Outsourcing...

In response to: People say outsourcing will happen.....It is happening!! There are a few National companies (which will go unnamed, but you know who they are) who have contracts with facilities who know the work is being outsourced and they want it because it cut their line rates significantly. This is our biggest competition right now. Overseas, the piddly line rates of 6 cents/line is a lot of money to those people. They are getting better and better at it (the offshore countries), and in time, they will be so good that there will be little editing needed. It is just like newbies here in the US, it just takes time for them to improve and learn...and before you know it, we'll wake up one day and poof...very little if any work in US, all overseas! It is a global economy and what we think is peanuts, they think is a fortune! I am currently retraining in another profession (nutrition) because I have been watching this evolution for the past 7-10 years. I managed a company back in 1997 that first sent transcription overseas and I had to proof and edit that crap! I think in 9 years, they are probably getting better at it and with time, they will improve even more. Don't be so sure that outsourcing will not continue to be a current event! IMHO.

• Deduction in pay for errors.... - hmmmm
  • good for you! - Emily Ayn
    • Outsourcing... - tiredwornoutMT
  • CPL offers - tiredwornoutMT
    • That is nonsense! Most hospitals do not support offshoring and the companies - Small MTSO
      • depends on your area. I am routinely outbid as an MTSO on 11 cpl. - another small MTSO
      • Oh, bull. I'm with a large national and those clients whose work is offshored - have contracts specifically outlining it.
      • 12 cents/line - tiredwornoutMT
        • Are your lines 65-character, gross, or - (sm)
    • I do not agree with deduction for errors, don't do it and don't understand why other MTSO do i - tiredwornoutMT
  • I just quit this morning after 1.5 years... - apple
  • Low pay - Annie
    • In 1983, before going to school for MT, - yeah
      • Yea but that was on an typewriter - Patti
      • low pay - Liz
        • Well, I know my stuff, been doing nothing but ER MT - yeah

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I think it will get to the point where everybody will outsource at least some of the work.  With all these companies begging for employees it doesn't seem like there's enough of us.  The employer I just left was a private owned company and one of the biggest accounts decided to outsource. Don't know who they chose to do this for them, they didn't say, but my income was cut from 4500. a month to 1300. a month.  Right now just desperate for a good job.

I agree with the posters. Check your medical reports, some of them contain serious errors, I was misdiagnosed in an op report as having a serious condition I was determined "not" to have.

I also was treated like a common criminal by a foreign country because I bought a laptop from someone who lost their job in 9/11. I paid a little more than I should have because I felt sorry for him and unless I pretended to be "him" they would not help me. I finally after two months got the right part from an American company and my laptop worked just fine after two shipments of the wrong part and a whole lot of aggravation and misinformation.

They are a third world country and we will take their place soon if we don't watch out. They'll be taking over more than our jobs. It's very dangerous. It is life-threatening as far as information goes. Some will be saving money but losing lives.  

I originally posted this on the "Company Board," but one kind soul there suggested I repost it on the Main Board, so here it goes:

I'll tell you my personal take on this.  I'm a very small MTSO and am fighting like heck to keep my jobs in the good old USA - hiring only Americans, etc.

We face stiff competition from companies who offshore, use EMR, etc.  I charge my clients what the market will bear.  I've already had to lower my rates to 2 of my largest clients because even at the lower cpl rates I was charging them at the time, they were ready to walk to India, and in fact were testing out some Indian MT companies - this after I had, in fact, already lost 2 other doctors' offices to offshore Indian companies.  I feel I am fair and pay my IC transcriptionists 2/3 of whatever I make from my clients.  But whenever I advertise for experienced transcription help, I am pretty much told to go jump in the lake with the rates that I'm able to afford to pay, even though it's good, steady work.  So the bottom line is that I really find it difficult to get any competent help from American MTs. Not that there aren't many around, just that I and many like me can't afford them.  Not blaming the MTs (American OR Indian) for wanting to make a living either, I'm just saying this to demonstrate the dilemma I find myself in. I suspect it's the same for other small MTSOs.  Can't really raise my rates, because from prior experience, many doctors offices have no scruples about sending work offshore.  I've never resorted to offshoring anything, but I'd be lying if I said I wasn't tempted.

Not singing the blues, just telling the facts.  Personally, I'd rather be selling hotdogs on the beach.

I am the only Transcriptionist in a doctor's office.  We started sending some work to a transcription company in November and later found out they were outsourcing to India.  I thought my doctors would be upset, but guess what??? NO!!!  It has been the biggest "mess" for me to correct.  It has been far more trouble for me than if I just typed everything.  I started leaving all the blanks, etc. and let the doctors start dealing with this and as of 6/15/07 we are no longer using that transcription company.  We found someone locally (IC) who is typing our work for the same amount per line.  YEAH!!!!! 

All our hospitals/facilities Outsource - to us.- so unless we all want to loose our jobs, we need to be careful what we complain about.  It's Offshoring that we're protesting. 

This just recently happened at the company I work for (not just psych but psych was included), they went with another service to do their work (we were just doing overflow) and part of the deal was they had to take all the inhouse transcriptionists...well from what I hear they are making it real difficult for the transcriptions, I think so they'll quit and they can bring newer people in at a lower rate.  Just my opinion.

It's not just us - but darnit, I'm still mad!!!

http://www.comcast.net/data/fan/html/popup.html?v=928157451&pl=newestFinance.xml&config=&launchpoint=Link&cid=fanlink&attr=featured_sidebar&tab=featured&attr=finance_sidebar

Sure, my world is called Affirmative Reaction, taking back what was ours by right of being an MT before the almighty dollar spoke and we allowed our hospitals to actively solicit these ESLs, bring them stateside, pay for their malpractice coverage, and employ them as hospitalists, and now we are stuck with a language barrier that, in all other fields, requires a certified translator but now that we have been awarded the title of MLS we are supposed to type an accurate medical document while listening to an ESL's attempt to speak English??  This is your world now, I have done my time, and you are welcomed to all the ESLs you can handle or rather fool yourself into believing that you can do so very accurately.       

Not off base at all.  Yes, they are part of the healthcare system, and their documentation is very important.  But if the dictation that constitutes their documentation is substandard then the risk of mistakes rises and patient care is at risk.  Having worked with these doctors, I know that they generally do take constructive criticism well and do try to make things better once the problem has been pointed out and a solution offered.  You can't solve a problem by ignoring it exists.

Interesting article!

http://www.vdare.com/roberts/050822_hegemony.htm
America's Lost Hegemony
      By Paul Craig Roberts

      The historian who chronicles America's decline will lay the blame on free market ideology.

      I say this as a believer in the market. My books and scholarly articles demonstrate the superiority of market systems over government allocative schemes. The problem arises when market economics ceases to be thoughtful and becomes ideological or a dogma.

      A good example of the latter is a recent Heritage Foundation study that argues that global outsourcing is the best way to equip the US military with the best technology at least expense. The study brushes away concerns with the erosion of the American manufacturing, science, and engineering knowledge base by asserting that such concerns imply protectionism and that protectionism means the death of innovation. ['Buy America' Provisions Don't Help Homeland Security or National Defense by Alane Kochems, June 21, 2005]

      Protectionism can be problematical for innovation, and the study is correct to point this out. Where the study fails is in ignoring that innovation does not take place in a vacuum. Innovation requires a material base and depends on a strong manufacturing, science and engineering foundation backed by R&D programs.

      In an interview with Manufacturing & Technology News (August 8), the study's project leader, Jack Spencer, sees protectionism as the only threat to American innovation, which he otherwise takes for granted:

      "Our belief is that subjected to the free market, the United States is still going to produce most things because our comparative advantages are innovation and new technology. If liberated from protectionism, we can compete and that is where we will always emerge as winners." [Heritage Foundation Says Congress, DOD Should Learn To Live With Globalization; Providing Troops With Best Equipment Usurps Making It In America by Richard McCormack]

      This belief is simply untrue. As this belief is the basis for the study, the study has done nothing but confirm a preordained belief.

      The US has no God-given comparative advantage in innovation and new technology. We were leaders in these fields, because we were leaders in manufacturing.

      We were leaders in manufacturing, because Europe and Japan destroyed themselves in wars, and the rest of the world destroyed themselves in various forms of socialism and cronyism.

      America's hegemony in manufacturing, science and engineering was the product of historical circumstances. Moreover, it occurred despite American protectionism.

      The historical circumstances have changed. The US gave away its scientific and engineering education and its agriculture. It did this partly for idealistic reasons and partly as cold war strategy.

      Once socialism collapsed in Asia, US corporations began outsourcing abroad the manufacture of products for US markets. Success with offshore manufacturing has led to offshore outsourcing of research and development and now innovation itself.

      As a recent report from the National Research Council recognizes, "product development and technical support follow manufacturing." One consequence for America is the loss of many manufacturing capabilities and "the increasing availability abroad of unique technologies not found in the United States."

      This development is taking a huge toll on America's human resources in manufacturing skills, engineering and science. The first American victims were blue collar workers. Millions of them lost their jobs and experienced sharp declines in the quality of their lives. But as research, engineering, design, and innovation followed manufacturing abroad, now it is white collar workers in information technology and university graduates in engineering and physics who are being displaced.

      American university enrollments in science and engineering are declining because there are no jobs for graduates. It is pointless to invest money, sweat and toil in an education that has no payoff. Markets do work. Markets are working to shrink the demand for, and supply of, American engineers and scientists.

      The next impact is going to be on project manager jobs, practically the sole remaining source of career related employment for many engineers and technical people. Project management jobs require people experienced with the technology of the job. The loss of technical and engineering jobs empties the pipeline of people who have the experience to assume management positions. Far from being able to innovate, the US will even lack the human resources to manage technical and scientific projects.

      Many uninformed people believe the problem is that America doesn't produce enough scientists and engineers. Manufacturing & Technology News reports that "a group of 15 US business organizations has launched a national campaign aimed at doubling within 10 years the number of bachelor's degrees in science, technology, engineering and mathematics."

      What is the point of this when there is a huge supply of unemployed engineers and technical people who have been displaced by offshore outsourcing and by H-1b and L-1 work visas for foreigners? I know an American software engineer in his thirties whose job was outsourced. After searching fruitlessly for a job for four years, he took a job in Thailand writing software programs for $850 per month.

      The anecdotal stories are legion. Yesterday, a friend reported to me that the service technician who repaired his garage door opener said his company was flooded with resumes from college graduates and engineers who cannot find work and are willing to take jobs installing garage doors.

      US executives, with an eye to quarterly earnings and their bonuses, continue to spend considerable resources lobbying for increases in work visas that enable them to replace their American engineers, scientists, and technical people with lower cost foreigners. These executives lie through their teeth when they assert the lack of qualified Americans for the jobs. The fact of the matter is, the executives force their American employees to train their foreign replacements and then fire their American workers.

      In a word, American capitalism is destroying itself by dismantling the ladders of upward mobility that have made large income inequalities acceptable. By rewarding themselves for destroying American jobs and manufacturing, engineering and scientific capabilities, US executives are sowing a whirlwind. American political stability will not survive the turning of an American university degree into a worthless sheet of paper. Libertarians and free market ideologues who rejoice in freedom should open their eyes to freedom's destruction.

      Dr. Roberts, [email him] a former Associate Editor of the Wall Street Journal and a former Contributing Editor of National Review, was Assistant Secretary of the Treasury during the Reagan administration. He  is the author of The Supply-Side Revolution and, with Lawrence M. Stratton, of The Tyranny of Good Intentions : How Prosecutors and Bureaucrats Are Trampling the Constitution in the Name of Justice. Click here for Peter Brimelow's Forbes Magazine interview with Roberts about the recent epidemic of prosecutorial misconduct.

      COPYRIGHT CREATORS SYNDICATE, INC.
    

Do you guys think the trend is starting to reverse itself ?  Im sort of, kind of, starting to hear about unhappy hospitals / doctors lately - who miss our on-the-spot turnaround time. 

What are your thoughts on this topic ??

Janie the homebody

How can outsourcing to an offshore company, where a patient's sensitive personal and medical information is concerned, be HIPAA complient?  Shouldn't we as patients have the right to know if our medical info and personal data are being sent via the Internet to a foreign country?  Shouldn't we as patients be asked to sign a release/agreement to such a practice, notifiying us of this?  I have never asked my doctor/hospital if they outsourced to offshore companies...but I will now.  Wonder if I'll get a truthful answer. 

Did any of you watch the special the other night on identity theft?  I think it was maybe on Dateline.  If so, you heard them say the identity theft ring reaches far beyond the shores of the US.  It involves many of the countries that are receiving outsourced transcription work. 

The first thought that came to mind when watching that was our medical records.  I often have dictation that gives me a SSN and DOB.  I also often have dictation on a new patient giving me other details, such as where the individual works, how many children they have, etc.  I always get their height, weight and race.  With these details, the individuals being outsourced to have everything they need to supply a terrorist or identity theft ring information to enable them to pose as someone else.  This is very frightening to me!

What do we do?  How do we wake America up to what we're facing?  Sure, we can write our elected officials, but you all know as well as I do that such correspondence falls upon deaf ears.  Does anyone have any suggestions on where we go from here?  At this point, it isn't only about losing our jobs, its about national security.

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.