Up until 18 months ago, I worked for a very large hospital system in MI earning 11 cents a line and making about 1500-1700 lpd for everything from SOAP notes to neurosurgical procedures. The system brought in a she-wolf who hired her longtime not-very-bright sidekick and I saw the light and outsourced myself to a national service. Now my former coworkers are making I think 8 cents a line for transcription and 3-4 cents a line for editing on Escription. I'd like to say that if you show the powers that be that you're trying in good faith to make their expected line count, perhaps they'll be willing to negotiate when they see what they're doing to the talent. I wish I could, but that wasn't my experience. I can, however, pray for you--but then, I pray every night for all MTs in the US and Canada.