Agree with the negative views of Nuance due to their selective targeting of gouging physicians. I enjoy using the lower versions, dictate into word and copy and paste into AC. Not that big of a deal to do, but it is my way of sticking it right back at Nuance. If there were more of us taking a stand and refusing to use their rip off version of Dragon Medical they would get the message... I think. It really fires me up and I use Nuance as a shinning example of why healthcare costs are high and enjoy throwing them under the bus every chance I can. How they sell one version for $200 to Joe Public and try to stick it to MD's by charging $1600 for essentially the same version - regardless of what Nuance tries to peddle. The patients just shake their heads in disgust and that is how I feel about Nuance and their attack against MD's - disgust. Oh, and Nuance has made me into their future lost customer as soon as I find another software that works reasonably well. I will go out of my way not to use them due to the practice of gouging MD's.