With the rise in both the popularity of voice recognition (VR) software as well as outsourcing of transcription work overseas, the professional forecast can seem a bit gloomy for the average work-from-home medical transcriptionist these days. As a veteran MT with eighteen years experience, I can tell you that I have, indeed, lost accounts to VR. I can only wonder if any of the clients I couldn't hold onto were lured by outsourcing.