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

Wouldn't this solve the problem? - Bee

Posted: Jul 31, 2012

...If HIPAA laws clearly stated medical records of United States citizens could not be sent out of the country...wouldn't that be protecting the client better AND keeping jobs in America?

Why won't they? They have their laws on everything else!

HIPAA laws/HITECH - me

[ In Reply To ..]
Much of the work is not sent "out of the country." It's actually housed on servers here in the US. So that sort of shoots that argument in the foot.

Do some research. India has it's own version of HIPAA/HITECH.

IMO, your information is at the same risk whether it's being accessed by an MT in the US or an MT in India.

Show some loyalty! Nothing is stopping - Just me

[ In Reply To ..]
an offshore MT from breaching confidentiality. In the US people can be severely punished civilly. Way to go, defending countries that steal our jobs and help undercut our pay. The fact remains, USA law cannot be enforced overseas. No matter what laws India or any other country has, there's no guarantee that USA patients' rights will be enforced there.

and they haven't been lest we forget the extortion cases - anon

[ In Reply To ..]
there were at least 2 cases overseas where MTs tried to extort money based off of medical records they had access to.

I know some people in LA peeked at med records of Brit Spears and sold info, however, those were not MT's.

Nothing will stop our jobs from going overseas at this point. However, just as is happening in China right now, their wages will continue to rise until they want just as much as we do (a whopping 4 cpl).

Of course by then we will no longer exist and then where will they be. Oh, right, Speech Wreck will be perfect by then and they will no longer need human beings, sure, that's going to happen.

With all due respect, your anger is misdirected. - incognito

[ In Reply To ..]
Be angry at the powers that be here in the US who offshore our work to make a bigger buck than they already do off our backs. The workers in India just want to earn a living and eat, too. It's not their fault. I blame corporate American greed. May it bite them in the arse somehow, someday.

My anger is appropriately placed. I agree with you. - anon

[ In Reply To ..]
I don't blame someone in India for wanting to feed their kids.

I completely blame the greedy corporate fat cats.

However, you cannot deny there were those 2 publisized cases of foreign MTs tryign to extort people and those were just the one's we heard about. Ethics differ from culture to culture.

sheesh. Ethics differ from household to household. - no message

[ In Reply To ..]
--

And from MT to MT, as well as senses of decency, as constantly - demonstrated on these boards. NM

[ In Reply To ..]
x

Please educate yourself - not be emotional

[ In Reply To ..]
You have to look at this from a realistic and FACTUAL POV not an emotional one. The Indians didn't "TAKE" our jobs, Americans GAVE them the jobs.

The reality is they work on our "soil" by virtue of working through our servers.

They ARE accountable for breaches and you have a lot fewer from them than you've had from us.

I'm not being disloyal, I'm being honest. I've done my homework. Time a few of you consider doing that too and stop coming at this from a purely emotional place, that just clouds the TRUTH.

Speaking of emotional - anon

[ In Reply To ..]
Your posts come across as very emotional as well, perhaps more so than those of the people who are simply upset that their ability to earn a living has been greatly impacted by sending work offshore.

I get where the people losing jobs are coming from, but I am slightly confused by your posts and the vehemence with which you express yourself.

Concern over losing the ability to provide for our families merits a little emotion. I have no qualms about my loyalty being to my own country and would prefer not to be continually chastised for a perfectly logical stance on the subject.

If they indeed work on our soil, wouldn't they have to pay - OUR TAXES?

[ In Reply To ..]
They dont work on our soil.

Again, you're not addressing the issue - me

[ In Reply To ..]
I didn't say they worked on our soil. The complaint was about our records "leaving" the country. Our records don't "leave" the country.

Of course someone sitting in Bombay is not working on our soil. That's not even logical. They are accessing the work product which resides on our soil.

Global economy is here to stay. Time is better spent trying to figure out how to make it work for you than lamenting the past that will not return.

OK, so... - Bee

[ In Reply To ..]
...to get back to my original question...let me rephrase...if HIPAA said only Americans could access American records due to possible breeches of confidentiality, wouldn't THAT solve the problem?

...also, yesterday, I read an article that talked about various work being sent overseas, and it offended me that the work was described as "unskilled." I don't think MTs are unskilled at all.

...I wish no harm to Indians, and I have respect for them trying to earn a living, but it seems American medical records should stay here OR ONLY BE ACCESSED here. Not the same as a factory that puts together toys in my opinion.

one more thought... - Bee

[ In Reply To ..]
India is GIGANTIC...I realize they do not have decent healthcare overall, but do they not have their own records to transcribe? Maybe they don't have to keep records? I am admittedly ignorant about their laws...does someone know?

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