It is more of a risk overseas. SM

• HIPAA laws being broken. - sm
  • Welcome to the New World Order! - equineluvr
  • HIPAA is like the banks - there is NO - regulation or oversight. sm
  • Honestly, this was all done 5 years ago. - the wayback machine
  • Unfortunately...sm - TechSupport
  • SF Chronicle article - CrankyBeach
  • Anyone know higher-up contact names at Dept. of Health and Human Services..sm - Kay
    • Department of health - ej
  • I stopped going to the doctor since our clinic - hit 'em where it hurts!
    • exactly.... you think the average person knows? or cares? - emily
  • Just because the records go overseas - ht
    • The laws cannot be ENFORCED, so we have no - sm
      • Is this not sickening. Why won't HIPAA, in conjunction with the major insurance carriers SM - Kay
        • HIPAA isn't a person or organization - sm
      • While it may not be able to be ENFORCED, - sm
        • Laws are more 'binding' than contracts. - ?
          • If HIPPA laws are broken, whether overseas - IMHO
      • How do you know unequivocally that the - laws will not be enforced overseas?
        • If the law requires that a patient's record be - sm
        • It is more of a risk overseas. SM - Kay

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I recently had an awakening about the witch hunt currently going on for one "convicted sexual predator."  Predator first offense:  18 y.o. dating 15 y.o. Dad of 15 y.o. angry and had 18 y.o. arrested.  My grandmother was 16 when she married my grandfather who was 19.  I guess he should have been arrested too.

Second offense:  21 y.o. made copy of nude on internet.  Copy found by off-duty policeman who reported find.  Predator arrested, mother's computer confiscated, 100 y.o. public defender appointed.  Predator had to prove person posing for picture was over 18.  How could anyone do that if they do not even know name of person appearing in picture.  Predator convicted and on probation.  Cannot be anywhere with any children.  No Christmas get togethers with family, no church, must leave restaurant or other public place if children come in, MUST be registered and can be locked up if too close to daycare, school bus stop, etc. and must go ???somewhere if children present in Dr. waiting room etc.  Neighbors informed of sexual predator in midst and regularly egg car and persecute in other ways.  I wish they would round up every photographer and reader who ever looked at girl's breast in magazine and could not prove girl of age.  (National Geographic for instance.)  I find sexual predators abhorrent but think we have gone too far.  Am I the only one who sees the backlash from fear? 

The system is not accepting the 3-digit password, after I write out my message, why not?

A friend of mine is moving to Italy and I am really considering going with her.  Just wanting to know if anyone has lived outside of the US (not necessarily in Italy, just anywhere).

Thanks

When companies state no overseas applications or solicitations does that include Overseas Military?? I have DSL and we have a US Post office here on base. Curious cause i'm about to start school and want to know it wont be wasted while we are stationed overseas.

Thanks!

I don't know where you have been for the past several years but a whole bunch of people are screaming bloody murder about this to their congressmen/women.  There are plenty of petitions being circulated to put a stop to foreign outsourcing.  Most MTs I know have not only sent letters to congress but have called the senators from their states to complain about this.  My friends refuse to see a physician who outsources medical records - and they ask up front who does the transcription and make it know that their records are not to be sent to a foreign country. 

There's lots of stuff going on.  Do a search on the Web and you will more than likely more than you ever imagined.

Does anyone have any sources for info on overseas MT jobs?!  I have been Googling but haven't come up with a single MT position in Australia, New Zealand, Japan, or Costa Rica -- only Saudi Arabia, the UAE, and Dubai.

Thanks.

If you worked for an American company say in Scotland all well and good, transcribing for U.S hospitals and the work contained in the U.S., BUT if you transcribe for British or European hospitals/doctors, the work contained in those countries, it is VERY difficult.  The spelling is very different.  I was born and raised in Britain x25 years and when I started working here in the U.S. I found the American spelling very difficult - although less characters per word.  British spelling adds a lot.  Just a thought!  Plus the accents are hard too.  They don't say period, they say full stop which sometimes sounds like part of the text, but you have probably already experienced that.  Good luck, it sounds wonderful.

Can a U.S. citizen travel while working for an American transcription company, as long as they have a legal U.S. residence?  Is there any legal reason not to hire someone who likes to travel and visit foreign countries while they work?  I'm not talking about off-shoring. 

I've been reading some very interesting posts regarding off-shore outsourcing.  I worked as a supervisor in a large MTSO in the 1990s when this subject was being "bantered" around the office, but it was my mistake that I didn't start taking it more seriously at that time.

As I have seen transcription issues evolve over the past 10+ years, I can think back to a time when, in fact, we had lots of "visitors" coming to our office, looking at servers, etc. in what I quite naively thought were server upgrades.  Some of these so-called "visitors" were indeed of foreign descent.  I lived in the southwest at the time so there was a fair amount of "overseas occupants" and I didn't think much about it.  Now, in hindsight, it's plainly and perhaps painfully clear that this was the beginning of outsourcing.

One thing I will say upfront is the fact that overseas outsourcing companies employ smart and very patient people.  I don't doubt this very concept of $.03 cpl transcripton is very palatable to foreign entities where there is so much poverty.  I also remember reading in some of the transcription magazines around that time that doctors and nurses were quitting their jobs in India to transcribe because they made more money!  I laughed outloud when I read that, but I guess the joke was on us.   I also remember reading ads for medical editors in Saudi Arabia for $40-50,000 with a full housing allowance, but the employee had to sign a two-year retainer agreement.  One MT I knew took a job in Saudi Arabia.  I did hear from another MT who was writing to her that there were huge personal safety issues and she would be glad when her time was up so she could "come home."

If we want to know how persistent outsourcers can be, especially with medical office/hospital administrative staff making critical decisions without actual hands-on experience and think MTs are just "typists," just look at our current situation.  We in the USA don't seemingly have the patience to look at the broader picture and the dollars matter more.  Don't get me wrong but the spiraling out-of-control cost of healthcare has always been an issue and with more sophisticated scanners, research, etc. being necessary just to compete with the hospital/clinic across the street, dollars have to be taken from somewhere and voila! it's comes from  'discretionary funds' called MT.  There is only one very large medical institution still in his country who tried outsourcing in the beginning and when the quality of the work was so poor they wouldn't stand for it anymore, they cancelled the remainder of the "standard" contract and vowed never again to outsource whatever the cost.   To this day, they are still one of the most prestigious medical centers in the world and all transcription is being done in-house.

I truly believe there is safety in numbers and hope I live along enough to see a radical change from off-shore outsourcing to bringing MTs "bread-and-butter" home where it belongs!

Maybe we can start by not utilizing their services and getting the word out.

http://www.cnn.com/CNN/Programs/lou.dobbs.tonight/popups/exporting.america/content.html

have you ever asked/educated your friends and family about the fact their medical records may be transcribed overseas and their personal information may be shipped over there, as well?

I was talking with my husband about this issue, and he was oblivious even though I have done transcription for almost 7 years.  (He was also pretty PO'd that with all the money we pay for insurance, our medical records could be coming from third-world ESL transcriptionists).

What if every person who went to their doctor said I want my medical records transcribed in the US by US MTs.  While writing to the president is a good idea, isn't educating each and every healthcare consumer a better idea?  I like the idea of a hospital/clinic having to post a disclaimer that your personal medical information is being transcribed overseas. 

I bet then their pockets would get a little deeper and all these MTSOs that are making money off shipping our work overseas would have a lot less business and a lot less power over us.  If veterans hospitals and Washington DC area hospitals cannot send their records overseas, why don't the rest of us have the same rights?  Are the politicians really going to be responsive to our letters if they know their records are safely done in the US?

I think this movement has to come at least in part from the healthcare consumers, i.e., everyone, as we do not have the money or the mouthpiece that MTSOs do.  It will empower the MTSOs trying to keep jobs here to offer better wages and expand their businesses while keeping American MTs employed.