Yeah, wouldn't you think that these highly paid administrators would sit down and talk to people who have been doing this work for years? Instead they call up these companies who promise ANYTHING to get them to sign on and for the first couple of months use really good transcriptionists and then the quality just goes down hill. These cheap transcription companies mostly don't care because they are making lots of money and just move on to the next sucker. But nobody notices for a while and then a really bad mistake is made and the doctors go into orbit. Think of how much time and money they end up wasting.