Likewise, when this whole India thing started in earnest about 10 years ago, I asked a healthcare provider about the shabby reports that were coming back from offshore transcription; she said as long as there was a signature line assigning insurance payments, that's all they really cared about. I huffed and tsk-tsked and offered my opinion that such things would never happen, a medicolegal document had be accurate, blah blah blah. I was wrong.
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