Because no hospital system wants to pay for transcriptionists when they can mandate the MD do the data entry themselves. You hear the big backlash from the priv

Because no hospital system wants to pay for transcriptionists when they can mandate the MD do the data entry themselves. You hear the big backlash from the private practice MDs who still used a combination of paper chart and dictation that are just now being forced to move to EMR through MU 1 and 2. And with the cost of buying a whole new EMR rollout and support contract, find they can't afford to pay the transcriptionists too.