In 1995 I was making 12 cpl for a small, rural

Changes were gradual.  First, we were allowed to start working at home at 12 cpl, instead of the hourly wage.  We still were employees and had the same benefits.  This saved the hospital money in overhead and we were all happy.  Then they started using outsourcing services for holidays and weekends.  Gradually, the whole MT dept was phased out and we had the option of going with the service handling the hospital transcription or finding another job.  The service kept us at this rate of pay for a short time and then gradually started implementing "incentive bonuses" and lowering the line rate of pay.  It evolved over the years to what it is today.  Starting line rates were lower and incentive bonuses done away with.  Health insurance is contingent on production, but their platforms crash regularly (as do many, many others) and we either have to work extra to make up the loss or just eat the financial loss altogether.  The services overhire to make sure that their TAT is met, which means unstable availability of work, which in turn affects production, in turn affecting benefits. 

The logic today behind all the changes is the "lack of experienced MTs in the U.S.", thus the need to hire people outside the country, who have even LESS experience with the English language and slang medical terms, at half the price of hiring American MTs.  The MT field in general has to be able to compete and so must lower their rates to keep clients from going offshore at half price.  And now with the advent of VR, the MTSOs using it try to justify the cut in line rate to the fact that we're no longer "typing", we're "just editing."  It's been a gradual evolution, but not in a positive direction.

And in all of this, AAMT has not come to the aid of the transcriptionist.  It has furthered the promotion of offshoring and has developed ways to enhance the MTs adjustment to VR instead of enhancing the MTs value and amount of worked involved in VR.  When the AAMT doesn't step up for the very ones it says it represents, why would the ones using the services respect, understand, or value the MT either?  

• To Proud Member of AAMT: I think it's just as - depressing for newbies to see the changes in MT
  • I saw the writing on the wall with them - typingal
  • depressing changes in MT - nowRNwasMT
    • What "stuffs" do you mean? - nm
      • "stuffs" - nowRNwasMT
  • Please everyone write your congress people!! - outraged
  • Adios - Mad and Sad
    • Agree with Mad and Sad - Mad, Sad and Hurt
  • I for one was shocked at the line rate - at my company compared to 10 years ago
    • And that 0.0775 was just STARTING rate. MTs - with exp. were getting 12, 13, 14 cpl and up. sm
      • I had no idea pay was ever that high - How did they justify cutting your pay
        • In 1995 I was making 12 cpl for a small, rural - hospital. sm
          • sounds like its the corp money grubbing middle men - who ruined things for hospitals and MTs
        • the supply slowly dwindles, and you give up and go elsewhere...sm - gto
      • And the result is like a Catch-22. Clients/MTSOs - say there aren't enough experienced MTs,
  • We should start a petition, sign it, and send it to AAMT, and all other associations - agreeMT
    • not only that, but most co's do not supply...sm - gto
  • Excellent post and info...a must read.nm - gto

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Like you and so many others, I have watched my wages as both an IC and an employee go down, down, down.  I worked for a company owned by an MT.  She paid very good wages but sold the company to an Indian company, who got rid of all the Americans except for a few who would accept very low pay.  It's funny...clients want 100% accuracy but they don't want to pay for it.  They agree that they can't just randomly pluck people off the street to do MT, that they have to hire experienced or trained people.  But they don't want to pay us for our experience or our training.  I am doing my last MT job. I have my bachelor degree almost completed and I'm outta here.  The lack of respect for MTs, from employers, other MTs, from offshore companies, from clients, from AAMT, is so disheartening.

It is clinic notes that are pretty easy to type.  Some of the work is digital and some is still on tapes.  They want me to come in and pick up tapes, and they want me to print and deliver reports when I pick up the tapes because they don't know much about setting up a remote printer.  I made an introductory offer of 12 cpl for the first month and then 15 cpl if we both feel like continuing to work together.  I felt that since I am going to be out the cost of gas and ink, my offer was more than reasonable.  Well, they countered with a flat 12 cpl period with a one year contract and then we reevaluate at that time.  While I was mulling that over, she called back and asked if I would be interested in doing some radiology for them in addition to the clinic work.  So basically this account will keep me very busy and is not going to be just overflow.

So now I'm back to thinking 15 cpl and because they balking, not offering the introductory rate anymore.

What does everyone think?

Wasn't even done with schooling yet, but picked up a doctor for $.12 a line, clinic work.

Then went to a hospital in house to get more experience at ? wages (don't remember) and at the same time, picked up my second account for ENT employee w/o benefits for $200 a month (yeah, that's cheap) but it gave me experience.

Family member got sick, had to quit the hospital after 4 months, but they asked me to be the guinea pig for on-line transcribing. It worked and they kept me for 9-1/2 years at $3500 a month (no line rate, MINUTE rate- their choice). I also worked for the ENT service for 5 years and my own doc... well I'm still with him. He forced me to up my rates (yeah, that's right). He yelled at me for not charging more. He is now charged $16.5/65 cpl and he is happy. Huh? Where do you find a doctor like that?

I tried to quit the hospital to go with a national service but the hospital wanted me to stay, so I still worked for them part time for another 2 years. Then I had it with everybody and quit all of them except my own doc. It's been 15 years with him and I don't intend to give him up.

Have I been lucky? You bet!!! I have to say, for all those that don't want to work in house, there are lots of opportunities to go on your own. I got the ENT job and could have had a job with urology, orthopedics, gastroenterology and/or physical therapy had I not been only one person. 

I could have stayed an IC but needed medical insurance, so went with the national service. Private medical insurance was absolutely kiling me.

Wasn't even done with schooling yet, but picked up a doctor for $.12 a line, clinic work.

Then went to a hospital in house to get more experience at ? wages (don't remember) and at the same time, picked up my second account for ENT employee w/o benefits for $200 a month (yeah, that's cheap) but it gave me experience.

Family member got sick, had to quit the hospital after 4 months, but they asked me to be the guinea pig for on-line transcribing. It worked and they kept me for 9-1/2 years at $3500 a month (no line rate, MINUTE rate- their choice). I also worked for the ENT service for 5 years and my own doc... well I'm still with him. He forced me to up my rates (yeah, that's right). He yelled at me for not charging more. He is now charged $16.5/65 cpl and he is happy. Huh? Where do you find a doctor like that?

I tried to quit the hospital to go with a national service but the hospital wanted me to stay, so I still worked for them part time for another 2 years. Then I had it with everybody and quit all of them except my own doc. It's been 15 years with him and I don't intend to give him up.

Have I been lucky? You bet!!! I have to say, for all those that don't want to work in house, there are lots of opportunities to go on your own. I got the ENT job and could have had a job with urology, orthopedics, gastroenterology and/or physical therapy had I not been only one person. FYI, when a doctor needs a Transcriptionist to do their work, they look to hospital MTs first. All my co-workers at the hospital had jobs on the side.

I could have stayed an IC but needed medical insurance, so went with the national service. Private medical insurance was absolutely kiling me.

At that time, I charged $3 a page. I had no trouble getting that amount, and most books would be around 200-300 pages. I was a lot faster back then and could crank out a book in a couple days.

After I would type it, I would have the author check everything out and would make changes for an editing charge. If the error was mine, then no charge, but if he wanted changes, I charged editing.

There is a bit of a difference with books (unless it changed now). You would have to follow a manuscript style of writing so the book could go straight to the publishing company without the publishing company setting it up, which would cost the author more bucks.

I had worked for a publishing company that generated university textbooks back in the late 80s and that was really profitable. On those books, I was paid by the character! Sadly, my computer crashed and had to give it up. Computers back then ran around $2500 and there weren't too many gurus around to fix them. It was buy another one or do without. I had to do without since I had young'uns at that time and just couldn't spare the cash.

Hope this helps....and, BTW, if I could get back into this type of work again, I'd jump in really quick, especially the textbooks. You also get "a college education" for free.

We even had a patient in the waiting room one day that brought in a paper bag with baby chickens in it as it was too hot to leave them in the car.  Nobody in the waiting room gave it a second thought.

It was great fun to work there.  They called it a "medical center" but it was in an old house with less than state of the art equipment.  The country folk swore by "Doc" and "Doc" didn't think twice about going out at 3:00 a.m. to make a house call.

He never would have dreamed of asking for a co-pay up front and even let one farmer's wife pay with fresh baked pies.

They sure don't make them like they used to.

P.S.  We still had typewriters back in 1994.  :)

It is very frustrating to feel so limited in your job choice b/c of something like that.  I have never really had any major problems with my dial-up and have been told by two different techs. that I have excellent connection speed considering it is dial-up.  Frustrating though....

I hate going to the doctors office.  My daughter has had a sore throat for a week and went in to see doctor this morning, sat there for three hours.  We have gone through six different pediatricians/primary doctors in 11 years.  How are they suppose to know if there is something really wrong.   Doctor looked at her (daughter, 17)  throat and asked why she had not had her tonsils out.  Did not ask her history.  She has not had a throat infection in over 10 years.  As a toddler she had frequent throat infections and naturally large tonsils and doctors never once stated they should come out.  Now, she is worried.  She is a vocalist and does not want to that to effect her singing.  Anyway, I'm getting off the subject here.  We went in to see the doctor in clinic to find out he quit Friday and there is an interim doctor (who we've seen in ER and who has filled in for other M.D. in the past and like a lot better than current M.D.  Too bad he is not staying).  Is it that inconvenient for doctors to locate a practice in a rural area? Our area might not have much but we are only 30 minutes away from one medium city and 45 minutes away from a moderate one.  Our little town is now down to one doctor when at one time it had 4-5 family practices.  We have a hospital, but no doctors.  LOL.   

Thanks for letting me vent, but this is really getting riduculous.  The doctor today did inform me that he was trying to recruit either some doctors finishing their residency or maybe some middle aged doctor from the N.O. area that would like to start over.  We have great facilities, just no doctors.

Hi all,

Was just on the Sprint website a little bit ago and checking out wireless cards for my laptop since I will be moving to an area that doesn't even have landline service available yet.  Sprint is now offering a wireless card that is a USB card and apparently will work with both a laptop and a desktop as long as you have an available USB port on your computer.  Might be something to think about

Of course you can buy a big house for 130,000 in a smaller town and the same amount won't buy you a pot to pee in, in a place like San Diego or the D.C. area.  It's all relative.

I suggest you have your father read my post and explain it to you.  Apparently you have poor comprehension skills.  Talk about ignorance.

My point was NEW immigrants who come here not to become American.  Obviously, this is not apply to all NEW immigrants, because as we know, many of them bust their butts to become American in every way including service in the military.  My point was that so many of the NEW immigrants, meaning those from the last 25-30 years, come with different aspirations than previous groups.  This is documented by social scientists who have been studying this very point for a couple of decades.  Look up some articles in any journal of American sociology or political science and you will find research on this subject.  

 I am perfectly aware of New Spain and New France and even that Russia once owned parts what is now Washington state and Oregon.  Do the people in Northwest US demand to have legal papers printed in Russian because 400 years ago, Russia settled that land?   Are you aware of the language controversy in Quebec, Canada?  We don't need that in this country and having English as our accepted common language has helped prevent some of the fighting and death that results from people coming to blows over language.  Language is the root of "the Troubles" as the Irish call their 100 years of conflict with England.  England passed a law making English the official language and forbad Gaelic in public places, including schools.  Look how that has worked for them.   In the U.S., it has worked because it has been understood as a custom and new immigrants were proud to learn English, because it was a mark of American citizenship.

You need a history lesson - New Spain was SOLD to the U.S. government  and New France was sold to the U.S. government by their respective kings because France and Spain needed money to finance their wars with each other.   So, Spain left voluntarily.

BTW, my brother wrote my parents in English during WWII and his letters were confiscated - is there a group that will protest such actions again Irish-German Americans? 

Wnat to see what ignorace looks like?  Got a mirror?

not impressed one bit

you can make $12.50 an hour being a secretary and be dumb as

dirt.

you can make $12.50 an hour doing data entry and not know one

word of medicine or the other junk we have to know and be responsible

for and get grief from QA about.

you can make $12.50 an hour doing a lot of things and not have to

put up with the junk MTs are having to put up with now.

70k a year, I can have the 850 square foot bedroom if I want. In fact, my home is a mere 2200 square foot, on 5 acres in the country, only worth $450,000 but I paid off the mortgage in full in 7 years, by- yep, you guessed it-- working my MTSO.  I have no debts. I own 4 cars. I have money stuffed in my 401k. The point was made in an earlier post by our beloved Patti, who chooses to live in 1000 square feet - and also put 15K in her retirement account and takes home 50K. When Patti mentioned her home was 1000 square feet, some ignorant troll said  (now say this in a high falsetto) "shocked! my bedroom is 850 square feet! How can you possibly live in only 1000 square feet."  Jealous, no. Anyone who wants to own, maintain, clean their 850 square foot bedroom can be my guest. Me - I go for a little smaller but still nice, with more freedom and lifestyle. That's why I put in my 5-10 hours a week running my service while you're working full time. LOL!