A community of 30,000 US Transcriptionist serving Medical Transcription Industry


MTs and unions, and past mistakes: - s/msg


Posted: Nov 23, 2010

Regarding all the talk about unions below:  

     I once had a very good job, and was a very "Happy MT".  I worked inhouse.  I made great money.  I got vacations, 401K, paid sick days, good healthcare, etc. 

     So one day, while I was happily typing away on my Correcting Selectric, at my great little desk, at my great little job, a union organizer came to visit the department.  The hospital was actually considering having its employees unionize... as I recall there were actually quite a few benefits in it for them, as well, although I don't remember the details.

     The union organizer spoke with me at length about the benefits of forming a strong coalition of medical transcription specialists.  He pointed out the risks we faced in the future, but I was too blind, too comfortable, and too self-absorbed in my own happy little MT world, to think that things could ever do anything except just get better and better.

     "MTs don't need a union!" I chirped at him happily (albeit ignorantly), "We are in high demand!  We are in short supply!  Our skills can't be found by simply calling an employment agency, you know.  The doctors NEED us.  Without us to transcribe their patient care reports, they would lose their accreditation!"

     Even though I worked on a Selectric, I had actually had other MT jobs before that on computers, but back then, the Internet, if it existed at all, was still in its infancy, and none of us had even heard of it.  Most work was done inhouse.  The services that existed were mostly small companies, like the one I'd left when I moved to a new city and started working for "Happy-MT Hospital".  

     Over the years I watched friends and family, many with much higher educations than mine, and fancier jobs, lose them one by one to automation, outsourcing, insourcing temp-workers from India,  buyouts, layoffs, recessions, technology changes, etc.  Never once did I ever foresee that I would ever be anything but secure and comfortable in my MT job at "Happy-MT Hospital". 

     When the Internet became a part of our everyday lives, the union opportunity actually presented itself again, and still I, and others like me were still too blind to see the warning signs ahead.  Up until that point, the few MTs that worked at home usually lived close to their employers, and delivered tapes back and forth every day.  When the Internet made it easy for MTs to work from home, I saw only the possibility of hospitals being able to pay us more by moving us home, thus saving the cost of housing us onsite.  What never crossed my mind was that "home" could also mean across the state, across the country, or on the other side of the world. 

     Had we been unionized, it might not have been a guarantee that our jobs would be safe, as nothing in life is ever guaranteed.  But I think it would have played a large part in making sure that as technology changed, as globalization occured, etc., that those changes would be used in such a way as to BENEFIT the medical transcriptionist, not strip them of everything: Earnings, benefits, self-confidence, available work, and now, even their homes.

I think technology is basically a good thing, and that change is inevitable.  But doing what I did, dumbly believing "I'm special - nothing bad can ever happen to me!" is foolish.  Technology has to be embraced, but we also have to scrutinize it carefully to be sure it's not being used in place of us, or to cheat us out of what we work so hard to earn.   Had most of us said "yes" to coming together (instead of fighting all the time),  and using our voices in unison through a union, which is ultimately a much louder and more-respected voice than just the squeakly little mouse-voice that occasionally arises here and there from the rare MT who actually speaks up, our profession may have looked a lot different now, than it currently does. 

Beautifully said. (nm) - MT5505

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x

MTs and Unions - Ronny Reagan

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Amen, beautifully said. Remember when Reagan fired the air traffic controllers, a pivotal time in our history when the pilots could have stopped that firing from happening, they chose to say, "Well the company needs me, I don't have to stand up with my fellow workers." Now look at what the pilots have been served up from pensions to pay. As far as MTs, I have never seen such anti-union sentiment from so many of my co-workers through the last 35 years, now look at us. Anyway, I always remind people who are on the fence, read "The Jungle" by Upton Sinclair. A must read for people who can't decide what side of the fence they are on.

Excellent. - wendyinvt

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You described the experience of many, many MTs, myself included, when working in office. How sure we were (and how management also assured us) that a union was totally unnecessary. Now, many years later easy to see just how wrong we were. Great post.

Medical Transcriptionist Union - Cbaldwin

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I have lived in Texas all my life and, generally speaking, unions are not so big in Texas, however, I have started to think a lot lately about my pay, no raise in over 20 years and having to work harder and longer for nothing. I wish to put a call out to other like-minded transcriptionists! I think it is time to be heard and to fight for fair wages. I have done this, as I said for over 30 years and have seen my pay checks steadily decrease. Other than going into management, I don't know what else to do except go back to school for another career but I feel I am getting a little long in the tooth so to speak for that. I guess I had better wrap up, my hold rate is going up as I sit here and type this.

just a thought, maybe.... - my 2cents

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Maybe everyone needs to start a facebook or myspace page that can be sent to hospitals, politicians, news channels, friends, relatives, doctors, etc. that are already on facebook or myspace so this light gets shed everywhere (After all, who isn't on one or the other of these sites). Maybe then people will be aware of what is happening to this profession and what they can do to help. Most people don't realize their reports may be typed or edited by people who are overseas or what personal information goes along with the report that is going overseas and this is another good way to keep them in the loop too. I truly agree that something needs to be done about our profession, but I am not 100% convinced that a union can or will fix the problem anymore than speaking out about it will. But then again, we will never know unless we try. At this point, I am ready to try just about anything, but nothing is going to fix our problem overnight either.

quite honestly - mt

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Not sure how much influence a FB page would have.

And a lot of people dont give a rat's patootie where their medical records are transcribed. They have bigger problems in their lives. Bigger causes. As long as they are getting the care from their practitioner that they want, records don't really mean a lot.
The reason most people don't care is that they - dont know anything about their records.
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You can't care about something unless you know it exists.

Mainly, what needs to be done is the hemorrhage - of work offshore needs to be - sm

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cauterized. ;)

To achieve that, word has to get out, lobbying (AGAINST AHDI, which is lobbying for more of the same, plus mandatory CMT) needs to be done.

Currently MTs are too scattered, isolated, and unorganized to achieve anything. We need a louder voice, and we need leadership, something to polarize our group instead of further fracture it. We thought AAMT (now AHDI) and ATA would achieve that, but they are just organizations, they don't have the kind of clout a strong union has.

People think that joining a union automatically means strikes. It doesn't have to mean that. It can mean providing some realistic pay and work standards for the MT industry, which currently has none -- it is currently a jungle filled with maneaters. (Better make that "MT-eaters").

Singly, we will accomplish nothing. As a unified group with some sort of a common goal, (I think "fair pay" and "no offshoring" are 2 good ones to start with), there is a chance that our profession could be saved.

If hospitals and clinics want to cut their bottom lines, let them jettison some of their management overpopulation, who play no role whatsoever in quality of patient care or documentation.
PS: Strikes don't just happen, they are - VOTED-ON by union members.
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So, seeing as how most MTs are against strikes, I doubt that one would ever need to happen. But the THREAT of a strike makes a nice big stick to hold behind your back while negotiating for decent wages.
A question - Anonymous
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Do you know the percentage of medical records that are sent off shore? Do you know what percentage of non-US residents are employed as MTs? I have been curious about that and wonder if VR is hurting us more than offshore labor. It would be good to know those numbers before approaching a union for assistance in organizing.
Only the MTSOs know that for sure. But with - regards to VR, I think it - sm
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could actually work FOR us, instead of AGAINST us. The main problem with VR is that we only get paid half our usual pay (which is already too low!) to do it.

I used to have a choice, and chose not to do VR. Finally, I had to give in this summer and start doing it, because most of my accounts are now mostly on VR.

The MTSOs' "big stick" is saying if we don't like their pay, they would gladly send ALL work offshore. Yes, they could do that, but who would they get to edit it if we didn't? It takes more skill and time to edit, and if anything, the pay should be EQUAL to transcription at the very least. VR could end up being OUR "big stick" because if we didn't do it, and they allowed their Indian employees to edit VR (and we already have to edit the Indians), where would that leave the MTSO? The service would become so poor that many hospitals wouldn't want it, even if it were free.
By all means lobby against making MT a less credible - occupation and against proving it with a credentia
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Makes perfect sense to me! After all, we wouldn't want ANYONE to think that MTs possibly might all have the same base knowledge, would we? Noooooo.

That's the crux of the problem right there, imo - Happy MT Robin
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Not all MTs have the same base of knowledge - some are really, really good and some aren't. Some have been doing this for 30+ years and are extraordinarily knowledgeable and some are newbies. Some are newbies, yet have a pretty good base of knowledge already. How do you quantify all of that?

Also, the other big road block that I can see is the fact that 99% of us work from our homes. If this went back to being a completely in-house position (which will never happen again in our lifetime) I think a union would probably stand a better chance.

Just look at what happens on this board with a tiny microcosm of the MTs working in this country. Half of the time we can't even agree on what color the sky is and if someone says it's blue and they're happy with it, then they get attacked or get called a suit.

I'm not a fan of unions for a lot of reasons that have nothing to do with this business, but if someone had a viable plan and solutions to some of the very minor problems that I just talked about, certainly I'd listen and not just dismiss it out of hand. All I hear, though, is "hey, let's form a union." There has to be more to it than that.
well said, Hap...couldn't agree more. - anon
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.
In house - 3rd shift
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"Also, the other big road block that I can see is the fact that 99% of us work from our homes. If this went back to being a completely in-house position (which will never happen again in our lifetime) I think a union would probably stand a better chance".

I beg to differ--- I see the internet as too vast and is going to be taken down by _________________. The pres himself has a button to turn it off in case of an emergency!!!! So if they want medical records it will have to be done in-house, but technology in-house will also be good EMR/VR, so if docs want to check their own work --- we may be obsolete.
You quantify it by testing everyone. LOL Shows the knowledge for - those who have it and the lack of for the rest. n
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Geesh.
And you consider the CMT a "credential"? - All it means is the MT with it is GULLIBLE.
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NM


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