According to the AHDI, there is an even larger market now for transcriptionists, as on-line services have taken the transcribing of medical reports to new technical heights with encrypted programs and the added bonus of the typist living far from the facility, creating even more the certainty of privacy. My immediate response to the concern about voice recognition is amusement. Veteran transcriptionists have experienced every kind of dictator - from accents to mumbles; from talking around a mouthful of food to dictating in a busy operating suite or emergency department hallway. Voice recognition is here, and it is being used to some extent - but editors are and will always be needed to correct what VR cannot handle. I have experienced this first hand with the EMR program I am working with. The reports that are generated with these programs must be edited not only from a medical terminology standpoint, but for grammar, spelling and punctuation. Voice inflection, the use of homonyms, and colloquialisms will greatly influence even the best software in these programs to produce incorrect transcription. Also, according to the AHDI, many facilities which have obtained these systems, are going back to dictation because of this. (The percentage in the last article I read in the Journal of the American Association of Medical Transcriptionists (JAAMT), was about 83.5 %.)