Some discussion! Well, as you all know, it is true about Nuance's crappy move - joining the many EHR vendors out there that mistakenly believe that "docs can afford it."
Great to vote with your feet and avoid Nuance's products. While I have been quite pleased with a number of Nuance's resellers to whom we regularly refer clients, and feel conflicted about speaking out against Nuance as it may affect these reasonable folks who had nothing to do with Nuance's sleezy move but will suffer as a result thereof, I agree with the above. Just as many of us aggressively and vocally shun those companies that care more about their profit and less about improving our healthcare system (and world, for that matter), we need to do the same with Nuance. Why support a company that doesn't support its users?
Not that Microsoft isn't probably more dangerous than Nuance - but their speech processing has improved dramatically, as has others that are enterring the market. So try them out, and let me know what you like. Just as we added navigation tools to facilitate Dragon (only to have them screw our users with this locking mechanism), we will do the same for other speech recognition software that our users find usable.