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Below someone commented that good MTs are let go. That they see a trend. That they project this is because the "older" MTs make more.
First, "good" MTs are not only or always "old" MTs. Sometimes quite the opposite.
Second, what constitutes a trend?
Third, what kind of sense does that make? If an MTSO is in business to make money, they need to get the lines typed. More experienced MTs do not, as a general rule, get paid more money than less experienced but equal to talent MTs. In order to stay in business, you need the lines typed. Would it not make sense to have someone already trained and doing a good job be the one doing those lines, then to fire the "good" ones so they could hire less experienced people and then have to ramp up?
I agree there are some issues with MT at this point in time, but seriously this "they are out to get us" mentality is craziness. MQ/Spheris/CBAY- don't go there to work. Transcend if they freak you out cause they are so horrible- don't go there either. The only "trend" I can see is a trend for MTs to be blaming everyone else for their situation instead of making their own situation better.
Jolly MT: "I've also done a personal study (as in hired by) 33 companies in the last 5 years and just have to say my observations don't support what seems to be the experience of a couple of people on this forum. When I apply, I usually hear something within 48 hours, even if it's just an email saying my resume was received."
"As I stated earlier, I have 4 job offers this week alone, pay ranging from 8.5 to 11 cpl. "
Is this a hobby of yours? Why would anyone need to work at 33 different companies in 5 years and why are you looking for work now?
Sorry Jolly but I don't find your statements credible. I think you are management. IF you are being truthful, what's up with having to have 33 jobs in 5 years and obviously you are still looking as you have had "4 job offers this week alone." Why can't you keep an MT job?
The question now is how low will an MTSO manager/owner go and why do they feel the need to do it. No way, no how does someone spend FIVE years doing research for a paper. Jolly must think MTs are really, really stupid.
Jolly should go back to clown school where she belongs.
@Jolly MT
In my opinion, you may be comparing apples and oranges.
As with so many posts on this Board, a heated discussion ensues between people who are in actually relating totally different experiences. I really wish people would state whether they are an Employee or an Independent Contractor when they present their “I have no work” or “I have more than enough work” statements. There really is a huge difference.
I believe most posters are referring to Employees as opposed to Independent Contractors. In reality, they are apples and oranges. “Older” refers to MTs who have been in the business or, more likely, with a particular company for several years (the 15+ years of experience MTs). “Younger” would refer to MTs with less than 5 years of experience. Age really has nothing to do with the issue – it is experience we are talking about.
I have to assume you are an Independent Contractor. If not, you win the prize for being the most job-hopping Medical Transcriptionist in history – you wrote: “I've also done a personal study (as in hired by) 33 companies in the last 5 years.” WOW – 60 months, 33 companies – average of less than 2 months at a company. As an employee, you would have barely gotten used to the platform in that amount of time. As such, you really have no background to state with certainty that “long-time” or “older” TMs are NOT being discriminated against – you never stay in one place long enough to know your fellow employees and why they are fired.
I also found your original statement interesting: “Third, what kind of sense does that make? If an MTSO is in business to make money, they need to get the lines typed. More experienced MTs do not, as a general rule, get paid more money than less experienced but equal to talent MTs. In order to stay in business, you need the lines typed. Would it not make sense to have someone already trained and doing a good job be the one doing those lines, then to fire the "good" ones so they could hire less experienced people and then have to ramp up?”
You tend to forget we are not paid hourly. The only one benefitting from “experience” which allows us to type more lines per hour is US – the MTSO could care less. In reality, it does not change THEIR bottom line.
Comparing Employee to Independent Contractor:
IC – (who are TRUE IC status) They should be experienced enough to QA their own work. Timekeeping is not necessary because there are no overtime issues to keep track of. Invoices are prepared by the IC and sent to the MTSO. Sick time and vacation time are usually the responsibility of the IC to cover. If the MTSO charges the client $0.20 per line and pays the IC $0.10, the MTSO keeps 99% of the profit because of minimal operating costs. The MTSO wants to keep “older” ICs because they have to deal with them less and can hire fewer of them because they do produce more lines per day each.
Employee – State and Federal laws must be adhered to. Timekeeping of some kind is usually implemented. Human Resources additional expenses include payroll, keeping track of PTO time earned and used, unemployment, insurance (if offered), etc. They have to deal with problem MTs (arrive late, leave early, abuse breaks, do not meet minimum line requirements, etc). Human Resources/Payroll take a fairly large chunk of the operating costs when employees are involved. However, at some point, it does not matter if the MTSO has 10 MTs or 10,000 MTs. The system is in place and most of it is computerized.
Another overhead is QA (who are usually paid hourly). It does not matter if there are 10 MTs or 10,000 MTs, QA has to be there for audits. It is unreasonable to assume that just because they have more experience, “older” MTs never send blanks to QA. There are always new dictators or bad background noise that prevent even the best MT from hearing a word. I also believe that many QA people transcribe if there is nothing to edit.
BOTTOM LINE – the MTSO who has Employees is only looking at what they bill the Client. To that end, it really does not matter to them if the lines are typed by 10 MTs or 10,000 MTs. We all have seen plenty of complaints on the Board about overhiring so that TAT is almost immediate. Does the MTSO care that MTs are running out of work? Of course not.
The MTSO charges the Client the same rate, no matter what they pay the MT.
What makes more sense to you?
You are an MTSO and want to bill $10,000 a day. You charge your client $0.20 per line. You need your MTs to produce 50,000 lines per day. Since QA is paid hourly, that overhead is already calculated into your minimum daily requirement in order to make the profit you want to make.
Your options:
OPTION 1:
You hire 50 “older” MTs producing 1,000 minimum lines per day each, which will get you your 50,000 lines per day. You pay your experienced MTs 0.09 per line. Some may call in sick or request time off, so you need to make sure the others produce more than minimum lines to make up the difference. TAT may become an issue, resulting in possible Overtime.
Your Billing (50,000 lines x 0.20) = $10,000
Your Payment to the experienced MTs (50,000 lines x 0.09) = $4,500
YOUR GROSS PROFIT: $5,500
OPTION 2:
You hire 100 “younger” part-time MTs, producing 500 minimum lines per day each. You pay your less experienced MTs 0.07 per line. Even if some call in sick, most already produce more than 500 lines per day, so no problem. Plenty of MTs always working, so TAT is usually not an issue. No Overtime ever needs to be paid.
Your Billing (50,000 lines x 0.20) = $10,000
Your Payment to the less experienced MTs (50,000 lines x 0.07) = $3,500
YOUR GROSS PROFIT: $6,500
Since we are paid by the line, being experienced and faster benefits us – it has no influence on the MTSO’s billing. If you give the exact same dictation to an experienced MT and an inexperienced MT, in 9 out of 10 cases, the only difference in the final product is that the experienced MT will probably type it faster. The inexperienced MT will take whatever time is required to research anything they do not understand. Even if the report typed by the inexperienced MT ends up going to QA, the overhead for QA is already factored into the overhead of the MTSO.
So, to answer your question: “Would it not make sense to have someone already trained and doing a good job be the one doing those lines, then to fire the "good" ones so they could hire less experienced people and then have to ramp up?”
Actually NO – as far as the MTSO is concerned, it does not make any difference. If anything, they would prefer the less experienced people if they can pay them less per line. After all, they are not employing us so that we can have a comfortable living – they are employing us so that they can live in luxury.
So, although there is no way to “prove” that MTSOs are not hiring or are actually firing employees who are “older” MTs, there is also no way to logically prove they do not discriminate. As in all industries, there is age discrimination. Why would anyone think Medical Transcription would buck that “trend” when it is evident everywhere else?
JUST MY OPINION.