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I think it is a shame that the accounts lost were both to Medquist - the company that screwed the MTs with line counting and pay and screwed its customers by cheating them out of millions of dollars (see Kaiser settlement of $2 million dollars last week). These accounts are going off shore with lesser skilled labor and quality.
What is ironic is that while MedQuist continues to shrink in revenue growth from quarter to quarter, they will still pick off a few accounts from hospitals that want the cheapest rates and put up with the lowest standards - convincing themselves they will be the exception to the rule when it comes to offshore issues and problems.
While painful to anyone who has lost a job, the good news is that in the near future - these accounts will be replaced and surpass the volume lost and at higher rates than Medquist "bought the business" with. That means a healthier, long term company and more stable workforce, while Medquist races to the bottom with lower and lower skilled and paid workers.
Other than being forced to pay the bills, why anyone would work for Medquist domestically as they move more and more offshore is beyond me. No-one takes their car to be repaired at the place that was just on the 6 oclock news for scamming car owners !
Your beef should be with Medquist's and their settlements over improper billing, improper pay and stated goal to move as much work India as possible while using US MTs to prop them up when needed.