That's about the same state of MT, without the off-shoring.
Posted By: GM on 2007-10-03
In Reply to: what about - JanSetzmt
xx
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
off-shoring
My mom's cardiologist told me their group of doctors off-shore to India because it is so cheap do to so... they pay them 3 cents a line. I talked to him about the quality of the reports and he said they don't care about the quality, it's all about saving money 
In-shoring jobs for MTs.
http://health-information.advanceweb.com:80/Editorial/Content/Editorial.aspx?CC=200503
Off-topic story about off-shoring
Recently, my father cancelled his JCPenney credit card b/c he was furious that they had outsourced their customer service dept to India. Long story short, he cancelled his credit card & wrote them a letter complaining about the language barrier and told them that if they want to accept American dollars, they should hire American workers.
A few days ago, he received an incorrect billing statement from him. He called the customer service dept and quickly realized he was speaking to an American. The woman on the phone told him that JCP had received so many complaints, that they are closing their India office and bringing the jobs back to America. She said it was b/c of the lay-offs in India is how she got her job.
I think you are missing one of the worst points of off shoring. sm
All of these people working off shore are not paying income tax, social security tax, medicare tax, or state tax. The government is losing a small fortune on these salaries, and as the price of their programs go up, so will our taxes. Someone has to pay for it. The people making minimum wage will not be hit hardest, it will be the middle class, those of us doing this profession, teachers, accountants, etc. Maybe when your tax hits 50%, you will begin to see the light.
The point was the reason for outsourcing, not off-shoring. sm
Every facility that pays a vendor to do its transcription - including US vendors - is outsourcing and yes, the main reason is a shortage of qualified MTs so that many facilities, especially those in less populated areas, cannot hire enough qualified local MTs.
This is a different argument from the reason for off-shoring the work, which undoubtedly is the cost differential.
I will only agree with outsourcing and off-shoring when Americans have carte
are going to. Like, the companies that enjoy the protection and luxuries of operating out of the United States -- when those companies work deals with the COUNTRIES they are allowed to send our jobs to SO THAT WE CAN VISIT, MOVE TO, EXPLORE, SHOP IN........when we can go to those very same countries without question, passport, or visa, then I will say I will not fight off-shoring and outsourcing.
But the way it is now......basically we are being held PRISONERS IN OUR OWN COUNTRY while our JOBS ARE GOING OUT THE DOOR.
off shoring tests for health care professionals
Below is an ad I found were they are offshoring the devlopement of questions now this is scary
Title: Healthcare Exam Question Writing |
|
|
|
|
PROJECT DESCRIPTION
![](http://www.offshorexperts.com/images/pixel_gray.gif")
The client is based in the United States that is providing training and education to health care professionals.
The client is looking to outsource the process to outsource agents who can write exam questions from the source material (source material can come from journal articles, books, etc.)
1. The client will provide the source material either by email or by providing the web address.
2. The outsource agent will write multiple choice questions from the source material provided. Each question will only have 4 possible answers, with only one answer being correct.
3. The client will designate the number of questions required per course.
4. The outsource agent will format the questions in a format that will be provided.
5. The outsource agent will email the questions to the client for review and editing.
6. The client will email the edited questions back to the outsource agent.
7. The outsource agent will upload the edited questions to the client website.
The client will pay one dollar US ($1) for each question written.
We believe that for a typical set of question will require 15 questions and will most likely take about 3 hours to complete. This equals about $5 US per hour. We anticipate rejecting some of the questions that are developed, though the client will consider paying for the development. The client will work with the selected agents in the future to assist with question development.
No Project Files
off shoring means the company actually moves there. - of course I mean outsourcing to foreign lands.
they may up their ante but they will always undercut us in price, because they can. No Work Comp, no EOE, no OSHA, no health insurance. If they charged the same as us, what would be the point?
Work for a company in a state that has no state income tax
I think there are 3 or 4 out there (Florida, Texas, and a few others.) Then you really avoid the tax situation.
Name a state and put every company in that state under suspicion.
Tell what the first letter of the company is and every company with that initial will be suspect. I would imagine that everyone who works for that company has received an inquiry from department of labor, so they would all be aware of it.
Why do we persist in setting up companies to be torn down when there is no reason for it. If a company is suspect, then give the name of the company, don't give big hints that cover at least 5 companies, 4 of which may be the best companies to work for, but fall into the category of an alphabetical letter, etc.
Contact your local BBB in your state and in their state if different from yours.
xx
Not mandatory, as you state it depends on your state - sm
or county. Where I am I do not need it; though if I was cutting grass or landscaping I would where I live, makes no sense to me as I am providing a service, but very happy I don't have to have one. We pay personal property tax here and I would have to list all my business related equipment and pay taxes on it every year I was in business. So until I am told otherwise by my county, I will not be getting a business license.
varies from state to state...nm
x
deluded are ye? state by state..sm
http://www.washingtonpost.com/wp-dyn/content/article/2006/05/15/AR2006051501201.html
http://www.votefraud.org/vote_fraud_articles_by_state.htm#VO
http://www.votefraud.org/
Some people just CHOOSE to live in DE NILE (DENIAL) and we all see you are ONE OF THOSE.
Some of us CHOOSE to go through life as a REALISTS!
  
Things are different from state to state, but I think
you probably could, if you are actually "laid off." You would have to get a letter from your surgeon regarding your temporary disability status and take to the unemployment office and to Medicaid....but you know how Medicaid works, 1.5 pennies over the income limit, you don't get it. But, as I stated, laws differ from state to state, so you would have to inquire or go on their websites and see what they will approve and what they will not.
If not in your state, try filing in THEIR state. Then they
nm
Each state has different laws. Where I live, if I have clients in the same state I live in, yes I ne
have clients from another state, no I do not need a license. Every state is different. I checked with my attorney and the State Business offices.
what state are you in. May be able to tell you nm
:)
Again, I must state...
Why does any state take them in
"we have enough losers of their kind here already, i'm pissed"
WHY? Because your have competition???? As they say, it takes one to know one.
Your just a very sad case if you ask me & probably would be the first to demand it all if it were you
Can you tell us what state they are in?
or the first letter of their name? TIA
state -
Wyoming/Montana.
Did not want to state her as there are men who are MTs also.
dd
What state are you in? Maybe we can help.
you state....
"serving his country" Our military over in Iraq is NOT serving the USA, sorry to speak. I support our soldiers and have several friends and my brother over there serving. But, I am not in support of the war itself or our president who put us there.
In reply to some of the other posts.......I also have friends who got a good education paid for due to their service in the military, so yes it is a reason for many to enlist. I would not encourage my own child to enlist, mostly due to fear that he or she would need to go to war one day and my love for them far outweighs my love for my country. And, I personally don't feel that war is the path God leads us in.....
All the ads do not state exactly what they want....sm
a lot of them do state looking for IC status but most certainly do want to dictate times working and weekends, been there and needless to say refused !!
maybe goes by state.
s
What state are you in?
x
State
I am in North Carolina, but the this is coming from Illinois. It just sounds like a mess to me. I know you can get incorporated online, but I would rather talk to an attorney first.
Any info on proprietorship would be appreciated. Sounds like more federal, state and county money.
I do all that you state above but I do know - sm
that many don't do this. I have 2 IC jobs, neither has a true QA dept. I am expected to proof my work by relistening, sometimes I do, sometimes I don't, though I do always go over it quickly. My one manager complains a lot about how most of the MTs do not take the time or effort to look up doctor names, or to call her if they have trouble with a name. I have told her a million times it is because (1) they don't care, (2) they won't take the time since they are not getting paid for it. I generally limit myself to 5 minutes, then if I cannot find it I call her later on and she finds it for me and I fill in my blank. Yeah, it is a pain to do and cuts into my bottom line but I do turn in good work and they have no complaints as far as I am concerned anyway. Too many MTs think they are above the little stuff that counts, one more reason for hospitals to outsource to India. At my one IC job, we just got the work stopped from going to India overnight, which is great, now we have more work than we know what to do with and are working our butts off to keep in TAT, but at least we are the ones earning the money; so if I have to be a bit more dilagent in more work it is worth it, and I wish other (more) MTs felt the same.
What state was this in? How's the pay?
?
state
What state are you from? I live in Indiana
its different in every state nm
x
Out-of-State
No...you would not be a resident of that state, so therefore, you still have to pay your state taxes. They usually dont care where you do the work as long as it gets done. I travel quite a bit and have my platform on both my desktop and laptop so that I can work wherever I am at the moment.
So, are you going to tell us the state???
x
Oh, my, again I will state
about the fact your program is not being trained. On the weekends I type mostly ESLs and if I did not have Escription I would pull my eyebrows out 1 by 1 (including the nails on my fingers). You should never have to retype like you are saying, never. Why are you using the so called "hot" keys? You do not have to do this, I don’t, had typed far too long straight to learn a new trick now and do great with the mouse alone. As I press my foot pedal once the actual dictation starts each word is encapsulated in a red box, always lets me know where I am. Get your mouse, give that a try (the companies are not going to fire you because of not using the hot keys) and see if that will alleviate some of the distaste you are having at this time. Wish I knew how to tell you about the sorry reports you are getting but your program is not learning, simple as that.
check out state
Maybe check out state or federal jobs. That is how I started. I was hired with absolutely no experience to work in a clinic for the state. They then sent me to a local college at night and paid for my education. MQ used to hire from transcription schools. I dont know if they still do. I think I read also where Encompass does. I know Chronicle Transcripts used to as I worked there as lead transcriptionist and used to help train newbies. Good luck!
State of the MT industry
Obviously, you work some place that pays very well and you might even have secure employment. If so, that's great. Some of us worked for companies that were sold or sent all their work offshore and we had to take jobs where we could get them. Don't be so quick to judge other peoples' choices. It's true that in some companies, wages are lousy, but do you really think you'd be a fry cook at the clown's over working from a home office? If you are earning great wages and have a good job, I sure hope you're able to help other MTs find something as good as what you've got.
Which state board?
/
Although you state you would never recommend
a company you work for, you are indirectly recommending them when you question a particular MTs experience with that company and go on to state your positive take on it. I believe that MTs' loyalties should to be one another and not the MTSOs, and that we should do everything we can to support and encourage one another. It's not easy these days being an at-home MT, so let's pull together.
Lower NY state 2.39 and up. nm
n
What state do you live in?
Here in Texas, all they ever do is talk about it, never do it.
Depends on your state.
In California, 40% of what you bring home needs to be put aside for tax time! :( It's awful.
Around our state the going rate is....sm
10-12 cpl for that same 65 character line for office work, 12-14 cpl for the same 65 character line for hospital work.
That's right! Excellent way to state that!
Even at 8 cents a line you can make $20 an hour with just 250 lines in an hour.
There's 2. Got the contact name or the state? nm
s
What state do you live in?
m
The State of Datelessness
Daaawling..... give us your statistics (tell us a little 'bout yourself) and we can probably hook you up in a flash.
I am from Washington state, right
on the Canadian border, about 90 miles north of Seattle. I lived in Florida for about 20 years and never got it down there, just up here.
I think it depends on the state you are in, not all are the same
I know for a fact that if you are working, you dont quality for unemployment in my state. Not sure about the others.
Just curious what state you are in?sm
I know from family that New Yorkers give well like what you describe, but I'm in AZ and I got $100 once (which I was thrilled with). I'm just curious if certain areas of the US give more than others.
|
