Re: Americans' medical files go digital, by way of Asia

[David Farber <dave () farber net>]

Begin forwarded message:

From: "Ronald J Riley \(RJR Com\)" <rjr () rjriley com>
Date: April 19, 2009 5:53:29 PM EDT
To: <dave () farber net>
Subject: RE: [IP] Americans' medical files go digital, by way of Asia

What is going to stop US companies from creative bookkeeping where  
they cover existing expenses with stimulus money and then outsource  
with the funds they free up?  Of course, they can make a large profit  
this way and once again shaft taxpayers.

Ronald J Riley

-----Original Message-----
From: David Farber [mailto:dave () farber net]
Sent: Sunday, April 19, 2009 5:23 PM
To: ip
Subject: [IP] Americans' medical files go digital, by way of Asia



Begin forwarded message:

From: "lynn" <lynn () ecgincc com>
Date: April 19, 2009 4:11:07 PM EDT
To: "Suresh Ramasubramanian" <suresh () hserus net>
Cc: dave () farber net
Subject: RE: [IP] Americans' medical files go digital, by way of Asia

this is really not a discussion about poverty. it is a discussion (the
way
i began it) about law and the stimulus bill.

as to poverty, it exists i think in pretty much in most countries. it is
not up to the us to eliminate poverty in every country. we cannot even
do
that here.

yes there is stupidity all over too.

it's nice to know there is security in at least some call centers in
india. that is apparently a problem in manilla.

as i said originally, if it is stimuls dollars, that is supposed to be
limited to spending in the us, not elsewhere. that is the law. if it is
non-stimulus money, then it is a business decision.

the article i quoted was apparently talking about stimulous money.
that is
a legal issue not a business issue.

> > i get that. here, for some, it means more - a rise to possibly
> > poverty
> > level.
> >
> > Or is it possible you don't understand the extent of the crisis here?
>
> You're telling me about poverty?  I've yet to see anybody at all in
> the
> USA live in a slum on the scale of Dharavi or Tondo.
>
> Trailer parks or even inner city tenements would be luxury compared to
> those.
>
> http://news.bbc.co.uk/2/shared/spl/hi/picture_gallery/06/world_manila_slum_life/html/1.stm
>
> http://news.bbc.co.uk/2/shared/spl/hi/picture_gallery/08/south_asia_life_in_dharavi/html/1.stm
>
> No I don’t underestimate the crisis. But I don’t overestimate it
> either is all I can say.  As for urban poverty among people who are
> unemployed or forced into extremely low salaries that's not unknown
> right
> here in India either.
>
> > from the article:
> > The Philippines hopes to reap big profits from his multibillion-
> > dollar
> > push to computerize health records.
> >
> > computerizing health records is a huge part of the stimulus bill.
>
> It again depends on which healthcare provider is doing it - some
> have been
> doing it for years now, since well before the stimulus bill.  Medical
> transcription has been outsourced for a bit more than a decade .. it
> was
> among the first things to get outsourced.
>
> > i remember reading on this list a couple of years ago or so of a
> > person
> > in india (i believe - i may remember the country incorrectly) that
> > threatened to publish records online if she didn't get a raise.
>
> .. and you don’t get idiots like that stateside? Perhaps india and
> the
> Philippines have  a monopoly on employees who do stupid things
> because of
> grievances at work?
>
> The cases I do remember about call center fraud / theft - there have
> been
> substantial jail sentences awarded in each case.  And cases where
> security
> processes have been found to have holes in them have led to dramatic
> tightening up .. security is paranoid or worse in most call centers
> handling that kind of material, at least in India.
>
> Just for example, you can't carry paper and pencils, USB devices,
> cellphones / PDAs etc into the facility [and more to the point, the
> office
> PCs have USB disabled], no external email or internet access either]
>
> --srs






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