Offshoring transription - Nell

I was so glad to see this information posted regarding the American Transcription Association (ATA)… and offshoring medical transcription.  All of the points made are totallly valid. I agree with every bit of it. However, what they failed to mention is the fact that many medical transcription companies lie to their cuistomers about using outsourcing for their work.  They save money by not having to pay them as much for the transcription, but most of their work is very substandard because people in India, Pakistan, and the Philippines do not have a good grasp of the English language and do not understand slang and other terms we use in dictation.  They will type what they think they hear and have little if any regard as to whether it even makes any sense.  HIPAA compliiance goes out the window and we should, of course, be very concerned about our personal information going elsewhere.  Lastly, in light of the current economy and lack of jobs for American citizens, it should be a given that our work stay here and employ good, honest, hardworking medical  transcriptionists here who keep losing jobs. There is no reason for this work to ever be outsourced except for the transcription companies to get ahead, at any cost.  My fervent hope is that eventually everybody will stop using medical transcription companies. I believe they are also not HIPAA compliant, since most of their transcription is done in people's homes, where there is absolutely no regulation as to what information is going where and who sees it.  Even if the MT does sign a form, who is to say that the MT has a friend come over and he/she sees what they are typing and could be someone they know.  I'd just really like to see medical transcription were it used to be before it became corrupt.