Something interesting I found regarding offshoring...
Posted By: suzylyn on 2009-03-20
In Reply to:
I check the Craigslist website quite often, and on a whim I clicked on India and then jobs. SO MANY POSTINGS FOR JOBS AVAILABLE FOR U.S. BASED COMPANIES - customer service, call centers, computer techs, and yes even MTs. There was even one posting a few weeks ago from a "company" that would set you up with a U.S. based physical address, phone number, fax number so that you could have your business "based" in the U.S., obviously to actually be in another country and get the U.S. tax break. Sickening 
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Very interesting article today on offshoring
About India take on offshoring. I don't think they are worried about loss of American jobs.
http://worldblog.msnbc.msn.com/archive/2008/10/17/1548054.aspx
Just found out that my company is offshoring
However, it is still hush-hush, and evidently people aren't talking. It is a company that has prided itself on never offshoring, and I think employees would be totally shocked if they knew. Is it true that this board does not allow these companies to advertise here, and if so, what is "proof?"
I found this interesting
By Susan Heavey Wed Jun 7, 5:04 PM ET
WASHINGTON (Reuters) - U.S. doctors increasingly have access to computers to look up information on their patients, but more than half still don't have digital health records or the ability to write electronic prescriptions, a study released on Wednesday found.
Twenty-two percent of doctors surveyed by the Center for Studying Health System Change last year had access to electronic prescription tools compared with 11 percent in 2001.
About half can use computers to access notes on their patients or exchange data with other doctors, up from about 37 percent and 41 percent, respectively, four years earlier.
"Despite substantial growth rates ... many physicians still lack access to practice-based clinical information technology (IT)," said study co-author Marie Reed, who manages data for the independent policy research group.
Overall, a higher percentage of doctors said last year they could use technology to find out about recommended treatments and patients' medications, as well as share information with other physicians.
The study comes as a U.S. House of Representatives Energy and Commerce subcommittee prepares to consider legislation on Wednesday that would create guidelines to help hospitals, doctors and the government share patient records.
All Americans are supposed to have electronic health records by 2014 under a goal set by
President George W. Bush.
His administration has funded the U.S. Office of the National Coordinator for Health Information Technology but has otherwise relied on private industry to spur wider use of information technology in the health sector.
Some critics say the federal government should take a greater role, offering tax breaks and other incentives as well as requiring U.S. agencies to make greater use of electronic health data.
"In general, major barriers to physician adoption of clinical IT include start-up and maintenance costs, as well as the significant effort and costs of changing workflow to effectively use IT," the study said.
Researchers surveyed more than 6,600 doctors in 2005 and about 12,000 in 2001. The did not ask doctors whether they actually used the technology in their everyday practice.
About 65 percent of doctors last year said they could look up information on treatment guidelines compared with 53 percent in 2001. Twenty-nine percent said they used technology for reminders about preventive treatments for patients, compared with just under 24 percent in 2001.
The Center for Studying Health System Change, which receives most of its funds from The Robert Wood Johnson Foundation philanthropy, said promoting digital health data may encourage more doctors to go high-tech.
Until then, the slow adoption rates "suggest that physicians as a group have not yet reached a tipping point in the adoption of IT for most clinical activities," it said.
I found this very interesting indeed...sm
I hope that someone somewhere sees it and makes note of it. It would be nice to be recognized for what we do and the knowledge it takes to do it.
found this interesting web site
http://www.transcriptionresource.com/companiesa.htm
I found some interesting websites the other day.
The Offshoring List of Shame
http://www.acsa2000.net/boycot/bpolistofshame.htm
Rescue American Jobs
http://www.rescueamericanjobs.org/
The Offshore Job tracker listing the worst offenders for offshoring in 2004-2005.
http://www.mcgladrey-family.us/kayne/archives/2005/05/01/offshore_job_tracker
HireAmerica
http://www.hireamerica.us/
Rural Sourcing (uses rural Americans for labor)
http://www.ruralsource.com/index.asp?pageToInclude=index
We have a local call center in our city and they ran an ad to hire home-based call center workers. That's cool, instead of offshoring.
I already closed the credit cards, canceled my insurance policy, and rewrote my mortgage with a local bank. It's just tough to boycott all of them. The list of companies that offshore is huge!
People say we need a global economy, but what jobs are going to be left for American workers after everything goes overseas? We can't all be CEOs or doctors.
LOL..i wasn't bashing you..just found it interesting.
x
It's the first time i ran through your site and I found it very informative and interesting. Nice
I really appreciate what you're doing here. Very interesting site. when Table Steal Table Expect , when Opponents Expect Cards Give Good, Greedy, Central nothing comparative to Faithful , Table can Loose Stake Industrious Boy is always Faithful Girl
Here is a link to info on medical insurance I found interesting (sm)
http://clarkhoward.com/shownotes/category/9/67/
I found an India MT site - cbay thread is especially interesting...
most of these are old but the CBay post is fairly new...even the MTs in India do not seem to be treated fairly...I imagine there is a lot of abuse over there also.
Too bad we could not unionize them and us together...would that ever be possible you think?
Offshoring to India...Offshoring.
nm
Oh, I found it really creepy when you said you found the flowers not so skillfully arranged on your
steps, and from your own flower bed. That's what I was worried about, having gone thru some psycho kids myself with my pups. Someone's been in your yard and in your garden and at your door without your knowledge. Its just creepy to me, and I'd still be very, very careful. Especially valid sounded the other MTs warning you about potential fake molestation charges. You just NEVER know nowadays, and these people have already turned on you big time once. Luckily (though I don't believe in luck), you had it on film to save yourself and your puppy. You might not be that lucky next time, and the whole thing just sounds very unstable to me right now. I know you feel sorry for the little girl, but probably the only time I have ever made BAD decisions regarding my life is when I felt sorry for someone, particularly kids. My son even has an evil kid in his life, but one who has a million reasons for sympathy, and I was saying how we should "be bigger" than the situation and invite this kid over to play. Thankfully, I regained my sanity long enough to remember - ever time I have done something like that on a personal basis for someone just because I feel sorry for them AFTER horrible behavior, it has always been a disaster... Be kind, but you don't have to risk your family again. Be kind from a distance. Its sorry she went thru this horrible experience, but YOU didn't cause it, and its not really your problem. But it could be your problem if this kid acts out in your life. Know what I mean?
I think I found it, found multiple recipes with the same
exact ingredients so I figure this must be it.
Offshoring
Just remember YOUR elected representives allowed this offshoring to happen. Nothing illegal thanks to the politicians is happening when work is shipped offshore while allowing Americans to lose jobs while increasing taxes.
This is all the fault of the greed and power of the politicians and the corporations. It's not about an Indian worker who has been offered a job and can't lose their accent to please the consumer.
As far as contacting you in a few years when our jobs are overseas, they are shipping them out daily. Where have you been? Check OSI, Precyse, etc. They all offshore some outright and some undercover.
I don't have problems with the workers. I have problems with the government allowing this to happen and the corporations who cut costs while cutting quality by shipping work out of our country.
Keep you eye on your enemy and it is some Indian who is trying to keep a job to make a living.
To those against offshoring...
Have you noticed that anywhere you call, whether it be the phone company, the gas company, the insurance company, you get someone foreign on the phone. Oh yes and do not forget Microsoft and other computer related companies. I realize this cuz i get so damn mad because i can't understand what they are saying to me and they don't understand what i am saying to them. Now I noticed the post below about Earthlink and I am wondering...all of you who are against this..what are you going to do about the fact that the computer company that creates most of the software you use has places in other countries..your gas company..you insurance company, etc. etc. etc.? I, too, do not agree with offshoring, but I do not think there is REALLY anything we can do about it. Not working for companies that do it, yes thats a start, but what are you going to do about the rest of reality and everyday living? Just curious to opinions on this. I am not flaming..just concerned.
Offshoring - don't be too sure.
Look at history....work will be outsourced whether we like it or not. What happened to the steel, printing, shipping, automotive, and many other manufacturing efforts is happening to transcription. While we may produce a better product, if it can be produced cheaper somewhere else it will be. Sometimes MTSO's are forced to look at other avenues because they can't hire and maintain TATs. Clients want their costs reduced when it is already at rock bottom. Transcriptionists want higher pay and the profit margin isn't there to allow this. The transcription business has changed and will continue to change. After all....the only constant in life is change. The offshore MT is hungry and willing to give up just about anything to put food on the table. They probably don't argue, call in sick, complain or quit without notice. They don't bad mouth their employer. They just want to work...much like American workers decades ago. Take heed. I'm in the same boat and don't want to see it happen, but there are many factors that result in change. Transcriptionists are by nature not an organized group. We are mostly solitary and therefore have no voice or at least not one loud enough to be heard. We're all on production. We don't have time for such things. There is no large group lobbying for us. There isn't enough money in transcription anymore to have lobbyists and that is how...regardless of our protests...change happens...silently. People in India and other countries will learn to transcribe. It's only a matter of time. For myself, I am just going to try to do the very best job I can every single day and hope it is appreciated and know that I am not adding to the problem. Actually....I need to get back to work.
A - As soon as I tell them my pay has gone down about 40% since the offshoring (sm)
they are no longer interested in entering this field. In fact, their mouths about drop to the floor.
Having another American MT is not going to save another American job. They will send their work offshore if you are living next door and can do a 4-hour turnaround, just because the price is lower.
I'm getting out also, only doing part-time now and probably won't be doing part-time much longer.
offshoring
Don't know about this company, but there are companies that offshore and lie about it. Know this for a fact. I work for one.
OSi Offshoring - sm
If you are an employee of OSI, you should be able to access that article from the employee web page, try going back to about April or so...it should still be there, where it was originally posted. Read it for yourself and maybe then you'll believe it.
Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me.
I probably got myself on the $hit-li$t now, but that's okay for something I did today to see any reaction. It wouldn't be the first time I've been on the list and probably won't be the last.
I will stay, though, as I really do like working for them...and I like the work..
OSi Offshoring
Ah, thanks for clearing that up for me. All this happened before I started. New employees are probably not aware of it, like me. This breaks my heart.
I probably got myself on the $hit-li$t now, for something I did today to see if there was any reaction, but that's okay. It wouldn't be the first time I've been on a list and probably won't be the last.
I will stay, though, as I really do like working for them. I like the work, and really don't have much of a choice anymore.
I think if these companies are going to offshore, they should send the work from the ESL's that can't speak English correctly. That work should be easy for the offshore companies for them to do. 
Offshoring
I just wonder who these big businesses think is going to buy their products/services when all the jobs are in foreign countries. Not only that, when there are no jobs, or only minimum wage jobs, who's going to pay the big fat salaries of our idiot politicians? Heard on Lou Dobbs the other night that while the minimum wage remains stagnant, the senate voted themselves a hefty $30,000 raise!!!! Doncha wish we MTs could "vote" ourselves that kind of raise? Or maybe we're not so greedy and we'd settle for a fraction of that.
Offshoring
Is there any way you can share as there are others of us who suspect this also and maybe it's the same company. If not, that's understandable too.
Offshoring
Keystrokes does not!
MQ OFFSHORING
I need some Positive Proof that offshoring is occurring.. .will help in our hospital's fight against outsourcing all of us.. thanks
Offshoring
There was an article on the internet quite some time ago where a MQ bigwig admitted to MQ offshoring. I have posted on here before regarding offshoring, tell all your family and friends that when they go to the doctor, they need to tell him/her they do not want ANY part of the their medical record being offshored, including transcription. You have that right as a patient. My family and friends know. Unfortunately, none of us have been to the doc lately.
offshoring
I agree. I am also wondering where they are making out on this deal. I have lost 5 Docs due to outsourcing to India. They are not making out in the end. They just think they are. It is such a shame that the US Transcriptionist is the one that are suffering because they do not know what they are doing. Maybe they should have asked one of us to do the math and we could have showed them that they are not making out. Also, you have to take in consideration that all these people's(patient) records are going over to another country. I bet they would have something to say about that. It is such a shame that someone thought they were going to save a buck and did not do the math, and now we are the ones that are being hurt.
 
Offshoring
I too have been affected by offshoring, and whether we see some advantage or not, it is here to stay, and will eventuallly grasp more than half our work in this country. In my experience, I too am amazed at how much doctors will put up with this poor quality work. I personally know of, and have seen large medical offices, radiologists, large clinics, send their work to India, and put up with their error rate as if it were an acceptable part of the equation. BUT, if an American Transcriptionist put out an inferior report, we would most certainly get that pointed out immediately. I watch with amazement at how much those clients are willing to put up with all because they are paying 6 to 8 cents a line. AMAZING. I know of one radiologist who sent his work to India three years ago, kept one transcriptionist in his office to edit. Three years later, she is still marking all the reports in red ink. She has confronted him with the red-marked reports under his nose, and told him how much he is really paying for the reports as she spends her whole day editing. He won't look at her in the eyes, ignores her comments as if she were not in the room, and goes about his business - three years later! I have been told by CFO's that this is only a transition period, that eventually, the Indians will get it right, and it will be worth the hassles, as this makes "good business sense." We all need to realize that right now is the time to be smart and start training in some other field because even if it takes the Indians 10 years to "get it right," this offshoring has dropped the American wage to a paltry low.
No Offshoring
This may have been asked in the past, but I am pretty new to the board. What nationals do not offshore their transcription? I am currently an in-house transcriptionists, but I am looking to do some at-home transcription on the side. I do not want to support any nationals that offshore. We need to keep our jobs in the US!!!!!
Offshoring
Yes post a list, and I for one will write..as that will be so helpful.. can you post addresses also?
because that is offshoring
and nobody wants that.
Say something against offshoring and see how
x
offshoring
Excellent letter. You've inspired to start writing my senator too.
Offshoring going away too?
Hi all;
Offshoring may not be the problem. All of the local med facilities here are moving to EMR (Electronic Medical Records) and releasing ALL of the transcriptionists, both in-house and contracted. Truth be told, we are more than a little worried over this. Has anyone else seen this move in their area? Is there a way to 'cash in' on this move to EMR? Thanks.
so does offshoring. nm
xx
Aside from offshoring
Regarding a post down the list a ways ... what about the EMR software that the president might be pushing for? - I think that is probably a bigger threat. Shouldn't we write about that as well?
From below: "Basically just wondering if we should write to Obama regarding keeping the same systems in place and just putting the electronic files now dictated together (rather than specific software for the docs to do their own).
We could mention that we don't want to lose our jobs."
again, offshoring.
nm
Offshoring and tax time. sm
Don't forget, a lot of these big box tax preparers and even some local accountants send the work to India to be done. Ask ahead of time. I did, so I went back to doing them myself. 
Offshoring is still an option
I am working in an offshore MT company and our US client is happy with the result of our transcription work. To those against offshoring, do not be greedy. Have the heart to share! ... PLEASE check your spelling, it's "REQUEST" not "REQUIST."
If the company offshoring gets 8-9 cpl, then YOU, an
You should sell your services on the QUALITY of your work, not how cheaply you can give it away. If you work for less than 9 cpl, you ARE giving it away.
You asked how he could not be offshoring if he was from
But no, I'm not the rimrod poster. No, I don't have any other information.
Offshoring may not be the problem
Hi all;
Offshoring may not be the problem. All of the local med facilities here are moving to EMR (Electronic Medical Records) and releasing ALL of the transcriptionists, both in-house and contracted. Truth be told, we are more than a little worried over this. Has anyone else seen this move in their area? Is there a way to 'cash in' on this move to EMR? Thanks.
Unless Offshoring is reversed.. SM
(BTW, to the moderators, I responded to this already and a bunch of other people did… when posts are moved are the responses deleted or something?)
Anyway, back on topic, until the trend of offshoring American medical records to other countries is reversed, I don't see how anyone would find this a good field to get into (again, at this point in time) unless you can find your own accounts and they will pay you what you are worth!
offshoring to Canada sm
My supervisor said offshoring includes what MQ does which is "offshoring" to Canada. Are they saving money there?
OFFSHORING JOBS
Would also recommending sending it as a CC to all your state's congressional delegation.
Take Further Action On Offshoring
Please, PLEASE people, especially all who left posts on the news story below, call the White House. It is your right. I do it all the time and I have not been abducted by the FBI yet. They do not ask for your name or phone number or anything. They usually are pretty decent to talk to.
Tell them: I AM CALLING CONCERNING THE OFFSHORING OF AMERICAN JOBS, ESPECIALLY OUR MEDICAL REPORTS LEAVING AMERICA WITH SENSITIVE INFORMATION ON THEM SUCH AS OUR NAMES AND SS# . Then take it from there. Tell them that you MUST make your feelings be heard and you want the President to take action on this situation.
As one person, I am only making a peep with my calls and emails, but if we all start calling and emailing in droves, we will make a roar. Please, don't be afraid, we have to start taking action here folks. Time will not wait.
The White House Phone: 202-456-1111
ALSO:
The Capitol Switchboard: 202-224-3121
Email:
Obama and Biden:
http://www.whitehouse.gov/contact/
Middle Class Task Force Questions: Tell them to save jobs and stop all offshoring:
http://www.whitehouse.gov/strongmiddleclass/
Your senator: Upper right hand corner, "find your senator"
http://www.senate.gov/
Your congressperson:
https://writerep.house.gov/writerep/welcome.shtml
Let's do this together people 
excuse for offshoring.
nm
The point is they LIED about not offshoring.
x
You can thank offshoring and the companies who offshore for most of this. SM
Been in the business well over 20 years and I am working twice as hard for half as much. It started with offshoring and the big MTSOs who bolted the US like their pants were on fire. They used the excuse that were not enough US MTs. LIES. All LIES. They forced the smaller MTSOs to charge less. We got paid less. Many of the smaller MTSOs got gobbled up by the Squid (MQ). Now there are only one or two superpowers and they all offshore. Some of them lie about it, some are very open. This business is not even close to what it should be as far as making a living. 
Spheris has never denied offshoring.
That's why all the US MTs get left with the ESL garbage.
Boycott offshoring companies (sm)
If everyone would just not work for companies who offshore, it might stop. In our business, there are plenty of other jobs we could get besides those companies. Just my opinion, of course. And yes, I have put my money where my mouth is. Quit a job I had been at for a long time when they started offshoring.
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