| IVOD_ID |
158622 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/158622 |
| 日期 |
2025-01-02 |
| 會議資料.會議代碼 |
委員會-11-2-26-17 |
| 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17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 |
17 |
| 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17次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-01-02T10:53:47+08:00 |
| 結束時間 |
2025-01-02T11:09:37+08:00 |
| 影片長度 |
00:15:50 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/186d177ad48e30e5cc89123ffb98cd19c921d2cbf1168e40671cb7f8abfc27ffcb86a12d45e21ec65ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
蘇清泉 |
| 委員發言時間 |
10:53:47 - 11:09:37 |
| 會議時間 |
2025-01-02T09:00:00+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17次全體委員會議（事由：請勞動部、衛生福利部、教育部就「推動友善職場、校園性騷擾與霸凌防治及長照悲歌並檢討現行長照制度缺失與長照3.0規劃」進行專題報告，並備質詢。） |
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好我們請蘇委員謝謝主席我請邱部長還有我們健保署的陳副署長好請邱部長還有健保署 |
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我現在問你兩個問題等一下再問台大院長我現在診所越開越大前幾天又看到嚇死人的診所這麼大間然後把醫院的醫生都吸光光那為什麼診所會越開越大這是我們稅制的問題 |
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45.268 |
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65.233 |
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你看在便宜,在台大醫院,在中大型醫院裡面的醫生他每一筆錢都是要繳鎖的稅他到診所去掛個虛名的共同負責人然後他的稅,在診所做幾天這樣賺多少錢沒人知道結果他繳的稅都繳五萬、十萬、十五萬那你便宜大,都要繳七八十萬、八萬的 |
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75.609 |
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87.96 |
| transcript.whisperx[3].text |
所以這個是把醫院,我那一天長庚醫院的急診部主任被找去開業在平生東路,我常常在路上看,在外面吃飯,在做醫美這是很糟糕的事情,這是整個國家的損失 |
| transcript.whisperx[4].start |
98.519 |
| transcript.whisperx[4].end |
109.451 |
| transcript.whisperx[4].text |
這個健保局昨天有講說超過一億的要給他要評鑑要什麼的診所的那個評鑑設施標準那個跟醫院差 |
| transcript.whisperx[5].start |
113.701 |
| transcript.whisperx[5].end |
139.571 |
| transcript.whisperx[5].text |
這個你要不要處理 健保署要不要處理這個再這樣他要搞個洗腎 要搞個醫美 要搞個什麼的話一年做個一億兩億三億都超過 比地區醫院還大我現在想要來 我今天有提案喔是不是在美醫 會重症的醫師外科的還是什麼的他的醫師扣除喔 |
| transcript.whisperx[6].start |
141.252 |
| transcript.whisperx[6].end |
151.078 |
| transcript.whisperx[6].text |
所得稅扣除,我們來調查一下查友會那邊我已經找要提案了那你的看法是怎麼樣好,第一個其實 |
| transcript.whisperx[7].start |
152.898 |
| transcript.whisperx[7].end |
179.324 |
| transcript.whisperx[7].text |
我在八九年前就在財政委員會當立法委員的時候就提出幫醫院的一個累積一些相關的開銷,尤其是醫師醫事人員能夠扣稅啦但是在財政委員會是沒有通過啦我想後來大家也一直在關心這件事情那集中症的醫院第一個他的 |
| transcript.whisperx[8].start |
180.703 |
| transcript.whisperx[8].end |
203.248 |
| transcript.whisperx[8].text |
真的各個醫院為了要撐這個集中這個責任醫院真的花了很多的成本也必須要怎麼樣去留住他更多的力度這才能夠維繫我們在醫療體系很重要的一環所以我完全贊成蘇昭偉的一個建議我們看怎麼樣來溝通這可能在財委會那邊要 |
| transcript.whisperx[9].start |
208.001 |
| transcript.whisperx[9].end |
229.756 |
| transcript.whisperx[9].text |
我知道就是因為這個我以前都提過案所以我知道這個要做很多的溝通診所你叫他要死保死消診所因為78%這個必要費用那剩下22%要繳稅要扣掉他的薪資怪不得要繳三萬五萬、三萬 |
| transcript.whisperx[10].start |
233.237 |
| transcript.whisperx[10].end |
254.849 |
| transcript.whisperx[10].text |
我一天去中部某大型醫學中心我去那裡看,我還在做專業會我去急診室看,那急診室的醫生,是給我叫說知道我是入胃又鹹,在室內他說,哇,副教授,學理科的副教授現在坐在這裡看急診,那時候要10點,晚上兩個年輕夫婦帶孩子來,看得不舒服,還在叫 |
| transcript.whisperx[11].start |
261.201 |
| transcript.whisperx[11].end |
288.42 |
| transcript.whisperx[11].text |
他說我做到補考的時候就是要用腳我阿姓現在都早上在開業都他的菜市場靠得到他的休業套餐秋節套餐現在九點多他們在喝紅酒看了在喝紅酒他說這什麼體統所以我早上我趕快把他們的小學科的急診的調點調很多 調五十幾%但是還是不夠所以健保署對於這個不能 |
| transcript.whisperx[12].start |
290.467 |
| transcript.whisperx[12].end |
318.53 |
| transcript.whisperx[12].text |
市長 欸 署長 副署長你要怎麼處理啊 要怎樣 要怎樣 這一定要處理 不然醫生遭料了這是這樣啦 其實我們現在分區的管理 現在醫事公會全聯會也提一個案那11基層總額 他就提到到某一個 他收錄到某一個勘詐的心 就要責負啦 |
| transcript.whisperx[13].start |
321.875 |
| transcript.whisperx[13].end |
345.503 |
| transcript.whisperx[13].text |
這個目前當然應該還是在討論當中啦,討論當中那至於說我們過去就在實施中,你不要疑心一直去大便開的精塑一直走著走著去,現在過去就有慣例,如果數額比較高,譬如說超過十萬塊就會特別的一個那個 |
| transcript.whisperx[14].start |
346.829 |
| transcript.whisperx[14].end |
375.019 |
| transcript.whisperx[14].text |
就會把他責負啦也是一直在想辦法但是我還是要跟趙薇報告一下齁其實不是所有的診所都是明星診所啦齁你如果去走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走走 |
| transcript.whisperx[15].start |
376.414 |
| transcript.whisperx[15].end |
395.888 |
| transcript.whisperx[15].text |
他比較不會...講過不要說講過,怕犯罪的一個互動,很多醫生就覺得要轉眼而已沒有啦,就是所以這個弱勢的診所,我們也要照顧這個我贊成那比較...所以這個要整體的考驗,不是像我舉個例子,台北市 |
| transcript.whisperx[16].start |
397.631 |
| transcript.whisperx[16].end |
412.765 |
| transcript.whisperx[16].text |
所以你看一天如果沒有看到30個意思是沒薪水的但是有超過30個的不到50% |
| transcript.whisperx[17].start |
414.744 |
| transcript.whisperx[17].end |
426.862 |
| transcript.whisperx[17].text |
大型然後像前幾天有一個開幕的吹牛吹說他一年要搞幾億幾億這個要加強管理好不好當然當然那另外一個我要一個提案就是麻醉的事情 |
| transcript.whisperx[18].start |
428.137 |
| transcript.whisperx[18].end |
457.537 |
| transcript.whisperx[18].text |
那個七百多家醫美診所只有四十家接受評鑑然後其他的麻醉就出問題啦那麻醉醫學會我也不看他們就三百萬麻醉醫學會好像說他們很重要他們沒人他們就學生才這麼少每年的專科醫師限定名額大家保障既得利益者眼科也是一樣麻醉科也是一樣然後在外面沒人所以我今天提案有一個 |
| transcript.whisperx[19].start |
459.578 |
| transcript.whisperx[19].end |
480.087 |
| transcript.whisperx[19].text |
心臟外科的醫師,移植外科的醫師,或者重症的醫師等等你給他訓練麻醉,讓他接受一個程度讓他去執行也是相關的麻醉,那你要很高檔的就不要做那這樣的話也可以紓解這些麻醉 |
| transcript.whisperx[20].start |
481.394 |
| transcript.whisperx[20].end |
505.011 |
| transcript.whisperx[20].text |
量能不夠不然我看麻醉醫學院沒有補啊繼續在出問題這個你當理事長我當理事長我們這樣看得下去嗎台大院長你這樣看得下去嗎對不對欸 那要Cue你了我跟你講不然這樣要怎麼改革我再說這個案子是可以研議的吧我想 市委市召委過去一直在醫界當領袖也一直在 |
| transcript.whisperx[21].start |
506.144 |
| transcript.whisperx[21].end |
531.03 |
| transcript.whisperx[21].text |
那個推動這個品質安全我們已經發表很久了嘛所以品質安全絕對是變成品質安全絕對是我們藝界努力的目標啦啊現在就是人數的shift變成你到時候大便的時候沒辦法起床因為麻醉的問題嘛所以這也要麻醉藝學院各個專科藝學院都有他的立場啊 |
| transcript.whisperx[22].start |
532.193 |
| transcript.whisperx[22].end |
544.383 |
| transcript.whisperx[22].text |
所以這個可能真的要做下來研議啦不管是從醫院的解決或者是從診所方面他們的現在來大醫院麻醉醫師都缺啦麻醉科醫師說全部都要麻醉科醫師 |
| transcript.whisperx[23].start |
548.24 |
| transcript.whisperx[23].end |
560.311 |
| transcript.whisperx[23].text |
你看那些人他們沒有人他們根本就擺爛了總是不能讓那個沒有他們也是得頭很優秀啦也很堅持我說他們醫學要處理這一塊是擺爛啦我不是說他們醫師哪有這個部分真的要大家站在站在團隊立場共同解決全國醫界的 |
| transcript.whisperx[24].start |
568.358 |
| transcript.whisperx[24].end |
596.078 |
| transcript.whisperx[24].text |
人民的健康 醫界的問題 大家齁講實在啦 醫生要在醫生訓練到PY2其實都已經很堅強很強了啦他只要再接受一些訓練的話 其實他可以做更多符合社區民眾需求的這個馬上研議啦齁 健保署來啊 請台大副院長副院長主席給我一分鐘啦好 沒問題 |
| transcript.whisperx[25].start |
599.369 |
| transcript.whisperx[25].end |
622.995 |
| transcript.whisperx[25].text |
院長,你的副院長是女醫師協會的理事長嘛,副職人嘛。那我說你是台大院長龍頭,台灣最高的,跟龍總是兩個在既競爭又聯合。我要跟你說,我把你趕走啦,你有話要說的不要說太快,不要講太快,不要衝第一線,這樣很危險啦。 |
| transcript.whisperx[26].start |
623.84 |
| transcript.whisperx[26].end |
643.565 |
| transcript.whisperx[26].text |
像上次,今年7月在改那個法律的時候,健保法我是推1.1塊錢,有在簽1.0.95,王一鳴那我後來我也撤了,就是說用主決議來協商,感謝邱副長這陣子拚到這時你去回天堂 |
| transcript.whisperx[27].start |
647.779 |
| transcript.whisperx[27].end |
656.055 |
| transcript.whisperx[27].text |
你給我講說1.1塊錢會有道德瑕疵我還真是吞不下去你說的三藝四蛤沒有 |
| transcript.whisperx[28].start |
658.429 |
| transcript.whisperx[28].end |
686.386 |
| transcript.whisperx[28].text |
謝謝委員蘇委那我首先要謝謝蘇委員替我們一介包括剛才那兩個案子我們都贊成而且集中南韓的醫師在不夠已經是現在進行式不是未來式那假如我們沒有更好的作為那第二個是我是擔心健保會破產不是不是因為因為大家也知道我們為了保久已經一年要補那麼多假如是一點一塊我怕我們這整個 |
| transcript.whisperx[29].start |
687.827 |
| transcript.whisperx[29].end |
712.773 |
| transcript.whisperx[29].text |
國家所以那時候我跟陳為民院長其實是在台大榮總在開會的時候有記者來問我我不是說這個會這個會讓我 因為現在其實大家知道健保是總額制嘛總額制假如我們訂了1.1塊的話就等於把總額制取消那這個確實會有很大的管理危機啦1.1塊錢會有道德消失1.0.95就不會有道德消失嗎你覺得在睡嗎 |
| transcript.whisperx[30].start |
717.815 |
| transcript.whisperx[30].end |
732.933 |
| transcript.whisperx[30].text |
講這個聽不下去所以不要說太快你這樣把我們打下去我們大家都灰頭土臉沒有沒有沒有健保組織不會倒健保要怎麼可能會倒啦老保怎麼會倒啦單身便衣會倒 醫生會倒台台你再說你0.9就可以了 |
| transcript.whisperx[31].start |
734.486 |
| transcript.whisperx[31].end |
758.591 |
| transcript.whisperx[31].text |
這毛鼠你醫藥代替都給他定點酒就好了因為他有很多公務預算所以怎麼補都補得起來邱部長 意思是不是這樣台大給他定點酒 醫藥都給他定點酒fix 固定點子給他沒有台大沒有那麼多公務預算還是要還是要自相自滅現在台大的無面小現場頭髮越掉越多為什麼因為現在很多地方 |
| transcript.whisperx[32].start |
759.691 |
| transcript.whisperx[32].end |
783.953 |
| transcript.whisperx[32].text |
都要臺大去幫忙,說你請你們來我們機關其實那些如果沒有一點盈餘來做怎麼去增加教學費用,怎麼去增加病人的需求怎麼去協助偏鄉地區的一些工作所以我想給他足夠的一個點數真的很感謝,這是必要的 |
| transcript.whisperx[33].start |
785.294 |
| transcript.whisperx[33].end |
808.545 |
| transcript.whisperx[33].text |
不用特別對台大那個啦不用特別跟他照顧不用特別跟他照顧 普通照顧就好沒有啦 我要說的意思是每件事都很辛苦啦醫療有點節育他才有能力去改善品質 增加設備 增加方式那儀器都這麼貴這本來就要放策略性的一點盈餘嘛不然的話怎麼搞得下去每一個人都臨臨 大家都這樣 |
| transcript.whisperx[34].start |
811.346 |
| transcript.whisperx[34].end |
832.892 |
| transcript.whisperx[34].text |
白白的安然然,要有點風吹草動就受不了了因為立法院要編特別預算了對不對所以給各個議院有一點盈餘,一點點活水才有辦法做法務委員我想不管是哪一個黨派或者是政府都希望健保能夠永續 |
| transcript.whisperx[35].start |
833.925 |
| transcript.whisperx[35].end |
852.023 |
| transcript.whisperx[35].text |
都希望用最低的保惠能夠照顧最多的所以這個其實過去幾十年來在醫療體系的改革工作環境的改善大家都一起在努力那在健保總和這個制度之下大家有不同的見解我也希望召委了解到不同的見解但是就了解了所以對於總和的評論 |
| transcript.whisperx[36].start |
856.145 |
| transcript.whisperx[36].end |
866.097 |
| transcript.whisperx[36].text |
有各種不同的見解 那我想我們都榮惜但是就是最重要大家心都一致的希望人民得到最充分的健康照顧最後問吳院長 |
| transcript.whisperx[37].start |
868.089 |
| transcript.whisperx[37].end |
885.966 |
| transcript.whisperx[37].text |
你這件事 富山哥這件事 什麼很多事情你到底是往大壓力 什麼資政局就把你施壓 把你關收 關心 關切我們立法院不關收 我們都把你關心 關切而已我們從來不關收 你是到底 你承受多大的壓力謝謝 謝謝 其實 |
| transcript.whisperx[38].start |
888.428 |
| transcript.whisperx[38].end |
911.947 |
| transcript.whisperx[38].text |
真的謝謝今天有這個會讓我一次把話講清楚其實這個都是我們獨立獨立調查而且獨立送懲戒獨立在整個調查的過程當中我個人沒有接過任何一通電話那我也今天特別請我們調查委員會的主任委員也是我們性評會的主任委員也是我們女醫師全國的高淑溫教授 |
| transcript.whisperx[39].start |
912.267 |
| transcript.whisperx[39].end |
925.492 |
| transcript.whisperx[39].text |
我有問他說有沒有人打電話甚至任何包括打電話寫email或寫什麼沒有我再一次的重申沒有壓力而且我們也是做了應該是說 |
| transcript.whisperx[40].start |
927.267 |
| transcript.whisperx[40].end |
943.011 |
| transcript.whisperx[40].text |
以我們的行政效率的話是完全沒有去去去打擾這點謝謝蘇委員還有今天有好幾位委員都提到這件事情那我趁這個機會在此澄清好謝謝好謝謝接下來我們處理臨時提案 |