Tom,
We know this was not your decision, and perhaps you are tired of hearing this, but the biggest barrier to using Dragon Medical is Nuance. Specifically, their decision to selectively gouge physicians (as opposed to other professions) by pricing the medical edition so high, and by locking us out of EMR's when using more appropriately priced versions.
Are we "cutting off our nose to spite our face" by refusing to buy the medical edition? Perhaps so. Maybe it is more efficient and even cost effective. All the more reason for Nuance to recognize the depth of anger they have unleashed with their price-gouging and unfair business practices.
I don't think it is wrong for people to use Dragon medical; I understand their decision completely. For now, I choose continue to give up some efficiency in return for making a statement to Nuance.
