I use both QuarkExpress and PageMaker on a Mac. I use PowerSecretary only for dictation, although both programs can be controlled solely by voice if you wish. IMHO PageMaker is the easier program for a non-designer to use, it’s also much cheaper. Quark gives a more free-form approach which is popular with designers. Both programs are now available for the PC. Sorry, I don’t know how well they work with Dragon.