A lot of hospitals, especially large ones, have transcription companies doing all their transcription, so people all over the U.S. can get medical reports if they do what I do, at home medical transcription. I type for OSU Medical Center, Feather River Hospital in California and North Hawaii Hospital with my jobs. I have done reports on people in the news and people in political and teaching careers. Of course violation of privacy is grounds for immediate termination and possible legal action. But there are thousands of transcriptionists. Going to a certain hospital isn't going to ensure that only people at that hospital are going to ever see your records though.