It will be a while before anything comes along that has the power of Dragon.
Windows speech recognition doesn't even come close.
That said, it is unfortunate that the small office version doesn't come in at about $400. Then I would buy it. Large corporate practices have all sorts of ways to make money that small offices don't -- so presumably can afford to pay for the inflated cost of Dragon Medical.
I just use standard Dragon on a remote client, and have AmazingCharts on the office computer-- Dragon doesn't recognize the remote window as an EMR.
But that isn't perfect -- you have to have a pretty good internet connection for it to work.
