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This is far from a universal truth. While it’s true that local professional medical transcriptionists are much rarer today than they were 20 years ago as a lot of doctors started using software (I remember when “Dragon: Naturally Speaking” really hit the stage everyone thought it would be revolutionary), in my experience there are a lot less doctors even using transcription these days. Some of the old timers still do since they never really bothered to learn to type, but a lot of them just type into a computer in the exam room with patients.
Maybe that’s a regional thing, I don’t know, but it is definitely the norm in my part of the world.