| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/fc78d56ce4a6375228f33c633cc861945f16e2c62e3913b43189f248a73be6942b572682c7da76a75ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
13:47:40 - 13:59:59 |
| 影片長度 |
739 |
| 會議時間 |
2024-11-21T09:00:00+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10次全體委員會議（事由：審查中華民國114年度中央政府總預算案關於衛生福利部主管預算（公務預算及基金）。（僅詢答，113年12月6日下午5時截止收案）） |
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委員質詢謝謝主席主席請一下邱部長委員好部長好部長我還是想要就 |
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48.006 |
| transcript.whisperx[1].text |
建保的幾個問題跟部長先做個探討原因是什麼呢?原因是在未完委員會已經處理了一個勞保的大洞一直補不滿所以我們在建保還沒有很大的問題之前必須要先有妥善的規劃 |
| transcript.whisperx[2].start |
51.408 |
| transcript.whisperx[2].end |
75.119 |
| transcript.whisperx[2].text |
那現在是這樣子就是因為你有承諾說行政部門有承諾在明年6月底之前健保點值要保障1.0.95元那我想要知道一下衛福部的預算大概打算從哪裡來 |
| transcript.whisperx[3].start |
77.991 |
| transcript.whisperx[3].end |
81.938 |
| transcript.whisperx[3].text |
謝謝委員我想那個是大家各黨的決議我們小政府會全力往這個目標來努力 |
| transcript.whisperx[4].start |
90.489 |
| transcript.whisperx[4].end |
112.854 |
| transcript.whisperx[4].text |
大概分兩個部分一個是公務預算邊的增加這個部分大概增加了100多億這從原來在健保裡面我們把它挪出來做公務預算部長我想要請問一下從健保裡面挪出來是什麼意思 |
| transcript.whisperx[5].start |
114.609 |
| transcript.whisperx[5].end |
128.081 |
| transcript.whisperx[5].text |
因為公務預算這是公務預算嘛有些公共衛生的啦那本來應該由公務預算來支出這次相聲案很好就把這些 |
| transcript.whisperx[6].start |
129.698 |
| transcript.whisperx[6].end |
157.15 |
| transcript.whisperx[6].text |
這些變成由公務預算來支出這樣健保就不用去支付那些公共衛生的支出這其實我們清除不少啦就是原本就不應該是由健保來給付的那就是表示之前收的保費有問題啦不是收的保費有問題收的保費就是照顧人民健康啦你這些原本不應該由健保來給付嗎 |
| transcript.whisperx[7].start |
159.531 |
| transcript.whisperx[7].end |
174.48 |
| transcript.whisperx[7].text |
那你是用給付跟收費是一個平衡的狀態嗎?部長現在講的意思是說現在的公務預算是之前原本有健保給付的嗎? |
| transcript.whisperx[8].start |
178.623 |
| transcript.whisperx[8].end |
202.299 |
| transcript.whisperx[8].text |
原來沒有公務預算這現在提出來當然是要變公務預算啊對啦對啦他可以提出來而且部長的意思是說這可以提出來就是感謝行政院願意來公務預算來處理這一塊啦這樣讓那個健保就有更多的空間嘛好 |
| transcript.whisperx[9].start |
203.14 |
| transcript.whisperx[9].end |
220.417 |
| transcript.whisperx[9].text |
那這個部分大概政府就多撥了100多億然後我們其實很大的很重要的一件事情就是那個我們的健保總額整個差不多336嘛336所以我們336億是不是好 |
| transcript.whisperx[10].start |
228.084 |
| transcript.whisperx[10].end |
231.965 |
| transcript.whisperx[10].text |
所以算起來就是整個對健保的意志大概有712億就是假如要達到1.0.95必須要增加700多億原先算是差不多要700億我們現在整個712億 |
| transcript.whisperx[11].start |
250.296 |
| transcript.whisperx[11].end |
276.555 |
| transcript.whisperx[11].text |
就是說看怎麼樣來幫忙那你現在公務預算一百多億那還有六百多億從哪裡來從那個健保總部長現在講的七百多億是總數還是增加的你們預估要保障點值到0.9七百一十二億是比以前多出來的比以前多出來的 |
| transcript.whisperx[12].start |
278.814 |
| transcript.whisperx[12].end |
281.517 |
| transcript.whisperx[12].text |
公務預算100多億那其他最少還有500多億因為我們健保總合就增加了531億 |
| transcript.whisperx[13].start |
301.452 |
| transcript.whisperx[13].end |
306.336 |
| transcript.whisperx[13].text |
531億加上111億原來總額會移出來這個加上來加上含病含病本來是省省的意思所以加上去年就是今年的總額增加了712億成長了8.13% |
| transcript.whisperx[14].start |
328.618 |
| transcript.whisperx[14].end |
347.313 |
| transcript.whisperx[14].text |
沒有啊,我只是不知道你增加這700多億的裁員就比較明確的是一個裁員是行政院預住公務我們有兩個大部分一個是行政院有預住那行政院預住又有分兩大部分那個原來的 |
| transcript.whisperx[15].start |
357.792 |
| transcript.whisperx[15].end |
382.202 |
| transcript.whisperx[15].text |
總額移出來的有100多億那另外還有行政院譬如說我們現在那個癌症心藥基金還有其他的罕病的補助所以那個加起來所以行政院Total連那個移出去的是300多億330幾億那另外一個是我們總額裡面的總額裡面的額度是由部長這邊來核定的今年會有比較高的額度所以它成長會比較高 |
| transcript.whisperx[16].start |
385.789 |
| transcript.whisperx[16].end |
388.11 |
| transcript.whisperx[16].text |
有些對支出面有影響的我們才算進來那大概是 |
| transcript.whisperx[17].start |
405.34 |
| transcript.whisperx[17].end |
420.152 |
| transcript.whisperx[17].text |
113就突然點子要保障了所以就多出很多收入這個我也覺得很奇怪報告委員因為那個健保總額他每年會有一個成長率低推估成長率是今年是2點就是114年是2.652 |
| transcript.whisperx[18].start |
424.535 |
| transcript.whisperx[18].end |
442.728 |
| transcript.whisperx[18].text |
高推估會到5.5所以它前面有一筆錢就是如果我們今年真的把明年的114年的總額拉到最高的推估5.5的時候那筆也會產生一筆錢就是推估的啊推估的不是實際現在就一定有那個就是成長率 |
| transcript.whisperx[19].start |
443.268 |
| transcript.whisperx[19].end |
443.408 |
| transcript.whisperx[19].text |
以上這樣補充 |
| transcript.whisperx[20].start |
470.788 |
| transcript.whisperx[20].end |
496.698 |
| transcript.whisperx[20].text |
因為我實驗中的關係我跟部長建議一下我覺得你們要不要要不要考慮調整保費或者是補充保費然後呢或者是跟行政院做溝通把特定的稅收來挹注健保 |
| transcript.whisperx[21].start |
497.608 |
| transcript.whisperx[21].end |
509.34 |
| transcript.whisperx[21].text |
因為我剛剛就講過了我實在不願意看到未完三個部會裡面日後就有兩個部會有兩個大棟必須要補 |
| transcript.whisperx[22].start |
513.001 |
| transcript.whisperx[22].end |
531.035 |
| transcript.whisperx[22].text |
而且可能會一直公務預算的支出因為勞保現在已經很慘了那健保我真的是不大想再看到又有另外一個坑洞必須要一直補所以應該調整保費就調整保費 |
| transcript.whisperx[23].start |
535.219 |
| transcript.whisperx[23].end |
536.901 |
| transcript.whisperx[23].text |
應該找特定的稅收當作專款來預注 |
| transcript.whisperx[24].start |
549.316 |
| transcript.whisperx[24].end |
574.286 |
| transcript.whisperx[24].text |
就朝這個方向那你們必須要做的這個是開源節流的部分我覺得你們醫療分級確實做得不夠踏實然後另外一個我現在講的是公部門還沒有牽扯到社會大眾就是就醫的觀念就是一個醫療分級 |
| transcript.whisperx[25].start |
576.147 |
| transcript.whisperx[25].end |
597.507 |
| transcript.whisperx[25].text |
一個就是醫學中心無止境的增加我覺得這個都是都會讓剛剛我們講的是開源現在講的是節流你們假如說一方面開源也不去應該增加保費我想 |
| transcript.whisperx[26].start |
598.789 |
| transcript.whisperx[26].end |
617.651 |
| transcript.whisperx[26].text |
主動跟國人同胞講清楚大家會接受應該找特定的財源來預注我也不相信行政院找不出來這是開源的部分節流的部分我覺得醫療分級假如說 |
| transcript.whisperx[27].start |
618.832 |
| transcript.whisperx[27].end |
629.849 |
| transcript.whisperx[27].text |
落實了也可以減少你們的支出醫學中心假如不要像之前漫無止境的一直增加 |
| transcript.whisperx[28].start |
631.943 |
| transcript.whisperx[28].end |
661.3 |
| transcript.whisperx[28].text |
也不會造成資源的浪費好不好我當然這樣子的這麼大的一個題目不會只有今天的質詢講可是我比較重要的題目大概都已經先給部長了我最後跟部長講一個觀念大家都在討論波波牙醫我不知道為什麼你們會想出來把波波牙醫送到 |
| transcript.whisperx[29].start |
662.878 |
| transcript.whisperx[29].end |
689.579 |
| transcript.whisperx[29].text |
偏鄉我只講觀念我沒有任何的立場只是說你們推了一個計畫讓大家直接承認波波牙醫我不是說我的立場喔就是說你們把波波牙醫送到偏鄉直接就是表示你們的立場已經覺得波波牙醫矮人一傑 |
| transcript.whisperx[30].start |
691.291 |
| transcript.whisperx[30].end |
709.348 |
| transcript.whisperx[30].text |
另外一個面向就是你們把離島偏鄉的居民當作次等的國民我知道你們沒有那個意思啦但是你們的論述我在選區就被罵死了 |
| transcript.whisperx[31].start |
710.903 |
| transcript.whisperx[31].end |
737.559 |
| transcript.whisperx[31].text |
我說過我對哪一國的醫生我基本上沒有很大的意見可是是你們的計畫推出然後再做說明的時候導致了對於這些醫生跟對於偏鄉居民都很不公平謝謝部長謝謝主席好謝謝委員指教 |
| IVOD_ID |
157369 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/157369 |
| 日期 |
2024-11-21 |
| 會議資料.會議代碼 |
委員會-11-2-26-10 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
2 |
| 會議資料.會次 |
10 |
| 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10次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2024-11-21T13:47:40+08:00 |
| 結束時間 |
2024-11-21T13:59:59+08:00 |
| 支援功能[0] |
ai-transcript |