| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4f30dcf391021d63beee4ef128f15f395d49a24f4c608aef0be32bc181a6f4a136b0844119b6f4c45ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
13:28:04 - 13:41:29 |
| 影片長度 |
805 |
| 會議時間 |
2024-10-23T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第2會期社會福利及衛生環境委員會第5次全體委員會議（事由：邀請衛生福利部部長、法務部、內政部、財政部、教育部列席就「有關新興煙毒品防制及強化虐童防治作為」進行專題報告，並備質詢。） |
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| transcript.whisperx[0].start |
0.726 |
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8.251 |
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市長,我們就是 |
| transcript.whisperx[1].start |
26.621 |
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52.94 |
| transcript.whisperx[1].text |
最近有多起毒價的事件大概都是駕駛在西石添加了伊多米子的電子煙就是我們一般講的喪屍煙彈伊多米子它本身就是一個比較短效性的靜脈麻醉藥物所構成那它會導致 |
| transcript.whisperx[2].start |
55.956 |
| transcript.whisperx[2].end |
74.608 |
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昏迷意識不清然後呢他又做成煙彈很多抽煙的人呢其實是很喜歡在車上抽煙的根據我的田野調查很多抽煙的人其實是喜歡在車上抽煙那可是 |
| transcript.whisperx[3].start |
77.83 |
| transcript.whisperx[3].end |
102.78 |
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那它的毒性再搭配它的行為然後又是一個根據社會觀察很常結合的行為就是吸食上次煙彈跟駕車一起那就會造成很大的公眾的風險我不知道為什麼 |
| transcript.whisperx[4].start |
104.453 |
| transcript.whisperx[4].end |
120.586 |
| transcript.whisperx[4].text |
這個是列第三級毒品那三四級毒品其實它是沒有刑責的對不對市長跟委員報告要列為哪一個等級的毒品是要經過我們法務部跟衛護部成立的毒品審議委員會來審議那 |
| transcript.whisperx[5].start |
123.208 |
| transcript.whisperx[5].end |
123.428 |
| transcript.whisperx[5].text |
一多名字,對 |
| transcript.whisperx[6].start |
144.691 |
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154.856 |
| transcript.whisperx[6].text |
一頭米子是在6月份把它列為三級毒品然後8月份由行政院公告開始生效那市長我這樣子講就是你剛才講的三個標準一個是濫用性 |
| transcript.whisperx[7].start |
160.879 |
| transcript.whisperx[7].end |
172.648 |
| transcript.whisperx[7].text |
一個是成癮性那這兩個上次煙彈好像都還蠻符合的第三個就更符合因為我剛剛講了就是它可以搭配 |
| transcript.whisperx[8].start |
175.885 |
| transcript.whisperx[8].end |
195.382 |
| transcript.whisperx[8].text |
搭配一般生活在交通工具上就可以邊做邊吸食所以這個是不是再下一次因為我覺得這個不把它加重罰則的話以後不幸的事件會持續發生 |
| transcript.whisperx[9].start |
197.223 |
| transcript.whisperx[9].end |
197.463 |
| transcript.whisperx[9].text |
委員報告 |
| transcript.whisperx[10].start |
227.043 |
| transcript.whisperx[10].end |
227.183 |
| transcript.whisperx[10].text |
市長請回 |
| transcript.whisperx[11].start |
255.996 |
| transcript.whisperx[11].end |
278.841 |
| transcript.whisperx[11].text |
國建署今天副署長來阿副署長國建署阿您署長怎麼沒有來跟委員報告一下吳署長因為去韓國開一個亞大國防衛生的學校他有論文我們臺灣的一些成果的發表吳署長你請坐我問吳署長好不好 |
| transcript.whisperx[12].start |
287.419 |
| transcript.whisperx[12].end |
307.133 |
| transcript.whisperx[12].text |
委員好副部長我們就根據國建署在110年的青少年的吸煙行為調查我們發現就是國中生、國高中生 |
| transcript.whisperx[13].start |
308.698 |
| transcript.whisperx[13].end |
323.45 |
| transcript.whisperx[13].text |
西石紫煙的比例是已經獲得控制可是呢西石電子煙的使用率是在增加的為什麼 |
| transcript.whisperx[14].start |
327.28 |
| transcript.whisperx[14].end |
345.97 |
| transcript.whisperx[14].text |
跟委員報告確實有這樣的趨勢在國中生使用電子煙的比率目前最新的資料是到了3.9%那麼高中職使用電子煙的比率也相較108年上升現在已經到了這個8.8%所以推估大概已經到8萬了啦7.9萬人對對不對我是問營運啊 |
| transcript.whisperx[15].start |
354.946 |
| transcript.whisperx[15].end |
357.268 |
| transcript.whisperx[15].text |
所以就是用這個來推論的話就表示以後 |
| transcript.whisperx[16].start |
375.205 |
| transcript.whisperx[16].end |
402.504 |
| transcript.whisperx[16].text |
加熱式煙品出來以後你們在防制面必須要先有對策因為它是酷炫的目前我們對加熱煙這件事情在審查的過程中也是在對後市場管理有非常大的要求因為我們假如說從現在的數據就可以看出以後將會發生什麼事情現在就必須要先做好準備 |
| transcript.whisperx[17].start |
404.825 |
| transcript.whisperx[17].end |
423.101 |
| transcript.whisperx[17].text |
還有就是查獲的件數我這邊的資料就是吸食電子煙查獲的案件數也太少對兩年累計到目前真正使用者被我們查獲開罰的是404件404可能有一些查獲沒有開罰正在行政程序中 |
| transcript.whisperx[18].start |
429.935 |
| transcript.whisperx[18].end |
430.435 |
| transcript.whisperx[18].text |
臨時想到一個問題請教一下部長 |
| transcript.whisperx[19].start |
463.561 |
| transcript.whisperx[19].end |
491.217 |
| transcript.whisperx[19].text |
部長剛剛徐副魁委員在講恆春醫院的醫師人力就我的觀察因為醫中資源計畫大概實施這麼久那我也一直搞不清楚為什麼我們的醫學中心無限量的增加 |
| transcript.whisperx[20].start |
492.708 |
| transcript.whisperx[20].end |
513.081 |
| transcript.whisperx[20].text |
然後呢醫中資源離島偏鄉要一個醫生這麼困難部長你懂我的意思嗎所以我不知道為什麼他們要升格那麼容易僅今年一年就升格了三家然後要他們 |
| transcript.whisperx[21].start |
514.522 |
| transcript.whisperx[21].end |
523.973 |
| transcript.whisperx[21].text |
健保幾戶給了增加額然後各項的優惡的條件拿走了然後應該要負擔的責任部裡面這邊在處理的時候這麼困難這個我不知道到底問題在哪裡 |
| transcript.whisperx[22].start |
537.01 |
| transcript.whisperx[22].end |
552.899 |
| transcript.whisperx[22].text |
這應該是醫事人員本身的選擇的不是那這是醫學中心必須要去解決的事情要不然因為我假如沒有記錯醫中資源離島偏鄉是納為平建的項目 |
| transcript.whisperx[23].start |
562.197 |
| transcript.whisperx[23].end |
589.565 |
| transcript.whisperx[23].text |
那他每一次每一次原本是醫學中心的沒有降級然後不是醫學中心的也升級了那就表示你們在評鑑的時候對於這一個項目醫學中心是沒有遇到你們的挑戰的那你們不挑戰他到底是包庇他 |
| transcript.whisperx[24].start |
591.091 |
| transcript.whisperx[24].end |
609.586 |
| transcript.whisperx[24].text |
還是他真的做得很好他只要做得很好就不用徐副國委員在這邊為了一個醫生不只恆春啊澎湖金門馬祖離島偏鄉要一個醫學中心的人力資源都很困難啊 |
| transcript.whisperx[25].start |
613.322 |
| transcript.whisperx[25].end |
642.814 |
| transcript.whisperx[25].text |
部長你有沒有什麼話想說我相信所有的醫學中心其實都有派員到偏鄉不是就是說我們20家的時候的時候也遇到資源人力的短缺問題23家也遇到以你們目前在增加的數量搞不好到明年30家了也還是會遇到 |
| transcript.whisperx[26].start |
646.458 |
| transcript.whisperx[26].end |
667.204 |
| transcript.whisperx[26].text |
對,所以不管醫學中心有幾家,我們也給他任務可是如果醫師很難派的話那他在評鑑就不應該過啊不是不應該過,他就可能會失分啦當然如果能夠,因為 |
| transcript.whisperx[27].start |
669.697 |
| transcript.whisperx[27].end |
683.089 |
| transcript.whisperx[27].text |
醫院評鑑這個都是除了有那種必要條件你一定要做到。一定要做到。現在被我追拍人喔,給你壓迫啦。你去給,你加一點壓力給醫學中心啦。 |
| transcript.whisperx[28].start |
683.939 |
| transcript.whisperx[28].end |
701.071 |
| transcript.whisperx[28].text |
不能拿走那麼多的健保資源然後不負擔他應該要負有的責任是這個是一個方式那偏鄉加強其實我們政府也有偏鄉加強的計畫不是我現在不討論其他的計畫因為你兩個計畫也沒有辦法填補我們現在就單從 |
| transcript.whisperx[29].start |
714.375 |
| transcript.whisperx[29].end |
721.156 |
| transcript.whisperx[29].text |
為什麼臺灣的醫療機關評鑑會造成一直有人升級然後應該要處理的問題一直沒有辦法處理這個我們有在檢討其實醫學中心的資源不甘不願 |
| transcript.whisperx[30].start |
744.285 |
| transcript.whisperx[30].end |
745.327 |
| transcript.whisperx[30].text |
瞭解瞭解 |
| transcript.whisperx[31].start |
757.574 |
| transcript.whisperx[31].end |
777.307 |
| transcript.whisperx[31].text |
我再講一次,就是說,這一些問題還沒有解決之前,你們不要再有醫學中心升級了,讓你這樣生,生在水晶瓶,生到瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶瓶 |
| transcript.whisperx[32].start |
782.611 |
| transcript.whisperx[32].end |
803.131 |
| transcript.whisperx[32].text |
醫中資源人力的計畫實施大概10年了嘛納入評鑑也10年了嘛阿一直沒有辦法解決阿拍不出來拍不出來就降級阿拍不出來對不對我們來督促好啦謝謝部長好謝謝 |
| gazette.lineno |
1584 |
| gazette.blocks[0][0] |
楊委員曜：（13時28分）謝謝主席。主席，我先請一下法務部郭司長。 |
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主席：請法務部郭司長。 |
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郭司長永發：委員好。 |
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楊委員曜：司長好。司長，最近有多起毒駕的事件，大概都是駕駛吸食了添加依托咪酯的電子煙，就是我們一般講的喪屍煙彈，因為依托咪酯本身就是由比較短效性的靜脈麻醉藥物所構成，它會導致昏迷、意識不清，然後它又做成煙彈，而很多抽菸的人其實很喜歡在車上抽菸的，根據我的田野調查，很多抽菸的人其實喜歡在車上抽菸，它的毒性再搭配他的行為，即根據社會觀察，很常結合的行為是吸食喪屍煙彈跟駕車一起，就會造成很大的公眾風險。我不知道為什麼這個是列在第三級毒品，第三、四級毒品其實是沒有刑責的，對不對？ |
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郭司長永發：跟委員報告，列為哪一個等級的毒品要經過法務部與衛福部成立的毒品審議委員會審議。列為何種級別的毒品大概有三個要件：一個是成癮性、一個是濫用性、一個是對社會的危害性，就這三個特性來做評估。依托咪酯是在6月分列為三級毒品，8月分由行政院公告開始生效。 |
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楊委員曜：司長，你剛才講了三個標準，一個是濫用性，一個是…… |
| gazette.blocks[6][0] |
郭司長永發：成癮性。 |
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楊委員曜：成癮性，這兩點喪屍煙彈好像都還滿符合的，第三點就更符合了，我剛剛講了，它可以在一般生活中，在交通工具上邊坐邊吸食，我覺得不加重罰責的話，以後不幸的事件會持續發生。 |
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郭司長永發：跟委員報告，依托咪酯是不是要升級為二級毒品這件事，本部部長已經交代指示，我們在禮拜一，就是這個禮拜一已經發文給各機關徵詢、蒐集意見；蒐集完了之後，預計在11月下旬或12月初將召開毒品審議委員會，把這些資料再提供給毒審委員會的委員審酌，看是不是要把它升級為二級毒品來管制。 |
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楊委員曜：當然必須經過審查委員會審查，不過開會時間是你們可以決定的？ |
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郭司長永發：是。 |
| gazette.blocks[11][0] |
楊委員曜：所以必須儘速因應社會現象的產生，提出解決方案，好不好？ |
| gazette.blocks[12][0] |
郭司長永發：是，謝謝委員。 |
| gazette.blocks[13][0] |
楊委員曜：謝謝司長，司長請回。 |
| gazette.blocks[14][0] |
郭司長永發：謝謝委員。 |
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楊委員曜：請國健署副署長。署長怎麼沒來？ |
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邱部長泰源：跟委員報告一下，吳署長去韓國參與亞太公共衛生會議，並發表與臺灣有關的成果論文發表。 |
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楊委員曜：部長請坐，我問副署長就好了，捨不得讓你站太久。 |
| gazette.blocks[18][0] |
賈副署長淑麗：委員好。 |
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楊委員曜：副署長，根據國健署在110年就青少年吸菸行為的調查發現，國高中生吸食紙菸的比例已經獲得控制？ |
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賈副署長淑麗：是，沒錯。 |
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楊委員曜：可是電子煙的使用率是在增加的，為什麼？ |
| gazette.blocks[22][0] |
賈副署長淑麗：跟委員報告，確實有這樣的趨勢，國中生使用電子煙的比率目前最新資料是到3.9%。 |
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楊委員曜：對。 |
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賈副署長淑麗：高中職使用電子煙的比率相較108年也上升，現在已經到了8.8%，這已經是事實了。 |
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楊委員曜：所以大概已經到八萬了？ |
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賈副署長淑麗：七點九萬人。 |
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楊委員曜：對，但我是問原因。 |
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賈副署長淑麗：原因是紙菸的吸食率降低，又因為電子煙比較酷炫，對於年輕人來說具有一定的吸引力。 |
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楊委員曜：用這點來推論的話就表示，當加熱式菸品出來以後，你們在防制面上必須要先有對策。 |
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賈副署長淑麗：是的，謝謝委員。 |
| gazette.blocks[31][0] |
楊委員曜：因為它是酷炫的，對不對？ |
| gazette.blocks[32][0] |
賈副署長淑麗：對。目前我們在審查加熱菸的過程中，也對後市場管理有非常大的要求。 |
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楊委員曜：沒錯嘛？ |
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賈副署長淑麗：對。 |
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楊委員曜：因為從現在的數據就可以看出以後會發生什麼事，所以現在就必須先做好準備。 |
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賈副署長淑麗：是，防患於未然，謝謝委員提醒。 |
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楊委員曜：還有，在查獲的件數上，就我這邊的資料來看，吸食電子煙查獲的案件數也太少了。 |
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賈副署長淑麗：對，兩年累計下來，到目前為止，真正使用者被我們查獲且開罰的為404次。 |
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楊委員曜：404？可能有一些雖查獲但沒有開罰？ |
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賈副署長淑麗：正在行政程序中。 |
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楊委員曜：查獲一定開罰，還是不一定？ |
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賈副署長淑麗：查獲要約詢。 |
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楊委員曜：要約詢？ |
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賈副署長淑麗：然後會有一些行政程序，剛才部長也有特別指示要加速、加強相關的…… |
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楊委員曜：因為真的太少了，對不對？ |
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賈副署長淑麗：了解，謝謝委員。 |
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楊委員曜：副署長請回，我臨時想到一個問題要請教部長。 |
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邱部長泰源：委員好。 |
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楊委員曜：部長好。剛剛徐富癸委員說到恆春醫院的醫師人力問題，就我的觀察，醫中支援計畫實施這麼久，但我一直搞不清楚：為什麼醫學中心無限量增加，而在醫中支援離島偏鄉計畫下，要一個醫生卻這麼困難？部長懂我的意思嗎？ |
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邱部長泰源：了解。 |
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楊委員曜：我不知道為什麼他們要升格那麼容易，僅今年一年就升格了三家，健保給付增加了，各項優渥條件也拿走了，但應該要負擔的責任為什麼部裡面在處理時會這麼困難？我不知道到底問題在哪裡！ |
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邱部長泰源：這應該是醫事人員本身的選擇…… |
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楊委員曜：不是，這是醫學中心必須要去解決的事！假如我沒有記錯，醫中支援離島偏鄉是評鑑項目之一，結果現在原本是醫學中心的沒有降級，不是醫學中心的也升級了，就表示你們在評鑑時，醫學中心在這個項目上並沒有遇到你們的挑戰！你們不挑戰它，到底是包庇它，還是它真的做得很好？如果它做得很好，徐富癸委員也不用為了要一個醫生……其實不只恆春，澎湖、金門、馬祖、離島偏鄉要一個醫學中心的人力支援都很困難，部長有沒有聽懂我的意思？ |
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邱部長泰源：我想所有的醫學中心其實都有派員到偏鄉…… |
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楊委員曜：不是，20家醫學中心的時候也遇到支援人力短缺的問題；23家也遇到，以你們目前增加的數量來看，搞不好明年30家了，也還是會遇到！ |
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邱部長泰源：對，所以不管醫學中心有幾家，我們也給它任務，可是如果醫師很難派的話，的確…… |
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楊委員曜：那麼評鑑時就不應該過啊！ |
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邱部長泰源：不是不應該過，而是可能會失分。醫院評鑑時除非是必要條件一定要做到…… |
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楊委員曜：部長，現在我當壞人給你壓力，讓你加一點壓力給醫學中心，不能拿走那麼多健保資源，卻不負擔應該要負起的責任！ |
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邱部長泰源：是，這是一個方式。至於偏鄉加強，其實政府也有偏鄉加強計畫，兩方面來同時進行…… |
| gazette.blocks[61][0] |
楊委員曜：不是！我現在不討論其他計畫，因為就算是兩個計畫也沒有辦法填補！我們現在就單從為什麼臺灣的醫療機關評鑑會造成一直有醫院升級，而應該要處理的問題一直沒有辦法處理？部長，你聽懂我的意思嗎？ |
| gazette.blocks[62][0] |
邱部長泰源：有，這個我們有在檢討。 |
| gazette.blocks[63][0] |
楊委員曜：其實醫學中心支援不甘不願，然後成效不好，這個也是本席一直反對醫學中心無限量增加的一個原因…… |
| gazette.blocks[64][0] |
邱部長泰源：瞭解、瞭解。 |
| gazette.blocks[65][0] |
楊委員曜：我再講一次，在這一些問題還沒有解決之前，你們不要再有醫學中心升級了。 |
| gazette.blocks[66][0] |
邱部長泰源：是，瞭解。 |
| gazette.blocks[67][0] |
楊委員曜：讓他們這樣升級，升級了這麼多間醫院，但升到澎湖也欠缺、金門也欠缺、屏東也欠缺…… |
| gazette.blocks[68][0] |
邱部長泰源：如果增加醫學中心，結果對偏鄉的幫助並沒有增加，這個可能…… |
| gazette.blocks[69][0] |
楊委員曜：不是，這個本來就規定了嘛，醫中支援人力的計畫實施大概10年了，納入評鑑也10年了嘛，一直沒有辦法解決，派不出來就降級啊，對不對？ |
| gazette.blocks[70][0] |
邱部長泰源：好，我們來督促。 |
| gazette.blocks[71][0] |
楊委員曜：好啦，謝謝部長。 |
| gazette.blocks[72][0] |
邱部長泰源：好，謝謝。 |
| gazette.blocks[73][0] |
主席：謝謝楊委員，謝謝部長。 |
| gazette.blocks[73][1] |
接續請葉元之委員質詢。 |
| gazette.agenda.page_end |
104 |
| gazette.agenda.meet_id |
委員會-11-2-26-5 |
| gazette.agenda.speakers[0] |
蘇清泉 |
| gazette.agenda.speakers[1] |
陳昭姿 |
| gazette.agenda.speakers[2] |
王育敏 |
| gazette.agenda.speakers[3] |
林月琴 |
| gazette.agenda.speakers[4] |
陳菁徽 |
| gazette.agenda.speakers[5] |
邱鎮軍 |
| gazette.agenda.speakers[6] |
廖偉翔 |
| gazette.agenda.speakers[7] |
王正旭 |
| gazette.agenda.speakers[8] |
劉建國 |
| gazette.agenda.speakers[9] |
羅廷瑋 |
| gazette.agenda.speakers[10] |
林淑芬 |
| gazette.agenda.speakers[11] |
羅智強 |
| gazette.agenda.speakers[12] |
楊瓊瓔 |
| gazette.agenda.speakers[13] |
賴士葆 |
| gazette.agenda.speakers[14] |
涂權吉 |
| gazette.agenda.speakers[15] |
李坤城 |
| gazette.agenda.speakers[16] |
洪孟楷 |
| gazette.agenda.speakers[17] |
林國成 |
| gazette.agenda.speakers[18] |
張雅琳 |
| gazette.agenda.speakers[19] |
陳培瑜 |
| gazette.agenda.speakers[20] |
郭昱晴 |
| gazette.agenda.speakers[21] |
徐富癸 |
| gazette.agenda.speakers[22] |
楊曜 |
| gazette.agenda.speakers[23] |
葉元之 |
| gazette.agenda.speakers[24] |
黃秀芳 |
| gazette.agenda.speakers[25] |
陳瑩 |
| gazette.agenda.speakers[26] |
盧縣一 |
| gazette.agenda.page_start |
1 |
| gazette.agenda.meetingDate[0] |
2024-10-23 |
| gazette.agenda.gazette_id |
1138901 |
| gazette.agenda.agenda_lcidc_ids[0] |
1138901_00002 |
| gazette.agenda.meet_name |
立法院第11屆第2會期社會福利及衛生環境委員會第5次全體委員會議紀錄 |
| gazette.agenda.content |
邀請衛生福利部部長、法務部、內政部、財政部、教育部列席就「有關新興煙毒品防制及強化虐
童防治作為」進行專題報告，並備質詢 |
| gazette.agenda.agenda_id |
1138901_00001 |
| IVOD_ID |
156026 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/156026 |
| 日期 |
2024-10-23 |
| 會議資料.會議代碼 |
委員會-11-2-26-5 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
2 |
| 會議資料.會次 |
5 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.標題 |
第11屆第2會期社會福利及衛生環境委員會第5次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2024-10-23T13:28:04+08:00 |
| 結束時間 |
2024-10-23T13:41:29+08:00 |
| 支援功能[0] |
ai-transcript |
| 支援功能[1] |
gazette |