Medical transcriptionists certainly have lots of alternatives, if you don't mind living below the poverty line:
Switchboard Operators, Including Answering Service           $20,600 Insurance Claims Clerks           $28,100 License Clerks           $26,900 File Clerks           $20,000 Paralegals and Legal Assistants           $36,800 Court Clerks           $26,900 Interviewers, Except Eligibility and Loan           $23,100 Executive Secretaries and Administrative Assistants           $33,700 Court Reporters           $34,700 Receptionists and Information Clerks           $20,500 Customer Service Representatives           $24,000 Billing, Cost, and Rate Clerks           $26,500 Office Clerks, General           $20,200 Secretaries, Except Legal, Medical, and Executive           $24,000 Legal Secretaries           $31,900 Billing, Posting, and Calculating Machine Operators           $26,500 Medical Secretaries           $25,000 Bookkeeping, Accounting, and Auditing Clerks           $26,900 Library Assistants, Clerical           $18,300
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