Nate,
I have been using dragon since about 2003 and upgraded to version 11 just before going with AC last fall.
I broke it down this way:
At minimum 1000-1500 dollars a month to pay a transcriptionist for a busy practice, and turn around time is 2-3 days
dragon version 11 I think is about $1500 if you buy the medical version, but it should last for at least 2-3 years before upgrading again. initially seems slower, but easy to train, but you get all your corrections done as you dictate and no turn around time--so more efficient than typing or paying a transcriptionist, and in 1-2 months of paying the transcriptionist bill you will pay for the dragon
I template out my normal male and female full exams and full ROS's and dictate any abnormals over the normals, so in my opinion the combination of templating and dragon can't be beat for efficiency.
