The reason for the low work loads is multifactorial. - Largely due to overstaffing.

Let's say Nuance acquires a hospital account and 9 or 10 MTs fall for their line of crap and come on board with Nuance. 

These MTs are kept  busy for awhile, usually only as long as it takes to get the VR adequately trained because entire workypes are now being completed in, like, half the time than it took to complete them with straight typing. Some worktypes, like many associated with ERs, are converted to front-end EHR and avoid arriving in anyone's queues at all, in any form.

FIESA begins approximately 3 months after the buyout, thereby intimidating most of those now unnecessary acquired MTs to quit. 

This happens with regularity. Nuance makes money by:

1. Selling that facility their new software.

2. Obtaining a contract with them for mega dollars to continue MT services and software installation.

3. Never changing the terms of those contracts even when Nuance's costs are reduced, capitalizing even further on the sucker MTs that came on board during the takeover who are now accepting paycuts just to have a job. Essentially, you were bargained at one price and sold for another.

Following?

Your being out of work is not even an inconvenience to them. They KNEW you would be eventually, and it is no skin off their nose, at all. 

Not only do they not care, it was planned all along.

This is their (at least) 5-year history.

Nothing new here except the latest group of suckers.

I am so sorry. I personally tried to prevent as many victims as possible by getting on here in my own time even though I am no longer one of their victims. It is just what I wish someone would have done for me, so I am not looking for thanks. My hope is that you do not make the additional mistake of "hanging in there," thinking that at some point it will get better.

It won't. This business plan is WORKING for Nuance. Although a bit over leveraged, their sofware sales keeps them VERY solvent.