| IVOD_ID |
158985 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/158985 |
| 日期 |
2025-03-04 |
| 會議資料.會議代碼 |
院會-11-3-3 |
| 會議資料.會議代碼:str |
第11屆第3會期第3次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
3 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第3會期第3次會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-03-04T15:18:07+08:00 |
| 結束時間 |
2025-03-04T15:49:18+08:00 |
| 影片長度 |
00:31:11 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/bbd912f2957afca816d18d00347c8b6794dbecbd8929cd067dbebc20cbdc42f16511449ee88a32a45ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
林憶君 |
| 委員發言時間 |
15:18:07 - 15:49:18 |
| 會議時間 |
2025-03-04T09:00:00+08:00 |
| 會議名稱 |
第11屆第3會期第3次會議（事由：對行政院院長提出施政方針及施政報告繼續質詢） |
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謝謝主席有請院長麻煩再請卓院長備詢議員好院長好 |
| transcript.whisperx[1].start |
35.872 |
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最近全台爆發急診擁捨的問題不斷的在延燒醫護短缺的問題也是日漸的嚴峻讓我們台灣的醫療環境困境再度的凸顯那其實落實分級醫療還有讓醫療的資源合理的分配都是解決急診擁捨問題最基本的解決的方案但是本席也身為醫藥背景的專業人員但是對衛福部 |
| transcript.whisperx[2].start |
60.195 |
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現在的許多的政策其實我有時候都是物理看花啦不是什麼完全看不懂啦為什麼我們衛福部現在都是有時候有些政策不願意跟國際趨勢接軌呢像上次政府都是常常的自豪的說台灣是國際醫療的自由神尤其是COVID-19的時候那個時候我們的全國的醫藥護理人員共同的協力然後創造了台灣的奇蹟 |
| transcript.whisperx[3].start |
89.366 |
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那為何現在疫情剛剛結束之後政府又開始鬆懈了呢其實台灣各醫院的急診擁設的問題早就是一個長期結構性的問題了所以結果我們主管機關衛福部不但沒有積極的想方法反而有點扯後腿那我想請問一下我們的衛福部長現在先把問題牽托到農曆過年太久了請問院長過去難道我們春節的假期沒有放過酒天的嗎 |
| transcript.whisperx[4].start |
118.377 |
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144.399 |
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應該都有吧我看2019、2022年連續都是放了9天而且2023年還放了10天的連續假期而且還有更離譜的是我們的衛福部的次長林靜儀更囂張竟然回嗆急診醫師的留言他說呵呵小腦袋引爆了全部醫界的憤怒那我想請問一下這些身為醫生的政府官員 |
| transcript.whisperx[5].start |
145.2 |
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158.583 |
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竟然沒有一絲絲的同理心遇到什麼事情就先推完全沒有傾聽基層的聲音甚至不負責任緬滅人性的發言你們覺得這樣是對的嗎還有看在我們衛福部部長和次長這樣如果你們大家是身為我們醫療的大家長的情況下應該是要針對問題來找解方才是嘛對不對而且我再請問一下院長就是說你認為所謂的吵架失言專業 |
| transcript.whisperx[6].start |
174.207 |
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197.438 |
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專業嗆民眾 專業嗆醫護這樣的適合擔任我們主管醫藥專業的官員嗎這樣這種人在你的行政院的整個團隊中這樣的人是適任的嗎跟委員抱歉這個整個事件我已經對外表示過了政務人員 政府的官員務必要謹言正行嗆民眾 嗆醫護這個都不是專業應該有的行為 |
| transcript.whisperx[7].start |
201.024 |
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228.593 |
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春節九天過去也有過那九天比較長的連假這只是今天我們在分析整個這個急診擁塞的情形的一個條件而已一個狀況而已其他它還有諾羅病毒還有天候的變化等等但無論什麼樣的原因啊我想部長也好 次長也好我們所有的從政的同仁都應該用同理心不要用這種方式去跟民眾對話我再度的向大家表示歉意 |
| transcript.whisperx[8].start |
230.289 |
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248.418 |
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好 因為這個問題並不是一次而已是連續好幾次的也引發民眾還有一些的反應那我希望院長可以在這方面多注意一下我們會多多的要求跟約束 謝謝謝謝委員提醒現在急診 庸塞和長期醫療人力不足的問題其實已經罄竹然書了啦 說真的 |
| transcript.whisperx[9].start |
248.818 |
| transcript.whisperx[9].end |
271.093 |
| transcript.whisperx[9].text |
各界其實大家都是一直在討論其實都是有在想要幫政府想一些及時廣義想一些提供一些正確的想法要給政府看什麼樣的做法但是請問一下衛福部為什麼現在都不願意買單解決現在我們正在惡化的醫療現場呢例如我們要重新檢討健保制度還有落實 |
| transcript.whisperx[10].start |
273.595 |
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299.05 |
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醫療分級這方面還有強化宣導輕症自我照護小小病自我要療的照護的觀念其實這些都是先進的國家在做的國民健康的政策但是為什麼衛福部你現在對這些意見都視而不見呢還有甚至背道而馳呢因為我看 院長 部長你們看其實你們知道衛福部其實從103年開始就開始推動了自我照護 |
| transcript.whisperx[11].start |
300.191 |
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328.04 |
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這些自我照護連續幾年都有出國考察而且他們都是針對考察這些針對自我用藥法規專家的會議還有世界自我用藥的聯會的會議所以但是一下子10年11年就過去了但是都沒有看到成效所以健保的財政的情況還是無解而且現在衍生出來了急診擁捨的問題那請教院長你知道每年的7月24號是什麼日子嗎 |
| transcript.whisperx[12].start |
332.554 |
| transcript.whisperx[12].end |
347.453 |
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你知道每年的7月24號是什麼日子嗎那其實是那是WHO為了提倡自我照護觀念他將每年7月24號定做國際自我照護日 |
| transcript.whisperx[13].start |
348.334 |
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373.73 |
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就是說一週有7天一天有24小時其實他是鼓勵大家來積極行動來改善我們自己維護自我的身心上面的健康所以院長你相信最近那麼多的急診篩報的問題其主要的原因也是因為我們台灣現在的整體的醫療的體系出問題然後失衡還有人力不足我相信你都知道的然後面對台灣現在超高齡的社會來臨 |
| transcript.whisperx[14].start |
374.651 |
| transcript.whisperx[14].end |
399.462 |
| transcript.whisperx[14].text |
其實台灣在積極想要加入WHO的同時其實我們要怎麼樣加強我們人民自我照護的意識還有呼應WHO所提倡的自我照護的觀念所以我們要強化輕症病人的自我照護避免輕症的這些病患湧入急診不會造成急診的擁捨的問題然後小小病就到藥局去 |
| transcript.whisperx[15].start |
400.442 |
| transcript.whisperx[15].end |
419.198 |
| transcript.whisperx[15].text |
然後小病到診所還是到地區醫院然後大病再到醫院而且要落實轉診整個的制度強化分級醫療其實這個是讓醫療資源能夠用在真正的集中症的上面並不是全部的人一有問題全部擠到大醫院裡面去 |
| transcript.whisperx[16].start |
419.778 |
| transcript.whisperx[16].end |
438.404 |
| transcript.whisperx[16].text |
所以我覺得這個也是解決急診擁捨一個簡單的解方之一啦所以也是解決健保財政虧損的方式之一所以有時候我們對這些問題我們可能要正視這個問題想方法去解決然後也根據了歐洲自我照護的產業我也發現了2023年的5月我發現了他們發布了一個調查的報告指出 |
| transcript.whisperx[17].start |
443.726 |
| transcript.whisperx[17].end |
464.81 |
| transcript.whisperx[17].text |
歐洲每年有12億的異例的小病痛這些小病痛他們透過非處方藥的自我照護不用到醫院到藥局去自我藥療就可以省下360億的歐元的醫藥上面的支出然後美國也調查民眾的自我照護可以為美國醫療省下1670億的美元的費用 |
| transcript.whisperx[18].start |
469.671 |
| transcript.whisperx[18].end |
497.723 |
| transcript.whisperx[18].text |
所以根據我們的健保署上面也有統計我們國人只要減少一次的就醫的情況我們一年估計可以為健保省下340億元所以表示自我照護自我要了這個觀念其實對於節省珍貴的健保資源是有非常顯著的效益的那我想請教衛福部部長你可以將自我照護明確的落實嗎你是否同意呢 |
| transcript.whisperx[19].start |
499.344 |
| transcript.whisperx[19].end |
521.19 |
| transcript.whisperx[19].text |
好 謝謝委員的指教那我想自我照顧跟分級醫療是我們這幾十年來政府一直在推動的在一二十年前何勝茂署長當署長的時候我就是編一個健康達人125教導全國民眾怎麼樣自我照顧的主編 |
| transcript.whisperx[20].start |
522.472 |
| transcript.whisperx[20].end |
543.493 |
| transcript.whisperx[20].text |
那當然我也過去多年來在醫療網裡面推動分級醫療所以我想非常敬佩我們委員提出的這兩個觀念那我想這個一定要去落實那在民眾的照顧方面當然最好是能防病於未然那麼在因此在我們健康台灣的工作上面其實 |
| transcript.whisperx[21].start |
544.437 |
| transcript.whisperx[21].end |
561.418 |
| transcript.whisperx[21].text |
特別重視在前端的在運動營養生活形態的一個改善的一個宣導跟教育我相信不管是哪一個醫事人員尤其是社區的藥局應該在這個部分可以一起來努力我想那個 |
| transcript.whisperx[22].start |
563.716 |
| transcript.whisperx[22].end |
579.611 |
| transcript.whisperx[22].text |
再加上我們藥師的同仁其實都有很好的臨床的信念臨床藥師的信念所以基本上在給病人做擁有指示用藥的協助所以應該是可以共同來照護病人那目前 |
| transcript.whisperx[23].start |
580.734 |
| transcript.whisperx[23].end |
604.63 |
| transcript.whisperx[23].text |
其實台灣也在推動社區整合型的照護體系裡面最重要的是一個家庭醫師的團隊所謂家庭醫師不是只有醫師他藥師、物理治療師、職能治療師共同組成一個團隊讓民眾在社區就有一個很堅強的團隊有什麼問題就來看他我相信這個就是分級醫療的第一點也是我們台灣很珍貴的一個 |
| transcript.whisperx[24].start |
606.249 |
| transcript.whisperx[24].end |
626.09 |
| transcript.whisperx[24].text |
家庭醫師整合型照顧體系未來我相信醫師、藥師各種醫師等等這樣的合作起來一定可以落實分級醫療也讓我們現在很頭痛的一個急診或醫院的用事可以得到很好的環節所以我們一起來努力也感謝我們委員的指導 |
| transcript.whisperx[25].start |
626.741 |
| transcript.whisperx[25].end |
640.976 |
| transcript.whisperx[25].text |
其實我覺得政府有很多政策這方面的其實都是很好的包括轉診制度、分級醫療上面還有自我醫療上面但是我覺得一直都沒有落實就是沒有落實才可以激到變成急診、庸塞的問題所以這個我可能要麻煩部長的話要多費心一點 |
| transcript.whisperx[26].start |
647.483 |
| transcript.whisperx[26].end |
659.978 |
| transcript.whisperx[26].text |
好 接下來問題就是全民健康保險法第51條規定只是藥品也是屬於不列入健保給付的範圍之一的項目是嗎 部長是的 |
| transcript.whisperx[27].start |
662.017 |
| transcript.whisperx[27].end |
685.248 |
| transcript.whisperx[27].text |
所以我想請教一下就是院長和部長既然你們都認為健保改革我們同意要先從民眾的自我照護開始這個觀念開始的話那是不是應該利用一些比較部分安全無虞的這些藥品把處方藥轉為指示用藥還有加速指示藥退出健保這樣我們才能解決健保要價的黑洞然後也 |
| transcript.whisperx[28].start |
686.248 |
| transcript.whisperx[28].end |
702.576 |
| transcript.whisperx[28].text |
也解決了以藥養醫的弊病而且部長你知道審計部嗎他針對了現在的814項非屬健保規定給付的指示用藥仍未退出健保給付的問題有提出一個總決算的審核報告 |
| transcript.whisperx[29].start |
704.398 |
| transcript.whisperx[29].end |
718.416 |
| transcript.whisperx[29].text |
112年度中央政府總決算的審核報告裡面有指出有841項指示用藥列入給付的範圍然後檢討進度太慢了要求衛福部以督促落實檢討指示用藥 |
| transcript.whisperx[30].start |
721.259 |
| transcript.whisperx[30].end |
739.17 |
| transcript.whisperx[30].text |
以提高健保資源利用的效率也就是說我們現在簡單的說就是只是用要列入健保給付的範圍在健保給付藥物的比例達到27.3意思是使健保給付的藥物中有四分之一的項目是違法給付 |
| transcript.whisperx[31].start |
739.83 |
| transcript.whisperx[31].end |
765.45 |
| transcript.whisperx[31].text |
更耗費了20億的公帑所以院長請問一下衛福部是不是應該要根據審計部的審核的報告意見提出檢討改善方案落實全民健康保險法第51條的規定只是要比也是屬於不列入健保給付範圍之一的項目所以請問一下何時可以給出改善的方案何時我們可以落實 |
| transcript.whisperx[32].start |
766.857 |
| transcript.whisperx[32].end |
788.332 |
| transcript.whisperx[32].text |
謝謝委員的指教我想不管是健保署或者是食藥署針對我們的指示用藥都非常的用心也會依照那個審計部或相關的單位的一個要求來改善那對於處方藥品長期使用經驗上 |
| transcript.whisperx[33].start |
790.803 |
| transcript.whisperx[33].end |
812.216 |
| transcript.whisperx[33].text |
安全無虞的藥品既有安全性那用以緩解輕症且在至少有三個醫藥先進國家以指示藥品在管理者經食藥署評估並邀請醫藥等領域專家共同討論後得轉類為指示用藥指示藥品那剛才不知道你說幾個國家一直都在努力三個國家而已嗎 |
| transcript.whisperx[34].start |
813.889 |
| transcript.whisperx[34].end |
818.035 |
| transcript.whisperx[34].text |
至少有三個醫藥先進國家至少三個那我下一個問題還有一個問題要問你先回答這一個 |
| transcript.whisperx[35].start |
820.506 |
| transcript.whisperx[35].end |
843.724 |
| transcript.whisperx[35].text |
好 我想這個部分會一直在努力我想這幾天來所以這個只是要退出健保其實是因為我們怕健保的財政受虧損所以現在健保其實也健保局也不好做健保局也不好做所以我們是希望人民用藥的方便性所以在醫藥跟人民當中我們當然以人民為 |
| transcript.whisperx[36].start |
846.327 |
| transcript.whisperx[36].end |
870.747 |
| transcript.whisperx[36].text |
對 這個剛才我是一整串的問題對 一整串的問題是都一直有連貫性的以人民的權益為優先之下醫藥共同來商討我想都可以來解決對 就是安全無虞的處方用藥盡量先退成只是用藥只是用藥的話再來退出健保基礎都有一直在往前走是 謝謝委員指教 |
| transcript.whisperx[37].start |
871.567 |
| transcript.whisperx[37].end |
892.653 |
| transcript.whisperx[37].text |
那剛才部長有提到那個三個國家的問題來這就是下一個就是接著為了不讓健保財政一直在虧損中非必要的醫生處方藥是不是要轉為指示用藥嗎剛才部長還說是三個嘛像緊急事後避孕藥這個現在我們先來講確保女性的生育的自主權 |
| transcript.whisperx[38].start |
894.013 |
| transcript.whisperx[38].end |
922.139 |
| transcript.whisperx[38].text |
讓女性把握緊急避孕的機會我想說部長也是醫生也知道這一種藥它有黃金的時間可能12小時72小時以內一定要服用的有時候到診所到醫院去他們不見得說或許大家在休診也都有可能可能會錯過了這個時間而且現在確保女性生育的自主權的話現在是想生的卻不能生但是非自願的不想生的要避孕的那會 |
| transcript.whisperx[39].start |
923.079 |
| transcript.whisperx[39].end |
948.691 |
| transcript.whisperx[39].text |
會不會衛福部管太多了對不對部長上回其實我已經有請教過你了嘛衛福部要正視女性的自主權還有用藥權益對緊急事後病因要開放變更為指示藥品確保女性生育的自主權但是衛福部都沒有給一個北溪的一個回應所以我現在就是說剛才有談到三個國家現在全球已經有 |
| transcript.whisperx[40].start |
950.212 |
| transcript.whisperx[40].end |
964.02 |
| transcript.whisperx[40].text |
88個國家將事後避孕藥列為非處方用藥了而且在2023年日本也可以在社區藥局販賣禁忌避孕藥其實這個我們現在還沒有做到對不對 |
| transcript.whisperx[41].start |
964.64 |
| transcript.whisperx[41].end |
990.229 |
| transcript.whisperx[41].text |
所以根據WHO的報告將事後病因藥轉成非處方藥是讓女性方便的取得這個藥物不僅可以減少女性因為懷孕而面臨的風險也可以降低因意外懷孕所帶來的社會還有經濟上面的負擔而且包括連我們現在知名的女權團體在2024年的10月份的時候有對於這個 |
| transcript.whisperx[42].start |
992.27 |
| transcript.whisperx[42].end |
1014.589 |
| transcript.whisperx[42].text |
事後病藥是否開放來做了一個調查線上的調查結果有六成五的民眾支持開放而且2016年調查七成的幾乎完全七成人都支持而且希望能夠方便及時取得而且藥局即可購買還有提高女性自主所以我想部長針對這個問題的話我想說 |
| transcript.whisperx[43].start |
1018.812 |
| transcript.whisperx[43].end |
1027.041 |
| transcript.whisperx[43].text |
您應該也是會很重視這個問題所以在2016年的時候我有去看過2016年的時候有針對這個問題討論過廚房藥改成民眾在藥局購買的指示用藥也已經衛福部通過了 |
| transcript.whisperx[44].start |
1035.515 |
| transcript.whisperx[44].end |
1056.329 |
| transcript.whisperx[44].text |
也發佈在緊急事後避孕藥變更為指示藥品的說明所以據本席了解指示藥品陳藥主已經開過會討論過了將緊急事後避孕藥從醫生處方藥轉列為指示用藥但是這個會議中也做成了會議記錄所以為什麼食藥署到現在還說醫生團體 |
| transcript.whisperx[45].start |
1059.991 |
| transcript.whisperx[45].end |
1085.466 |
| transcript.whisperx[45].text |
還評估還沒有共識呢而且部長你知道我們的衛福部的政策為什麼擱置到現在還沒有共識呢對不對而且這個不是2016年早有共識了嗎還是有人不同意呢是不是有人刻意去修改了整個的會議紀錄你衛福部要不要調查一下當時的情況啊照我是這樣看的是因為會議背後有一隻看不到的手 |
| transcript.whisperx[46].start |
1086.306 |
| transcript.whisperx[46].end |
1115.826 |
| transcript.whisperx[46].text |
所以我想部長你針對這個問題你可能要去了解一下在2016年那時候發生的事情而且你身為醫生你醫者人心我拜託你千萬不要讓女性生育權被自主權被剝奪了政府你現在不是在營造整個友善的生育環境嗎你是不是要讓女性能夠安心而且自由的選擇自己何時要懷孕這個我想這個也是政府的重要的責任 |
| transcript.whisperx[47].start |
1117.487 |
| transcript.whisperx[47].end |
1130.495 |
| transcript.whisperx[47].text |
報告委員謝謝委員的指教有關於這個事後必應要轉捩為非處方藥品管理的議題其實從剛剛您所說的從2016年其實那個時候就開始有討論 |
| transcript.whisperx[48].start |
1131.482 |
| transcript.whisperx[48].end |
1150.537 |
| transcript.whisperx[48].text |
那我在當立委的期間也開過不少次的協調會議因為就是醫藥有不同的看法那我想我們不管是醫跟藥我聽起來都是為了人民的權利在努力那我個人都非常的感動但是因為有不同的專業的看法所以 |
| transcript.whisperx[49].start |
1151.206 |
| transcript.whisperx[49].end |
1166.148 |
| transcript.whisperx[49].text |
也是涉及的層面比較廣泛那因為在有一些醫事的團體專業團體他們認為尤其特別會照顧到婦女懷孕生產的科別他們在這個部分是很有 |
| transcript.whisperx[50].start |
1167.225 |
| transcript.whisperx[50].end |
1193.628 |
| transcript.whisperx[50].text |
對 部長 你剛才講三個國家同意這個有八十八個國家我們台灣要不要跟國際接軌啊我們一直在走倒退路嗎他還是一種和我們啦他還是會影響到現在都是醫界在擋這一個啊不是嗎這個明明就是國際上已經八十八個國家這樣做了啊對不對部長你不能不公欸你現在全部人都是醫生你這樣是不是太不公了啊 |
| transcript.whisperx[51].start |
1195.269 |
| transcript.whisperx[51].end |
1206.458 |
| transcript.whisperx[51].text |
你要為全國的民眾想啊 全部的女性的自主權 對不對他們生育的自主權大家都等著你們而且2012年的時候你先去看看是不是有人篡改會議紀錄 |
| transcript.whisperx[52].start |
1209.057 |
| transcript.whisperx[52].end |
1213.339 |
| transcript.whisperx[52].text |
我們去了解本部的食藥署已經將114.36號召開緊急事後避孕完轉為醫師藥師現在整個會議全部都是醫生請問一下這樣怎麼會公平呢這個讓部長 |
| transcript.whisperx[53].start |
1229.625 |
| transcript.whisperx[53].end |
1250.935 |
| transcript.whisperx[53].text |
去做好好的協調我想從醫藥分業之後我們的醫藥關係一直是在一個比較是是院長是沒錯但是安全無虞的藥品我已經非常這個比較合理的使用安全無虞的藥品這個東西已經安全無虞了而且88個國家都已經這樣做了現在只有台灣沒有這樣做 |
| transcript.whisperx[54].start |
1251.795 |
| transcript.whisperx[54].end |
1279.768 |
| transcript.whisperx[54].text |
我要求部長盡快跟醫界、藥界達成共識大家能夠在安全無虞的合理使用狀況下當時我也要請委員能夠支持因為委員的專業非常注重健保今年健保30年我常說健保30年保障國人的健康現在是我們回頭保障健保的時代30年前我就一直主張小病不用保大病沒煩惱這種小病集中到醫學中心去 |
| transcript.whisperx[55].start |
1281.343 |
| transcript.whisperx[55].end |
1309.629 |
| transcript.whisperx[55].text |
用那麼少的這個代價 致富額他就能夠得到他應該讓他到診所去用他完全來負擔這個就是落實分級醫療嗎分級醫療 轉診制度如果我們觀念能夠轉過來小病不用保 大病就沒煩惱讓那個可以傾家蕩產的病讓政府全力來照顧他讓那個影響到整個公共衛生的病政府全力來遏止他政府應該做這個東西小病讓他自己來做另外我們的內外婦兒這四顆 |
| transcript.whisperx[56].start |
1310.929 |
| transcript.whisperx[56].end |
1336.448 |
| transcript.whisperx[56].text |
醫事人員的減少我們也必須大家觀念轉變我們再落實一個就是不同工不同酬的醫療給付讓醫院醫事人員的工作尊嚴能夠得到保障如果這個觀念能夠同期的建立我們可以再創30年50年更好的健保制度所以我們是不是大家有這樣的一個責任來面對健保的實質改革而不是在討論錢多錢少該不該提保費的問題我們從基本上來討論 |
| transcript.whisperx[57].start |
1340.292 |
| transcript.whisperx[57].end |
1345.553 |
| transcript.whisperx[57].text |
沒錯啊 所以我覺得大家的政策 大家的想法我覺得都是正確 但是完全沒有落實啊 |
| transcript.whisperx[58].start |
1346.884 |
| transcript.whisperx[58].end |
1375.7 |
| transcript.whisperx[58].text |
對不對 剛才院長講的也對啊 部長講的也對嘛我們想的都是對嘛 都是往前進嘛 對不對如果大家有這樣的公式 我們還要持續跟社會對話我剛剛說內外婦幼這四個科所以衛福部要想出方法啊要怎麼落實啊 如果能夠給他建立但是這個不能 因為這個會增加對這些實質上的支付所以我們還要平衡所以能夠農小病大家就不用保大病再來 大家就再沒煩惱然後從內外婦幼從這個不同工不同酬的給付來開始 |
| transcript.whisperx[59].start |
1376.52 |
| transcript.whisperx[59].end |
1402.029 |
| transcript.whisperx[59].text |
我想這個社會的觀念如果建立起來剛開始也許會遭受很多很多的討論但是我相信如果提出這樣的討論對社會是正面的其實也不是院長不是提出這樣的討論這個事情已經做很久了我想部長也是知道只是沒有做得很徹底沒有做得很成功所以我覺得我們還是要用心在這一塊啦好不好那一些修法的部分可能我們就要有共識才能來進行 |
| transcript.whisperx[60].start |
1403.767 |
| transcript.whisperx[60].end |
1425.973 |
| transcript.whisperx[60].text |
這個已經在實施了對 只是沒有落實我想自我照顧跟分級醫療我們一定繼續來推那醫藥方面在某些專業的互動我們一定持續來溝通醫藥本是一家要攜手共同來照顧人民的健康我們一起來努力也謝謝委員的啟示跟指教好 謝謝部長那我有請交通部長 |
| transcript.whisperx[61].start |
1439.022 |
| transcript.whisperx[61].end |
1465.209 |
| transcript.whisperx[61].text |
好 那我就因為時間不多 這樣我還是先靜緩講一下就是院長 你知道零四零三強震開米颱風其實重創了花蓮的觀光業者都是一直在覺得去年是從業三十年來最慘的一天一次地震發生 花蓮的旅宿還有餐飲其實已經都停業上百家了這是本心還是持續的關心我們花蓮的觀光和交通 |
| transcript.whisperx[62].start |
1465.689 |
| transcript.whisperx[62].end |
1493.854 |
| transcript.whisperx[62].text |
因為對花蓮來講其實最重要的就是要怎麼樣活下去所以去年113年花蓮的遊客是近年五年來最低的還比起前一年112年的時候已經下降了一半那我想院長也是很認真每個月當初都說有你都有允諾說要每個月都要下去花蓮勘查整個情況所以我想院長你應該很了解花蓮現在的困境是什麼 |
| transcript.whisperx[63].start |
1494.634 |
| transcript.whisperx[63].end |
1502.782 |
| transcript.whisperx[63].text |
所以也很感謝你振興花蓮的觀光而努力所以在去年針對0403的地震的時候振興花蓮觀光產業我們也放寬了公務人員的國旅卡休假補助費的整個措施那請問去年的實施是如何呢我想應該是成效不佳吧因為花蓮現在的店家和民眾還是無感 |
| transcript.whisperx[64].start |
1517.597 |
| transcript.whisperx[64].end |
1541.263 |
| transcript.whisperx[64].text |
所以光是觀光人數接到上面的觀光客其實我們都看出來其實真的觀光的人數是非常非常的少而且非常非常的慘淡那院長那為什麼實施到去年今年就補助了呢沒有補助了呢還是你覺得說今年有更好的規劃呢還是有什麼特別加碼的規劃呢可以振興我們花蓮的觀光 |
| transcript.whisperx[65].start |
1542.657 |
| transcript.whisperx[65].end |
1557.655 |
| transcript.whisperx[65].text |
我簡單的先向委員說不敢說認真兩個字這是我們團隊應該做的事情只是很遺憾的是去年0403之後7月好幾次的颱風當我們的工程進行到一個程度它就停下來甚至又往後延 |
| transcript.whisperx[66].start |
1558.208 |
| transcript.whisperx[66].end |
1578.484 |
| transcript.whisperx[66].text |
那颱風又讓很多的觀光客又卻步了這是我們非常遺憾的事情我們總是希望說所有的補助的措施能夠徹底的落實那請問今年會不會再繼續補助呢像去年來我們執行不好的事情我們就把它加碼把它放寬那新年我相信交通部他又有一個其他的緊急的計畫在執行我們部長來說明 |
| transcript.whisperx[67].start |
1581.926 |
| transcript.whisperx[67].end |
1603.271 |
| transcript.whisperx[67].text |
確實去年花蓮因為地震再加上好幾個颱風確實對觀光業影響非常大那您也非常關心交通建設的問題我們目前交通上升穩定目前最近比較沒有太大的雨所以上升穩定的狀況底下其實我們花蓮的觀光在11月份已經漸漸回到了112年的水準也就是說已經有復甦的狀況 |
| transcript.whisperx[68].start |
1604.551 |
| transcript.whisperx[68].end |
1631.472 |
| transcript.whisperx[68].text |
那去年我們主要是因為403的地震那沒關係我想知道說這個有沒有更好的規劃振興花蓮的觀光有沒有什麼加碼的還是有一個做一個更好的規劃我先知道這個因為我後面還有一些問題要問去年是因為地震的原因所以用一個救急的方案來補助有補助的方案但是我剛剛有提到就是說現在的觀光的狀況已經比較穩定了所以我們大概不會用可是我們還是很慘淡啊 |
| transcript.whisperx[69].start |
1632.212 |
| transcript.whisperx[69].end |
1633.553 |
| transcript.whisperx[69].text |
現在除了剛剛委員說的橋尾會有這樣的方式之外我們去年年底副院長還主持了觀光的諮詢會議 |
| transcript.whisperx[70].start |
1647.597 |
| transcript.whisperx[70].end |
1675.465 |
| transcript.whisperx[70].text |
也召集了業者 大家也提出了相當的問題所以僑委會是不是有這樣的一個對 我想說僑胞回台的時候他們社會應該需要可以去看看 可不可以結合報告委員 我們去年確實也有加碼在針對僑胞去避免返國的時候本來我們一般都補助三千塊那麼如果特別到花東去旅遊的我們就補助三千六百塊那這樣子做當然有多少增加一些誘因成效怎麼樣呢 |
| transcript.whisperx[71].start |
1677.205 |
| transcript.whisperx[71].end |
1704.224 |
| transcript.whisperx[71].text |
如同剛剛交通部所報告的就是說因為去年一直不斷有颱風跟地震的因素影響所以最終真的去到花東旅遊的人數那我想請問一下今年會不會再有補助今年我們會繼續比照就是說增加我們的花東觀光特約商店以及再增加一樣3600的補助那今年就是還會有然後做更好的規劃然後再加碼 |
| transcript.whisperx[72].start |
1704.944 |
| transcript.whisperx[72].end |
1714.313 |
| transcript.whisperx[72].text |
另外我再跟您補充一下現在我們有香港飛花蓮的班機那也是一個班機一個包機補助28萬這個部分有在努力 |
| transcript.whisperx[73].start |
1715.011 |
| transcript.whisperx[73].end |
1727.937 |
| transcript.whisperx[73].text |
院長也有特別交代我們希望禮拜一到禮拜天每一天都有台北飛花蓮的班機那這個部分已經在進行當中所以每個禮拜一到禮拜天每一天都有班機飛花蓮台北到花蓮我再問一下部長一個問題有關於花蓮鐵路高架化的交通的問題 |
| transcript.whisperx[74].start |
1736.361 |
| transcript.whisperx[74].end |
1756.926 |
| transcript.whisperx[74].text |
這個台灣的東部在花蓮市和吉安鄉這邊有七個平面的平交道其實他是穿越花蓮市和吉安鄉的鬧區所以針對這個時候之前民怨的情況下據我了解這個計畫來來回回的修了好幾次而且112年4月的時候那時候前交通部長已經同意了 |
| transcript.whisperx[75].start |
1758.026 |
| transcript.whisperx[75].end |
1776.78 |
| transcript.whisperx[75].text |
將花東地區鐵路雙軌電氣化的計畫工程納入花蓮站和甘城站七個鐵路平交道的高價立體化辦理並且全額的負擔而且那時候我看是4562億餘元編到哪就做到哪然後114年編了600億那我想請問一下 |
| transcript.whisperx[76].start |
1780.816 |
| transcript.whisperx[76].end |
1806.066 |
| transcript.whisperx[76].text |
根據我現在看那台鐵花蓮和吉安甘城站的高架工程那哪時候可以規劃動工呢而且據我最近了解我也覺得很奇怪就是目前計畫書送到行政院的石層大海音訊全無是不是改以鐵路平交道與環境改善設施的周邊土地的計畫審查要點審查就是中央已經不全額的負擔費用了那我想請教一下院長 |
| transcript.whisperx[77].start |
1806.826 |
| transcript.whisperx[77].end |
1820.599 |
| transcript.whisperx[77].text |
中央不全額負擔的原因是什麼而且目前計畫書是不是已經到行政院了那如果到行政院了可以加速審核嗎報告委員您剛所提的這個高價化的部分目前因為它的合理性 |
| transcript.whisperx[78].start |
1821.072 |
| transcript.whisperx[78].end |
1837.056 |
| transcript.whisperx[78].text |
我們還有一些質疑啦因為其他的縣市的高價化他不是放在雙軌電機那是112年4月的時候交通部長 前交通部長王國才就正面回應了他就說這個他會全部列入而且答應全額負擔你要騙我們花蓮人啊 |
| transcript.whisperx[79].start |
1862.81 |
| transcript.whisperx[79].end |
1864.15 |
| transcript.whisperx[79].text |
謝謝林益君委員質詢,謝謝卓院長的備詢接下來我們請莊瑞雄委員請質詢 |