Nuance is taking advantage of the medical industry. They seem to have no argument to charge more unless somebody absolutely needs the medical library they include with the medical versions. Even then, the Preferred Version of DNS allows us to add and train our own vocabulary. In my experience as a Pain Management Physician I have had no difficulty adding the very few additional words needed in my specialty. In fact, more then ever, physicians are getting away from "med-speak" to allow our documentation to be easier to understand by our colleagues in a different specialty field of expertise. A greater than $1000 premium for the Medical Version is a hefty price tag since most physicians will not dictate the majority of words included in the Medical DNS dictionary. Amazing Charts should end its formal endorsement of Nuance, and create a work-around to continue using any third party app that allows us to be more efficient.
