initially thought of me as a "typist" but I quickly showed them the difference between a typist and a "medical transcriptionist" (medical language specialist). Some of them were unwilling to pay for the difference, but most were pleased to pay a bit more for someone who knew when he was making a mistake and was willing to call and get it right. Today, however, the large MT companies have driven the IC out of business. They offer 4-hour turn around at ridiculously low rates. Many of these companies outsource to India, Pakistan, the Philippines, etc. Some of the outsourced work is done perfectly. Most is not. I am hearing this from office managers who cannot convince the business owners that it is "cheaper" to have the transcription done correctly the first time rather than have more time (money) spent doing QA.

Most of my work has been for large radiology clinics. Conglomerates that own upwards of 100 to 200 radiology clinics across the country own these clinics. The bottom line with management is the "bottom line". Their bonuses and hefty salaries are dependent on keeping costs down...therefore cheap transcription is a "must".

Finally, the reason for the steady decrease in salaries for MT's is the availability of cheap foreign and (yes!) American labor. MT's in this country are becoming more desperate and accepting the lower line rates. Yes, of course you need to in order to pay for food, etc. However, if ever there was a time for us to organize a "strike" this is the time. It will never happen, however, because we are too busy just getting by. And where has the AAMT been during this time (in particular the last ten years when salaries have been eroding the fastest)? They have been telling us the "proper" way to do transcription. In the "good old days" if we did not transcribe correctly we were fired. If we used poor grammar, we were fired. That simple! Meanwhile this group (AAMT) purporting to be working to benefit MT's has instead been working to benefit themselves. They benefit themselves by touting their CE courses and the need for us all to become CMT's, that we can only do through their courses and their tests. None of which are free.

No, I am not an AAMT hater. I hate the hypocrisy of the AAMT. I hate the fact that experience counts for naught in this field. I hate the fact that the moment corporate America realized that medical transcription was an income producing product mostly male executives realized that they could take over with large companies, offer work at a much lower price than an individual could, and force the medical Transcriptionist to work at the prices they foist on us. That is what I have seen over the past twenty years.

Don't bother flaming me for telling you what I have seen. Most of the flamers will be from large corporations or IC's who have accepted their fate. Yes, you are making good money typing thousands of lines a day at a few pennies each line. Yes, you pay your bills doing so. I am not putting you down for doing so. What I am saying is that over the past 20 years the medical transcription field has changed (been hijacked by large corporations) and as such the bottom line is "how cheap can we get the transcription done". Such is corporate America. Get it done cheap or someone else will get the contract.

So, what am I suggesting? I don't know for sure. Perhaps there is no answer for most transcriptionists other than to accept their fate. As for me, I am lucky enough to have an income so that I can go on "strike" until I find a job that pays me what I am worth. Or, until I go back to school to find another career! Which is the most likely course of action a lot of us will be taking no matter how much we love what we were doing.

If you have any useful insights I would love to hear them. Flamers will be ignored.

This is what ASR put: AP lateral and oblique x-rays elected vision were obtained.

What doc actually dictated: AP lateral and oblique x-rays of the left 5th digit were obtained.