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c) We are introducing two awards, for MTs and Corporates:

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AbeilleDeSucre

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Apr 7, 2002, 2:59:06 PM4/7/02
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Subj: The MT Times
Date: 04/07/2002 11:03:55 AM Pacific Daylight Time
From: mtt...@mtindia.org
To: Abeille...@aol.com



06 Apr 2002

Circulation: 8612
*****************************************************************

MTIndia.org, Corporate Membership and Awards @ MTIndia!

*****************************************************************

Dear Friends,

Some of you might think there is no need to keep harping on the
obvious, but there is a certain segment amongst us who have to be
told where to draw the line. Members might wish to skip the first
and second paragraphs.:)

Firstly, MTIndia.org: It is a networking mart and webpublication,
owned and managed by Mediweb Infotech Pvt. Ltd. Mediweb is a
Healthcare IT Solutions and Consultancy Services provider.
MTIndia.org is NOT a profit center for us. Pre December 15th, 2001
Mediweb was picking up ALL bills related to expenses of
MTIndia.org. Mediweb will continue to meet all shortfalls in
revenue generation in the future.

Secondly, Corporate Membership: On the flip side, being a dot org
domain does not imply we get anything for free. INTERNIC charges
us, it cost us $20,000 US in coding, 99.99 % guaranteed throughput
charges are $ 350 per month and our employees are paid at par as
per IT industry standards. All we have asked from members,
including corporates is to share the running costs in lieu of the
services we provide. Some people appear to be grossly affronted by
our decision, especially corporate members - this message is for
that segment - if you are happy with us, please contribute to the
bills - your small fee is a cost of entry to play in the sandbox.
It is an acknowledgement that yes, these resources do not run
themselves, they do incur costs in order to maintain the level of
quality you are used to. You're showing support for a community
that has provided you and continues to provide you with a valuable
resource that provides knowledge and relationships that can
increase revenue for your business. For those griping to pay, I
have only one thing to say - you either want to be here or you
don't, and unfortunately for you that virtual switch to paid was
flipped on Dec 15th, 2001. Period. There are no other plans - NO
installments; NO use now, pay later; NO whatever else YOU think we
should consider and reconsider. On the same note, now the die is
cast and you have elected not to be with us - STOP quoting that you
are associated with us. To cite an example, 150 companies responded
to the last set of ads in this publication, fraudulently claiming
to be our Corporate members, when they are not! This is a warning
to such entities - desist, or we will be constrained to proceed
with legal action as per the law of the land.

Thirdly, now with my "perfunctory, not so likeable"
responsibilities over, lets play ball. We have a few announcements
to make, that should be of interest to all:

a) MTIndia.org is overwhelmed by support from members who have
elected to stay. We promise to deliver much more than we offered
you initially in lieu of your support. Effective from 15th May
2002, we are introducing some entry level barriers for Corporates:

(i) After this date Corporate Members will be required to pay
additionally one time registration fees equal to the annual
subsription fees.
(ii) Corporate Membership will be by invitation only.

b) MTIndia is launching its print version of MTTimes, a quarterly
journal. Members will get a free subscription. The first issue will
roll out on 15th May 2002, in time for the MT week celebrations.

c) We are introducing two awards, for MTs and Corporates:

(i) Professional writer of the Year 2002.
-----------------------------------------------------
- Eligibility : Indian citizen, MTs with over 2 years experience
(excluding period of training). Membership of MT India is
NOT a criteria.

- Articles submitted need to be between 2,000 to 2,500 words.

- Prizes:
1st - Rs. 5,000 and a momento.
2nd - Rs. 3,000 and a certificate.
3rd - Rs. 2,000 and a certificate.

- The entries will be judged by an independent panel of judges,
comprising of:

Ann C. Barton, CMT
Instructor, Medical Transcription
Riverside Community College,
Riverside, California.

Debra A. Beal, CMT
Manager, Professional Development, Training
HealthScribe India Ltd.
Koramangala, Bangalore.

Julianne Weight, CEO
AlphaBest, LLC
Consulting and Transcription
Los Angeles, California

- Last date of submission of entries is April 30th, 2002.

(i) Employer of the Year 2002.
------------------------------------------------------------
- Eligibility : An MT company located in India with over 2 years in
business (excluding period of training). Membership of MT India is
NOT a criteria. Must have a minimum of 50 employees.

Rules and regulations governing these awards and all further
intimations on this subject will be available at:
http://www.mtindia.org/awards.htm on and after April 11, 2002.

So dear MTs, the ball is in your court now - happy scribbling!

Cheers!!! :)

Maj (Dr.) Amit Chatterjee, SM
Strategist / Founder ~ mailto:MTI...@vsnl.com
MT India ~ http://mtindia.org
"The Community of MT Professionals"
________________________________________

Are you a member of MT India?

Eligibility criteria and membership details at our website:
http://www.mtindia.org/registration/membership.htm

+++++++++++++++++++++++++++++++++++++++++
ADVERTISEMENT
---------------------------------------------
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---------------------------------------------

We are a company based in the US and we are in the process of
identifying some companies in India that have the capability to
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almost 99% in accuracy.

Please send information about your services/capabilities etc.
along with valid references.

ONLY MTIndia.org Corporate Members need apply.

Badri Balabhadra Bad...@aol.com
Technology Consultants Inc.
33505 State Street, Suite 200
Farmington, Mi 48335
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---------------------------------------------
2)Offshore Transcription services required.
---------------------------------------------

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Through our offering of Digitization and Warehousing products we
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Only MTIndia.org Corporate members need submit their
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---------------------------------------------
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Fax (801) 484-3008
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---------------------------------------------
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ONLY MTIndia.org Corporate Members need apply.

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VP Operations
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---------------------------------------------
5) Transcription Services
---------------------------------------------

We represent a group of healthcare providers in the United States
who are looking to outsource their medical transcription services.
If MTIndia.org Corporate Members would be interested in providing
this service and are capable of doing so, please contact us.

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CEO
International Medical Services, LLC
975, 41st Street, Suite 407
Miami Beach, FL 33140
Tel: (305) 538-1160
Fax: (305) 538-1213

*****************************************************************
NEWS AND VIEWS :
-----------------------------

1) A serious look at fun

If you've been secretly longing to break out into a raaga at
perfect pitch or master an intricate piece of Bharatnatyam, your
company just might help you develop your desires, alongside work.

Healthscribe, one of Bangalore's premier medical transcription
companies, has started classes in four areas to begin with and
plans to expand in the near future. Western Classical and Carnatic
music, Bhatanatyam and Yoga classes are taking place under the
tutelage of renowned teachers in the respective fields.

"We have just launched our first phase in this talent training
procedure," says B. Vijaysai, Chief Fun Officer. "We wanted to keep
our employees contented and to break the monotony of this kind of
work. Music is very relaxing and yoga is good for the body. We
believe that we are not here just to help improve medical
transcriptionist skills, but for personal growth of the employees,
some of whom are dentists, doctors and post graduates."

The clases are held during the course of a working day and the
timings can be decided upon by the employees themselves. Costs are
subsidised and there are usually two sessions of an activity over a
week.

"So while our employees transcribe around 5.8 million lines a
month, they also have time to develop their own special skills,"
adds Vijaysai. "Soon, we are going to start guitar, keyboard
classes and much more."

http://timesofindia.indiatimes.com/articleshow.asp?art_id=4483667&s
Type=1

2) In sickness and in health

America believes in suing. And out of that rises a multi-billion
dollar industry. Not, legal but medical. This may not be the
greatest introduction to Medical Transcription (MT) as a
profession, but it certainly explains the need for it.

For us, the good news is whatever happens to the software
situation, nothing will ail MT, because it's about keeping records
of patients, and illnesses. It's something Pandora ensured
once she opened the box. In the choppy seas of IT insecurity, MT is
the rock, where "stability is a guarantee . Because MT is
not market driven, it's a service doctors abroad need," says Raghu
Vasu, managing director, Fourth Generation Information Systems, a
fast moving MT company in the city.

"According to the McKinsey projections, by 2007 the MT business in
India will touch Rs 11,000 crore," says Ramakrishna Tummala,
managing director, Worldtech, one of the pioneers in MT in the
city. "And we've not even tapped one per cent of the potential.
Make no mistake, this field has great scope and once your skills
develop, the remuneration too increases.

Once a doctor relies on you, and you continue to give him good
quality work, he's with you for life. Unlike the software industry,
which is usually project driven and therefore more uncertain," he
explains.

http://timesofindia.indiatimes.com/articleshow.asp?art_id=4212078&s
Type=1

3) CBay Systems raises $4 million in third funding round

CBay Systems Ltd, a U.S.-based company that offers medical
transcription services out of India, said on Tuesday it has
received $4 million in a third round of venture funding. Kingdon
Capital, TDA Capital Partners and Godrej Industries had
invested in the third round, it said in a statement.

"We will use some amount of the investment for acquisitions in the
United States," Dinesh Kumar, head of CBay's Indian operations told
Reuters, adding that part of the funds would also be used to
increase marketing efforts.

The three-year-old company, which has raised a total of $11.5
million in equity financing so far, uses 30 franchisees in India to
get medical records transcribed.

Some 40 hospitals in the United States and 400 smaller physicians
and clinics in that country now use CBay's services.

This IT-enabled business is the fastest growing segment of India's
IT sector

http://in.tech.yahoo.com/020402/64/1kbws.html

4) Max India climaxes 52% in three sessions

Meanwhile, the company is focusing on the insurance, bulk
pharmaceuticals, infotech, healthcare and medical transcription
businesses.

Max India has entered into an alliance with Harvard Medical
International (HMI), a non-profit subsidiary of the Harvard
University for setting up of two speciality hospitals in New Delhi
at an investment of Rs 200 crore. It is also setting up a joint
venture company, Max Avnet, to establish a design centre for
products on consumer, computer and telecom products. Max India will
hold 40% stake while the foreign partner will hold the rest .

Earlier, the company decided to enter the insurance sector through
a joint venture (JV) with Fortune 100 company New York Life
Insurance (NYLI). In the healthcare sector, Max India had decided
to take a 21.9% stake in AltaCast/HealthCast LLC to enter in
healthcare sector.

http://in.biz.yahoo.com/020313/103/1invi.html

5) More Mixed Reactions to the Privacy NPRM

HHS' summary of proposed changes to the privacy rule touted the
closure of a loophole that permitted use of identifiable
information without patient consent for marketing purposes.
However, the Health Privacy Project and former HHS Secretary Donna
Shalala contend that the proposed changes actually loosen
restrictions on marketing.

Those supporting the proposed changes include the American Medical
Assocation (AMA) and Healthcare Information and Management Systems
Society (HIMSS). The AMA is urging specific modifications to the
rule's prior consent requirement and "business associates"
provisions. HIMSS believes that the changes "create a privacy rule
that improves conditions for healthcare providers and...vendors
alike."

http://www.hipaadvisory.com/news/2002/0402nprm.htm

6) MTIA Conference Agenda, Tampa, April 24:

http://mtia.com/agenda.html

++++++++++++++++++++++++++++++++++++++

P. S. Would you like to share this newsletter with your friends
or post it on your site? Please do! But also be sure to read
below:

All original contents of this newsletter is copyright 2002
Mediweb Infotech Pvt. Ltd. All cited articles are copyright of
their authors and/or respective publications. Please feel free to
share this newsletter with your friends or post it on your site
as long as it is left intact with all links unchanged and this
notice.

Thank you for your interest in MT India!

The MTIndia Team
-----------------------------------------------------------------
To Unsubscribe please go to www.MTIndia.org


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Date: Sun, 07 Apr 2002 13:32:09 -0400
From: mtt...@mtindia.org
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RaeMorrill

unread,
Apr 7, 2002, 3:21:43 PM4/7/02
to

- The entries will be judged by an independent panel of judges,
comprising of:
>>

I really hope this is not true.
Rae Morrill in Maine
"Ya can't get theyuh from heeah"
_______________________________
Spam mailers WILL be reported to their respective postmasters and AOL TOSSPAM!


RaeMorrill

unread,
Apr 7, 2002, 3:22:47 PM4/7/02
to
-----------------------------------
- Eligibility : Indian citizen,>

My, my, they want to belong to our associations,etc., regardless of fact they
are not citizens. Their balls never cease to amaze me.

Neal Brown

unread,
Apr 7, 2002, 6:14:36 PM4/7/02
to
Okay, so what is the deal with this:??

Neal Brown

> Subj: The MT Times

BAMBI L GEIST

unread,
Apr 7, 2002, 8:59:03 PM4/7/02
to
What? That the judges shouldn't be independent? Or is this in some way a
non-comment about Julie's name being one of the judges. Do you know what
Julie's job is these days? She's a consultant....know what a consultant
does? Sells their KNOWLEDGE for a fee.

I do agree with the whole "gotta be a citizen thing"....that's nuts.

But please, before y'all decide to go on a witch hunt because Julie's name
is associated here.....
We've had this go-round. I was one of the few who said-- Y'all need to wake
up-- offshore transcription is here and is going to stay. I'd rather know
it's accurate than not....so I did QA and feedback. Many here wanted me
strung up for it. Well, and this isn't you personally Rae, but to those who
still are going to have a kitten over a BUSINESS decision....get over it.
Business is business.

I, personally, like this comment: Once a doctor relies on you, and you


continue to give him good
quality work, he's with you for life. Unlike the software industry,
which is usually project driven and therefore more uncertain," he
explains.


Well, let's see...I can give them a whole list of clients who can negate
that statement. Loyalty doesn't exist in this field anymore....another wake
up call.

"RaeMorrill" <raemo...@aol.com.com> wrote in message
news:20020407152143...@mb-fo.aol.com...

RaeMorrill

unread,
Apr 7, 2002, 9:06:31 PM4/7/02
to
So (using extreme example) if Sadam needs business services it's okay just
because it is just business. I do not agree. I know some of you feel this can't
be stopped, but I still don't think that means we have to help them in any
endeavor.

From what was posted I don't know this is a paid gig or not. Even if for no
other reason than they want to play in our sandbox but to compete you have to
be an Indian citizen kinda seems pretty ballsy to me.

>>Y'all need to wake
up-- offshore transcription is here and is going to stay. I'd rather know
it's accurate than not....so I did QA and feedback. Many here wanted me
strung up for it. Well, and this isn't you personally Rae, but to those who
still are going to have a kitten over a BUSINESS decision....get over it.
Business is business.

KMitch429

unread,
Apr 7, 2002, 9:18:46 PM4/7/02
to
I am reading this thread with my chin on my chest, eyes and mouth wide open
with amazement...

...don't know what else to say other than that.

Susan Mitchell

unread,
Apr 7, 2002, 9:55:59 PM4/7/02
to
Rae you are right. We have to try to stop this. I'm curious about our
government thinking sending our work overseas is okay. Beside the fact that
there is the language factor, what does this country plan to do when all of
our jobs go overseas. They do need a tax base after all. I'm not just
talking about MT. It's happening all over.
By the way, doctor loyalty does not mean a thing if they are part of a group
that goes overseas or to a large company, as mine was. He is livid that the
quality of work from Edix is so poor. Lots of typos. But MultiCare has a
contract with Edix and it's cheap and they don't care about accurate
records. He wants me to work for Edix and get his account (never will
happen, like you can choose a client)! He kept me longer than any doc in
the group until he had no choice. Trust me. It may not hit you today, but
it will hit you.
The best way to do this is to let it hit the media. We tried in Seattle
area and they refuse to cover the story. The story was quashed. Gee, I
thought I lived in a free country. Boy was I wrong.

--
Sue-UW Mom, Rabid Dawg Fan!


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020407210631...@mb-fn.aol.com...

CindyB

unread,
Apr 7, 2002, 10:47:44 PM4/7/02
to
Sorry, Rae. You lost credibility with me when you compared Indians doing
medical transcription with Sadam.


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020407210631...@mb-fn.aol.com...

Gdubson

unread,
Apr 7, 2002, 11:05:21 PM4/7/02
to
>So (using extreme example) if Sadam needs business services it's okay just
>because it is just business.

So India = Saddam? How do you figure? They are mostly people just like us.

Gisele

RaeMorrill

unread,
Apr 7, 2002, 11:15:33 PM4/7/02
to

Sorry, Rae. You lost credibility with me when you compared Indians doing
medical transcription with Sadam.>

I SAID it was an extreme example of busines being business. Take it as such. If
I compared it to much less it wouldn't hit home. My point was that just because
a) it is happening and b) it's business just doesn't buy it.

I wouldn't used Osma but stopped short of that. Sometimes one has to use
extreme examples to make it perfectly clear. The meaning is simply you don't do
business freely just because you're in business to make money.

Now as I recall perhaps the service you work for is involved with India.
Perhaps that colors your perspective. Things that are wrong tend to look not so
bad after one has started doing them, and especially things that aren't wrong
by any legal standard. I just feel very strongly that we should not be helping
these people. I haven't changed in that since before AMTG.

Susan Mitchell

unread,
Apr 7, 2002, 11:20:07 PM4/7/02
to
Rae, I agree. The example folks was just that. Just because it is being
done and is not illegal does not make it moral or right. It is wrong. It
is the selling out of US for money for THEM. Get it. They say that they
cannot find experienced MTs. Yes, they can. We just won't work for what
someone with no experience works for. I've been doing this since 1978. The
going rate is 14 cents a line minimum. Some get 16. I charge 14. I am
offered work at 8 cents a line. Get real. Around this area, cost of
living-wise, that's welfare.

--
Sue-UW Mom, Rabid Dawg Fan!

"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020407231533...@mb-fh.aol.com...

RaeMorrill

unread,
Apr 7, 2002, 11:22:41 PM4/7/02
to
It's amusing to see people leap on this completely missing the point. I made an
extreme comparison that just because one is in business (any business) doesn't
justify doing business with everyone just for the money. As it happens a less
innocuous comparison did not spring to mind. Perhaps this isn't QUITE that bad,
but in light of the situation in that part of the world, and the fact my
records might be over there somewhere (well if I went to doctors), maybe it
isn't so far off.

You know, after finding out this corrupt behavior inside AAMT, I now must
wonder how many other secret meetings there have been (and I don't mean to
imply anything on Julie here - if there was and she knew it she would have said
something). What if there were secret meetings selling the American in AAMT to
the Indians - so to speak? Sound outrageous? Sure it does. So did the fact
someone who is highly respected in and out of cyberspace being recruited then
screwed - yet it happened.

Just remember there were some people here who a few weeks ago would have said
the same thing had it been insinuated anything like this would ever happen in
AAMT - yet it did. It's sorta like when your kid or spouse lies to you.
Suddenly you can't be sure about anything they say.


>So (using extreme example) if Sadam needs business services it's okay just
>because it is just business.

So India = Saddam? How do you figure? They are mostly people just like us.

Rae Morrill in Maine

MizGriz

unread,
Apr 8, 2002, 12:08:55 AM4/8/02
to
Rae, I understand your point and certainly am not going to bash you for your
comparison.
What I don't understand is how you view offshore MTs as "the enemy". It
really IS unfortunate to see the direction the profession is going and
believe me if I felt there was some way to stop it, I'd say, hey let's do
this and stop it. First, you can't get five MTs to agree on dinner, let
alone an organized effort of any kind....unless, of course you want to just
schedule secret, unscheduled meetings.

I'm not happy about work going offshore. I'm not happy about MQ being able
to buy up all the viable services and then buy up the technology and then
market at LOWER prices because they are going to be less labor-intensive.
I'm much more upset about that then I am about work going offshore.
Are you going to feel the same way about everyone who works for MQ? I mean
their work is going to technology, going offshore, going cheaper and
cheaper. You can't control that. I can't compete with it. In some markets,
MTs have lost options and not because of offshore labor, but MQ labor.

I, like many of you, have been an MT for going on three decades. Frankly,
I'm tired. My hands are tired, my back and legs are tired. My brain is no
longer stimulated by doing MT but I do it because it's what I know, it's
what I'm good at. What's wrong with looking at the market as it is TODAY,
which like it or not, is a global market. Our IT personnel are feeling the
pain of imported labor that can be gotten cheaper. The fashion industry,
the automobile industry. Our government has helped us hand our jobs over.
So, when I look at the market as it is today, which is the reality of my
life, I have to ask myself a few questions-- I'm too worn out and too old to
do 60 hours a week MTing anymore; yet, I've got a lot of knowledge about
running an MT business and MT in general. That knowledge is worth
something. What do I gain, what does my family gain by me saying, "I'm only
going to share this knowledge with you if you are a US citizen?" Nothing.
If you look at this a bit differently, by marketing consulting or QA
services to the offshore industries, I'm generating an income, right? When I
generate this income I owe state and federal income taxes, right? So, I've
now brought money INTO the economy from OUTSIDE the country. Isn't that one
of the things Georgie thinks we should be doing? Pumping up the economy.

I wish I had the luxury of saying I will only use products made in the US.
I will only speak to, deal with, buy from, sell to someone if they are a US
citizen. Do you understand how ridiculous that is?
Do you understand how elitist? How bigoted? How unrealistic? How
impossible?

I think before you condemn one for choices, you need to look a little deeper
at ALL the implications of the choices.

I'm not a die-hard send our work offshore supporter....not at all. I simply
have to take my personal situation and figure out how I will pay my
mortgage, how I will eat, how I will pay for college for two kids and
myself, support my vet, etc. Because I choose not to live on welfare should
not make me wrong when I look at the available options. I don't feel I'm
being amoral because I look at and choose an option you find less palatable.
I realistically know I cannot physically transcribe for much longer. Right
now it's all I know.

But what I've done -- after spending two years working with offshore
concerns, US companies that would sooner slit your throat than offer you a
chair, clients who want me to work for less now than I did ten years ago or
they will go to MQ, US MTs who produce subpar work and undercut prices from
the MT next door just because they can--- is agree to sink a lot of dollars,
hours, and brain power into learning a new profession. One where I'll start
out working for $10/hr..... but where I feel like at the end of the day,
I'll be happy with myself.....just like I do now, just not like in the
"olden days".

Have I made any sense:? I'm trying to give you some insight into the
overall picture.


Oh and re your secret scenario:? I'm telling you, without being willing to
produce the evidence to back it up because I don't care anymore, but I'm
telling you--- THE BED HOPPING GOING ON IS SECRET AND SHOCKING AND
DISGUSTING. And no, don't ever let yourself fall into the lull that
there's not a whole lot going on behind the scenes that you'll never see nor
hear of.

Griz


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020407210631...@mb-fn.aol.com...

Neal Brown

unread,
Apr 8, 2002, 12:20:52 AM4/8/02
to
I believe what this really comes down to is whenever ANYONE gets the
business by drastically undercutting the going rate, it hurts everyone, not
just the person who has been undercut, but everyone in the medical
transcription business. I don't care if it is someone from India, some
island in the middle of the Pacific, or the blonde in town who undercuts the
going rate, we are all hurt by them.

The only reason a medical facility is going to consider outsourcing their
work to India is lower rates. That is the expectation, although certainly
not the usual fact.

What happens to drive down the price of transcription follows naturally.
Even if the offshore service does not deliver what is expected, the lower
price is expected, and unfortunately the American medical transcriptionist
goes down to that level of pay, hoping he or she can somehow increase the
production to make up for the loss in line rate

It may be "just business," but in my opinion it is bad business and I am
never going to get used to it. I firmly believe that in the next few years
the lower rate of pay that inevitably results will drive the American
medical transcriptionist into other occupations and most, if not all, of the
medical transcription work will be done offshore. Two or three generations
down the road it will probably come back, but not before many good
transcriptionists are lost to other forms of work.
--
Neal Brown
Solutions Medical Transcription Service


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020407232241...@mb-fh.aol.com...

RaeMorrill

unread,
Apr 8, 2002, 12:20:24 AM4/8/02
to
Bambi,

I see some of your points, but medical records are not cars, printers, or
cameras. After all the hoopla about HIPAA not one finger has been lifted to
stop work going to a place it is not protected by our laws, never mind the
middle of a war zone.

I'm tired too and I haven't been at this as long as you, either. I'm tired of
cheapskates who want the cheapest possible service and quality be damned. If I
had no pride in my work and wasn't honest, I'd be doing the work as fast as I
could, who cares about quality.

I am not going to condemn someone working for MQ. It is about only choice
people have, much as I despise the squid.

RaeMorrill

unread,
Apr 8, 2002, 12:22:17 AM4/8/02
to

Have I made any sense:? I'm trying to give you some insight into the
overall picture.
>

I know but to me it still all boils down to MTs being sold down the river.
Rates will keep going down so the only way to make money is be very fast and
accuracy be damned.

I can't do any better moneywise than in MT. I hope I can continue doing it. If
not, hand me a manure rake.

RaeMorrill

unread,
Apr 8, 2002, 12:25:01 AM4/8/02
to
And no, don't ever let yourself fall into the lull that
there's not a whole lot going on behind the scenes that you'll never see nor
hear of.
>

LOL. I doubt that is likely with me

Susan Mitchell

unread,
Apr 8, 2002, 12:28:49 AM4/8/02
to
You are so right. The money is not there. I am back in a law office at $12
an hour (by the way, "I'm over qualified"). I do medical summaries, expense
summaries and answer interrogatories on personal injury cases. This takes
my experience but God knows I'll never see the money.

--
Sue-UW Mom, Rabid Dawg Fan!

"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020408002217...@mb-fh.aol.com...

JMorngstar

unread,
Apr 8, 2002, 12:28:00 AM4/8/02
to
>the blonde in town who undercuts the
>going rate, we are all hurt by them

I resent this remark. As the only "real" blonde in my town as an MTSO, I not
only do not undercut, but I overbid accounts. You would think after 20 years
of setting this example and still being the busiest service in town, the other
non-blondes would realize this and learn by my example. It wasn't hidden, it
was very openly discussed. You know, how dare that Janice charge 43/gross
line? Who does she think she is that she is worth it?

Well, the long and short of it is, only once in my 32 years have I lost an
account to underbidding and it really wasn't that. The MTSO could have bid
more if she had just figured out that after 11 years and a new OM, they wanted
me gone and it wasn't about money. She thought that she was so clever getting
that large of an account away from me. Who do you think had the last laugh?
She is still bitter about it 10 years later. (She lurks here so it gives me a
slight pleasure in knowing that I am posting this).

So, it really isn't about being blonde. It is about being a businesswoman and
knowing what your services are worth, those at the keyboard and those in bed
(throwing that in for Bambi and Julie).

Janice

Neal Brown

unread,
Apr 8, 2002, 12:41:11 AM4/8/02
to

> >the blonde in town who undercuts the
> >going rate, we are all hurt by them
>
> I resent this remark. As the only "real" blonde in my town as an MTSO
(snip)

You have got to be kidding! You know good and well my post was not directed
at you. Why should you resent the remark?

I used that example because a blonde in town did undercut my rate by a large
amount. It has nothing to do with blondes or blonde jokes - it is just the
fact.

And the fact remains that anyone, ANYONE, an Indian transcription service, a
transcriptionist on an island in the Pacific, or the "the transcriptionist
in town" who gets the business by undercutting the going rate hurts
everyone.

Neal Brown


RaeMorrill

unread,
Apr 8, 2002, 1:01:59 AM4/8/02
to
Neal she's joshing ya. I'm pretty sure she's NOT a real blonde <ducking>

> I resent this remark. As the only "real" blonde in my town as an MTSO
(snip)

You have got to be kidding! You know good and well my post was not directed
at you. Why should you resent the remark?

Rae Morrill in Maine

JMorngstar

unread,
Apr 8, 2002, 1:04:18 AM4/8/02
to
> Why should you resent the remark?
>

It was a joke Neal. I have had a blessed life when it comes to MT and I hope
that it continues until I can get out of it.

What really does upset me though is that there are many wonderful and skilled
MTs out there, but they wouldn't agree long enough to get the co-op going when
there is higher priced work out there and better pay possible that many of the
MTs I know are getting.

Janice

JMorngstar

unread,
Apr 8, 2002, 1:07:47 AM4/8/02
to
>
>Neal she's joshing ya. I'm pretty sure she's NOT a real blonde <ducking>

I am tooooooooooooo.

Julianne Weight

unread,
Apr 8, 2002, 1:12:31 AM4/8/02
to
On 08 Apr 2002 01:06:31 GMT, raemo...@aol.com.com (RaeMorrill)
wrote:

>So (using extreme example) if Sadam needs business services it's okay just
>because it is just business. I do not agree. I know some of you feel this can't
>be stopped, but I still don't think that means we have to help them in any
>endeavor.

I was getting tired of people trying to make me into some kind of
crusader and I sure wasn't looking forward to polishing the armor and
cleaning up after the horse!


Julianne Weight

unread,
Apr 8, 2002, 1:37:45 AM4/8/02
to
On 08 Apr 2002 03:15:33 GMT, raemo...@aol.com.com (RaeMorrill)
wrote:

>Now as I recall perhaps the service you work for is involved with India.
>Perhaps that colors your perspective. Things that are wrong tend to look not so
>bad after one has started doing them, and especially things that aren't wrong
>by any legal standard. I just feel very strongly that we should not be helping
>these people. I haven't changed in that since before AMTG.

Not everyone has the luxury of picking and choosing their work
situation like you do, Rae. It's not very nice to judge Cindy based on
the decisions made by the company she works for.


Melinda Meahan

unread,
Apr 8, 2002, 1:47:21 AM4/8/02
to
RaeMorrill wrote:
>
> From what was posted I don't know this is a paid gig or not. Even if for no
> other reason than they want to play in our sandbox but to compete you have to
> be an Indian citizen kinda seems pretty ballsy to me.

Look at it this way. Maybe AAMT will learn something from watching
them. <LOL>
--
I know God will not give me anything I can't handle.
I just wish that He didn't trust me so much. - Mother Teresa

Melinda Meahan

unread,
Apr 8, 2002, 1:51:24 AM4/8/02
to
Susan Mitchell wrote:
>
> They do need a tax base after all. I'm not just
> talking about MT. It's happening all over.

This is exactly why it is hard to do anything about it.

This is how I see it:

It's like MT-the-way-we-know-it is a declining industry and just like
the auto workers in Detroit umpty-ump years ago, some people are going
to read the handwriting on the wall and say "I'm outta here," some are
going to try to move up the ladder so they will sit on top of the
changes by consulting, training, or whatever, and others will protest
that someone has to stop this from happening -- and some will do
combinations of the above.

Trying to change economic forces short of forcing the government to step
in and artificially control things just doesn't work. Then you end up
with disasters like has happened with airlines, with trucking, with
banking, with telephone service, etc.

There is nothing that stays constant in life except for change. Adapt
or die.

Melinda, who is working on a Plan B to when she can no longer afford to
do transcription because she doesn't feel she will be capable of
scooting up the ladder fast enough or soon enough to be able to take
that way out but who respects the people who can

Melinda Meahan

unread,
Apr 8, 2002, 1:53:15 AM4/8/02
to
Susan Mitchell wrote:
>
> Rae, I agree. The example folks was just that. Just because it is being
> done and is not illegal does not make it moral or right. It is wrong. It
> is the selling out of US for money for THEM. Get it.

It's not the only industry it is being done in, though, and that is what
makes it so hard for it to change. It's not even the only health care
field that they are doing it in -- I understand that some hospitals hire
foreign, unlicensed doctors to read chart notes and dictate discharge
summaries so they get done. There are also transcription services who
say if you send them all of your dictation they will produce and
transcribe your discharge summaries for free.

Melinda Meahan

unread,
Apr 8, 2002, 1:56:14 AM4/8/02
to
Neal Brown wrote:
>
> It may be "just business," but in my opinion it is bad business and I am
> never going to get used to it. I firmly believe that in the next few years
> the lower rate of pay that inevitably results will drive the American
> medical transcriptionist into other occupations and most, if not all, of the
> medical transcription work will be done offshore. Two or three generations
> down the road it will probably come back, but not before many good
> transcriptionists are lost to other forms of work.

At least you have the luxury of being able to retire or semi-retire to
get out of it. Other people are at different stages and have a lot
harder haul to figure out how to finish their working years.

Melinda Meahan

unread,
Apr 8, 2002, 1:58:04 AM4/8/02
to
JMorngstar wrote:
>
> It wasn't hidden, it
> was very openly discussed. You know, how dare that Janice charge 43/gross
> line? Who does she think she is that she is worth it?

Hmmmm, I think I am going to move down there.....

> She thought that she was so clever getting
> that large of an account away from me. Who do you think had the last laugh?
> She is still bitter about it 10 years later. (She lurks here so it gives me a
> slight pleasure in knowing that I am posting this).

I am confused. *what* happened???????

Melinda Meahan

unread,
Apr 8, 2002, 1:59:04 AM4/8/02
to
JMorngstar wrote:
>
> What really does upset me though is that there are many wonderful and skilled
> MTs out there, but they wouldn't agree long enough to get the co-op going when
> there is higher priced work out there and better pay possible that many of the
> MTs I know are getting.

Didn't it crumble because of greed?

ste...@my-deja.com

unread,
Apr 8, 2002, 2:54:43 AM4/8/02
to
On Mon, 08 Apr 2002 03:20:07 GMT, "Susan Mitchell"
<medla...@attbi.com> wrote:

> US for money for THEM. Get it.

Yay! Susan said it. It's Us or Them. Simple as that!

I was never here......

ste...@my-deja.com

unread,
Apr 8, 2002, 2:54:52 AM4/8/02
to
On Mon, 08 Apr 2002 00:59:03 GMT, "BAMBI L GEIST"
<Miz...@prodigy.net> wrote:
>
>I do agree with the whole "gotta be a citizen thing"....that's nuts.

Yep. It seems MTindia has no misconceptions as to what segment of the
MT industry it's supporting. The India segment, exclusively. Unlike
the one with the American name, or so I have heard.

I was never here......

ste...@my-deja.com

unread,
Apr 8, 2002, 3:14:08 AM4/8/02
to
On Sun, 7 Apr 2002 22:41:11 -0600, "Neal Brown" <solu...@dfn.com>
wrote:

>I used that example because a blonde in town did undercut my rate by a large
>amount. It has nothing to do with blondes or blonde jokes - it is just the
>fact.
>
>And the fact remains that anyone, ANYONE, an Indian transcription service, a
>transcriptionist on an island in the Pacific, or the "the transcriptionist
>in town" who gets the business by undercutting the going rate hurts
>everyone.
One thing we can be fairly confident of: There are darned few natural
blondes (like Janice!) in India. Whew. Got that in, at least!

I was never here......

Liz

unread,
Apr 8, 2002, 6:26:38 AM4/8/02
to
RaeMorrill wrote:

> I just feel very strongly that we should not be helping
> these people.

"These people"??? Rae, I'm surprised that you would say this. "These
people" are human beings just like you and me, and they're trying to
better themselves. I implore you to read "A Fine Balance" (sorry, can't
remember the author - Indian name)...you'll come away with a better
understanding of who "these people" really are!

Liz

Nae

unread,
Apr 8, 2002, 7:03:27 AM4/8/02
to
Hell, I thought you had saddled up and were totting six-guns in each fist. I
darn sure paid those pooper scoopers to follow you around...

It is a tough road when those who will not stand up for themselves dump
their own expectations and desires on someone's shoulders, unwilling to take
action themselves, but loudly voicing the need for "someone" to do it for
them and expecting that "someone" to do exactly what they want without
reservation.

You did the best you could with an impossible situation. You played the game
by the rules and, unlike a lot of folks, you have had the balls to hold
others accountable using those same rules instead of just talking about
it...unless others want to pay your bills and manage your business for you I
would not worry to much about what anyone else thinks :) As long as you feel
what you are doing is right for you at this time that is all that really
matters.

Nae

"Julianne Weight" <jul...@nospam-alphabest.com> wrote in message
news:3cb12187...@news.speakeasy.net...

Gdubson

unread,
Apr 8, 2002, 9:10:20 AM4/8/02
to
>It's amusing to see people leap on this completely missing the point.

I guess that gets you off the hook of having to explain what the hell you are
talking about.

Gisele

CindyB

unread,
Apr 8, 2002, 9:12:11 AM4/8/02
to
Know what, Neal? The Indian services are raising their prices because they
are finding out that they cannot make a profit at what they were charging.
Eventually, it will come down to quality and service. That's business.


"Neal Brown" <solu...@dfn.com> wrote in message
news:a8r5og$ubgmp$1...@ID-47915.news.dfncis.de...

Gdubson

unread,
Apr 8, 2002, 9:11:54 AM4/8/02
to
>What if there were secret meetings selling the American in AAMT to
>the Indians - so to speak?

NOw you are really being irresponsible here. MT is being done offshore because
there is now technology to make it possible. Nobody has sold anyone to anyone.
No secret deals had to be made to make this happen.

Gisele

Gdubson

unread,
Apr 8, 2002, 9:12:54 AM4/8/02
to
>The only reason a medical facility is going to consider outsourcing their
>work to India is lower rates. That is the expectation, although certainly
>not the usual fact.
>
You know this for a fact? Can you give us a single instance of anyone sending
to India to get a lower price? Can you provide us with details?

Gisele


Gdubson

unread,
Apr 8, 2002, 9:14:01 AM4/8/02
to
>Even if the offshore service does not deliver what is expected, the lower
>price is expected, and unfortunately the American medical transcriptionist
>goes down to that level of pay,

But this happens in Denver all the time. Some new American service blows into
town offering to do it at a cheaper rate. And yet I'm still here, not lowering
my prices. Now why is that?

Gisele

Gdubson

unread,
Apr 8, 2002, 9:15:43 AM4/8/02
to
>And the fact remains that anyone, ANYONE, an Indian transcription service, a
>transcriptionist on an island in the Pacific, or the "the transcriptionist
>in town" who gets the business by undercutting the going rate hurts
>everyone.
>
>Neal Brown

Actually, they usually end up helping me by turning in crappy work and making
me look great. You think this same thing doesn't go on in other businesses?

Gisele


Gdubson

unread,
Apr 8, 2002, 9:18:06 AM4/8/02
to
>"These people"??? Rae, I'm surprised that you would say this. "These
>people" are human beings just like you and me, and they're trying to
>better themselves.

Exactly.

Gisele

JMorngstar

unread,
Apr 8, 2002, 9:21:43 AM4/8/02
to
>Didn't it crumble because of greed?
>--

I don't think so, but I could be wrong.

Janice

MizGriz

unread,
Apr 8, 2002, 9:27:40 AM4/8/02
to
Neal, while your business sense APPEARS sound..... look at the BIG picture.
Offshore transcription is not the only thing, and IMO, not the biggest thing
driving down the price of transcription. This is a huge multi-faceted issue
and I'm struck simply by the word prejudice when offshore transcription is
the only facet being blamed or explored.


"Neal Brown" <solu...@dfn.com> wrote in message
news:a8r5og$ubgmp$1...@ID-47915.news.dfncis.de...
> I believe what this really comes down to is whenever ANYONE gets the
> business by drastically undercutting the going rate, it hurts everyone,
not
> just the person who has been undercut, but everyone in the medical
> transcription business. I don't care if it is someone from India, some
> island in the middle of the Pacific, or the blonde in town who undercuts
the
> going rate, we are all hurt by them.
>

> The only reason a medical facility is going to consider outsourcing their
> work to India is lower rates. That is the expectation, although certainly
> not the usual fact.
>

> What happens to drive down the price of transcription follows naturally.

> Even if the offshore service does not deliver what is expected, the lower
> price is expected, and unfortunately the American medical transcriptionist

> > something). What if there were secret meetings selling the American in
> AAMT to

MizGriz

unread,
Apr 8, 2002, 9:30:37 AM4/8/02
to

> So, it really isn't about being blonde. It is about being a businesswoman
and
> knowing what your services are worth, those at the keyboard and those in
bed
> (throwing that in for Bambi and Julie).
>

Janice, since I felt Neal's post was a biased, prejudiced post, I
agree.....blondes aren't the only ones undercutting, In fact, I've met one
or two bald MEN doing the same thing.

And has someone passed one of my new cards on to you? My interim job
between MT and counseling? BJs by BG?? LOL! ;-) (An idea I stole from
you but will gladly pay you royalties.)


KCunnin502

unread,
Apr 8, 2002, 9:30:20 AM4/8/02
to
In article <3CB12FBE...@sonic.net>, Melinda Meahan <mme...@sonic.net>
writes:

>There is nothing that stays constant in life except for change. Adapt
>or die.

So true! (Which goes along with the recent discussion in another thread about
why I'm doing most of my work in Word these days. LOL!)

Karen C./KY

Nae

unread,
Apr 8, 2002, 9:32:38 AM4/8/02
to
I thought it was because, with the exception of a very few MTs, those who
signed up for it did not want to do any of the supportive work, they wanted
to wait for the founder to find the work, assign the work, bill for the
work, foot all the bills herself to do all this and then wanted to be able
to turn down any work they did not feel like doing...they did not really
want a collective, but rather a service where anyone but themselves did the
work...but I could be wrong too.

Nae

"JMorngstar" <jmorn...@aol.com> wrote in message
news:20020408092143...@mb-fz.aol.com...

MizGriz

unread,
Apr 8, 2002, 9:32:35 AM4/8/02
to
Gisele? Surely you aren't suggesting that the FREE ENTERPRISE we enjoy in
our country is wrong, are you? <tongue firmly in cheek>

"Gdubson" <gdu...@aol.com> wrote in message
news:20020408091543...@mb-dd.aol.com...

MizGriz

unread,
Apr 8, 2002, 9:33:50 AM4/8/02
to
I can show you samples of EXPECTED lower price, but the realization that if
they want quality-- it has to be paid for....even in India.

"Gdubson" <gdu...@aol.com> wrote in message

news:20020408091254...@mb-dd.aol.com...

CindyB

unread,
Apr 8, 2002, 9:36:51 AM4/8/02
to
Thanks, Julie. Actually, at this point in my career, I could probably find a
position elsewhere but I choose not to. Sure, this service has its problems,
but don't they all? I stay because of the people. I work with a fantastic
group of men and women both in management and in "the trenches."

Actually, I was anti-Indian transcription. My position has changed due to
experience, not because of any need to agree with my service.

A national service, especially a smaller national service cannot possibly
afford to pay 14 cents per line as someone else said they would need.
Between 7 and 9 cents seems to be "the going rate." Take into account that
those working for my service don't incur any LD charges and that makes a
difference. Still, we cannot find decent MTs. The quality of the
transcription from our outsourced work to Indian companies is better that
much of that coming from American MTs. The Indian MTs don't say "Well, I've
always done it this way so why should I change to suit your service?" They
actually learn and remember when you tell them do not capitalize generic
drugs. They rarely make the same error twice. They aren't afraid to leave
blanks if there is any doubt. They return the work within TAT and can handle
as much work as we throw at them. Maybe we deal with exceptional Indian
services. (I do know that we went through a few real clunkers before we
found the one's we now use.)

Of course we would rather give the work to American MTs. It actually costs
more for a service to outsource than to keep the work within the company.
Our goal is to hire more American MTs to reduce our dependence on the
outsourcing services. We are finding that in order to get 1 decent MT who
will stay, you have to hire 10. In the past 6 months, we've hired quite a
few MTs who quit before ever transcribing their first job. Some stayed until
they got their first ESL doc or until they got their first feedback from QA.
Some I fight to keep (Mary? Where are you?!). Others aren't worth the
trouble.

I do believe that there are enough American services that a facility,
medical group, or individual practice should not be looking to overseas
transcription as their first choice. However, for a service who needs
additional personnel, outsourcing is a viable option.

I have said it before and I will keep saying it. If American MTs want to
compete with overseas services, they need to provide better quality and
services than the overseas services. Prices for overseas work are going up.
It will boil down to what the buyer gets for his/her dollar that will end up
being the deciding factor. Stress the quality, the personal service, the
storage of records, the TAT, the security of the medical record to your
clients and potential clients. Those are the things that will keep
transcription in the US, not writing to a newsgroup and complaining about
it.


"Julianne Weight" <jul...@nospam-alphabest.com> wrote in message

news:3cb12bf6...@news.speakeasy.net...
> On 08 Apr 2002 03:15:33 GMT, raemo...@aol.com.com (RaeMorrill)
> wrote:
>
> >Now as I recall perhaps the service you work for is involved with India.
> >Perhaps that colors your perspective. Things that are wrong tend to look
not so
> >bad after one has started doing them, and especially things that aren't
wrong
> >by any legal standard. I just feel very strongly that we should not be
helping
> >these people. I haven't changed in that since before AMTG.
>
> Not everyone has the luxury of picking and choosing their work
> situation like you do, Rae. It's not very nice to judge Cindy based on
> the decisions made by the company she works for.
>
>


MizGriz

unread,
Apr 8, 2002, 9:40:22 AM4/8/02
to
Well, actually, upon further thought....had our own organization taken that
stance, perhaps many of these conversations and perceptions would be
different, huh?


"Ste...@my-deja.com" <ste...@my-deja.com> wrote in message
news:7bf2bukm38bolm8f7...@4ax.com...

MizGriz

unread,
Apr 8, 2002, 9:42:10 AM4/8/02
to
15 minutes, babe. I told ya....15 minutes ;-) Although in my book you
get a star in the Walk of Fame as the MT who was praised and fileted....all
in the same week!! LOL!

I can read your MT memoirs....JW, from Hero to Whore in 72 hours ;-)

Love ya kiddo. You know the truth of you, don't even bother to defend
yourself.

"Julianne Weight" <jul...@nospam-alphabest.com> wrote in message

news:3cb12187...@news.speakeasy.net...
> On 08 Apr 2002 01:06:31 GMT, raemo...@aol.com.com (RaeMorrill)
> wrote:
>

> >So (using extreme example) if Sadam needs business services it's okay
just

M. Decker

unread,
Apr 8, 2002, 9:48:15 AM4/8/02
to
We've opened up MedicalTranscription.com to MTs and small MTSOs in US and
Canada who provide quality and excellence in service.

Admittedly it's an uphill battle, but the goal is to boost the
professionalism and earning power of the American MT by providing free
resources and DIRT CHEAP advertising, as well as a physician/MT match
service.

Someone mentioned the auto manufacturers' similar dilemma. A few went out
of business, but the remainder got a heads-up reaction and improved their
quality and service. Our government assisted with import taxes that offset
the low overseas labor costs, and the companies are OK now. I doubt that
our government will tax overseas IT services: too many US companies in
different sectors rely upon them to stay alive.

In the past I was employed by a company that outsourced. It was a
regrettable lesson in futility and only served to help drive down earnings
here. But MTs here do have the "home field advantage", and hopefully by
bringing accessibility and communication between physician groups and MTs,
our company can help.

Melinda D.
MedicalTranscription.com
www.MedicalTranscription.com

Julianne Weight

unread,
Apr 8, 2002, 9:51:55 AM4/8/02
to
On Mon, 08 Apr 2002 05:59:04 GMT, Melinda Meahan <mme...@sonic.net>
wrote:

>JMorngstar wrote:
>>
>> What really does upset me though is that there are many wonderful and skilled
>> MTs out there, but they wouldn't agree long enough to get the co-op going when
>> there is higher priced work out there and better pay possible that many of the
>> MTs I know are getting.
>
>Didn't it crumble because of greed?

No, it was a lack of understanding of the term "cooperative."

Julie

Julianne Weight

unread,
Apr 8, 2002, 9:54:35 AM4/8/02
to
On Mon, 08 Apr 2002 13:42:10 GMT, "MizGriz" <mizg...@hotmail.com>
wrote:

>15 minutes, babe. I told ya....15 minutes ;-) Although in my book you
>get a star in the Walk of Fame as the MT who was praised and fileted....all
>in the same week!! LOL!
>
>I can read your MT memoirs....JW, from Hero to Whore in 72 hours ;-)
>
>Love ya kiddo. You know the truth of you, don't even bother to defend
>yourself.


<<<<<<<<<<<<<<ROAR>>>>>>>>>>>>>>>>>>>>>


Julianne Weight

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Apr 8, 2002, 9:55:53 AM4/8/02
to
On Mon, 08 Apr 2002 13:36:51 GMT, "CindyB"
<totall...@dontwantspam.com> wrote:

>Thanks, Julie. Actually, at this point in my career, I could probably find a
>position elsewhere but I choose not to. Sure, this service has its problems,
>but don't they all? I stay because of the people. I work with a fantastic
>group of men and women both in management and in "the trenches."
>
>Actually, I was anti-Indian transcription. My position has changed due to
>experience, not because of any need to agree with my service.

<SNIP>

Well, I was going to say more along those same lines, but I've heard
rumors that I'm wordy, so I'm glad you said it! <G>


Julianne Weight

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Apr 8, 2002, 9:57:06 AM4/8/02
to
On Mon, 08 Apr 2002 13:27:40 GMT, "MizGriz" <mizg...@hotmail.com>
wrote:

>Neal, while your business sense APPEARS sound..... look at the BIG picture.
>Offshore transcription is not the only thing, and IMO, not the biggest thing
>driving down the price of transcription. This is a huge multi-faceted issue
>and I'm struck simply by the word prejudice when offshore transcription is
>the only facet being blamed or explored.

IMO, offshore has little to do with it. It has more to do with an
aging Baby Boomer population and the fact that Medicare has an
across-the-board 3.5% cut this year -- again.


Neal Brown

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Apr 8, 2002, 9:58:53 AM4/8/02
to
> At least you have the luxury of being able to retire or semi-retire to
> get out of it. Other people are at different stages and have a lot
> harder haul to figure out how to finish their working years.

Melinda,

You know very well that I lost work that I enjoyed and that paid very well
at least partially because of the transcription service being underbid by
offshore companies because you are the one that told me that was part of the
reason. We have talked about it at length.

To say "I have the luxury being able to retire or semi-retire to get out of
it" is not quite true. With two daughters in college and sucking money
like a sponge, there is not much choice in whether to work or not. At my
advanced age, I have the option of trying to pay those additional expenses
out of current income or taking the money from my dwindling retirement
savings. I have made the choice to work for less money per line and hope
that I get good dictators so my production will be high enough to make some
decent money.

As I posted before, whenever we are underbid by offshore transcription
providers or anyone else, it hurts all of us in one way or another.

As you know Melinda, I normally do not challenge anything you post on SMT,
but this time I must say something.

Neal


RaeMorrill

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Apr 8, 2002, 9:58:05 AM4/8/02
to
I do know I am not the only person who has reported that quality doesn't count
all the time. That's what bothers me. I've explained this to you personally. I
was just gone for two weeks. The crappy service can't pitch in to help. I did
in one pickup period more work than I have sometimes had in two weeks lately.
The MTs appreciate the heck out of that. The powers that be probably don't even
notice.

>>Actually, they usually end up helping me by turning in crappy work and making
me look great

RaeMorrill

unread,
Apr 8, 2002, 10:00:53 AM4/8/02
to

Not everyone has the luxury of picking and choosing their work
situation like you do, Rae. It's not very nice to judge Cindy based on
the decisions made by the company she works for.>>

I didn't. She's said it herself before she had no problem with it. I said in a
prior post I wasn't judging people who work for services like MQ. Doesn't mean
they have to like the sell out

RaeMorrill

unread,
Apr 8, 2002, 10:03:15 AM4/8/02
to
Some I fight to keep (Mary? Where are you?!). Others aren't worth the
trouble.>>

And they hope you pay her much higher than the "going rate" as I did. That's
my exact beef with nationals they do not want to pay the few exceptional MTs
exceptional rates.

RaeMorrill

unread,
Apr 8, 2002, 10:04:59 AM4/8/02
to
Gees Liz - by THESE people I mean foreign citizens taking our work and lower
our pay rates. Many of "these people" spam us with poorly written ads trying to
get business, etc. DO NOT try to make me look like a bigot for trying to
protect my job from people who can afford to work for a 10th of what we do.


>>"These people"??? Rae, I'm surprised that you would say this. "These
people" are human beings just like you and me, and they're trying to

better themselves. I implore you to read "A Fine Balance" (sorry, can't
remember the author - Indian name)...you'll come away with a better
understanding of who "these people" really are!

RaeMorrill

unread,
Apr 8, 2002, 10:05:51 AM4/8/02
to

You know DAMN WELL what I mean.

Rae <who is starting to feel pretty disgusted that she didn't rub it in on
certain people who finally saw the light>

Exactly.

Susan Mitchell

unread,
Apr 8, 2002, 10:08:05 AM4/8/02
to
Good answer. A hospital (I don't know the name) in Boise went to India work
for LESS MONEY. They were promised turnaround of 24 hours. They are
currently 3 weeks behind.


--
Sue-UW Mom, Rabid Dawg Fan!
"MizGriz" <mizg...@hotmail.com> wrote in message
news:2%gs8.19$8c.1...@monger.newsread.com...

RaeMorrill

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Apr 8, 2002, 10:08:23 AM4/8/02
to
I'm just going to say this once: A couple of people blindly stood up for AAMT
not believing me or others who warned and warned. How did we know this. Maybe
the same way I know a relative's loser husband is NOT a business man. Common
sense and gut instinct. I can't prove it but I and others were right.

When the same thing happens vis a vis India I will remind you of this.

RaeMorrill

unread,
Apr 8, 2002, 10:09:20 AM4/8/02
to
It seems MTindia has no misconceptions as to what segment of the
MT industry it's supporting. The India segment, exclusively. Unlike
the one with the American name, or so I have heard.

>>

Pretty sad and pretty disgusting after they've gotten all this support from
AAMT.

Gdubson

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Apr 8, 2002, 10:09:59 AM4/8/02
to
>I do know I am not the only person who has reported that quality doesn't
>count all the time.

I'm sure this is true in other service businesses as well. Why should MT be
special?

Gisele

Neal Brown

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Apr 8, 2002, 10:11:49 AM4/8/02
to
Of course I know that, Cindy.

That is my point that I posted earlier that the business will come back to
the well-trained, skilled American medical transcriptionists, but it will
take some time for that to happen.

If you look at the numbers of transcription "companies" now in business in
India compared to a year ago, you can see how many have dropped out. The
ones that survive will surely raise their rates.

As time goes on there will certainly be fewer medical transcriptionists
employed in the US, which will increase the amount of work that goes
overseas FOR A PERIOD OF TIME, but I believe that will change over time.

I have some direct experience with work that has gone to Mexico. Sure, the
price is cheaper, but does it REALLY help the people in Mexico who are doing
the work?
In the case I am familiar with, the production workers in Mexico are women.
They are doing the work for the American companies at a greatly reduced
labor rate, but they are making quite a bit more money than in normal in
that part of Mexico. Unfortunately, that has hurt their marriages, as the
men are making less money, are losing their stature as "head of the house"
and many are coming to the US to try to find jobs.

I think I have expounded on this enough.

Neal
"CindyB" <totall...@dontwantspam.com> wrote in message
news:LGgs8.30336$hq2.9...@typhoon.nyroc.rr.com...
> Know what, Neal? The Indian services are raising their prices because
they
> are finding out that they cannot make a profit at what they were charging.
> Eventually, it will come down to quality and service. That's business.


>
>
> "Neal Brown" <solu...@dfn.com> wrote in message
> news:a8r5og$ubgmp$1...@ID-47915.news.dfncis.de...
> > I believe what this really comes down to is whenever ANYONE gets the
> > business by drastically undercutting the going rate, it hurts everyone,
> not
> > just the person who has been undercut, but everyone in the medical
> > transcription business. I don't care if it is someone from India, some
> > island in the middle of the Pacific, or the blonde in town who undercuts
> the
> > going rate, we are all hurt by them.
> >

> > The only reason a medical facility is going to consider outsourcing
their
> > work to India is lower rates. That is the expectation, although
certainly
> > not the usual fact.
> >

> > > >So (using extreme example) if Sadam needs business services it's okay
> > just
> > > >because it is just business.
> > >

> > > So India = Saddam? How do you figure? They are mostly people just
like
> > us.
> > >

RaeMorrill

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Apr 8, 2002, 10:10:42 AM4/8/02
to

Well, actually, upon further thought....had our own organization taken that
stance, perhaps many of these conversations and perceptions would be
different, huh?>>

There's no doubt about that. Point is now they have USED AAMT and U.S. MTs but
if they do manage to take over the country, they won't remember those oh so
helpful AMericans who helped them get there, will they? No, that isn't their
creed and, frankly, in this case, it wouldn't be good business. Maybe they are
smarter than we are.

Gdubson

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Apr 8, 2002, 10:12:53 AM4/8/02
to
>Stress the quality, the personal service, the storage of records, the TAT, the
security of the medical record to your
>clients and potential clients. Those are the things that will keep
transcription in the US, not writing to a newsgroup and complaining about it.

Yes, yes, yes!

Gisele

RaeMorrill

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Apr 8, 2002, 10:13:01 AM4/8/02
to
I understand that some hospitals hire
foreign, unlicensed doctors to read chart notes and dictate discharge
summaries so they get done>>

So? Nurse practitioners apparently do the same thing? If these foreigners have
a green card that's fine (at least from my standpoint if they speak half decent
English).

RaeMorrill

unread,
Apr 8, 2002, 10:14:25 AM4/8/02
to

I felt I did. I often use extreme examples - perhaps you'll recall the one
about AAMT eating babies for breakfast though I can't remember now what point
I was making at the time. Turns out it isn't babies at all, just dedicated MTs
<shrug>


>It's amusing to see people leap on this completely missing the point.

I guess that gets you off the hook of having to explain what the hell you are
talking about.

RaeMorrill

unread,
Apr 8, 2002, 10:16:16 AM4/8/02
to
This is priceless. I didn't say they caused it. I said they didn't stop it. Now
in light of recent events you cannot say with any assurance there were not
meetings to make votes go one way or other, like the issue on India. Call me
irresponsible. The fact remains it is highly likely this happened. If not on
India than on other issues the MT in the trenches wanted changed and AAMT did
not.

>What if there were secret meetings selling the American in AAMT to
>the Indians - so to speak?

NOw you are really being irresponsible here. MT is being done offshore because
there is now technology to make it possible. Nobody has sold anyone to anyone.
No secret deals had to be made to make this happen.

Julianne Weight

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Apr 8, 2002, 10:19:00 AM4/8/02
to
On 08 Apr 2002 14:09:20 GMT, raemo...@aol.com.com (RaeMorrill)
wrote:

>> It seems MTindia has no misconceptions as to what segment of the
>>MT industry it's supporting. The India segment, exclusively. Unlike
>>the one with the American name, or so I have heard.
>
>Pretty sad and pretty disgusting after they've gotten all this support from
>AAMT.

All what support from AAMT? The reason they've gone to doing their own
thing is because they paid dues to AAMT and AAMT wasn't in a position
to do much of anything for them.

What's really sad is that AAMT has alienated its American members (and
potential members) for a segment of transcription it doesn't have the
resources to help. There's never been a chapter in India (something to
do with local laws), it's more expensive to send material there, and
all the material is geared towards American MTs and their needs.


Neal Brown

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Apr 8, 2002, 10:22:04 AM4/8/02
to
Ya know, I usually stay out of these "can't win" discussions, just posting
about cats, dogs, or life. When I see replies such as these, it reminds me
once again why I don't normally get involved in these threads.

I'm going back to just reading, not posting on this one.

Neal


Julianne Weight

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Apr 8, 2002, 10:21:56 AM4/8/02
to
On 08 Apr 2002 14:10:42 GMT, raemo...@aol.com.com (RaeMorrill)
wrote:

>There's no doubt about that. Point is now they have USED AAMT and U.S. MTs but
>if they do manage to take over the country, they won't remember those oh so
>helpful AMericans who helped them get there, will they? No, that isn't their
>creed and, frankly, in this case, it wouldn't be good business. Maybe they are
>smarter than we are.

They'll remember them if there's a contract specifying that they'll be
remembered and for how much. <G>


MizGriz

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Apr 8, 2002, 10:27:01 AM4/8/02
to
OK. Is there a particular date I should pencil in:? LOL!

I simply disagree, barring out and out war within the confines of India's
borders.

There are some services there, Rae, that plain and simple have their sh*t
together and are providing excellent quality and service for less than 7
cpl. Find me ONE service in this country doing that.

We're gonna have to agree on some points but the fact is that primarily we
disagree on the greater issue.


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020408100823...@mb-mv.aol.com...

CindyB

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Apr 8, 2002, 10:27:41 AM4/8/02
to
If an MT can prove herself (or himself) they get the higher end of the pay
scale. Starting out though, everyone says they are the best. We need to see
the proof in the actual work before they can get that higher rate.


"RaeMorrill" <raemo...@aol.com.com> wrote in message

news:20020408100315...@mb-mv.aol.com...

JMorngstar

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Apr 8, 2002, 10:38:25 AM4/8/02
to
>small MTSOs in US and
>Canada who provide quality and excellence in service.

Are these Canadian MTSOs who provide service only for Canadian business or for
American businesses as well?

JMorngstar

unread,
Apr 8, 2002, 10:42:00 AM4/8/02
to
>And has someone passed one of my new cards on to you? My interim job
>between MT and counseling? BJs by BG??

No, I haven't gotten a business card yet, but I did hear about our new service.

Janice

Gdubson

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Apr 8, 2002, 10:52:36 AM4/8/02
to
> A hospital (I don't know the name) in Boise went to India work for LESS
MONEY. They were promised turnaround of 24 hours. They are currently 3 weeks
behind.

I'm glad to hear it. When it comes time to renew the contract, maybe they will
look at factors besides the price.

Gisele


Gdubson

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Apr 8, 2002, 10:53:33 AM4/8/02
to
>Rae <who is starting to feel pretty disgusted that she didn't rub it in on
>certain people who finally saw the light>
>

You have nothing to rub in on me. I have nothing to apologize for or explain.
If you want to rub it in, go find those CAMT board members, they are in need of
a rubdown, not me.

Gisele

Gdubson

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Apr 8, 2002, 10:54:37 AM4/8/02
to
>
>When the same thing happens vis a vis India I will remind you of this.
>
>
>Rae Morrill in Maine

Let's stick to what we actually know, okay?

Gisele

Gdubson

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Apr 8, 2002, 10:56:56 AM4/8/02
to
>Call me
>irresponsible.

I am.

Gisele

Doris Williams

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Apr 8, 2002, 12:32:26 PM4/8/02
to
"BAMBI L GEIST" <Miz...@prodigy.net> wrote in message
news:rX5s8.5453$gq1.27...@newssvr17.news.prodigy.com...

Well, and this isn't you personally Rae, but to those who
> still are going to have a kitten over a BUSINESS decision....get over it.
> Business is business.<<

Yeah and the job lost just MIGHT be yours. Would you still feel
the same way?

Dee


--
Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

Barbara Carlson

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Apr 8, 2002, 12:38:54 PM4/8/02
to
>
> It's not the only industry it is being done in, though, and that is what
> makes it so hard for it to change. It's not even the only health care
> field that they are doing it in -- I understand that some hospitals hire

> foreign, unlicensed doctors to read chart notes and dictate discharge
> summaries so they get done. There are also transcription services who
> say if you send them all of your dictation they will produce and
> transcribe your discharge summaries for free.
> --
> I know God will not give me anything I can't handle.
> I just wish that He didn't trust me so much. - Mother Teresa

Doris Williams

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Apr 8, 2002, 12:38:01 PM4/8/02
to
"Gdubson" <gdu...@aol.com> wrote in message
news:20020408091543...@mb-dd.aol.com...

<< You think this same thing doesn't go on in other
businesses?>>

Of course it does....which is why the average John Q. Public has
ever more trouble trying to maintain a decent standard of living.

There are way too many folks who think, "oh, well, it's okay,
doesn't affect me...it's just business." These same folks will be
singing in a different key when the "it's just business" comes home
to roost on THEIR doorstep I betcha.

Gdubson

unread,
Apr 8, 2002, 12:41:21 PM4/8/02
to
>
>There are way too many folks who think, "oh, well, it's okay,
>doesn't affect me...it's just business." These same folks will be
>singing in a different key when the "it's just business" comes home
>to roost on THEIR doorstep I betcha.
>
>Dee
>
>
I have never said these things would not affect me. We all have to make plans
to maximize our own earning potential. I have never expected someone else to
take care of that for me.

Gisele

Barbara Carlson

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Apr 8, 2002, 12:47:06 PM4/8/02
to
>
> It's not the only industry it is being done in, though, and that is what
> makes it so hard for it to change. It's not even the only health care
> field that they are doing it in --

How right you are. My husband is a mechanical engineer, while he was mostly
in sales, he dealt with the machine tool industry. This industry has
practically disappeared in this country. Not only did the jobs go overseas,
but we taught them how to do it, and sold them the machinery to do it with!
There are few trained machinists in this country any more, and most of them
are old. What happens if a crisis makes it necessary to mobilize as we did
for World War II??!!!!

Big surprise! It could mean disaster. The government condones all this and
you can't blame just one administration--they are all guilty.

So, if you think there will be help for MTs better think again. Only chance
I see in this industry is quality, quality, quality! My clients complain
about the transcription done in the hospitals (which so far is done in
house) where they dictate. Like one of you, a doctor wanted me to go to
work in the hospital and he would specify me to do his radiology
transcripts. They offered me $8 an hour (it was a few years ago--but I
talked to a transcriptionist recently who had been with the hospital several
years, and she was getting $11).

I hope someday we will not ALL pay for this exodus of business and business
skills throughout all our industries.

Barb C.

Barbara Carlson

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Apr 8, 2002, 12:55:01 PM4/8/02
to
That's
> my exact beef with nationals they do not want to pay the few exceptional
MTs
> exceptional rates.

That's a major problem in the industry. You are not going to get
top-quality people at the rates the services pay. I am an IC. I worked for
6 cents a line while I was learning, and did so for a couple of years. I am
an older person, who had an ailing mother, and now an ailing husband, and I
need to work at home. If I were younger and looking for a career with
potential, MT would certainly not be a choice! The industry just doesn't
pay enough to keep good people or to attract good people.

Barb C.

14tonks

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Apr 8, 2002, 1:04:38 PM4/8/02
to
I would say it's inevitable that some day we will, and perhaps in the not
too distant future. Unfortunately, globalization in terms of outsourcing is
way ahead of globalization in terms of raising the standard of living in
third world countries, which would help to put production costs here and and
in other countries on a level, and remove the attraction of sending jobs
overseas.

The rich, both individuals and corporations, will get richer, with not only
the blessing, but the assistance, of our government, until jobs and economic
opportunity for the average citizen disappear to an extent that causes an
uprising in one form or another, or until essential support structures are
weakend by graft and stupidity to an extent that allows the "barbarians" to
come crashing through the gates.

Take a few weekends to read Gibbon, and see how many parallels you can trace
between the stupidities of ancient and modern times.
--
&%) Sheila
To reply to me, you must add the prefix real. to my address.


"Barbara Carlson" <raf...@bellsouth.net> wrote in message
news:aFjs8.20224$VM5.7...@e3500-atl1.usenetserver.com...

Mike DeTuri

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Apr 8, 2002, 1:04:49 PM4/8/02
to
On Mon, 08 Apr 2002 13:36:51 GMT, "CindyB"
<totall...@dontwantspam.com> wrote:

>A national service, especially a smaller national service cannot possibly
>afford to pay 14 cents per line as someone else said they would need.
>Between 7 and 9 cents seems to be "the going rate."

I know you probably don't set policy at your company but I think this
is one of the reasons good American MTs are in such short supply, or
seem to be at least. When they apply for a job they are quoted a low
line rate. Then after they've "proved themselves" and threaten to
leave, suddenly the stops are pulled out and the good offers start
hitting the table.

On the other hand, companies will gladly incur the higher costs
associated with an offshore service. Why is that? Why does the
American MT have to prove herself and threaten to quit before she gets
to that top rung of the pay ladder?

So the question is: If you're a good MT, working with a company that
pays you well, why would you jeopardize your position and your current
pay rate to take a chance with someone who seems to place more value
on offshore transcription?

In other industries, people sweeten the pot when the demand for
candidates is high.

Mike DeTuri
http://www.deturi.com

Melinda Meahan

unread,
Apr 8, 2002, 1:03:17 PM4/8/02
to
Doris Williams wrote:
>
> There are way too many folks who think, "oh, well, it's okay,
> doesn't affect me...it's just business." These same folks will be
> singing in a different key when the "it's just business" comes home
> to roost on THEIR doorstep I betcha.

It would help demolish that mindset if they would stop teaching in
public schools that patriotism is a bad thing.

Now, I don't think that patriotism is a bad thing, but I am not
xenophobic or a union puppet or anything either -- I just see the whole
picture and understand that it is bigger than any one person or one
group can easily do anything about. But I am a militant free-market
person...

Barbara Carlson

unread,
Apr 8, 2002, 1:15:42 PM4/8/02
to
First, you can't get five MTs to agree on dinner, let
> alone an organized effort of any kind....

Just to add a little levity to a serious situation, I once found a little
magnet that tickled my funny bone that I had on my refrigerator for years:
INDIVIDUALISTS UNITE!

Barb C.

Melinda Meahan

unread,
Apr 8, 2002, 1:15:49 PM4/8/02
to
Neal Brown wrote:
>
> it" is not quite true. With two daughters in college and sucking money
> like a sponge, there is not much choice in whether to work or not. At my
> advanced age, I have the option of trying to pay those additional expenses
> out of current income or taking the money from my dwindling retirement
> savings.

What I was meaning that you are in a different situation than I am --
being mid-40s, finding myself suddenly at a point where I still have
young children at home and having things beyond my control happen that
now I have to support yourself and the children with no financial
reserves and no retirement funds except for some home equity. My
children know they can not expect a cent of help from me for college;
they are going to have to do it on their own.

That is the difference I was talking about. Your daughters could still
shift gears and pay for their own college if they had to.

> As you know Melinda, I normally do not challenge anything you post on SMT,
> but this time I must say something.

My apologies -- I guess I didn't express myself very well.

CindyB

unread,
Apr 8, 2002, 1:32:56 PM4/8/02
to
No, I don't set policy.

But, we've hired too many MTs who SAY they have experience and pay them at
the top end of the scale. Then, they either quit before they start, quit
after getting their first ESL dictation, or cannot learn and grow from
feedback. We recently let one MT go because she said she had 15 years of
experience but her work was worse than any newbie I've ever come across. She
refused to follow directions, lacked basic communication skills, guessed at
words she wasn't sure about and was sure about words that were completely
wrong. This person wanted top dollar. She wasn't worth 3 cents a line.

How do you know this about someone until after they've been with you at
least a couple of weeks? Some start out bad but can take direction, learn
from feedback, and improve. Others never will. Do we start everyone out at 9
and 10 cents a line and then cut their pay when/if they can't cut it? I
think it's much better to start them at 7 cents and increase their pay when
they show they have what it takes.


"Mike DeTuri" <det...@sbcglobal.net> wrote in message
news:3cb1cdac...@news.la.sbcglobal.net...

RaeMorrill

unread,
Apr 8, 2002, 1:37:53 PM4/8/02
to

And this is what made AAMT work for you? It didn't work, did it?

>clients and potential clients. Those are the things that will keep
transcription in the US, not writing to a newsgroup and complaining about it.

Yes, yes, yes!

CLJ1219

unread,
Apr 8, 2002, 1:38:47 PM4/8/02
to
>There are few trained machinists in this country any more, and most of them
>are old.

Hey, my husband is a machinist. Come to think of it, he's old, too. <VBG> He
learned on the job, through an apprentiseship. He owned his own business until
1991 and he just kind of saw the way the business was going--to the overseas
market in particular--and got out of it. He would not even qualify for a job
as a machinist these days, operating CNC equipment. He *could* with just a
little bit of practice.

>So, if you think there will be help for MTs better think again.

I've been saying this for years. The MT job market is going the same way as
the machinist, the steelmills and the textile mills.

>I hope someday we will not ALL pay for this exodus of business and business
>skills throughout all our industries.
>

Me, too. Here in the south, there has been a tremendous loss of jobs due to
work being sent overseas. But just try to find an item of clothing or shoes
that are made in the US.


Carol

Proud to be an American!!

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