| 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.會議代碼:str |
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 |
| 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.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 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 |
| 影片長度 |
00:12:19 |
| 支援功能[0] |
ai-transcript |
| 支援功能[1] |
gazette |
| 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 |
| 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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| transcript.pyannote[238].start |
732.86159375 |
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733.16534375 |
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SPEAKER_02 |
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733.26659375 |
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733.72221875 |
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SPEAKER_02 |
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735.30846875 |
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SPEAKER_02 |
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735.83159375 |
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738.02534375 |
| transcript.pyannote[242].speaker |
SPEAKER_02 |
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738.26159375 |
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738.81846875 |
| transcript.whisperx[0].start |
0.209 |
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21.951 |
| transcript.whisperx[0].text |
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 |
| transcript.whisperx[1].start |
24.212 |
| transcript.whisperx[1].end |
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 |
| transcript.gazette[0].speaker |
楊委員曜 |
| transcript.gazette[0].start |
2024-11-21T13:47:48.738000+08:00 |
| transcript.gazette[0].guessed |
|
| transcript.gazette[0].end |
2024-11-21T13:47:57.186000+08:00 |
| transcript.gazette[0].text |
謝謝主席，主席請一下邱部長。 |
| transcript.gazette[0].quality |
1 |
| transcript.gazette[1].speaker |
邱部長泰源 |
| transcript.gazette[1].start |
2024-11-21T13:47:57.186000+08:00 |
| transcript.gazette[1].guessed |
|
| transcript.gazette[1].end |
2024-11-21T13:47:57.406000+08:00 |
| transcript.gazette[1].text |
委員好。 |
| transcript.gazette[1].quality |
1 |
| transcript.gazette[2].speaker |
楊委員曜 |
| transcript.gazette[2].start |
2024-11-21T13:47:57.727000+08:00 |
| transcript.gazette[2].guessed |
|
| transcript.gazette[2].end |
2024-11-21T13:47:57.987000+08:00 |
| transcript.gazette[2].text |
部長好。 |
| transcript.gazette[2].quality |
1 |
| transcript.gazette[3].speaker |
楊委員曜 |
| transcript.gazette[3].start |
2024-11-21T13:47:58.808000+08:00 |
| transcript.gazette[3].guessed |
|
| transcript.gazette[3].end |
2024-11-21T13:48:10.776000+08:00 |
| transcript.gazette[3].text |
部長，我還是想要就健保的幾個問題跟部長先做個探討，原因是什麼呢？ |
| transcript.gazette[3].quality |
0.966 |
| transcript.gazette[4].speaker |
楊委員曜 |
| transcript.gazette[4].start |
2024-11-21T13:48:10.956000+08:00 |
| transcript.gazette[4].guessed |
|
| transcript.gazette[4].end |
2024-11-21T13:48:28.006000+08:00 |
| transcript.gazette[4].text |
原因是在衛環委員會已經處理了一個勞保的大洞一直補不滿，所以我們在健保還沒有很大的問題之前，必須要先有妥善的規劃。是。 |
| transcript.gazette[4].quality |
0.926 |
| transcript.gazette[5].speaker |
楊委員曜 |
| transcript.gazette[5].start |
2024-11-21T13:48:31.688000+08:00 |
| transcript.gazette[5].guessed |
|
| transcript.gazette[5].end |
2024-11-21T13:48:55.119000+08:00 |
| transcript.gazette[5].text |
現在是這樣，因為行政部門有承諾，在明年6月底之前，健保點值要保障1點0.95元，我想要知道一下，衛福部的預算大概打算從哪裡來？ |
| transcript.gazette[5].quality |
0.981 |
| transcript.gazette[6].speaker |
邱部長泰源 |
| transcript.gazette[6].start |
2024-11-21T13:48:57.991000+08:00 |
| transcript.gazette[6].guessed |
|
| transcript.gazette[6].end |
2024-11-21T13:48:58.352000+08:00 |
| transcript.gazette[6].text |
謝謝委員。 |
| transcript.gazette[6].quality |
1 |
| transcript.gazette[7].speaker |
邱部長泰源 |
| transcript.gazette[7].start |
2024-11-21T13:48:58.352000+08:00 |
| transcript.gazette[7].guessed |
|
| transcript.gazette[7].end |
2024-11-21T13:49:00.876000+08:00 |
| transcript.gazette[7].text |
我想那個是大家各黨的決議……對。 |
| transcript.gazette[7].quality |
0.923 |
| transcript.gazette[8].speaker |
邱部長泰源 |
| transcript.gazette[8].start |
2024-11-21T13:49:00.876000+08:00 |
| transcript.gazette[8].guessed |
|
| transcript.gazette[8].end |
2024-11-21T13:49:01.918000+08:00 |
| transcript.gazette[8].text |
我們行政部門會全力往這個目標來努力。 |
| transcript.gazette[8].quality |
0.824 |
| transcript.gazette[9].speaker |
邱部長泰源 |
| transcript.gazette[9].start |
2024-11-21T13:49:10.489000+08:00 |
| transcript.gazette[9].guessed |
|
| transcript.gazette[9].end |
2024-11-21T13:49:26.232000+08:00 |
| transcript.gazette[9].text |
我們的財源大概分兩個部分，一個是公務預算編列的增加，這個部分大概增加了一百多億，就是原來在健保裡面的我們把它挪出來做公務預算…… |
| transcript.gazette[9].quality |
0.797 |
| transcript.gazette[10].speaker |
楊委員曜 |
| transcript.gazette[10].start |
2024-11-21T13:49:28.293000+08:00 |
| transcript.gazette[10].guessed |
|
| transcript.gazette[10].end |
2024-11-21T13:49:32.834000+08:00 |
| transcript.gazette[10].text |
部長，我想請問一下，從健保裡面挪出來是什麼意思？ |
| transcript.gazette[10].quality |
1 |
| transcript.gazette[11].speaker |
邱部長泰源 |
| transcript.gazette[11].start |
2024-11-21T13:49:32.834000+08:00 |
| transcript.gazette[11].guessed |
1 |
| transcript.gazette[11].end |
2024-11-21T13:49:34.609000+08:00 |
| transcript.gazette[11].text |
過去有一些…… |
| transcript.gazette[11].quality |
0 |
| transcript.gazette[12].speaker |
楊委員曜 |
| transcript.gazette[12].start |
2024-11-21T13:49:34.609000+08:00 |
| transcript.gazette[12].guessed |
|
| transcript.gazette[12].end |
2024-11-21T13:49:37.251000+08:00 |
| transcript.gazette[12].text |
因為公務預算就是公務預算，健保收入是健保收入…… |
| transcript.gazette[12].quality |
0.524 |
| transcript.gazette[13].speaker |
邱部長泰源 |
| transcript.gazette[13].start |
2024-11-21T13:49:38.452000+08:00 |
| transcript.gazette[13].guessed |
|
| transcript.gazette[13].end |
2024-11-21T13:49:59.563000+08:00 |
| transcript.gazette[13].text |
過去有一些公共衛生，那部分本來應該由公務預算來支出，這次行政院很好，把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，這部分其實我們清出不少。 |
| transcript.gazette[13].quality |
0.851 |
| transcript.gazette[14].speaker |
楊委員曜 |
| transcript.gazette[14].start |
2024-11-21T13:50:01.123000+08:00 |
| transcript.gazette[14].guessed |
|
| transcript.gazette[14].end |
2024-11-21T13:50:03.944000+08:00 |
| transcript.gazette[14].text |
就是原本就不應該由…… |
| transcript.gazette[14].quality |
1 |
| transcript.gazette[15].speaker |
邱部長泰源 |
| transcript.gazette[15].start |
2024-11-21T13:50:04.705000+08:00 |
| transcript.gazette[15].guessed |
|
| transcript.gazette[15].end |
2024-11-21T13:50:05.445000+08:00 |
| transcript.gazette[15].text |
對，健保要給付的…… |
| transcript.gazette[15].quality |
0.714 |
| transcript.gazette[16].speaker |
楊委員曜 |
| transcript.gazette[16].start |
2024-11-21T13:50:05.485000+08:00 |
| transcript.gazette[16].guessed |
|
| transcript.gazette[16].end |
2024-11-21T13:50:09.727000+08:00 |
| transcript.gazette[16].text |
那就表示之前收的保費有問題啦？ |
| transcript.gazette[16].quality |
1 |
| transcript.gazette[17].speaker |
邱部長泰源 |
| transcript.gazette[17].start |
2024-11-21T13:50:10.427000+08:00 |
| transcript.gazette[17].guessed |
|
| transcript.gazette[17].end |
2024-11-21T13:50:13.609000+08:00 |
| transcript.gazette[17].text |
不是收的保費有問題，收的保費也都是照顧人民的健康啦，就是說…… |
| transcript.gazette[17].quality |
0.778 |
| transcript.gazette[18].speaker |
楊委員曜 |
| transcript.gazette[18].start |
2024-11-21T13:50:14.369000+08:00 |
| transcript.gazette[18].guessed |
|
| transcript.gazette[18].end |
2024-11-21T13:50:17.130000+08:00 |
| transcript.gazette[18].text |
因為你這一些原本不應該由健保來給付嘛。 |
| transcript.gazette[18].quality |
0.778 |
| transcript.gazette[19].speaker |
邱部長泰源 |
| transcript.gazette[19].start |
2024-11-21T13:50:17.130000+08:00 |
| transcript.gazette[19].guessed |
1 |
| transcript.gazette[19].end |
2024-11-21T13:50:19.531000+08:00 |
| transcript.gazette[19].text |
對，因為…… |
| transcript.gazette[19].quality |
0 |
| transcript.gazette[20].speaker |
楊委員曜 |
| transcript.gazette[20].start |
2024-11-21T13:50:19.531000+08:00 |
| transcript.gazette[20].guessed |
|
| transcript.gazette[20].end |
2024-11-21T13:50:26.135000+08:00 |
| transcript.gazette[20].text |
那你是用給付跟收費是一個balance的狀態嘛……對。 |
| transcript.gazette[20].quality |
0.625 |
| transcript.gazette[21].speaker |
楊委員曜 |
| transcript.gazette[21].start |
2024-11-21T13:50:26.135000+08:00 |
| transcript.gazette[21].guessed |
|
| transcript.gazette[21].end |
2024-11-21T13:50:34.460000+08:00 |
| transcript.gazette[21].text |
部長現在講的意思是說，現在的公務預算是之前原本由健保給付的嘛。 |
| transcript.gazette[21].quality |
0.931 |
| transcript.gazette[22].speaker |
邱部長泰源 |
| transcript.gazette[22].start |
2024-11-21T13:50:38.623000+08:00 |
| transcript.gazette[22].guessed |
|
| transcript.gazette[22].end |
2024-11-21T13:50:47.909000+08:00 |
| transcript.gazette[22].text |
原來沒有編公務預算，現在從健保拿出來，當然是要編公務預算。對啦！ |
| transcript.gazette[22].quality |
0.786 |
| transcript.gazette[23].speaker |
楊委員曜 |
| transcript.gazette[23].start |
2024-11-21T13:50:49.170000+08:00 |
| transcript.gazette[23].guessed |
|
| transcript.gazette[23].end |
2024-11-21T13:50:52.973000+08:00 |
| transcript.gazette[23].text |
但它可以拿出來，而且部長的意思是說…… |
| transcript.gazette[23].quality |
0.812 |
| transcript.gazette[24].speaker |
邱部長泰源 |
| transcript.gazette[24].start |
2024-11-21T13:50:52.973000+08:00 |
| transcript.gazette[24].guessed |
|
| transcript.gazette[24].end |
2024-11-21T13:51:07.504000+08:00 |
| transcript.gazette[24].text |
這部分可以拿出來，真的是要感謝行政院願意用公務預算來處理這一塊，這樣讓健保有更多的空間，這個部分大概政府就多撥了一百多億…… |
| transcript.gazette[24].quality |
0.807 |
| transcript.gazette[25].speaker |
楊委員曜 |
| transcript.gazette[25].start |
2024-11-21T13:51:07.664000+08:00 |
| transcript.gazette[25].guessed |
|
| transcript.gazette[25].end |
2024-11-21T13:51:08.185000+08:00 |
| transcript.gazette[25].text |
一百多億。 |
| transcript.gazette[25].quality |
0.5 |
| transcript.gazette[26].speaker |
邱部長泰源 |
| transcript.gazette[26].start |
2024-11-21T13:51:08.185000+08:00 |
| transcript.gazette[26].guessed |
|
| transcript.gazette[26].end |
2024-11-21T13:51:20.217000+08:00 |
| transcript.gazette[26].text |
然後其實很重要的一個事情就是，我們的健保總額增加差不多336嘛，所以我們…… |
| transcript.gazette[26].quality |
0.903 |
| transcript.gazette[27].speaker |
楊委員曜 |
| transcript.gazette[27].start |
2024-11-21T13:51:20.217000+08:00 |
| transcript.gazette[27].guessed |
|
| transcript.gazette[27].end |
2024-11-21T13:51:20.337000+08:00 |
| transcript.gazette[27].text |
336億，是不是？ |
| transcript.gazette[27].quality |
1 |
| transcript.gazette[28].speaker |
楊委員曜 |
| transcript.gazette[28].start |
2024-11-21T13:51:20.337000+08:00 |
| transcript.gazette[28].guessed |
1 |
| transcript.gazette[28].end |
2024-11-21T13:51:28.084000+08:00 |
| transcript.gazette[28].text |
好，就是三百多億。 |
| transcript.gazette[28].quality |
0.143 |
| transcript.gazette[29].speaker |
邱部長泰源 |
| transcript.gazette[29].start |
2024-11-21T13:51:28.084000+08:00 |
| transcript.gazette[29].guessed |
|
| transcript.gazette[29].end |
2024-11-21T13:51:29.104000+08:00 |
| transcript.gazette[29].text |
所以算起來就是增加7……照說這樣對健保的挹注大概有712億。 |
| transcript.gazette[29].quality |
0.652 |
| transcript.gazette[30].speaker |
楊委員曜 |
| transcript.gazette[30].start |
2024-11-21T13:51:29.264000+08:00 |
| transcript.gazette[30].guessed |
|
| transcript.gazette[30].end |
2024-11-21T13:51:30.205000+08:00 |
| transcript.gazette[30].text |
假如要達到1點點值0.95，必須要增加七百多億？ |
| transcript.gazette[30].quality |
0.722 |
| transcript.gazette[31].speaker |
邱部長泰源 |
| transcript.gazette[31].start |
2024-11-21T13:51:30.205000+08:00 |
| transcript.gazette[31].guessed |
|
| transcript.gazette[31].end |
2024-11-21T13:51:52.597000+08:00 |
| transcript.gazette[31].text |
原先我們在算就是這樣，算出來差不多要700億，我們現在增加這712億，看怎麼樣來幫忙…… |
| transcript.gazette[31].quality |
0.636 |
| transcript.gazette[32].speaker |
楊委員曜 |
| transcript.gazette[32].start |
2024-11-21T13:51:54.059000+08:00 |
| transcript.gazette[32].guessed |
|
| transcript.gazette[32].end |
2024-11-21T13:52:01.044000+08:00 |
| transcript.gazette[32].text |
現在公務預算多一百多億，還有六百多億從哪裡來？ |
| transcript.gazette[32].quality |
0.952 |
| transcript.gazette[33].speaker |
邱部長泰源 |
| transcript.gazette[33].start |
2024-11-21T13:52:01.044000+08:00 |
| transcript.gazette[33].guessed |
|
| transcript.gazette[33].end |
2024-11-21T13:52:02.144000+08:00 |
| transcript.gazette[33].text |
從那個健保總額…… |
| transcript.gazette[33].quality |
0.857 |
| transcript.gazette[34].speaker |
楊委員曜 |
| transcript.gazette[34].start |
2024-11-21T13:52:02.144000+08:00 |
| transcript.gazette[34].guessed |
|
| transcript.gazette[34].end |
2024-11-21T13:52:07.228000+08:00 |
| transcript.gazette[34].text |
部長，你現在講的七百多億是總數還是增加的？ |
| transcript.gazette[34].quality |
0.947 |
| transcript.gazette[35].speaker |
楊委員曜 |
| transcript.gazette[35].start |
2024-11-21T13:52:07.748000+08:00 |
| transcript.gazette[35].guessed |
|
| transcript.gazette[35].end |
2024-11-21T13:52:11.091000+08:00 |
| transcript.gazette[35].text |
你們預估要保障點值到0.95增加的？ |
| transcript.gazette[35].quality |
0.786 |
| transcript.gazette[36].speaker |
邱部長泰源 |
| transcript.gazette[36].start |
2024-11-21T13:52:13.192000+08:00 |
| transcript.gazette[36].guessed |
|
| transcript.gazette[36].end |
2024-11-21T13:52:15.614000+08:00 |
| transcript.gazette[36].text |
712億是比以前多出來的…… |
| transcript.gazette[36].quality |
1 |
| transcript.gazette[37].speaker |
楊委員曜 |
| transcript.gazette[37].start |
2024-11-21T13:52:15.854000+08:00 |
| transcript.gazette[37].guessed |
|
| transcript.gazette[37].end |
2024-11-21T13:52:16.535000+08:00 |
| transcript.gazette[37].text |
比以前多出來的？ |
| transcript.gazette[37].quality |
1 |
| transcript.gazette[38].speaker |
邱部長泰源 |
| transcript.gazette[38].start |
2024-11-21T13:52:16.535000+08:00 |
| transcript.gazette[38].guessed |
1 |
| transcript.gazette[38].end |
2024-11-21T13:52:17.674500+08:00 |
| transcript.gazette[38].text |
多出來的，比以前多出來的。 |
| transcript.gazette[38].quality |
0 |
| transcript.gazette[39].speaker |
邱部長泰源 |
| transcript.gazette[39].start |
2024-11-21T13:52:17.674500+08:00 |
| transcript.gazette[39].guessed |
1 |
| transcript.gazette[39].end |
2024-11-21T13:52:18.814000+08:00 |
| transcript.gazette[39].text |
多出來的當然你怎麼樣去處理這712億，就變成還是跟點值有關係，那這個…… |
| transcript.gazette[39].quality |
0 |
| transcript.gazette[40].speaker |
楊委員曜 |
| transcript.gazette[40].start |
2024-11-21T13:52:18.814000+08:00 |
| transcript.gazette[40].guessed |
|
| transcript.gazette[40].end |
2024-11-21T13:52:19.254000+08:00 |
| transcript.gazette[40].text |
不是，公務預算一百多億，那其他的呢？ |
| transcript.gazette[40].quality |
0.6 |
| transcript.gazette[41].speaker |
楊委員曜 |
| transcript.gazette[41].start |
2024-11-21T13:52:19.495000+08:00 |
| transcript.gazette[41].guessed |
|
| transcript.gazette[41].end |
2024-11-21T13:52:19.955000+08:00 |
| transcript.gazette[41].text |
其他的最少還要有五百多億。 |
| transcript.gazette[41].quality |
0.5 |
| transcript.gazette[42].speaker |
邱部長泰源 |
| transcript.gazette[42].start |
2024-11-21T13:52:19.955000+08:00 |
| transcript.gazette[42].guessed |
|
| transcript.gazette[42].end |
2024-11-21T13:52:42.713000+08:00 |
| transcript.gazette[42].text |
因為我們健保總額又增加了531億，然後加上111億原來在總額內的把它移出來，這些算起來再加上罕病，罕病本來是…… |
| transcript.gazette[42].quality |
0.644 |
| transcript.gazette[43].speaker |
龐副署長一鳴 |
| transcript.gazette[43].start |
2024-11-21T13:52:42.713000+08:00 |
| transcript.gazette[43].guessed |
1 |
| transcript.gazette[43].end |
2024-11-21T13:52:43.713000+08:00 |
| transcript.gazette[43].text |
行政院挹注。 |
| transcript.gazette[43].quality |
0 |
| transcript.gazette[44].speaker |
邱部長泰源 |
| transcript.gazette[44].start |
2024-11-21T13:52:43.154000+08:00 |
| transcript.gazette[44].guessed |
|
| transcript.gazette[44].end |
2024-11-21T13:52:46.336000+08:00 |
| transcript.gazette[44].text |
對，行政院挹注，所以加一加差不多加……就是今年的總額增加了712億，成長了8.13%。 |
| transcript.gazette[44].quality |
0.613 |
| transcript.gazette[45].speaker |
楊委員曜 |
| transcript.gazette[45].start |
2024-11-21T13:53:08.618000+08:00 |
| transcript.gazette[45].guessed |
|
| transcript.gazette[45].end |
2024-11-21T13:53:18.886000+08:00 |
| transcript.gazette[45].text |
沒有，這樣我也不知道你們增加這七百多億的財源，比較明確的是…… |
| transcript.gazette[45].quality |
0.704 |
| transcript.gazette[46].speaker |
邱部長泰源 |
| transcript.gazette[46].start |
2024-11-21T13:53:19.006000+08:00 |
| transcript.gazette[46].guessed |
|
| transcript.gazette[46].end |
2024-11-21T13:53:19.727000+08:00 |
| transcript.gazette[46].text |
一個財源是那個…… |
| transcript.gazette[46].quality |
0.429 |
| transcript.gazette[47].speaker |
龐副署長一鳴 |
| transcript.gazette[47].start |
2024-11-21T13:53:20.667000+08:00 |
| transcript.gazette[47].guessed |
|
| transcript.gazette[47].end |
2024-11-21T13:53:22.309000+08:00 |
| transcript.gazette[47].text |
行政院挹注公務…… |
| transcript.gazette[47].quality |
0.714 |
| transcript.gazette[48].speaker |
邱部長泰源 |
| transcript.gazette[48].start |
2024-11-21T13:53:22.309000+08:00 |
| transcript.gazette[48].guessed |
|
| transcript.gazette[48].end |
2024-11-21T13:53:22.449000+08:00 |
| transcript.gazette[48].text |
我們有那個健保…… |
| transcript.gazette[48].quality |
0.429 |
| transcript.gazette[49].speaker |
楊委員曜 |
| transcript.gazette[49].start |
2024-11-21T13:53:22.449000+08:00 |
| transcript.gazette[49].guessed |
1 |
| transcript.gazette[49].end |
2024-11-21T13:53:23.449000+08:00 |
| transcript.gazette[49].text |
沒關係，副署長講好了。 |
| transcript.gazette[49].quality |
0 |
| transcript.gazette[50].speaker |
龐副署長一鳴 |
| transcript.gazette[50].start |
2024-11-21T13:53:22.549000+08:00 |
| transcript.gazette[50].guessed |
|
| transcript.gazette[50].end |
2024-11-21T13:53:24.510000+08:00 |
| transcript.gazette[50].text |
我們有兩大部分，一個是行政院有挹注…… |
| transcript.gazette[50].quality |
0.688 |
| transcript.gazette[51].speaker |
楊委員曜 |
| transcript.gazette[51].start |
2024-11-21T13:53:24.510000+08:00 |
| transcript.gazette[51].guessed |
1 |
| transcript.gazette[51].end |
2024-11-21T13:53:25.510000+08:00 |
| transcript.gazette[51].text |
對，挹注一百多億嘛。 |
| transcript.gazette[51].quality |
0 |
| transcript.gazette[52].speaker |
龐副署長一鳴 |
| transcript.gazette[52].start |
2024-11-21T13:53:24.891000+08:00 |
| transcript.gazette[52].guessed |
|
| transcript.gazette[52].end |
2024-11-21T13:53:54.699000+08:00 |
| transcript.gazette[52].text |
行政院挹注又有分兩大部分，原來總額移出來的有一百多億，另外還有行政院，譬如說我們現在的癌症新藥基金還有其他罕病的補助等等，加起來行政院挹注的total（連總額移出去的）是三百多億，三百三十幾億。 |
| transcript.gazette[52].quality |
0.775 |
| transcript.gazette[53].speaker |
龐副署長一鳴 |
| transcript.gazette[53].start |
2024-11-21T13:53:54.899000+08:00 |
| transcript.gazette[53].guessed |
|
| transcript.gazette[53].end |
2024-11-21T13:54:02.182000+08:00 |
| transcript.gazette[53].text |
另外一部分是我們總額裡面的，總額裡面的額度是由部長這邊來核定的，今年會核定比較高的額度，所以它成長會比較高。 |
| transcript.gazette[53].quality |
0.92 |
| transcript.gazette[54].speaker |
楊委員曜 |
| transcript.gazette[54].start |
2024-11-21T13:54:02.182000+08:00 |
| transcript.gazette[54].guessed |
1 |
| transcript.gazette[54].end |
2024-11-21T13:54:05.789000+08:00 |
| transcript.gazette[54].text |
就是有一些是公務預算，有一些是成長。 |
| transcript.gazette[54].quality |
0 |
| transcript.gazette[55].speaker |
邱部長泰源 |
| transcript.gazette[55].start |
2024-11-21T13:54:05.789000+08:00 |
| transcript.gazette[55].guessed |
|
| transcript.gazette[55].end |
2024-11-21T13:54:08.090000+08:00 |
| transcript.gazette[55].text |
有的是公務預算，剛才副署長說的，其實有的我們沒有把它算在健保裡面，有些對支出面有影響的我們才算進來，那大概是111億…… |
| transcript.gazette[55].quality |
0.392 |
| transcript.gazette[56].speaker |
楊委員曜 |
| transcript.gazette[56].start |
2024-11-21T13:54:25.501000+08:00 |
| transcript.gazette[56].guessed |
|
| transcript.gazette[56].end |
2024-11-21T13:54:32.846000+08:00 |
| transcript.gazette[56].text |
突然點值要保障了，所以就多出很多收入，這個我也覺得很奇怪。 |
| transcript.gazette[56].quality |
0.962 |
| transcript.gazette[57].speaker |
周技監淑婉 |
| transcript.gazette[57].start |
2024-11-21T13:54:33.086000+08:00 |
| transcript.gazette[57].guessed |
|
| transcript.gazette[57].end |
2024-11-21T13:54:56.483000+08:00 |
| transcript.gazette[57].text |
報告委員，因為那個健保總額，它每年會有一個成長率，低推估成長率114年是2.652，然後高推估會到5.5，所以它前面有一筆錢就是，如果我們今年真的把明年114年的總額拉到最高推估5.5的時候，那筆也會產生一筆錢，像是…… |
| transcript.gazette[57].quality |
0.942 |
| transcript.gazette[58].speaker |
楊委員曜 |
| transcript.gazette[58].start |
2024-11-21T13:54:56.624000+08:00 |
| transcript.gazette[58].guessed |
|
| transcript.gazette[58].end |
2024-11-21T13:54:57.444000+08:00 |
| transcript.gazette[58].text |
喔，這是推估的啊？ |
| transcript.gazette[58].quality |
0.714 |
| transcript.gazette[59].speaker |
周技監淑婉 |
| transcript.gazette[59].start |
2024-11-21T13:54:57.444000+08:00 |
| transcript.gazette[59].guessed |
1 |
| transcript.gazette[59].end |
2024-11-21T13:54:58.444000+08:00 |
| transcript.gazette[59].text |
對，就不是我們…… |
| transcript.gazette[59].quality |
0 |
| transcript.gazette[60].speaker |
楊委員曜 |
| transcript.gazette[60].start |
2024-11-21T13:54:57.524000+08:00 |
| transcript.gazette[60].guessed |
|
| transcript.gazette[60].end |
2024-11-21T13:55:00.866000+08:00 |
| transcript.gazette[60].text |
推估的，不是實際現在就一定有，對不對？ |
| transcript.gazette[60].quality |
0.812 |
| transcript.gazette[61].speaker |
周技監淑婉 |
| transcript.gazette[61].start |
2024-11-21T13:55:00.866000+08:00 |
| transcript.gazette[61].guessed |
1 |
| transcript.gazette[61].end |
2024-11-21T13:55:02.067000+08:00 |
| transcript.gazette[61].text |
那個就是成長率，它就是未來明年的成長率，如果我們用掉了，真的用到5.5的話，我們會有391億，就是含低推估累積上來的，在這個總額裡面。 |
| transcript.gazette[61].quality |
0.127 |
| transcript.gazette[62].speaker |
周技監淑婉 |
| transcript.gazette[62].start |
2024-11-21T13:55:02.067000+08:00 |
| transcript.gazette[62].guessed |
1 |
| transcript.gazette[62].end |
2024-11-21T13:55:03.268000+08:00 |
| transcript.gazette[62].text |
再來就是剛剛部長有提到的111億，以前我們可能有些政策先用健保總額來支出，現在也感謝行政院給我們爭取到用公務預算繼續做，可是它可以移出一個空間，那部分也有111億。 |
| transcript.gazette[62].quality |
0 |
| transcript.gazette[63].speaker |
周技監淑婉 |
| transcript.gazette[63].start |
2024-11-21T13:55:03.268000+08:00 |
| transcript.gazette[63].guessed |
|
| transcript.gazette[63].end |
2024-11-21T13:55:03.388000+08:00 |
| transcript.gazette[63].text |
以上這樣補充。 |
| transcript.gazette[63].quality |
1 |
| transcript.gazette[64].speaker |
楊委員曜 |
| transcript.gazette[64].start |
2024-11-21T13:55:30.788000+08:00 |
| transcript.gazette[64].guessed |
|
| transcript.gazette[64].end |
2024-11-21T13:55:56.678000+08:00 |
| transcript.gazette[64].text |
好，因為我時間的關係，我跟部長建議一下，我覺得你們要不要考慮調整保費或者是補充保費，或者是跟行政院溝通，把特定的稅收拿來挹注健保？ |
| transcript.gazette[64].quality |
0.932 |
| transcript.gazette[65].speaker |
楊委員曜 |
| transcript.gazette[65].start |
2024-11-21T13:55:57.608000+08:00 |
| transcript.gazette[65].guessed |
|
| transcript.gazette[65].end |
2024-11-21T13:56:31.035000+08:00 |
| transcript.gazette[65].text |
因為我剛剛就講過了，我實在不願意看到衛環三個部會裡面，日後就有兩個部會有兩個大洞必須要補，而且可能會一直由公務預算支出，因為勞保現在已經很慘了，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，這樣子的財源也比較穩定啦，坦白講……是。 |
| transcript.gazette[65].quality |
0.836 |
| transcript.gazette[66].speaker |
楊委員曜 |
| transcript.gazette[66].start |
2024-11-21T13:56:35.219000+08:00 |
| transcript.gazette[66].guessed |
|
| transcript.gazette[66].end |
2024-11-21T13:57:04.882000+08:00 |
| transcript.gazette[66].text |
然後應該找特定的稅收當作專款來挹注，就朝這個方向，你們必須要做的這個就是開源，節流的部分我覺得你們醫療分級確實做得不夠踏實。 |
| transcript.gazette[66].quality |
0.931 |
| transcript.gazette[67].speaker |
楊委員曜 |
| transcript.gazette[67].start |
2024-11-21T13:57:05.703000+08:00 |
| transcript.gazette[67].guessed |
|
| transcript.gazette[67].end |
2024-11-21T13:57:27.478000+08:00 |
| transcript.gazette[67].text |
另外一個，我現在講的是公部門，還沒有牽扯到社會大眾就醫的觀念，就是一個醫療分級，一個就是醫學中心無止境的增加，我覺得這個都會讓……剛剛我們講的是開源，現在講的是節流……是。 |
| transcript.gazette[67].quality |
0.987 |
| transcript.gazette[68].speaker |
楊委員曜 |
| transcript.gazette[68].start |
2024-11-21T13:57:28.659000+08:00 |
| transcript.gazette[68].guessed |
|
| transcript.gazette[68].end |
2024-11-21T13:57:54.027000+08:00 |
| transcript.gazette[68].text |
你們假如說一方面也不去開源，比如應該增加保費，我想主動跟國人同胞講清楚，大家會接受；應該找特定的財源來挹注，我也不相信行政院找不出來，這是開源的部分。 |
| transcript.gazette[68].quality |
0.926 |
| transcript.gazette[69].speaker |
楊委員曜 |
| transcript.gazette[69].start |
2024-11-21T13:57:54.627000+08:00 |
| transcript.gazette[69].guessed |
|
| transcript.gazette[69].end |
2024-11-21T13:58:01.416000+08:00 |
| transcript.gazette[69].text |
節流的部分，我覺得醫療分級假如說落實了，也可以減少你們的支出……是。 |
| transcript.gazette[69].quality |
0.966 |
| transcript.gazette[70].speaker |
楊委員曜 |
| transcript.gazette[70].start |
2024-11-21T13:58:02.738000+08:00 |
| transcript.gazette[70].guessed |
|
| transcript.gazette[70].end |
2024-11-21T13:58:16.646000+08:00 |
| transcript.gazette[70].text |
醫學中心假如不要像之前漫無止境的一直增加，也不會造成資源的浪費，好不好？是。 |
| transcript.gazette[70].quality |
0.971 |
| transcript.gazette[71].speaker |
楊委員曜 |
| transcript.gazette[71].start |
2024-11-21T13:58:18.107000+08:00 |
| transcript.gazette[71].guessed |
|
| transcript.gazette[71].end |
2024-11-21T13:58:30.474000+08:00 |
| transcript.gazette[71].text |
當然這麼大的一個題目，我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。 |
| transcript.gazette[71].quality |
0.976 |
| transcript.gazette[72].speaker |
楊委員曜 |
| transcript.gazette[72].start |
2024-11-21T13:58:31.234000+08:00 |
| transcript.gazette[72].guessed |
|
| transcript.gazette[72].end |
2024-11-21T13:58:44.840000+08:00 |
| transcript.gazette[72].text |
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，把波波牙醫送到偏鄉。 |
| transcript.gazette[72].quality |
1 |
| transcript.gazette[73].speaker |
楊委員曜 |
| transcript.gazette[73].start |
2024-11-21T13:58:44.840000+08:00 |
| transcript.gazette[73].guessed |
|
| transcript.gazette[73].end |
2024-11-21T13:59:18.658000+08:00 |
| transcript.gazette[73].text |
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，你們把波波牙醫送到偏鄉，直接表示你們的立場已經覺得波波牙醫矮人一截；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。 |
| transcript.gazette[73].quality |
0.99 |
| transcript.gazette[74].speaker |
楊委員曜 |
| transcript.gazette[74].start |
2024-11-21T13:59:22.342000+08:00 |
| transcript.gazette[74].guessed |
|
| transcript.gazette[74].end |
2024-11-21T13:59:52.276000+08:00 |
| transcript.gazette[74].text |
我知道你們沒有那種意思，但是你們的論述，我在選區就被罵死了，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，然後在說明的時候，導致對於這些醫生跟偏鄉居民都很不公平。 |
| transcript.gazette[74].quality |
0.976 |
| transcript.gazette[75].speaker |
楊委員曜 |
| transcript.gazette[75].start |
2024-11-21T13:59:54.397000+08:00 |
| transcript.gazette[75].guessed |
|
| transcript.gazette[75].end |
2024-11-21T13:59:54.898000+08:00 |
| transcript.gazette[75].text |
謝謝部長。 |
| transcript.gazette[75].quality |
1 |
| transcript.gazette[76].speaker |
楊委員曜 |
| transcript.gazette[76].start |
2024-11-21T13:59:54.898000+08:00 |
| transcript.gazette[76].guessed |
|
| transcript.gazette[76].end |
2024-11-21T13:59:55.918000+08:00 |
| transcript.gazette[76].text |
謝謝主席。好。 |
| transcript.gazette[76].quality |
1 |
| transcript.gazette[77].speaker |
邱部長泰源 |
| transcript.gazette[77].start |
2024-11-21T13:59:57.179000+08:00 |
| transcript.gazette[77].guessed |
|
| transcript.gazette[77].end |
2024-11-21T13:59:57.539000+08:00 |
| transcript.gazette[77].text |
謝謝委員指教，謝謝。 |
| transcript.gazette[77].quality |
0.75 |
| transcript.gazette[78].speaker |
主席 |
| transcript.gazette[78].start |
2024-11-21T13:59:58.039000+08:00 |
| transcript.gazette[78].guessed |
1 |
| transcript.gazette[78].end |
2024-11-21T14:00:00.610429+08:00 |
| transcript.gazette[78].text |
謝謝楊委員，謝謝部長。 |
| transcript.gazette[78].quality |
0 |
| transcript.gazette[79].speaker |
主席 |
| transcript.gazette[79].start |
2024-11-21T14:00:00.910429+08:00 |
| transcript.gazette[79].guessed |
1 |
| transcript.gazette[79].end |
2024-11-21T14:00:04.339000+08:00 |
| transcript.gazette[79].text |
接續我們請王正旭委員質詢。 |
| transcript.gazette[79].quality |
0 |
| gazette.lineno |
1334 |
| gazette.blocks[0][0] |
楊委員曜：（13時47分）謝謝主席，主席請一下邱部長。 |
| gazette.blocks[1][0] |
邱部長泰源：委員好。 |
| gazette.blocks[2][0] |
楊委員曜：部長好。部長，我還是想要就健保的幾個問題跟部長先做個探討，原因是什麼呢？原因是在衛環委員會已經處理了一個勞保的大洞一直補不滿，所以我們在健保還沒有很大的問題之前，必須要先有妥善的規劃。 |
| gazette.blocks[3][0] |
邱部長泰源：是。 |
| gazette.blocks[4][0] |
楊委員曜：現在是這樣，因為行政部門有承諾，在明年6月底之前，健保點值要保障1點0.95元，我想要知道一下，衛福部的預算大概打算從哪裡來？ |
| gazette.blocks[5][0] |
邱部長泰源：謝謝委員。我想那個是大家各黨的決議…… |
| gazette.blocks[6][0] |
楊委員曜：對。 |
| gazette.blocks[7][0] |
邱部長泰源：我們行政部門會全力往這個目標來努力。我們的財源大概分兩個部分，一個是公務預算編列的增加，這個部分大概增加了一百多億，就是原來在健保裡面的我們把它挪出來做公務預算…… |
| gazette.blocks[8][0] |
楊委員曜：部長，我想請問一下，從健保裡面挪出來是什麼意思？ |
| gazette.blocks[9][0] |
邱部長泰源：過去有一些…… |
| gazette.blocks[10][0] |
楊委員曜：因為公務預算就是公務預算，健保收入是健保收入…… |
| gazette.blocks[11][0] |
邱部長泰源：過去有一些公共衛生，那部分本來應該由公務預算來支出，這次行政院很好，把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，這部分其實我們清出不少。 |
| gazette.blocks[12][0] |
楊委員曜：就是原本就不應該由…… |
| gazette.blocks[13][0] |
邱部長泰源：對，健保要給付的…… |
| gazette.blocks[14][0] |
楊委員曜：那就表示之前收的保費有問題啦？ |
| gazette.blocks[15][0] |
邱部長泰源：不是收的保費有問題，收的保費也都是照顧人民的健康啦，就是說…… |
| gazette.blocks[16][0] |
楊委員曜：因為你這一些原本不應該由健保來給付嘛。 |
| gazette.blocks[17][0] |
邱部長泰源：對，因為…… |
| gazette.blocks[18][0] |
楊委員曜：那你是用給付跟收費是一個balance的狀態嘛…… |
| gazette.blocks[19][0] |
邱部長泰源：對。 |
| gazette.blocks[20][0] |
楊委員曜：部長現在講的意思是說，現在的公務預算是之前原本由健保給付的嘛。 |
| gazette.blocks[21][0] |
邱部長泰源：原來沒有編公務預算，現在從健保拿出來，當然是要編公務預算。 |
| gazette.blocks[22][0] |
楊委員曜：對啦！但它可以拿出來，而且部長的意思是說…… |
| gazette.blocks[23][0] |
邱部長泰源：這部分可以拿出來，真的是要感謝行政院願意用公務預算來處理這一塊，這樣讓健保有更多的空間，這個部分大概政府就多撥了一百多億…… |
| gazette.blocks[24][0] |
楊委員曜：一百多億。 |
| gazette.blocks[25][0] |
邱部長泰源：然後其實很重要的一個事情就是，我們的健保總額增加差不多336嘛，所以我們…… |
| gazette.blocks[26][0] |
楊委員曜：336億，是不是？好，就是三百多億。 |
| gazette.blocks[27][0] |
邱部長泰源：所以算起來就是增加7……照說這樣對健保的挹注大概有712億。 |
| gazette.blocks[28][0] |
楊委員曜：假如要達到1點點值0.95，必須要增加七百多億？ |
| gazette.blocks[29][0] |
邱部長泰源：原先我們在算就是這樣，算出來差不多要700億，我們現在增加這712億，看怎麼樣來幫忙…… |
| gazette.blocks[30][0] |
楊委員曜：現在公務預算多一百多億，還有六百多億從哪裡來？ |
| gazette.blocks[31][0] |
邱部長泰源：從那個健保總額…… |
| gazette.blocks[32][0] |
楊委員曜：部長，你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0.95增加的？ |
| gazette.blocks[33][0] |
邱部長泰源：712億是比以前多出來的…… |
| gazette.blocks[34][0] |
楊委員曜：比以前多出來的？ |
| gazette.blocks[35][0] |
邱部長泰源：多出來的，比以前多出來的。多出來的當然你怎麼樣去處理這712億，就變成還是跟點值有關係，那這個…… |
| gazette.blocks[36][0] |
楊委員曜：不是，公務預算一百多億，那其他的呢？其他的最少還要有五百多億。 |
| gazette.blocks[37][0] |
邱部長泰源：因為我們健保總額又增加了531億，然後加上111億原來在總額內的把它移出來，這些算起來再加上罕病，罕病本來是…… |
| gazette.blocks[38][0] |
龐副署長一鳴：行政院挹注。 |
| gazette.blocks[39][0] |
邱部長泰源：對，行政院挹注，所以加一加差不多加……就是今年的總額增加了712億，成長了8.13%。 |
| gazette.blocks[40][0] |
楊委員曜：沒有，這樣我也不知道你們增加這七百多億的財源，比較明確的是…… |
| gazette.blocks[41][0] |
邱部長泰源：一個財源是那個…… |
| gazette.blocks[42][0] |
龐副署長一鳴：行政院挹注公務…… |
| gazette.blocks[43][0] |
邱部長泰源：我們有那個健保…… |
| gazette.blocks[44][0] |
楊委員曜：沒關係，副署長講好了。 |
| gazette.blocks[45][0] |
龐副署長一鳴：我們有兩大部分，一個是行政院有挹注…… |
| gazette.blocks[46][0] |
楊委員曜：對，挹注一百多億嘛。 |
| gazette.blocks[47][0] |
龐副署長一鳴：行政院挹注又有分兩大部分，原來總額移出來的有一百多億，另外還有行政院，譬如說我們現在的癌症新藥基金還有其他罕病的補助等等，加起來行政院挹注的total（連總額移出去的）是三百多億，三百三十幾億。另外一部分是我們總額裡面的，總額裡面的額度是由部長這邊來核定的，今年會核定比較高的額度，所以它成長會比較高。 |
| gazette.blocks[48][0] |
楊委員曜：就是有一些是公務預算，有一些是成長。 |
| gazette.blocks[49][0] |
邱部長泰源：有的是公務預算，剛才副署長說的，其實有的我們沒有把它算在健保裡面，有些對支出面有影響的我們才算進來，那大概是111億…… |
| gazette.blocks[50][0] |
楊委員曜：突然點值要保障了，所以就多出很多收入，這個我也覺得很奇怪。 |
| gazette.blocks[51][0] |
周技監淑婉：報告委員，因為那個健保總額，它每年會有一個成長率，低推估成長率114年是2.652，然後高推估會到5.5，所以它前面有一筆錢就是，如果我們今年真的把明年114年的總額拉到最高推估5.5的時候，那筆也會產生一筆錢，像是…… |
| gazette.blocks[52][0] |
楊委員曜：喔，這是推估的啊？ |
| gazette.blocks[53][0] |
周技監淑婉：對，就不是我們…… |
| gazette.blocks[54][0] |
楊委員曜：推估的，不是實際現在就一定有，對不對？ |
| gazette.blocks[55][0] |
周技監淑婉：那個就是成長率，它就是未來明年的成長率，如果我們用掉了，真的用到5.5的話，我們會有391億，就是含低推估累積上來的，在這個總額裡面。再來就是剛剛部長有提到的111億，以前我們可能有些政策先用健保總額來支出，現在也感謝行政院給我們爭取到用公務預算繼續做，可是它可以移出一個空間，那部分也有111億。以上這樣補充。 |
| gazette.blocks[56][0] |
楊委員曜：好，因為我時間的關係，我跟部長建議一下，我覺得你們要不要考慮調整保費或者是補充保費，或者是跟行政院溝通，把特定的稅收拿來挹注健保？因為我剛剛就講過了，我實在不願意看到衛環三個部會裡面，日後就有兩個部會有兩個大洞必須要補，而且可能會一直由公務預算支出，因為勞保現在已經很慘了，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，這樣子的財源也比較穩定啦，坦白講…… |
| gazette.blocks[57][0] |
邱部長泰源：是。 |
| gazette.blocks[58][0] |
楊委員曜：然後應該找特定的稅收當作專款來挹注，就朝這個方向，你們必須要做的這個就是開源，節流的部分我覺得你們醫療分級確實做得不夠踏實。另外一個，我現在講的是公部門，還沒有牽扯到社會大眾就醫的觀念，就是一個醫療分級，一個就是醫學中心無止境的增加，我覺得這個都會讓……剛剛我們講的是開源，現在講的是節流…… |
| gazette.blocks[59][0] |
邱部長泰源：是。 |
| gazette.blocks[60][0] |
楊委員曜：你們假如說一方面也不去開源，比如應該增加保費，我想主動跟國人同胞講清楚，大家會接受；應該找特定的財源來挹注，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落實了，也可以減少你們的支出…… |
| gazette.blocks[61][0] |
邱部長泰源：是。 |
| gazette.blocks[62][0] |
楊委員曜：醫學中心假如不要像之前漫無止境的一直增加，也不會造成資源的浪費，好不好？ |
| gazette.blocks[63][0] |
邱部長泰源：是。 |
| gazette.blocks[64][0] |
楊委員曜：當然這麼大的一個題目，我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，你們把波波牙醫送到偏鄉，直接表示你們的立場已經覺得波波牙醫矮人一截；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。 |
| gazette.blocks[64][1] |
我知道你們沒有那種意思，但是你們的論述，我在選區就被罵死了，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，然後在說明的時候，導致對於這些醫生跟偏鄉居民都很不公平。謝謝部長。謝謝主席。 |
| gazette.blocks[65][0] |
邱部長泰源：好。謝謝委員指教，謝謝。 |
| gazette.blocks[66][0] |
主席：謝謝楊委員，謝謝部長。接續我們請王正旭委員質詢。 |
| gazette.agenda.page_end |
140 |
| gazette.agenda.meet_id |
委員會-11-2-26-10 |
| gazette.agenda.speakers[0] |
蘇清泉 |
| gazette.agenda.speakers[1] |
陳昭姿 |
| gazette.agenda.speakers[2] |
林月琴 |
| gazette.agenda.speakers[3] |
盧縣一 |
| gazette.agenda.speakers[4] |
陳菁徽 |
| gazette.agenda.speakers[5] |
王育敏 |
| gazette.agenda.speakers[6] |
邱鎮軍 |
| gazette.agenda.speakers[7] |
林淑芬 |
| gazette.agenda.speakers[8] |
黃秀芳 |
| gazette.agenda.speakers[9] |
廖偉翔 |
| gazette.agenda.speakers[10] |
黃國昌 |
| gazette.agenda.speakers[11] |
賴士葆 |
| gazette.agenda.speakers[12] |
邱議瑩 |
| gazette.agenda.speakers[13] |
洪孟楷 |
| gazette.agenda.speakers[14] |
伍麗華Saidhai‧Tahovecahe |
| gazette.agenda.speakers[15] |
涂權吉 |
| gazette.agenda.speakers[16] |
吳春城 |
| gazette.agenda.speakers[17] |
羅智強 |
| gazette.agenda.speakers[18] |
張雅琳 |
| gazette.agenda.speakers[19] |
羅廷瑋 |
| gazette.agenda.speakers[20] |
楊瓊瓔 |
| gazette.agenda.speakers[21] |
楊曜 |
| gazette.agenda.speakers[22] |
王正旭 |
| gazette.agenda.speakers[23] |
陳培瑜 |
| gazette.agenda.speakers[24] |
劉建國 |
| gazette.agenda.speakers[25] |
陳瑩 |
| gazette.agenda.page_start |
55 |
| gazette.agenda.meetingDate[0] |
2024-11-21 |
| gazette.agenda.gazette_id |
11310501 |
| gazette.agenda.agenda_lcidc_ids[0] |
11310501_00006 |
| 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10次全體委員會議紀錄 |
| gazette.agenda.content |
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） |
| gazette.agenda.agenda_id |
11310501_00008 |