| IVOD_ID |
15980 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/15980 |
| 日期 |
2024-06-05 |
| 會議資料.會議代碼 |
委員會-11-1-26-20 |
| 會議資料.會議代碼:str |
第11屆第1會期社會福利及衛生環境委員會第20次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
1 |
| 會議資料.會次 |
20 |
| 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1會期社會福利及衛生環境委員會第20次全體委員會議 |
| 影片種類 |
Full |
| 開始時間 |
2024-06-05T08:31:37+08:00 |
| 結束時間 |
2024-06-05T13:56:00+08:00 |
| 影片長度 |
05:24:23 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/bfaf9b39ac01a685558f108d180b0e1b0a73ccf8a48a70923be8d109af184be41792e5941e260a565ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2024-06-05T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第1會期社會福利及衛生環境委員會第20次全體委員會議（事由：邀請衛生福利部部長、外交部就「2024年我國參與世界衛生大會（WHA）之經過、檢討與展望」進行專題報告，並備質詢。
【6月5日及6日二天一次會】） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
08:31:37 - 13:56:00 |
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| transcript.whisperx[0].start |
1900.407 |
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好,出席委員已逐法定人數現在開會請議事人員宣讀上次會議議事錄立法院第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議議事錄時間113年5月30日星期四9時至12時8分地點群憲樓801會議室出席委員陳昭芝等11人列席委員顏寬宏等11人請假委員王振旭、陳金輝 |
| transcript.whisperx[1].start |
1927.304 |
| transcript.whisperx[1].end |
1943.44 |
| transcript.whisperx[1].text |
均參加第77屆世界衛生大會．立法院事導團．邱振軍．涂泉吉．列席官員衛生福利部政務次長呂健德等相關人員．主席王兆吉委員喻敏．報告事項．宣讀上次會議一事錄決定確定．討論事項．審查委員徐宇珍等22人擬據老人福利法增訂第22條之一條文草案． |
| transcript.whisperx[2].start |
1950.126 |
| transcript.whisperx[2].end |
1964.913 |
| transcript.whisperx[2].text |
委員馬文君等16人擬拒老人福利法第25條條文修正草案委員張家俊等20人國民黨黨團委員黃建豪等17人委員王玉敏等19人分別擬拒老人福利法第22條條文修正草案台灣民眾黨黨團擬拒老人福利法第22條及第25條條文修正草案等共計7案 |
| transcript.whisperx[3].start |
1971.997 |
| transcript.whisperx[3].end |
1994.509 |
| transcript.whisperx[3].text |
本次會議經委員徐宇珍並代表國民黨黨團委員張家俊、委員陳昭芝代表臺灣民眾黨黨團說明提案指去並由衛生福利部政務次長說明後委員陳昭芝等14人提出質詢均經衛生福利部政務次長教育部終身教育司專門委員紀賢陽及內政部國家公園屬油氣管理組組長張順發及各相關主管 |
| transcript.whisperx[4].start |
1998.171 |
| transcript.whisperx[4].end |
2023.817 |
| transcript.whisperx[4].text |
等即席答覆。委員陳金輝、盧憲一、屠權吉、蘇清泉及張家俊所提書面質詢列入紀錄刊登公報。決議一、說明及詢答完畢。二、委員質詢未及答覆或請補充資料者,請相關機關於二周內以書面答覆。委員令要求期限者從其鎖定。三、老人福利法第22條、第22條之一及第25條條文修正草案等7案令則其繼續審查。宣讀完畢。 |
| transcript.whisperx[5].start |
2027.618 |
| transcript.whisperx[5].end |
2043.77 |
| transcript.whisperx[5].text |
請問委員會上次議事錄有無錯誤或遺漏之處?沒有齁?那議事錄確定本日會議議程為邀請衛生福利部部長、外交部就2024年我國參與世界衛生大會．WHA．之經過、檢討與展望．進行專題報告．並備質詢現在介紹在場委員及列席官員陳昭芝委員 |
| transcript.whisperx[6].start |
2056.124 |
| transcript.whisperx[6].end |
2084.259 |
| transcript.whisperx[6].text |
林月琴委員王振旭委員好,那我們今天列席的官員有衛生福利部邱太元部長衛生福利部主任秘書兼代理口腔健康司司長張雍敏張司長國際合作組參事兼主任施金水主任護理及健康照護司蔡淑鳳司長 |
| transcript.whisperx[7].start |
2086.767 |
| transcript.whisperx[7].end |
2109.493 |
| transcript.whisperx[7].text |
醫事司李中岳檢任濟政中央健康保險署石崇亮署長食品藥物管理署吳秀梅署長疾病管制署羅怡君副署長國民健康署魏錫倫副署長外交部陳立果常務次長國際組織司孫簡元司長 |
| transcript.whisperx[8].start |
2117.602 |
| transcript.whisperx[8].end |
2130.233 |
| transcript.whisperx[8].text |
好,那接下來請衛生福利部邱部長報告時間5分鐘好,那此時各位 |
| transcript.whisperx[9].start |
2131.246 |
| transcript.whisperx[9].end |
2157.693 |
| transcript.whisperx[9].text |
委員、女士先生今天大院第11屆第1會期社會福利及衛生環境委員會第20次全體委員會議本部曾邀列席報告深感榮幸之就2020年我國參與世界衛生大會（WHA）之經過、檢討與展望提出專案報告,敬請各位委員不吝自教我國自86年起以專業參與為訴求 |
| transcript.whisperx[10].start |
2159.793 |
| transcript.whisperx[10].end |
2183.983 |
| transcript.whisperx[10].text |
推動參與世界衛生組織WHO．並於98年至105年以觀察員身份出席WHA．然自106年第70屆WHA開始．WHO居舊正式壓力偶未耀我與與會．所以無法參與WHA本部能每年組成四位行動團．前往瑞士日政法．及及各國衛生部門與國際專業醫衛．專業醫衛團體進行雙邊交流．促成實質合作與向友邦． |
| transcript.whisperx[11].start |
2189.805 |
| transcript.whisperx[11].end |
2200.397 |
| transcript.whisperx[11].text |
你得相信國家由我國家及國際一位團體對於他們支持臺灣參與WHA）表達感謝本年度立法院亦提高層級由江副院長 |
| transcript.whisperx[12].start |
2201.828 |
| transcript.whisperx[12].end |
2215.115 |
| transcript.whisperx[12].text |
率統王正旭委員、陳金威委員以及林益金委員、跨黨派所組成的立委、世導團同心協力向國際化成果豐收。第77屆WHA於113年5月7日至6月1日召開,我國稅務會 |
| transcript.whisperx[13].start |
2222.051 |
| transcript.whisperx[13].end |
2239.081 |
| transcript.whisperx[13].text |
所以接受邀請函．能由本人率團前往．重要成果如下．一我國11個友邦中．經為我以觀察員身份參加WHA．來提案．令共有26個國家及歐盟也發言助我． |
| transcript.whisperx[14].start |
2240.134 |
| transcript.whisperx[14].end |
2248.217 |
| transcript.whisperx[14].text |
第二以友邦友好友好國家如美國、澳洲、德國、立陶宛、捷克及重要國際醫衛組織如世界醫師會、國際護理協會等進行43場雙邊會談,場次比以前更多,會談的觀念層級更高,內容也更深、更廣 |
| transcript.whisperx[15].start |
2258.624 |
| transcript.whisperx[15].end |
2282.576 |
| transcript.whisperx[15].text |
三、呼應WHA重要議題與醫師、牙醫、護理、公衛等一位團體合作與日月娃進行專業論壇。議題包括全民健健、大流行病預防、弱視族群、口腔健康服務、全人照顧等提高我國一位成就的能量見度。四、於第77屆WHA開議前、召開國際會議時 |
| transcript.whisperx[16].start |
2287.403 |
| transcript.whisperx[16].end |
2290.931 |
| transcript.whisperx[16].text |
國際社會瞭解WHO因為政治因素將台灣排除在外會損傷到台灣2300 |
| transcript.whisperx[17].start |
2294.4 |
| transcript.whisperx[17].end |
2323.425 |
| transcript.whisperx[17].text |
五十萬人的健康權以外．嚴重到WHA正在重建的全國衛生的架構．並重申聯合國大會第2758號決議．與WHA第25.1號決議前文．並沒有授權中國在聯合國體系代表臺灣．以利用該兩決議排除臺灣友誼．亦就來參與WHA毫無正當性．感謝大院、四島團、江副院長．陳清輝委員、王正熙委員及林益晶委員．亦出席發言． |
| transcript.whisperx[18].start |
2324.105 |
| transcript.whisperx[18].end |
2338.654 |
| transcript.whisperx[18].text |
呼籲各界支持臺灣參與WHA我們前面關注WHA討論各種衛生技術議題．並積極參與左邊議會專題例如參與抗生素、抗藥性、前緣照顧、檢驗、血漿、致濟及相關產品、永續及韌性衛生系統等議題之會議十一場來掌握全球的衛生發展狀況我們積極參與我們熱心的民團及僑團的各項活動 |
| transcript.whisperx[19].start |
2352.162 |
| transcript.whisperx[19].end |
2355.044 |
| transcript.whisperx[19].text |
來出席歐洲臺灣意識聯盟會參觀臺灣聯合國促進會臺灣醫療健康成果策展的活動．向參與WHA）的Talk |
| transcript.whisperx[20].start |
2368.971 |
| transcript.whisperx[20].end |
2392.684 |
| transcript.whisperx[20].text |
建組活動的民調團之一參與臺灣各種活動還有臺灣之樂等等的檢討與展望我國雖然與中國因中國因事無法參與無法受邀與觀察員身份參與但經有持續強化與友好國家的雙邊意外合作增進臺灣參與國際衛生事務的機會雖然今年中國的打壓力道更大世衛團能難透過各種方式傳達臺灣人民 |
| transcript.whisperx[21].start |
2394.085 |
| transcript.whisperx[21].end |
2403.855 |
| transcript.whisperx[21].text |
判處平等對待捍衛健康權的訴求．並展現臺灣議會的專業能量及貢獻．本部在賴總統的領導下．積極邁向健康臺灣的目標．將臺灣努力的成果未來將會在貢獻國際社會．並持續與外交部、僑委會等跨部會合作．結合國內民間團體、國際議會組織及親和團體．爭取更多的支持力道． |
| transcript.whisperx[22].start |
2419.315 |
| transcript.whisperx[22].end |
2434.261 |
| transcript.whisperx[22].text |
以卑劣共同致力增加臺灣及全球人民最高的健康潛力與福祉本部曾大願各委員之指教及監督在此競致精神並其各位委員繼續予以支持謝謝好 |
| transcript.whisperx[23].start |
2441.739 |
| transcript.whisperx[23].end |
2462.876 |
| transcript.whisperx[23].text |
有關本次會議各項書面資料均列入紀錄刊登公報那現在開始詢答做以下宣告本會委員詢答時間6加2分鐘列席委員4加1分鐘10點30分截止發言登記委員如有書面質詢請於散會前提出預期不受理暫定10點30分休息10分鐘原則上11點30分處理臨時提案 |
| transcript.whisperx[24].start |
2468.741 |
| transcript.whisperx[24].end |
2474.063 |
| transcript.whisperx[24].text |
10點30分,截止收案。現在請登記第一位委員,林月琴委員發言。有請我們邱部長。請邱部長。 |
| transcript.whisperx[25].start |
2489.998 |
| transcript.whisperx[25].end |
2517.322 |
| transcript.whisperx[25].text |
部長早部長也辛苦了一上任就帶團到日內網為我們臺灣參加WHA的那個世界衛生大會做倡議那在這邊也向您致敬那這幾天有一個更重大的就是說輝達執行長王仁勳宣布要在我們的臺灣設所謂的超級電腦把臺灣打造成AI重鎮那我想這個消息對 |
| transcript.whisperx[26].start |
2518.082 |
| transcript.whisperx[26].end |
2545.212 |
| transcript.whisperx[26].text |
國人來講都是非常振奮那臺灣有力量可是臺灣的力量來自於臺灣人的加倍的努力住在國外的華人都對於修映器臺灣人非常努力的那我們的外交也非常努力的雖然即便今天臺灣在加入國際組織受到中國打壓我們還是持續的去爭取加入目的是要把握 |
| transcript.whisperx[27].start |
2545.912 |
| transcript.whisperx[27].end |
2546.152 |
| transcript.whisperx[27].text |
在生醫產業嗎? |
| transcript.whisperx[28].start |
2574.691 |
| transcript.whisperx[28].end |
2599.743 |
| transcript.whisperx[28].text |
就是我們的醫療或的是我們的製藥產業我想我們過去能夠今天傲視在世界各國大概有我想世界各個醫療的組織都很清楚台灣有兩點第一點是台灣擁有很高品質的醫療防疫的水準第二個我們又很樂意來 |
| transcript.whisperx[29].start |
2601.684 |
| transcript.whisperx[29].end |
2618.891 |
| transcript.whisperx[29].text |
來幫忙很多需要的國家所以很多國家願意支持我們雖然政治的因素那我覺得我們要把握這樣的一個趨勢那相信我們的很多國內的精英都投入在醫藥為公衛相關的發展應該是 |
| transcript.whisperx[30].start |
2620.752 |
| transcript.whisperx[30].end |
2634.725 |
| transcript.whisperx[30].text |
很有實力跟半導體一樣的一個發展來展現我們生意的實力有另外一個護國的神山好那也就是期待著部長在任內能夠多這個著力 |
| transcript.whisperx[31].start |
2637.117 |
| transcript.whisperx[31].end |
2651.426 |
| transcript.whisperx[31].text |
過去呢事實上臺灣多次因為受到WHO的那個排斥跟中國對於訊息的掩蓋發生我們的疾病疫情在延誤防疫以致於國民大量死亡像1998年我們的長病毒71型 |
| transcript.whisperx[32].start |
2655.928 |
| transcript.whisperx[32].end |
2670.828 |
| transcript.whisperx[32].text |
還有2003年的SARS可是我們都撐過來了那成為得以輸出防疫技術的優等生所以想問部長這邊那國際衛生組織的功能在串聯會員國然後在公共衛生的這個議題上達到資訊同步 |
| transcript.whisperx[33].start |
2673.427 |
| transcript.whisperx[33].end |
2699.772 |
| transcript.whisperx[33].text |
以便即時防疫還有互相支援的效果可是臺灣不是WHO的會員連WHA都進不去以後我們未來如何確保在國際新的疫情發生時取得即時的那個資訊獲得所需要的技術跟資源好謝謝委員的質詢那我想我們臺灣人尤其臺灣的醫療團體絕對不是坐以待斃 |
| transcript.whisperx[34].start |
2704.061 |
| transcript.whisperx[34].end |
2707.629 |
| transcript.whisperx[34].text |
我們這個目標可能達不到,那只是一個目標 |
| transcript.whisperx[35].start |
2709.107 |
| transcript.whisperx[35].end |
2732.732 |
| transcript.whisperx[35].text |
但是我們維護全台灣2350萬個人民的健康權利我想所有在座的以及所有的醫療團體都是日以繼夜在努力的一個事情所以我們會有然後我們的醫療體系的韌性又夠他的偵察性也夠所以我們在不管是在第一線我舉個例子從在 |
| transcript.whisperx[36].start |
2735.273 |
| transcript.whisperx[36].end |
2755.927 |
| transcript.whisperx[36].text |
COVID的時候,其實第一線,當然是我們很感謝我們機關署,像羅一鈞副署長能夠利用他的資訊能力,能夠早日發現到一堆信息。其實在那個時候已經很有第一線的醫師,已經都發現到有相關的一個發燒,不明發燒的問題。 |
| transcript.whisperx[37].start |
2758.956 |
| transcript.whisperx[37].end |
2782.738 |
| transcript.whisperx[37].text |
那剛開始的時候有從大陸回來的數十萬個人百分之八十都跑到基層醫療去看那我們基層醫療在過去大家的能力包括我們在座的施行前委員理事長領導的團的整個醫療團隊其實在基層醫療扎下了很大的一個基礎所以馬上反應也反應也馬上舉行了 |
| transcript.whisperx[38].start |
2783.539 |
| transcript.whisperx[38].end |
2785.38 |
| transcript.whisperx[38].text |
今年事實上牙醫師公會全國聯合會也 |
| transcript.whisperx[39].start |
2808.854 |
| transcript.whisperx[39].end |
2833.254 |
| transcript.whisperx[39].text |
主團隨部長去日內瓦倡議他們召開了國際的研討會以外也拜訪了世界亞裔的聯盟和世界公共衛生組織聯盟和日內瓦大學民間團體事實上這麼樣去支持也這麼樣有活力可是相對的我不知道今天我們事實上是透過你的書面報告才看到說事實上本次的出訪成果非常豐碩 |
| transcript.whisperx[40].start |
2834.395 |
| transcript.whisperx[40].end |
2853.971 |
| transcript.whisperx[40].text |
可是這些資訊都沒有辦法即時性的、系統性的傳回臺灣反而我們事實上是透過牙齒公共他們在當地的做的一些東西所以本席以為對國人的宣傳不足有損民眾的知情權所以會不會福布有沒有針對這個去做探討為什麼這資訊都沒有辦法即時的回到國內讓國人知道謝謝委員的質詢 |
| transcript.whisperx[41].start |
2861.019 |
| transcript.whisperx[41].end |
2872.652 |
| transcript.whisperx[41].text |
在我的想像所有的信息應該馬上第一步就應該要給全國尤其像立法院是人民的代表機關以及新聞媒體其實 |
| transcript.whisperx[42].start |
2875.22 |
| transcript.whisperx[42].end |
2899.006 |
| transcript.whisperx[42].text |
其實那個我們在臉書這一次我還是要感謝很多媒體他們真的是自己出錢文字記者還有錄影的這樣好幾對過去可以說是日以繼月把我們所有的能夠造的活動都盡量傳達是可是我們現在看到的就是一家民眾媒體其實我們有20篇的帖文 |
| transcript.whisperx[43].start |
2901.826 |
| transcript.whisperx[43].end |
2921.631 |
| transcript.whisperx[43].text |
大概觸及的人是有七十一六萬的人互動的也有一萬多人所以其實在這個報告後面是不是可以再把報告我想如果委員有這樣的發現的話我們一定徹底檢討那因為聯合國大概也在宣誓2030年 |
| transcript.whisperx[44].start |
2922.771 |
| transcript.whisperx[44].end |
2951.953 |
| transcript.whisperx[44].text |
那全民健康覆蓋那個UHC要達到90%可是被COVID-19打亂了所以他在2023年的9月的時候也發表一定要這樣子有這樣的一個決心那想問一下部長這張指標臺灣提早了35年就打標了那如果這個這事實上是衛福部公布的表單所以我們35年已經達標的話那未來要展現在跟國際的一個倡議所以想問說政府 |
| transcript.whisperx[45].start |
2952.473 |
| transcript.whisperx[45].end |
2972.253 |
| transcript.whisperx[45].text |
未來如何協助?如果我們有這麼好的東西如何協助其他國家也能夠達標?是的,謝謝委員這個很好的問題第一個我們所謂的USC國外看起來是因為我們有全民健保所以都認為我們是USC的魔幻國家 |
| transcript.whisperx[46].start |
2973.354 |
| transcript.whisperx[46].end |
2994.984 |
| transcript.whisperx[46].text |
可是當我們還是發現的在這樣的全民健保裡面有很多不管是在品質不管是在醫療人力的一個尊嚴跟收入其實都有相關的問題所以我想在座的很多委員也都發現這些問題一直在努力所以我認為在國內我們除了有因為是吸這種 |
| transcript.whisperx[47].start |
2996.344 |
| transcript.whisperx[47].end |
3014.072 |
| transcript.whisperx[47].text |
還不錯的形象以外要落實到各級醫療都能夠去做以病人為中心的整合性的健康照顧體系去整合這個才是infrastructure才能夠在10年20年還能夠站到世界的舞台去所以我們要從 |
| transcript.whisperx[48].start |
3015.638 |
| transcript.whisperx[48].end |
3021.16 |
| transcript.whisperx[48].text |
最後就有一個問題要請教部長就是說上中國的威脅無所不在那一直以來台灣很多企業也抱持因為要跟全球經濟 |
| transcript.whisperx[49].start |
3040.934 |
| transcript.whisperx[49].end |
3065.013 |
| transcript.whisperx[49].text |
提示的脈絡合作所以大家都不排除跟中國有具有中國國企背景的企業合作那這個問題就會影響到企業界那切件當然包含衛福部所管轄的醫療跟醫藥產業那可是國人最擔心的是各自的外洩所以想問衛福部預告限制西藥批發零售業將當事人個人資料 |
| transcript.whisperx[50].start |
3066.653 |
| transcript.whisperx[50].end |
3085.592 |
| transcript.whisperx[50].text |
國際傳輸到大陸的地區草案用意在禁止藥商洩漏臺灣民眾個資給中國所以這預計大概什麼時候實行那另外一個就要問的是只限制西藥的批發零售洩漏個資可是對於西藥的製造商醫院實驗室洩漏個資的問題 |
| transcript.whisperx[51].start |
3087.754 |
| transcript.whisperx[51].end |
3108.045 |
| transcript.whisperx[51].text |
衛福部似乎有所缺肉,請問一下大概怎麼做?因為時間的關係,所以是不是這部分請...我想有關於這件事情,我們的立場第一個就是國家安全第一,個人的資料也是必須要保護的個人潛力,那有關於剛剛委員執行了這個相關的資料,我們也會在 |
| transcript.whisperx[52].start |
3113.1 |
| transcript.whisperx[52].end |
3114.661 |
| transcript.whisperx[52].text |
國際參與事務要化被動為主動．防範中國功勞 |
| transcript.whisperx[53].start |
3139.462 |
| transcript.whisperx[53].end |
3140.482 |
| transcript.whisperx[53].text |
邀請邀請邀請邀請邀請 |
| transcript.whisperx[54].start |
3163.477 |
| transcript.whisperx[54].end |
3191.848 |
| transcript.whisperx[54].text |
部長好這是我們第一次詢答我想還是先恭喜你然後也謝謝你願意承擔這個重責大任謝謝是您帶領這個WHA團隊去參加然後我知道陳金輝委員、王振旭委員還有本黨的林玉君委員大家都有參與那我從他們的臉書上看到你們的行程非常的緊湊、非常的辛苦我想也謝謝你們能夠一起幫台灣的國際能見度做一些努力 |
| transcript.whisperx[55].start |
3193.849 |
| transcript.whisperx[55].end |
3220.867 |
| transcript.whisperx[55].text |
在這一次的全球盛事當中WHA（我也注意到醫學生、藥學生還有工會學生他們組成的聯合會特別優秀的大學生們籌組了一個世界衛生大會的青年團去參加他們的活動記錄當中有提到一件事情讓我非常憂心他說WHO估計全球醫藥衛生工作者大概短缺1000萬人 |
| transcript.whisperx[56].start |
3223.308 |
| transcript.whisperx[56].end |
3239.834 |
| transcript.whisperx[56].text |
我們都知道在全球化的浪潮上類似專業人員他們會做一個全球性的移動非常普遍同樣的工作跟服務內容多數人才難免去所謂的待遇比較好那就是說環境、生活品質比較理想的環境 |
| transcript.whisperx[57].start |
3240.994 |
| transcript.whisperx[57].end |
3241.134 |
| transcript.whisperx[57].text |
好,謝謝委員的執行 |
| transcript.whisperx[58].start |
3269.588 |
| transcript.whisperx[58].end |
3287.936 |
| transcript.whisperx[58].text |
我想第一個國會長敬佩委員能夠了解到青年軍他們在做什麼這是我們長輩對這些未來的國家的生意軍的一個關心這是很重要也是令人敬佩我們不管是在政府的單位或者過去我們在 |
| transcript.whisperx[59].start |
3290.796 |
| transcript.whisperx[59].end |
3315.823 |
| transcript.whisperx[59].text |
醫師會相關的組織其實我們都花了不少的經費來協助這些青年菌但是他們發現了這個問題對,那他們在這第一個第二個他們發現的未來說會少了1000萬個醫療人員那這個部分可能我們要來看一下WHO裡面的報告他是在哪一個地區我想是在非洲呢非洲大概是非常的缺乏 |
| transcript.whisperx[60].start |
3318.133 |
| transcript.whisperx[60].end |
3335.3 |
| transcript.whisperx[60].text |
不要說廢話,只是說我們婚姻這樣好了就是說因為他們也注意到這個問題那也許也請衛福部來做一個評估等一下我會告訴部長我們現在也有一些這個網站訊息是教導這醫療人員如何到國外去工作那我先回到趙護士的部分 |
| transcript.whisperx[61].start |
3336.48 |
| transcript.whisperx[61].end |
3364.106 |
| transcript.whisperx[61].text |
臨床護理人員離職率將近12%離職原因包括三班制、生活品質甚至薪資待遇等等畢業後大概只有六成的護理師他們會就職、就業本席認為臺灣去外護理師已經進入非常嚴重的狀況新北上市還在關了很多床部長瞭解關床的這個聲音一直都存在我在天下雜誌的採訪中有發現就看到一個美國的那個 |
| transcript.whisperx[62].start |
3365.026 |
| transcript.whisperx[62].end |
3383.84 |
| transcript.whisperx[62].text |
考上美國的RN就是註冊護理師那他表示他說過去在醫學中心他的年資大概是70萬然後他在地區大概是50萬那當然加上三班輪值等等那他認為部分一部分的病人有時候對這個付錢是老大有時候對護理人員不太客氣 |
| transcript.whisperx[63].start |
3384.5 |
| transcript.whisperx[63].end |
3408.739 |
| transcript.whisperx[63].text |
所以他就去考試去補習班考試那考上了這個美國的這個所謂的那個RN那起薪是150萬台幣所以我想說有時候啦不太能怪責怪這些專業人員他們有時候要到國外尋求更覺得更理想的環境那我要告訴部長說現在有很多醫療人員包括醫師跟護理師都開始有一點點開始要做移民 |
| transcript.whisperx[64].start |
3409.54 |
| transcript.whisperx[64].end |
3437.278 |
| transcript.whisperx[64].text |
外出工作那你如果從Google打關鍵字你會發現有很多教學的訊息告訴他們怎麼樣到澳洲怎麼樣到美國去擔任護理師醫師甚至專門有人代辦這件事情那我們真的非常擔心專業人員的流失是一件非常嚴重的問題如果人力不足將直接影響我們病人的照顧那就算我們一路外國的人力補充但是語言隔閡等等還是有很大的問題所以部長 |
| transcript.whisperx[65].start |
3438.338 |
| transcript.whisperx[65].end |
3453.865 |
| transcript.whisperx[65].text |
這個部分你有在關心嗎?第一個官場的問題,我想各個層級、各個地區會有不一樣。我剛剛一開始就講說,我們一定要去落實、去了解、偵測 |
| transcript.whisperx[66].start |
3458.067 |
| transcript.whisperx[66].end |
3477.561 |
| transcript.whisperx[66].text |
我們不能不使人間聯合所謂的關闖它有很多的模式而且關闖的時候所謂關闖或者是沒有收到住院費的時候其實有時候醫院也不太喜歡報上去所以我這個data要拿到的確是要花很多的工夫 |
| transcript.whisperx[67].start |
3477.881 |
| transcript.whisperx[67].end |
3487.347 |
| transcript.whisperx[67].text |
不管新官上任嘛,就是說我們想你一上來就有太多的問題大概要去面對啦沒問題,這個部長這個一定會我們很擔心關床啊,病人沒得照顧那下一個問題就是說三班互併比,因為這次賴總統在競選時候有承諾 |
| transcript.whisperx[68].start |
3495.652 |
| transcript.whisperx[68].end |
3519.33 |
| transcript.whisperx[68].text |
那其實我每天在這兩個月每天去查看其實到前幾天都還沒有上去不過本來都沒有三班護病筆只有這個全日的護病筆不過6月3號這個衛福部真的放上去了但一放就放一整年部長您知道其實什麼時候規定要通報嗎通報護病筆您知道日期嗎當然是你還沒有上任之前 |
| transcript.whisperx[69].start |
3521.002 |
| transcript.whisperx[69].end |
3548.673 |
| transcript.whisperx[69].text |
我記得是7年8月去年7月左右,就是說其實一整年之後才開始提供所以真的這個是有一點落後才放上去因為事實上就是說我們要的是三班互併比那既然總統他有承諾說三班互併比要兩年內入法那現在剛剛我們看到說規劃是2025年那請問有沒有更仔細的一個可不可能提早或是更仔細的一個更詳細的立法這個時程呢 |
| transcript.whisperx[70].start |
3549.994 |
| transcript.whisperx[70].end |
3568.146 |
| transcript.whisperx[70].text |
好,我想所有的政策都要考慮到人民真的醫療的需求,我們不能讓人民的健康有一天去延後,所以站在這樣的延遲之下,任何的政策我們都會找相關的單位來談,那上半部分比這個部分他的 |
| transcript.whisperx[71].start |
3569.181 |
| transcript.whisperx[71].end |
3597.473 |
| transcript.whisperx[71].text |
他的定...他怎麼樣來定義我們一定找相關的,尤其是護理師其實三黨的候選人其實都有提到因為剛好執政黨的那個賴總統也有提到這部分那我只要提醒部長就是說這個有關這個盤點人力不足的醫院就是說人力有不足的醫院那是不是有開始進行這個補人力這個部分也是請衛福部要關心的那第二個一面現在是人力足夠的你也要有機制去看 |
| transcript.whisperx[72].start |
3598.793 |
| transcript.whisperx[72].end |
3599.413 |
| transcript.whisperx[72].text |
護理人員平均待6年就離開 |
| transcript.whisperx[73].start |
3627.519 |
| transcript.whisperx[73].end |
3641.286 |
| transcript.whisperx[73].text |
這個是我們真的是非常大的這個損失是是好謝謝部長那你知道近期這個永豐藥廠應該有跟上吧這個新聞沸沸揚揚生理食鹽水都不夠這個我看到石柱友上來了當然這個 |
| transcript.whisperx[74].start |
3642.346 |
| transcript.whisperx[74].end |
3661.186 |
| transcript.whisperx[74].text |
⋯⋯ |
| transcript.whisperx[75].start |
3661.266 |
| transcript.whisperx[75].end |
3688.72 |
| transcript.whisperx[75].text |
部長因為有一第一線的醫療人員到次長林次長的那個臉書留言說他們缺乏這些東西非常大的困難但是林次長卻用非常嘲諷的口吻說某些人站著說話不腰疼能找到更便宜的我親自到府簽約部長他已經是次長了喔他是政務官喔缺要是國家的問題喔你能夠約束他好好講話嗎 |
| transcript.whisperx[76].start |
3690.984 |
| transcript.whisperx[76].end |
3698.146 |
| transcript.whisperx[76].text |
那另外我要談的是說謝謝石署長那共理會已經上週緊急開了這個處理我知道禮拜五還要繼續開類似的會議了也謝謝你但是就是說我們要檢討是說當然品質出問題不見得是只有要價問題但是你砍價然後砍價又造成品質刊率品質刊率就缺貨缺貨又要從國外進口更高價我希望它不要是個惡性循環那我承認這是永豐藥廠出問題 |
| transcript.whisperx[77].start |
3719.071 |
| transcript.whisperx[77].end |
3745.714 |
| transcript.whisperx[77].text |
當然他本身要負很大的責任但是你想一家藥廠出問題但是全國都缺貨那署長是不是表示說其他的藥廠也不願意用同樣的價格來供應才會一家出問題全國出問題所以是不是還是無法完全排除費用或是一些相關的問題那署長現在有所謂的地板價我知道你已經在檢討那第一梯也在檢討 |
| transcript.whisperx[78].start |
3747.256 |
| transcript.whisperx[78].end |
3763.191 |
| transcript.whisperx[78].text |
是不是說我知道跟醫藥界也有一些溝通那當過內容我們有去追蹤那是不是就是說可以就是說盡快提出這些相關的規定然後我們記取這一次的教訓不過部長那個署長他是五米之炊油 |
| transcript.whisperx[79].start |
3764.452 |
| transcript.whisperx[79].end |
3781.147 |
| transcript.whisperx[79].text |
他的米要來自部長跟院長跟總統要給他有米啊他才能吹啊好嗎這一次有關第一批草案署長是不是能夠還是部長陳委員真的是長期在關心健保非常了解所以我必須找特別的專家跟你回答一下 |
| transcript.whisperx[80].start |
3781.767 |
| transcript.whisperx[80].end |
3804.216 |
| transcript.whisperx[80].text |
你的DET你的藥品支付目標跟委員報告目前我們大概從兩個方向一個就是對於這個基本用藥就是Essential Medications基礎用藥那麼在國內的藥證是比較少的品項那麼我們可能會在國內製造的我們會排除在DET的每年的藥價檢討這是第一個這個要修這個藥價調整辦法 |
| transcript.whisperx[81].start |
3808.778 |
| transcript.whisperx[81].end |
3837.796 |
| transcript.whisperx[81].text |
不過部長,欸事實上一家不夠喔一家出問題全部都出問題喔對我知道那個就是以那個張數在3張以下的品項就會全面那一個那一組啦那一組的我們就不調那第二個呢是對已經到地板價的部分那現在我們也已經在調查請他們反映看看有哪一些那麼成本上已經因為通貨膨脹或等等因素那麼需要重新調整的我們現在正在彙整這些資料 |
| transcript.whisperx[82].start |
3839.077 |
| transcript.whisperx[82].end |
3847.082 |
| transcript.whisperx[82].text |
從兩個方面來著手反正在情報部長缺要是全國的問題請約束一下林市長的情緒發言謝謝陳昭芝委員發言接下來請蘇清泉委員發言 |
| transcript.whisperx[83].start |
3863.853 |
| transcript.whisperx[83].end |
3889.046 |
| transcript.whisperx[83].text |
謝謝主席,我請邱部長請邱部長 阿哥石崇良,石署長石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石署長 石 |
| transcript.whisperx[84].start |
3892.947 |
| transcript.whisperx[84].end |
3914.032 |
| transcript.whisperx[84].text |
好這個是開工林邊的光電開工好下來跳下一張不要就不要下一張這個被起訴的叫做什麼名字 |
| transcript.whisperx[85].start |
3916.144 |
| transcript.whisperx[85].end |
3939.949 |
| transcript.whisperx[85].text |
古聖徽這個是立洋科技的總裁他涉嫌賄賂跟能源署的跟臺南市政府金花旗的不當利益91億他是掛你的辦公室副主任有這件事情嗎?委員報告這是我那時候接我那時候是接那個習國勇委員那時候民進黨要成立一個服務 |
| transcript.whisperx[86].start |
3946.105 |
| transcript.whisperx[86].end |
3946.846 |
| transcript.whisperx[86].text |
這個事業才被偵查終結 |
| transcript.whisperx[87].start |
3974.438 |
| transcript.whisperx[87].end |
4003.346 |
| transcript.whisperx[87].text |
對,但是這張照片應該是很多年前的那個時候他早已經離開這個團隊了我們在新竹縣的團隊已經到台南工作我們從來沒有做過任何的聯絡所以我是覺得你要小心啦人家要隨便掛你的主任、副主任在那邊洗一洗你不然這樣怎麼洗都不知道搞不好哪一天你會被傳訊好,下一張 |
| transcript.whisperx[88].start |
4004.318 |
| transcript.whisperx[88].end |
4013.474 |
| transcript.whisperx[88].text |
這第一個問題那第二個問題 來你在當選你在上任的第二天第三天你有開一個記者會那記者會 |
| transcript.whisperx[89].start |
4016.923 |
| transcript.whisperx[89].end |
4043.108 |
| transcript.whisperx[89].text |
很多人都很負面的因為你急著要去去WHA嘛所以呢你要問你的問題點子的問題癌症基金的問題缺藥砍人的社安安全網你的回答是空空泛泛問東答西把麥克風交給林靜儀次長那林靜儀次長剛剛我們陳昭芝非常的不爽齁 |
| transcript.whisperx[90].start |
4044.178 |
| transcript.whisperx[90].end |
4047.02 |
| transcript.whisperx[90].text |
他當立法委員當區議員的時候他亂罵亂寫我可以接受因為他是選舉選出來的區議員所以他有選民的壓力他有階級層但是他回答的問題勇敢面對 |
| transcript.whisperx[91].start |
4063.394 |
| transcript.whisperx[91].end |
4077.873 |
| transcript.whisperx[91].text |
所以部長 我覺得你還沒準備好 你的問題太多你都不了解所以你要加強 不能這樣空幻的這樣人家感覺很不好再來社會團體對你的評價也不高 |
| transcript.whisperx[92].start |
4081.42 |
| transcript.whisperx[92].end |
4098.328 |
| transcript.whisperx[92].text |
所以你要當部長他們反對這個公開指出來所以我也替你捏冷汗所以我是覺得這一個都要好好的來補強啦我對你是這麼尊重啦所以謝謝指教再來就是你一天天就說任性任性 |
| transcript.whisperx[93].start |
4107.679 |
| transcript.whisperx[93].end |
4135.047 |
| transcript.whisperx[93].text |
醫療要有韌性：護士都照料料：接著這次大隊人在丹北城頂我們病棟就這樣一間藥廠藥水出問題就整個崩盤食藥署你們就趕快幫他輔導給他改善用風他吃的量又多他的點滴就出問題然後讓池窮良在那邊插屁股插不完又緊急進口又等等 |
| transcript.whisperx[94].start |
4136.207 |
| transcript.whisperx[94].end |
4148.148 |
| transcript.whisperx[94].text |
哪有什麼韌性啊?你要常常要有策略性的剩餘吧,不定?要有策略性的剩餘,那等一下有欠一鍋錢,讓我倒,讓我倒,讓我倒,讓我倒,讓我倒,有韌性啊? |
| transcript.whisperx[95].start |
4150.956 |
| transcript.whisperx[95].end |
4150.976 |
| transcript.whisperx[95].text |
委員會議 |
| transcript.whisperx[96].start |
4171.488 |
| transcript.whisperx[96].end |
4183.748 |
| transcript.whisperx[96].text |
你是改審的...來,事由部長報告委員那永豐藥廠因為他的很多缺失都還沒有改善所以沒有辦法讓他復工那其他的 |
| transcript.whisperx[97].start |
4184.962 |
| transcript.whisperx[97].end |
4185.183 |
| transcript.whisperx[97].text |
從日本進來? |
| transcript.whisperx[98].start |
4206.2 |
| transcript.whisperx[98].end |
4229.607 |
| transcript.whisperx[98].text |
從這邊,大總啊什麼的進來,這樣,好。 這個部長,千頭萬緒,我先保證,我部長真的很難幹,當然那個石安就搞得我們金頭鑽小,我說你還蠻運氣還蠻不錯的,薛睿遠給你做一個段落,他交給你,但是這個下個禮拜就要那個健保法, |
| transcript.whisperx[99].start |
4230.458 |
| transcript.whisperx[99].end |
4246.742 |
| transcript.whisperx[99].text |
就要協商,再沒有好好的配套,我們一定強行表決。我們一定強行表決。像昨天的原住民健康補償條例,表決六萬塊就表決過了。我們就課總召說違憲,為什麼憲啊?跟違憲說關係胡說八道,大家都聽不下去,所以我跟你說, |
| transcript.whisperx[100].start |
4252.642 |
| transcript.whisperx[100].end |
4280.004 |
| transcript.whisperx[100].text |
表決過你就要打下去啊所以要好好想配套還有下個禮拜就要13號嘛我記得是13號所以好好地想看看那這個不難吧講了好幾個比如說普通保衛拉高拉什麼的不要讓百姓的負擔增加這個林俊宇講的我跟他拍拍手我跟他按讚那其他的政府投資的要增加那就爆起來了沒人 我覺得沒人普通保衛市長市長 |
| transcript.whisperx[101].start |
4281.069 |
| transcript.whisperx[101].end |
4308.642 |
| transcript.whisperx[101].text |
好 署長 有什麼報告我看你這樣錄了可以用千萬的錄喔沒有那麼多啦你的匯率提高要提高上面拉高一些然後從一千萬變成五千萬這個會增加從劫富濟貧這個是沒有人會講話啦那個應該可以拉高很多所以要用心把它解決不是擺爛 |
| transcript.whisperx[102].start |
4310.494 |
| transcript.whisperx[102].end |
4331.863 |
| transcript.whisperx[102].text |
這是千頭萬緒喔,你自己要小心一點再來,我是認為你這8年來在當部份區立委還有也當前內會兩屆,我當一屆啦我看你跟基層的診所、基層的照顧非常好但是你跟醫院組的大中小型醫院沒什麼互動 |
| transcript.whisperx[103].start |
4333.018 |
| transcript.whisperx[103].end |
4356.974 |
| transcript.whisperx[103].text |
跟弱勢團體也沒什麼互動所以我們臺灣的到處吹噓說多過勞多過勞都是建議在血汗、爆肝、過勞、霸凌所以這個是很嚴重的問題看要怎麼解決再來最後一個問題這次去WHA去日內瓦我跟你報告因為那時候我去你沒有去 |
| transcript.whisperx[104].start |
4358.072 |
| transcript.whisperx[104].end |
4365.447 |
| transcript.whisperx[104].text |
我在第8屆立委的時候馬英九的時代我去了三次三次那個時候邦交國有22個 |
| transcript.whisperx[105].start |
4367.84 |
| transcript.whisperx[105].end |
4391.462 |
| transcript.whisperx[105].text |
都進到萬國宮進去開會然後那個時候邦交國22現在剩下11那加上一個教廷教廷12但是教廷不管政治的事情所以這一次去這8年我們去那邊還去做國外外交跟現在差不多那這8年來我給大家詳細的review一下8年來都是去那邊 |
| transcript.whisperx[106].start |
4394.064 |
| transcript.whisperx[106].end |
4413.099 |
| transcript.whisperx[106].text |
在飯店裏面我們還當時還跟22個邦交國的衛生部長演講還有那個臺聯的演講等等我覺得效果還不錯那我們當初進去的名字是用APEC的名稱還有奧林匹克的名稱叫做Chinese Taipei |
| transcript.whisperx[107].start |
4414.552 |
| transcript.whisperx[107].end |
4436.499 |
| transcript.whisperx[107].text |
回來就被罵,賣國、賣台、台尖,什麼都被罵了。邱恩達跟你一樣姓邱,邱恩達也被罵。葉金專也被罵。那現在你用同樣的名字也進不去。我會被你一起做什麼?做什麼?後面你會越來越賣賣。所以這是更現實的問題。你要怎麼調整?要怎麼拼? |
| transcript.whisperx[108].start |
4440.194 |
| transcript.whisperx[108].end |
4458.699 |
| transcript.whisperx[108].text |
是不是要轉個方向去做還是轉個方向去努力不然現在被硬碰我當時還跟邱文達部長寫拿一封抗議信去交給當時的陳馮富貞就是香港的衛生署長他當幹事長拿給他他連看都不看就丟了 |
| transcript.whisperx[109].start |
4460.615 |
| transcript.whisperx[109].end |
4484.384 |
| transcript.whisperx[109].text |
有一次我在香港碰到陳鳳富珍我就問他你怎麼這樣幹為什麼連抗議信都不拿他說我聽北京的我聽北京的這是他給我的回答所以有時候要繞個方向阿不然我感覺這樣很辛苦這是我們要加強的地方大家要互相幫忙互相的努力 |
| transcript.whisperx[110].start |
4485.766 |
| transcript.whisperx[110].end |
4496.464 |
| transcript.whisperx[110].text |
我第一感謝所有人對過去在國外的這些努力,非常的敬佩。我們一起會議這段努力,你應該很清楚。 |
| transcript.whisperx[111].start |
4497.472 |
| transcript.whisperx[111].end |
4522.081 |
| transcript.whisperx[111].text |
我是前臺灣的醫師要找像我這樣跟社福團體這麼親近的醫師恐怕沒有幾個所以我的一個新聞不應該毀滅到我們醫療團體跟社福過去共同與病人為中心的一個整合性的照顧這是給首長報告其他就是說所有的一切 |
| transcript.whisperx[112].start |
4523.702 |
| transcript.whisperx[112].end |
4543.354 |
| transcript.whisperx[112].text |
人民的醫療權利及國家的財務可以承擔．我們一定盡全力提出配套措施．讓我們的醫療院所可以來運作．首尾委員報告我們過去的全年福利組織的事．若我們稍後在基層開一個公司．也許基層就得到． |
| transcript.whisperx[113].start |
4544.916 |
| transcript.whisperx[113].end |
4563.592 |
| transcript.whisperx[113].text |
10億的好處醫院就得到可能60億的好處所以我們專聯會過所有的醫院跟醫師沒有放過任何一個全臺灣3萬5千個醫師的權益以及他工作的醫療院所5萬多個醫師我們醫師會有5萬多個5萬3千個 |
| transcript.whisperx[114].start |
4572.467 |
| transcript.whisperx[114].end |
4573.868 |
| transcript.whisperx[114].text |
謝謝蘇清泉委員發言接下來請陳金輝委員發言 |
| transcript.whisperx[115].start |
4602.22 |
| transcript.whisperx[115].end |
4602.445 |
| transcript.whisperx[115].text |
本集完 |
| transcript.whisperx[116].start |
4611.721 |
| transcript.whisperx[116].end |
4633.223 |
| transcript.whisperx[116].text |
主席、各位委員、各位官員、大家早安。我也想請邱部長。請邱部長。部長,很謝謝你跟我們一起去WHO一同為台灣發聲。不過WHO我們等一下再來問。今天還是要關心一個目前我接獲許許多多區域醫院、地區醫院護理師的陳情。 |
| transcript.whisperx[117].start |
4634.719 |
| transcript.whisperx[117].end |
4654.973 |
| transcript.whisperx[117].text |
三種的院長啊他已經直接說他可以少一個醫生可是不能沒有護理師區醫院更嚴重他現在關病床然後呢他們從前啊一個晚上值班的醫師護理師可以開兩三台急診刀現在區醫院他們一個晚上只能開一台 |
| transcript.whisperx[118].start |
4655.393 |
| transcript.whisperx[118].end |
4655.813 |
| transcript.whisperx[118].text |
您要先說 我要保證 |
| transcript.whisperx[119].start |
4681.499 |
| transcript.whisperx[119].end |
4710.159 |
| transcript.whisperx[119].text |
那個跟委員報告目前我們對於護理能力的這個資訊的掌握有幾個管道那第一個就是說依照護理人法跟醫療機構醫療法的15條只要是護理人員職業他都要所謂的直登那這個病床也要有這個登記所以我們有一個醫師管理系統那這個系統裡面我們會很清楚的看到目前開放了床跟護理人員的直登狀況這是第一個那第二個就是說我們也有一個 |
| transcript.whisperx[120].start |
4711.42 |
| transcript.whisperx[120].end |
4713.301 |
| transcript.whisperx[120].text |
我已經調出這個表我有一個深喉嚨等一下這張圖在我的手機裡面但是我已經把它整理起來了 |
| transcript.whisperx[121].start |
4729.805 |
| transcript.whisperx[121].end |
4752.194 |
| transcript.whisperx[121].text |
這是醫學中心全國前22名醫學中心在兩年前是每天滿床到去年下半年開始關病床我們來看開放床跟申報床通常這22家醫學中心它一定是全部滿床它會申報這麼少就表示我們現在有七八成是空床了 |
| transcript.whisperx[122].start |
4752.534 |
| transcript.whisperx[122].end |
4782.534 |
| transcript.whisperx[122].text |
⋯⋯⋯ |
| transcript.whisperx[123].start |
4783.454 |
| transcript.whisperx[123].end |
4785.695 |
| transcript.whisperx[123].text |
來來我們看一下這個我們看一下這張圖這邊你告訴我說每年的護理人員是不斷的增加沒錯可是這個曲線是趨緩趨緩喔是 |
| transcript.whisperx[124].start |
4811.963 |
| transcript.whisperx[124].end |
4834.5 |
| transcript.whisperx[124].text |
你這一年來只增加了2000位每年離職的是兩萬人喔增加2000位好右邊是你們衛福部自己做出來的表你說到這個2030年我們需要的護理總人數是24到26萬我們現在只有18萬好我幫你算一下你每年要增加的是多少至少一萬 |
| transcript.whisperx[125].start |
4835.36 |
| transcript.whisperx[125].end |
4854.504 |
| transcript.whisperx[125].text |
但是你現在每年增加的是2000你覺得你有辦法趕上你自己2030年預估的供需嗎過去在疫情之前他每年竟增加大概5000左右5000那因為疫情之後確實在疫情之後剩下這個增加是2500到3500之間那所以呢現在我們針對於未來2030年的這個需求這是國際的趨勢就是說他們的算法是從2023去算 |
| transcript.whisperx[126].start |
4864.906 |
| transcript.whisperx[126].end |
4880.247 |
| transcript.whisperx[126].text |
⋯⋯ |
| transcript.whisperx[127].start |
4880.627 |
| transcript.whisperx[127].end |
4897.323 |
| transcript.whisperx[127].text |
我幫你準備好這個表了因為上一個表呢你的衛福部的施政計畫就是投資護理人力培育投資護理人力留任這個都是你自己寫的那我們來看護理的離職率啊越來越高好 |
| transcript.whisperx[128].start |
4898.664 |
| transcript.whisperx[128].end |
4925.4 |
| transcript.whisperx[128].text |
成長趨緩每年超過2萬人離開所以呢在護理師公會竟增加的職業會員數你看2022年竟增加2000人好護理科系招不滿你看註冊率從106年到111年111年這麼多人錄取了護理系只有八成的人想要去念所以你進來的人少離職的人高然後還留不住人你覺得你這樣要怎麼達到2030年你的24到26萬 |
| transcript.whisperx[129].start |
4928.101 |
| transcript.whisperx[129].end |
4955.825 |
| transcript.whisperx[129].text |
對也確實在這個人力的留任有很多的這個挑戰所以我們在對於整個護理人力的這個盤錫裡面就是針對怎麼讓畢業生能夠真的畢業生進去的大概六成所以怎麼讓他更願意進去以及留任的能夠提升所以目前在我們行政院合併之後我們大概朝三個大方向來努力第一個方向就是人才的這個增加投資 |
| transcript.whisperx[130].start |
4956.804 |
| transcript.whisperx[130].end |
4978.629 |
| transcript.whisperx[130].text |
這個人才的培育那第二個就職場改善第三個是心理改善這個等一下我們一起來分析這個表已經告訴你有一個死亡交叉了我們留在醫院的護理師你看66%掉到多少然後到診所呢大幅增加到長照的增加完全合理 |
| transcript.whisperx[131].start |
4980.209 |
| transcript.whisperx[131].end |
5002.167 |
| transcript.whisperx[131].text |
這很簡單啊其實你只要去問你那麼多護理師的會員請問你們在診所跟你們在醫院的待遇差多少福利差多少你很快就可以得出結論啦這不是很好解決嗎下一張你剛講到的改善友善醫院職場營造嘛剛很好我們2月就開始質詢你的三班護病比的問題還有你的這個獎勵津貼小業大業等等的 |
| transcript.whisperx[132].start |
5005.109 |
| transcript.whisperx[132].end |
5029.701 |
| transcript.whisperx[132].text |
你要把它拉平每一個醫院都要拉平那你們有勉強的把它湊成快要一樣高這也很好5月8號也發錢了也非常好但是你的這個改善方案裡面還寫到彈性設計班表還有老手牽新手的臨床制度也是你希望可以留任何新人力的改善方針請問這兩個你有做嗎因為我在網路上騙尋不著 |
| transcript.whisperx[133].start |
5031.142 |
| transcript.whisperx[133].end |
5046.275 |
| transcript.whisperx[133].text |
因為這個這個有新手的這個計畫以及三班達標或是友善職場這個呢目前是要透過公預算來爭取那這個計畫我們在4月已經送到行政院目前國發會在審查如果預算到了我們就該執行 |
| transcript.whisperx[134].start |
5047.376 |
| transcript.whisperx[134].end |
5057.326 |
| transcript.whisperx[134].text |
老手牽新手你覺得這個是有符合我們的科學嗎?這個目前在護理界還有醫院他們都覺得非常重要因為我們很多是靠新進人員進來那新進人員在這個第一年呢他也需要有這個所謂的 mentorship 就是 |
| transcript.whisperx[135].start |
5064.893 |
| transcript.whisperx[135].end |
5080.188 |
| transcript.whisperx[135].text |
我這4年可能會一直再去追這樣子的數據因為太多人跟我反映了好我們來看這個互併筆呢當初很多人會覺得利益非常良善可是沒有配套會很難落實結果你看我們5月8號我們發了 |
| transcript.whisperx[136].start |
5083.13 |
| transcript.whisperx[136].end |
5099.072 |
| transcript.whisperx[136].text |
小業、大業的獎金但是5月4號、5月10號護理的產業工會去做一個問卷調查他問了500多名護理師從82家醫院有9層的醫院他填寫問卷回來說他真的打不到這個護病比 |
| transcript.whisperx[137].start |
5099.753 |
| transcript.whisperx[137].end |
5113.569 |
| transcript.whisperx[137].text |
然後呢醫學中心有超過3500的護理缺口區域也有3500的護理缺口你覺得要維持固定的護病比就要有一定的護理人數但現在根本不夠所以你未來 |
| transcript.whisperx[138].start |
5115.51 |
| transcript.whisperx[138].end |
5129.578 |
| transcript.whisperx[138].text |
應該要怎麼做我可以先提供一個比較具體的方案啊二月的時候萬美林委員有質詢說小夜大夜的人非常辛苦沒錯可是白班的人也很操啊醫生一直來查房一直給order |
| transcript.whisperx[139].start |
5129.978 |
| transcript.whisperx[139].end |
5149.743 |
| transcript.whisperx[139].text |
他們要做的是更多白班也希望可以爭取津貼特殊單位也希望爭取津貼急診、加護病房等等當時區議院前部長已經承諾說這個預算撥下來了那我現在也代表所有的護理人員醫護人員來問說你們什麼時候才要落實具體的時程什麼時候會有白班津貼 |
| transcript.whisperx[140].start |
5152.076 |
| transcript.whisperx[140].end |
5175.632 |
| transcript.whisperx[140].text |
我們努力爭取預算可是預算落下來我們就開始執行上次的會議記錄上次的會議記錄他說已經我們會努力幫你爭取好嗎預算只要到那針對於說百般繁重的這個定義其實我們都已經啟動了很多的討論了好謝謝謝謝市長那我們再請外交部 |
| transcript.whisperx[141].start |
5178.77 |
| transcript.whisperx[141].end |
5208.01 |
| transcript.whisperx[141].text |
部長你也是第10屆的立法委員所以其實當時在第10屆立法委員他們在檢討WHA的預算的時候不分藍綠他們當時所做出審預算的決議叫做歷年來僅透過社群臉書YT發稿專文投書宣傳一成不變這是當時的會議記錄可是今天我們看到的檢討報告還是一樣社群臉書YT發稿專文投書宣傳一成不變那我記得 |
| transcript.whisperx[142].start |
5208.49 |
| transcript.whisperx[142].end |
5233.046 |
| transcript.whisperx[142].text |
謝謝 |
| transcript.whisperx[143].start |
5235.211 |
| transcript.whisperx[143].end |
5250.476 |
| transcript.whisperx[143].text |
謝謝陳委員的質詢我想我們國人大家都很認真在做一件事情如果成績只有達到80分我們就一定要用創意才能90分才能考到100分就好像陳委員您是一個優秀的 |
| transcript.whisperx[144].start |
5250.896 |
| transcript.whisperx[144].end |
5268.251 |
| transcript.whisperx[144].text |
議員． |
| transcript.whisperx[145].start |
5268.371 |
| transcript.whisperx[145].end |
5290.958 |
| transcript.whisperx[145].text |
你會往AI的這個方向想?Action Innovation不是說用AI啦我是用那個我是要Action跟Innovation創新這個團隊我相信我從即日起就會要求我們所有的相關的團隊對於WHA這件事情 |
| transcript.whisperx[146].start |
5291.978 |
| transcript.whisperx[146].end |
5317.959 |
| transcript.whisperx[146].text |
要有更創新的方法當然這個也很需要過去很多很多過去指導的立委像剛剛蘇立委說他去過三次那其實都是寶貴的經驗我們去年衛環有一個前立委的立法院以來的創級就是我們為衛環委員會到日內瓦去考察 |
| transcript.whisperx[147].start |
5318.9 |
| transcript.whisperx[147].end |
5339.325 |
| transcript.whisperx[147].text |
所以我們的委員很多人到那邊考察同時把那邊的狀況還有相關的議題同時同步在這邊801開會然後把所有相關要檢討的事情都列入所有相關部門要從那天就要開始去在政策上改進在策略上要求算 |
| transcript.whisperx[148].start |
5340.886 |
| transcript.whisperx[148].end |
5359.948 |
| transcript.whisperx[148].text |
因為我跟王振旭委員有去參觀議會也有去參觀當地的醫院結果當地的醫院很多醫生告訴我們說你認不認識比如說陳世安認不認識某某某這些都是全球在某一個醫療技術上做到尖峰會列進國際教科書的人 |
| transcript.whisperx[149].start |
5360.529 |
| transcript.whisperx[149].end |
5375.856 |
| transcript.whisperx[149].text |
他們說假使這些臺灣之光啦都可以跟著一起來的話所有在場的醫生都很願意去聽他們演講跟學習這個也是你可以善用的資源之一因為我看我們就遊行嘛 |
| transcript.whisperx[150].start |
5376.476 |
| transcript.whisperx[150].end |
5396.476 |
| transcript.whisperx[150].text |
⋯⋯ |
| transcript.whisperx[151].start |
5397.016 |
| transcript.whisperx[151].end |
5416.528 |
| transcript.whisperx[151].text |
對,所以之前的委員就已經有提出這樣子的想法了王振旭有人去考察當地的醫院的時候他也說其實他也覺得這個癌症治療好像台灣還更厲害一點點所以其實我們有很多東西可以跟國外分享的最後呢我也希望說未來外交部衛福部我們這個遊行非常好 |
| transcript.whisperx[152].start |
5416.988 |
| transcript.whisperx[152].end |
5419.149 |
| transcript.whisperx[152].text |
但是既然大家都到國外就應該要團結一致最後還有一個想法 |
| transcript.whisperx[153].start |
5443.9 |
| transcript.whisperx[153].end |
5471.655 |
| transcript.whisperx[153].text |
因為去年薛前部長到WHO的時候他利用這個臺美日澳的平臺這個平臺其實非常好他串辦了9年他每一年至少辦6個活動129個國家8000多個國際的衛生官員跟專家他去年就利用這個平臺集結了非常多而且他說他會繼續的深化去年他辦了一個後疫情時代結果我們去查 |
| transcript.whisperx[154].start |
5472.835 |
| transcript.whisperx[154].end |
5494.569 |
| transcript.whisperx[154].text |
從去年5月到今年再也沒有任何醫療公衛相關的議題了裡面只有認知作戰、假訊息、綠能所以部長你是不是應該要積極爭取假使我們的醫衛醫療這麼厲害的話我們為什麼不好好的善用這樣子我們名字就再由裡面的跨國平台去做呢 |
| transcript.whisperx[155].start |
5495.882 |
| transcript.whisperx[155].end |
5496.022 |
| transcript.whisperx[155].text |
謝謝陳慶輝委員發言 |
| transcript.whisperx[156].start |
5524.719 |
| transcript.whisperx[156].end |
5542.93 |
| transcript.whisperx[156].text |
接下來請邱政軍委員發言。好,我們主席好。我們請邱部長。請邱部長。 |
| transcript.whisperx[157].start |
5548.106 |
| transcript.whisperx[157].end |
5570.576 |
| transcript.whisperx[157].text |
部長您好這次您親自帶領WHA的行動小組是前往日內瓦那進行了43場的雙邊會議和推廣的活動那麼當然像與會者展示了我們臺灣的醫療實力那麼我想請問一下部長您認為我們這一行這一趟巨大的收穫是什麼 |
| transcript.whisperx[158].start |
5571.923 |
| transcript.whisperx[158].end |
5585.264 |
| transcript.whisperx[158].text |
第一個收購就是我們再度集結我們所有的政府的力量跟民團、僑團的力量共同剛剛其實陳委員有提到我們在 |
| transcript.whisperx[159].start |
5586.499 |
| transcript.whisperx[159].end |
5589.56 |
| transcript.whisperx[159].text |
我們有沒有機會重新以觀察員身份進入WHA） |
| transcript.whisperx[160].start |
5610.226 |
| transcript.whisperx[160].end |
5635.7 |
| transcript.whisperx[160].text |
這永遠是我們一直要努力的目標但是因為中國的壓力其實是很大我現在要講的就是說事實上我們問AI都知道我們台灣無法參加WHA的原因有三個那第一個當然是中國大陸的政治封鎖那第二個是國際的支持度不足 |
| transcript.whisperx[161].start |
5636.662 |
| transcript.whisperx[161].end |
5661.6 |
| transcript.whisperx[161].text |
第三個是國際法和規則的限制要成為WHO與WHA的代表先決條件必須是聯合國的會員對吧我們請外交部陳次長來一下可能次長也可以從外交的立場來看委員你好 |
| transcript.whisperx[162].start |
5662.879 |
| transcript.whisperx[162].end |
5688.649 |
| transcript.whisperx[162].text |
剛剛我講這個問題我想這個次長您對於我們現在面臨的問題您的看法怎麼樣不過因為我們目前政治的目標希望用專業務實有貢獻的方法那我們當然入會要以完全會員身份加入當然是有困難最當然我們現在的訴求是要能夠以觀察員身份來加入對那這那你認為現在我們要怎麼樣來突破這個問題困境 |
| transcript.whisperx[163].start |
5691.422 |
| transcript.whisperx[163].end |
5705.347 |
| transcript.whisperx[163].text |
您具所有能夠支持跟協助的力量我們本身自己也要持續地提升因為已經做了很多年了已經做了很多年這個我認為都是喊口號啦那我這樣建議啦因為時間也不是很多 |
| transcript.whisperx[164].start |
5706.287 |
| transcript.whisperx[164].end |
5728.283 |
| transcript.whisperx[164].text |
我想我們應該積極爭取美日及歐盟的權力相挺這是我們一直努力的部分但是我也希望在國際要謀求國際空間的同時也應該思考過去我們馬政府透過中華民國憲法以及兩岸人文關係條例所建構的兩岸和平與合作的架構的必要性 |
| transcript.whisperx[165].start |
5729.384 |
| transcript.whisperx[165].end |
5752.544 |
| transcript.whisperx[165].text |
畢竟維持我們台海的穩定才能保障我們台灣的一個安全那我也想說這個部分當然是比較敏感你們可能也沒有辦法去做決定但是我們是希望台灣好希望說大家一起來努力好不好好那我們請部長回座市長市長回座那我們衛福部 |
| transcript.whisperx[166].start |
5755.622 |
| transcript.whisperx[166].end |
5775.743 |
| transcript.whisperx[166].text |
臺灣對於世界公共衛生的領域貢獻和潛力都不容忽視這是無庸置疑的但在你率團到日內瓦交流的這段期間臺灣的醫療好像也出了點狀況您的次長林靜儀他在臉書發布生理實驗水的點滴要用專案進口的事情這個事前您知道嗎 |
| transcript.whisperx[167].start |
5778.325 |
| transcript.whisperx[167].end |
5781.967 |
| transcript.whisperx[167].text |
你知道嗎?我先問你,你知道這件事情嗎?我知道要專案進口 |
| transcript.whisperx[168].start |
5799.262 |
| transcript.whisperx[168].end |
5808.633 |
| transcript.whisperx[168].text |
對,那我想再問一個一件事情為什麼要在我們次長的臉書看才知道為什麼不是在衛福部網站來公布呢 |
| transcript.whisperx[169].start |
5813.936 |
| transcript.whisperx[169].end |
5836.01 |
| transcript.whisperx[169].text |
當時其實是有狀況的就是說不是我認為是這樣你次長的臉書是另外一個層面但是衛福部的網站才是為主吧對不對既然你們已經決定要從不管怎麼樣就是生理實驗水不足的問題那你已經知道了嘛怎麼會在臉書來反映這種事情沒關係請吳市長你回答一下是 |
| transcript.whisperx[170].start |
5839.152 |
| transcript.whisperx[170].end |
5864.012 |
| transcript.whisperx[170].text |
報告委員,像我們如果知道說像我們這一次評估之後是需要有專案輸入的所以在食藥署這邊就公開的徵求專案輸入不對,我現在問的問題跟跟您講的這個沒有沒有關係啊為什麼會是在臉書先公佈而不是在你們外部的網站在我們自己的我們食藥署缺藥的就是一個那個藥品供應平臺上面 |
| transcript.whisperx[171].start |
5864.913 |
| transcript.whisperx[171].end |
5876.817 |
| transcript.whisperx[171].text |
其實都有這方面的資訊我知道生理實驗水現在缺少是非常嚴重的一件事情那麼永豐在5月10日熱定停業你們什麼時候發現點滴可能會不夠 |
| transcript.whisperx[172].start |
5880.273 |
| transcript.whisperx[172].end |
5900.188 |
| transcript.whisperx[172].text |
我們那個時候就開始做盤點對,因為永豐他本身的品質是不夠的改善也沒有到位可是一開始你們面對一切的質疑的時候你們都說沒缺啊供應充足啊我們是一定是要做適當的分配因為每一家醫院醫療院所他們所自己所進貨的這些 |
| transcript.whisperx[173].start |
5901.969 |
| transcript.whisperx[173].end |
5909.173 |
| transcript.whisperx[173].text |
身體實驗水可能量度不同所以我們就要適當的去調配讓大家都有身體實驗水進口的專案裡面有4家廠商嘛是那麼你們對進口商的審查標準是什麼 |
| transcript.whisperx[174].start |
5916.321 |
| transcript.whisperx[174].end |
5944 |
| transcript.whisperx[174].text |
進口商的標準當然他本身要具備藥商的資格然後他要能夠拿到就是對方他是什麼樣的藥廠要出貨所以他是不是屬於我們PSGMP的藥廠你們的專的合約是直接把數量簽死還是說按照需求再進口我們還是會有給他量還是會有給他量先把量一定的固定的量那廠商的報價單裡面合約裡面的點滴是多少錢運費是多少 |
| transcript.whisperx[175].start |
5945.011 |
| transcript.whisperx[175].end |
5974.711 |
| transcript.whisperx[175].text |
他們來跟我們申請對他們來跟我們申請最主要是數量還有是來自於哪一家藥廠然後有關價錢的部分要跟健保署這邊談是你們是用健保價還是用專案價以這一次因為整個的成本都不同了所以不是用健保價所以都是用專案價那我再請問一下我們國內也有配合生產嘛對不對有也有幾家在生產是那我們在國內的時候這些生產配合的廠商我們是用健保價還是用專案價現在也是專案價 |
| transcript.whisperx[176].start |
5975.652 |
| transcript.whisperx[176].end |
5997.349 |
| transcript.whisperx[176].text |
各位委員報告也是另外在這一段期間不足的時候有專案假那多久?這個期間是多久?目前是暫估到10月從6月開始那我們以臺灣我們這樣子用專案一直下來也不是辦法也不是辦法那我們臺灣有什麼我們現在這邊有什麼我們另一方面也會重新的盤這個基本用藥的藥價那預計的話會新的藥價會在10月以後銜接 |
| transcript.whisperx[177].start |
6004.555 |
| transcript.whisperx[177].end |
6025.166 |
| transcript.whisperx[177].text |
閒接這個專案到期那臺灣本身的我們沒有鼓勵來做這件事情嗎有因為這個我們昨天已經跟國內的5家有生產這個點滴的藥廠有重新溢價然後也請他們提出新的成本所以你的合約相應專案的話剛剛我講那個問題你還沒回答嗎就斷了 |
| transcript.whisperx[178].start |
6028.269 |
| transcript.whisperx[178].end |
6053.044 |
| transcript.whisperx[178].text |
專案的話是從6月到10月這一個期間是專案是多少錢?我說是多少錢?一瓶多少?我們本來的健保核價是25那提高到因為各家是不一樣這有些商業秘密什麼商業秘密啊?每一家不一樣每一家不一樣我們可以私下提供給我希望是這樣子就是說 |
| transcript.whisperx[179].start |
6054.045 |
| transcript.whisperx[179].end |
6078.503 |
| transcript.whisperx[179].text |
我不反對你們去外面採購因為現在不足本來就要補但是我希望你們把這些事情公開透明好不好一瓶多少錢你進口過進口的運費多少錢把它列出來嘛你可以公佈嗎跟委員報告那個進口的部分我們已經在6月1號已經公佈了多少錢各家是不一樣大概從60幾都有所以將近三倍啦 |
| transcript.whisperx[180].start |
6079.884 |
| transcript.whisperx[180].end |
6106.53 |
| transcript.whisperx[180].text |
差不多所以將近三倍對那其他人如果還要做這個進口只要條件符合都可以嗎因為我們目前徵求這些專案進口的藥商以現在他們所提供的數量是夠的所以如果我們還需要的時候我們就會再公開徵求好這樣子啦我不要講得太那個但是我還是希望你們把這所有的事情公開透明好不好 |
| transcript.whisperx[181].start |
6107.97 |
| transcript.whisperx[181].end |
6126.138 |
| transcript.whisperx[181].text |
另外一個本席很重視的一個問題就是上司電子菸的問題昨天接到食藥署回電5月9日管制藥委員會已經做成決議把依託米子列為市級管制藥品當然謝謝我們之前衛福部的同仁 |
| transcript.whisperx[182].start |
6126.918 |
| transcript.whisperx[182].end |
6142.794 |
| transcript.whisperx[182].text |
接下來在6月13號法務部的毒品審查審議委員會裡面我也希望部長也要求法務部以你們的專業的角度去跟他們建議我認為一堆名詞應該至少列到三級以上好不好這個你們可以做到嗎? |
| transcript.whisperx[183].start |
6146.197 |
| transcript.whisperx[183].end |
6165.71 |
| transcript.whisperx[183].text |
6月13會開會國務部預計6月13會開獨品審議會對我是說你們用專業的角度建議好不好因為這個部分說真的啦這個都是影響我們青少年比較多這也是我們非常重視的另外還有一個問題就是說我們近5年的大麻茶貨數量從108年的202公斤增加到110年的1560公斤 |
| transcript.whisperx[184].start |
6172.114 |
| transcript.whisperx[184].end |
6199.26 |
| transcript.whisperx[184].text |
一百一十二年的一千一百六十九公斤這個極速成長了五倍那根據聯合報的報導統計十年成長十八倍但是查獲的人數卻沒有明顯的變化那部長認為我想請教部長您這個是不是代表我們存在黑數就是沒有查獲有非常大的落差嗯 |
| transcript.whisperx[185].start |
6201.132 |
| transcript.whisperx[185].end |
6202.053 |
| transcript.whisperx[185].text |
按照教育部統計的 |
| transcript.whisperx[186].start |
6217.667 |
| transcript.whisperx[186].end |
6240.677 |
| transcript.whisperx[186].text |
大麻已成為大專院校學生吸食毒品的第二名僅次於K他名而學校往往不在檢警主動偵查的範圍因為學校自己要主動通報他自己有本身非常多的考量所以我希望衛福部應該主動協調教育部警政署以及法務部加強村徽專案的校園通報義務與課則 |
| transcript.whisperx[187].start |
6242.558 |
| transcript.whisperx[187].end |
6245.599 |
| transcript.whisperx[187].text |
少當校園藥物濫用及稀釋毒品的黑數 |
| transcript.whisperx[188].start |
6274.537 |
| transcript.whisperx[188].end |
6300.398 |
| transcript.whisperx[188].text |
部長好部長在5月的時候你也率團去參加這個世界衛生大會那很可惜臺灣已經第8次被拒於門外那我想這次也很多民間團體也一起參與嘛那立法院這邊也有副院長帶領委員一起參與那我想請教就是說部長你從原本的這個一屆 |
| transcript.whisperx[189].start |
6301.779 |
| transcript.whisperx[189].end |
6316.2 |
| transcript.whisperx[189].text |
一屆然後進到立法院當委員然後現在是衛福部的部長那在這幾次應該你都有這個不同的身份來參與那你覺得說對於我們一直被這個WHA聚於門外 |
| transcript.whisperx[190].start |
6317.982 |
| transcript.whisperx[190].end |
6334.908 |
| transcript.whisperx[190].text |
那你有什麼樣的話想要說．或者是說你這一次5月底的參與這個WHA可能就是周邊的一些會議那你有說可能有一些小成功那未來集結起來就是一個大成功那我是不是可以讓你幾分鐘的時間來講就是說你覺得這一次 |
| transcript.whisperx[191].start |
6339.33 |
| transcript.whisperx[191].end |
6347.082 |
| transcript.whisperx[191].text |
你們參與的這個會議跟以往有什麼不一樣﹖或者是有所突破﹖或者是跟以前都是一樣沒有什麼進展﹖ |
| transcript.whisperx[192].start |
6349.9 |
| transcript.whisperx[192].end |
6372.835 |
| transcript.whisperx[192].text |
好謝謝黃昭偉給我這個時間第一個我以衛福部部長的身份是位行動團的團長過去我的感受比跟立委跟以前當議事公會理事長我也去過好幾次的感受的第一個不一樣就是我發現我們的外交部或是衛福部僑委會 |
| transcript.whisperx[193].start |
6374.675 |
| transcript.whisperx[193].end |
6402.968 |
| transcript.whisperx[193].text |
這個國安會真的是在這件事情非常的用心非常的努力也爭取到一分一好的外交的空間所以在世界的各國都想像不到的國家幾乎我們的外交部都有去遊說都有去下了很多的功夫那我們到那個當地也會看到當地的駐外人員跟當地的重要的人物其實關係感情上私交都很好 |
| transcript.whisperx[194].start |
6404.228 |
| transcript.whisperx[194].end |
6419.243 |
| transcript.whisperx[194].text |
那我們的依偎團體其實還有另外一個特色就是我們臺灣至少有100個以上的依偎團體其實這些依偎團體都有國際的組織他們都有非常好的關係就像我也當過 |
| transcript.whisperx[195].start |
6421.205 |
| transcript.whisperx[195].end |
6449.253 |
| transcript.whisperx[195].text |
亞大世界醫師會的會長那我也是世界醫師會的理事我也當過家庭醫學會的在世界上各方面的一個我是幾個像這樣的多的是這一次我們我覺得這個未來是一個創新要去做的事情那至於這一次的收穫就還是一直累積因為因為我們不能因為我們拿不到Observer我們就 |
| transcript.whisperx[196].start |
6450.453 |
| transcript.whisperx[196].end |
6452.354 |
| transcript.whisperx[196].text |
臺北市立聯合醫院臺北市立聯合醫院臺北市立聯合醫院 |
| transcript.whisperx[197].start |
6478.65 |
| transcript.whisperx[197].end |
6506.027 |
| transcript.whisperx[197].text |
江冠宇醫師原本他也是可以參與的那到最後好像就是也沒有加入那是什麼樣的原因我們大約也知道說是因為中國的這個阻擾力道加大那原本這個江醫師他原本是世界醫師會的籌備委員那理當應該他會有這個保證席或者是優先權那到最後好像也沒有 |
| transcript.whisperx[198].start |
6507.508 |
| transcript.whisperx[198].end |
6526.594 |
| transcript.whisperx[198].text |
我想請教就是說今年可能會有這樣的狀況可能中國干擾台灣要加入WHA的這個力道加大甚至加入這個世界醫師會的這個會議的這個力道也加大那未來我們要怎麼去突破是我很敬佩 |
| transcript.whisperx[199].start |
6528.041 |
| transcript.whisperx[199].end |
6551.575 |
| transcript.whisperx[199].text |
江委員是我學生他用青年團的角度從WMA就是世界醫師會的角度去切入也曾經到經歷過相關的執委會去做主題的報告在今年的可能二月還是幾月但是如果在這種正式場合跟委員報告我已經進去萬國宮好幾次 |
| transcript.whisperx[200].start |
6554.781 |
| transcript.whisperx[200].end |
6565.855 |
| transcript.whisperx[200].text |
關聯是不能進去的可是我為什麼能夠進去因為我是用世界議事會給我的入場像這次我們的委員就進不了可是這兩年 |
| transcript.whisperx[201].start |
6567.162 |
| transcript.whisperx[201].end |
6583.25 |
| transcript.whisperx[201].text |
WHA就不發給我們世界醫師會所以我這兩年也沒辦法進去所以未來要怎麼去突破所以如果以江醫師他只是一個他如果要代表WMA我看是進不了是進不了 |
| transcript.whisperx[202].start |
6586.321 |
| transcript.whisperx[202].end |
6608.362 |
| transcript.whisperx[202].text |
所以我們是希望就是說當然這個中國的阻擾的這個力道應該是每一年都會再加大所以我們希望就是說是不是有什麼樣的要有什麼樣的突破那剛剛陳委員陳金輝委員也有特別提到也許有其他的醫師可能在某一個 |
| transcript.whisperx[203].start |
6609.182 |
| transcript.whisperx[203].end |
6610.163 |
| transcript.whisperx[203].text |
外交部的次長陳次長 |
| transcript.whisperx[204].start |
6640.851 |
| transcript.whisperx[204].end |
6641.351 |
| transcript.whisperx[204].text |
市長我想請教 |
| transcript.whisperx[205].start |
6664.69 |
| transcript.whisperx[205].end |
6674.205 |
| transcript.whisperx[205].text |
你們這一次有一個國際醫療文宣短片就是《My Second Home》我看了你們全球的總觀看 |
| transcript.whisperx[206].start |
6677.012 |
| transcript.whisperx[206].end |
6703.842 |
| transcript.whisperx[206].text |
的數目有2696萬人次當然就是說如果以全球的人口的話這樣算是多嗎在外交部的官網你們的YT的頻道也有這樣的一個影片觀看的人數就只有幾百人就只有幾百人四五百人這樣子所以我在想就是說如果外交部的 |
| transcript.whisperx[207].start |
6705.203 |
| transcript.whisperx[207].end |
6725.422 |
| transcript.whisperx[207].text |
這個一些宣傳短片或者是官網這個整個流量就是只有這樣子而已那我是希望就是說未來你們要怎麼去突破或者是有什麼更創新的方式或者是因為往年都是只有這樣子嘛那未來你們要怎麼做是不是有更創新的方式 |
| transcript.whisperx[208].start |
6726.991 |
| transcript.whisperx[208].end |
6748.797 |
| transcript.whisperx[208].text |
謝謝蔡委員您剛剛的這個指教的確在21世紀這種傳播還有社群媒體非常快速的時代那過去傳統方法當然有可能他會達到他的這種傳播的極限所以的確就像剛剛很多委員都有指教我們在很多已經做的工作怎麼讓他能夠有效的傳達到 |
| transcript.whisperx[209].start |
6749.497 |
| transcript.whisperx[209].end |
6776.101 |
| transcript.whisperx[209].text |
⋯⋯⋯⋯ |
| transcript.whisperx[210].start |
6776.221 |
| transcript.whisperx[210].end |
6803.592 |
| transcript.whisperx[210].text |
所以我們是希望就是說未來真的因為這個好像是每年例行的一個行程雖然我們已經連8年沒辦法進到這個WHA那是不是也要有一些創新的方式就是可能我們的部長帶這個相關的這個官員一起去那立法院這邊也副院長也有帶團去了那所有的一屆民間團體大家都一起來參與其實 |
| transcript.whisperx[211].start |
6806.234 |
| transcript.whisperx[211].end |
6821.923 |
| transcript.whisperx[211].text |
這個WHA在開會的時候其實那個時間點應該有很多台灣人是到那邊替台灣要爭取要進到這個WHA的這個門票嘛那我們是不是也可以集合這樣的一個力量好讓大家一起 |
| transcript.whisperx[212].start |
6822.603 |
| transcript.whisperx[212].end |
6848.683 |
| transcript.whisperx[212].text |
一起來為台灣來做一些事那當然就是說每一年如果是只有這樣子的話也許我覺得還不夠那是不是還有更好更創新的方式那剛剛也有幾位委員講那我們的這個攤位在那邊那是不是也有可以有一些更好的方法那如果今年這個方法不是那麼好那未來明年是不是有更具創意的方式讓 |
| transcript.whisperx[213].start |
6849.904 |
| transcript.whisperx[213].end |
6875.489 |
| transcript.whisperx[213].text |
其他國家知道說台灣的醫療是做得不錯的我覺得這個是我們的政府單位應該要去努力的當然如果今天是要矮化國葛的話我相信台灣所有的國人應該沒辦法去接受矮化國葛進到WHO或者是參加WHA世界衛生大會當然也有很多的方式如果今天大家認同台灣的醫療 |
| transcript.whisperx[214].start |
6877.009 |
| transcript.whisperx[214].end |
6899.505 |
| transcript.whisperx[214].text |
是在全世界當中是做得不錯的而且是在前面在前幾名的我相信透過民間的力量一起努力我覺得應該是大有可為那當然就是還有一些要精進的地方然後我希望說透過今天的這個專案報告那我們也希望未來在明年的時候能夠有所突破好不好我們繼續努力好 謝謝好 謝謝謝謝謝謝 |
| transcript.whisperx[215].start |
6905.518 |
| transcript.whisperx[215].end |
6921.836 |
| transcript.whisperx[215].text |
接下來請圖宣吉委員來做審討好,謝謝主席那請我們邱部長就像部長這樣 |
| transcript.whisperx[216].start |
6928.623 |
| transcript.whisperx[216].end |
6951.649 |
| transcript.whisperx[216].text |
謝謝邱部長也感謝邱部長也代表我們台灣2350萬人到瑞士日內瓦參加WHA到世衛為我們台灣來發聲那我想請問一下邱部長那你針對這一次到瑞士日內瓦所參與這個世界衛生大會你覺得這一次的成果怎麼樣 |
| transcript.whisperx[217].start |
6954.849 |
| transcript.whisperx[217].end |
6969.037 |
| transcript.whisperx[217].text |
謝謝突然的指教第一個具體成果應該是友邦我們本來友邦就堅定支持所以所有的跟友邦都有簽署提案讓我們加入觀察員然後在 |
| transcript.whisperx[218].start |
6970.726 |
| transcript.whisperx[218].end |
6983.398 |
| transcript.whisperx[218].text |
發言當中不管直接或間接來支持我們的也達到26個加一個歐盟那這個也是以前最多的然後我們很重要的一個雙邊的會議雙邊的會議就是國與國籍的一個 |
| transcript.whisperx[219].start |
6988.458 |
| transcript.whisperx[219].end |
7017.151 |
| transcript.whisperx[219].text |
應該是衛生最高層級的一個互動有沒有辦了大概43場這43場裡面當然有很多我們過去有跟他簽備忘錄的那備忘錄的內容我們一個一個來檢討怎麼樣來落實那如果還沒有簽的我們當然希望做更緊密的一個活動緊密那所談的合作都是因為這個國家所需要以及我們可以強項我們也可以幫忙來互動的所以這個部分他的場次 |
| transcript.whisperx[220].start |
7019.011 |
| transcript.whisperx[220].end |
7042.757 |
| transcript.whisperx[220].text |
也算是比以前都比較多所以其實重點這次比較可惜就是其實我們實質還是沒有進入會場所以當然也沒有到大會去發言那就比較可惜像我們一些技術性議題技術性的會議也都沒有參與那據我們了解其實從2014年我們那時候馬政府的時候開始參加我們WHA其實剛剛部長也有講雙邊會談的次數 |
| transcript.whisperx[221].start |
7047.058 |
| transcript.whisperx[221].end |
7064.539 |
| transcript.whisperx[221].text |
這次是43次其實從我們以前來看那以前我們從2014開始參與的時候我們雙邊會談只有58次那層級的部分當然也都是有到有跟美國衛生部長來會談我們這次也有跟那個貝塞拉會談嗎 |
| transcript.whisperx[222].start |
7068.693 |
| transcript.whisperx[222].end |
7085.918 |
| transcript.whisperx[222].text |
這次有沒有跟美國部長、美國衛生部長配餐?不但有互談得很深入,然後他這次也有公告,正式公告臨時出來所以這次部分看起來,層級的部分是有到衛生部長 |
| transcript.whisperx[223].start |
7086.638 |
| transcript.whisperx[223].end |
7103.819 |
| transcript.whisperx[223].text |
就是還是很可惜就是整體上就是沒有機會到大會去發言那當然一些小組會一些技術性的議題我們也沒有機會去發表參與那雙邊會談次數其實整體看起來並沒有比以往的這麼多那在這邊也請問一下 |
| transcript.whisperx[224].start |
7104.58 |
| transcript.whisperx[224].end |
7129.779 |
| transcript.whisperx[224].text |
因為部長我請問一下那時候我們在5月27號的時候部長有受訪就是說有談到說如果以中華台北參加WHA你說認為會牽涉到主權的問題然後說臺灣還是臺灣臺灣的國民就是中華民國這個主權不容打折那我請問一下所以部長你認為如果用中華台北 |
| transcript.whisperx[225].start |
7130.96 |
| transcript.whisperx[225].end |
7141.431 |
| transcript.whisperx[225].text |
來參加WHA這個組織參加WHA這個會議你覺得有矮化主權之嫌還是覺得對我們國家的主權有打折的問題嗎? |
| transcript.whisperx[226].start |
7144.508 |
| transcript.whisperx[226].end |
7171.216 |
| transcript.whisperx[226].text |
我們有各種團體其實的確曾經都是用強力是台北在參加不過這已經牽涉到國家這個WHA我們認為牽涉到國家的層面那真的就是有主權要考量的問題所以這個要全國大家一起討論那我們如果今天他們以中華台北名義來邀請我們參加那我們會去參加嗎? |
| transcript.whisperx[227].start |
7174.185 |
| transcript.whisperx[227].end |
7197.838 |
| transcript.whisperx[227].text |
這可能要請教外交部我都回答因為我們一直以來之前都是用中華台北嘛那如果說因為我們這次好像也是用中華台北並沒有說要來參加可是部長說這個以中華台北好像有主權打折的問題那如果那是不是變成如果用中華台北可能以部長的看法可能就是 |
| transcript.whisperx[228].start |
7199.062 |
| transcript.whisperx[228].end |
7220.748 |
| transcript.whisperx[228].text |
不見得會參加的意思其實我有時候我的翻譯英文不一定翻譯因為在英翻中在國際記者會其實我們直接問到這個問題我們就很直接就台灣就是台灣所以其實如果用中華台北的話我們應該以部長來講如果以中華台北我們應該還是會參加吧 |
| transcript.whisperx[229].start |
7224.659 |
| transcript.whisperx[229].end |
7252.506 |
| transcript.whisperx[229].text |
我如果個人的話我是覺得就像我們醫療團體我們過去用Chinese Taipei現在已經全部都改成幾乎改成台灣不是因為我覺得我們這還是要務實啦那因為一直以來我們都是用中華台北參加那因為我是看到那個我們部長針對這個記者的說法那我們想說如果用中華台北的話以我們衛福部的立場會參加嗎? |
| transcript.whisperx[230].start |
7260.599 |
| transcript.whisperx[230].end |
7261.221 |
| transcript.whisperx[230].text |
外交部有沒有問題? |
| transcript.whisperx[231].start |
7265.206 |
| transcript.whisperx[231].end |
7279.98 |
| transcript.whisperx[231].text |
我從我個人的立場上以及我其實我在國際我代表醫療至少自己國際奮鬥30年啦從學會啊什麼什麼我們努力的就是用台灣在代表台灣這是很務實的問題因為我們一直都用中華台北參加 |
| transcript.whisperx[232].start |
7286.938 |
| transcript.whisperx[232].end |
7311.765 |
| transcript.whisperx[232].text |
國家是大家的如果能用中華民國當然我們也樂觀其成但是我的意思是說這是務實嘛因為現在我們連用中華台北連用觀察員的身份都沒有參加那我們也是要預設那我們今天如果有機會去參加他用中華台北來邀請我們以觀察員的身份那我們會不會參加要不要參加 |
| transcript.whisperx[233].start |
7314.929 |
| transcript.whisperx[233].end |
7330.18 |
| transcript.whisperx[233].text |
沒關係能回答多少就回答多少謝謝圖委員您的指教其實應該是說從政府的政策立場來講能夠用到我們的正式國民能夠用到我們全民凝聚共識最高的 |
| transcript.whisperx[234].start |
7330.62 |
| transcript.whisperx[234].end |
7348.139 |
| transcript.whisperx[234].text |
那當然我們是用這個取法護上嘛我們希望能夠有那樣的目標可以去奮鬥那過去委員你所提的實際發生的也的確有這個中華台北的名義我們以觀察員身分受邀去參加所以現在問題主要就是來自於說如果我們今天能夠讓 |
| transcript.whisperx[235].start |
7348.78 |
| transcript.whisperx[235].end |
7349.12 |
| transcript.whisperx[235].text |
其實部長你們也不用那個 |
| transcript.whisperx[236].start |
7365.814 |
| transcript.whisperx[236].end |
7389.213 |
| transcript.whisperx[236].text |
我們也沒有那麼政治化啦我只是說因為我是希望我們還是要以務實來面對這個問題那目前我們的外交處境不管我們參加多少很多體育賽事很多的國際組織我們都是用中華台北來參加那今天我們為了我們台灣2350萬人民我們有很多公共醫療衛生的問題 |
| transcript.whisperx[237].start |
7391.235 |
| transcript.whisperx[237].end |
7402.97 |
| transcript.whisperx[237].text |
需要去參與所以我的建議是說我們還是以務實外交為主那當然現在如果有機會用中華台北我們中華台北來參加如果能用中華民國來參加中華民國台灣來參加我們也是樂觀其成 |
| transcript.whisperx[238].start |
7407.495 |
| transcript.whisperx[238].end |
7429.868 |
| transcript.whisperx[238].text |
所以我這邊是建議我們先應該還是要以務實外交來面對這個問題然後這個我們務實外交我們今天有機會參與之後當然我們也希望能夠突破我們的外交處境當然如果能用中華民國臺灣我們也是樂觀其成所以這邊我們是建議如果有機會能夠用中華臺北來參加我們還是以 |
| transcript.whisperx[239].start |
7432.389 |
| transcript.whisperx[239].end |
7437.756 |
| transcript.whisperx[239].text |
台灣2350萬人民的福祉為前提還是要先務實地面對來參加 |
| transcript.whisperx[240].start |
7440.953 |
| transcript.whisperx[240].end |
7468.64 |
| transcript.whisperx[240].text |
謝謝那這部分我希望因為今天也是想說瞭解我們因為我聽到部長對記者回答這個問題我們是有點擔心你現在以中華台北觀察員的身份都進不去你還要以中華民國以臺灣來這個前提國家這個主權不容打折當然我們也不容打折那我要這邊跟部長報告其實在2016年的時候我們蔡英文總統 |
| transcript.whisperx[241].start |
7469.58 |
| transcript.whisperx[241].end |
7490.352 |
| transcript.whisperx[241].text |
就有派衛福部長去參加．而且當時也是以中華台北的名義參加．那時候的衛福部部長是林廷宙．而且也針對這個問題也特別問過蔡總統．蔡總統也說這個沒有矮化主權．喪失國格的問題．所以我覺得還是一樣希望還是以務實來面對好 |
| transcript.whisperx[242].start |
7492.193 |
| transcript.whisperx[242].end |
7496.135 |
| transcript.whisperx[242].text |
謝謝圖全集委員發言在這邊做一個宣告等一下在王建旭委員質詢結束休息10分鐘現在請王育民委員發言 |
| transcript.whisperx[243].start |
7521.123 |
| transcript.whisperx[243].end |
7523.904 |
| transcript.whisperx[243].text |
謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊的一些相關會議,我相信這樣的一個行程還是非常的繁忙。 |
| transcript.whisperx[244].start |
7542.335 |
| transcript.whisperx[244].end |
7560.394 |
| transcript.whisperx[244].text |
那我看到你的報告裡面提到說這次的成果在疫後是最佳了你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談 |
| transcript.whisperx[245].start |
7563.683 |
| transcript.whisperx[245].end |
7587.627 |
| transcript.whisperx[245].text |
那一年應該是高峰有高達71場當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎 |
| transcript.whisperx[246].start |
7588.73 |
| transcript.whisperx[246].end |
7593.236 |
| transcript.whisperx[246].text |
跟委員報告齁,我們這43場都是有坐下來,針對主要的議題來討論,而且都有正式的記錄那2019是關水? |
| transcript.whisperx[247].start |
7605.953 |
| transcript.whisperx[247].end |
7631.759 |
| transcript.whisperx[247].text |
也不是灌水 多算了 我們很落實在每一場43場 那以前的算法我是不太清楚 你不太清楚 但是這43場絕對都是貨真 真的就是做下來 這次 真的有談有會議記錄的 有會議記錄 那我請那個 你再回去交代同仁 過去那71場是不是也可以告訴本委員會 有沒有會議記錄 |
| transcript.whisperx[248].start |
7633.348 |
| transcript.whisperx[248].end |
7650.308 |
| transcript.whisperx[248].text |
還是這一些其實是宣稱的不過這個會議記錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是 |
| transcript.whisperx[249].start |
7653.129 |
| transcript.whisperx[249].end |
7674.622 |
| transcript.whisperx[249].text |
因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙面會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員? |
| transcript.whisperx[250].start |
7676.652 |
| transcript.whisperx[250].end |
7702.468 |
| transcript.whisperx[250].text |
這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好 |
| transcript.whisperx[251].start |
7703.108 |
| transcript.whisperx[251].end |
7726.637 |
| transcript.whisperx[251].text |
我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面 |
| transcript.whisperx[252].start |
7728.218 |
| transcript.whisperx[252].end |
7751.398 |
| transcript.whisperx[252].text |
實際到了日內瓦我們接觸到多少訊息那這個大流行公約我們有沒有可能以觀察員的身份就是一起共同來加入因為最近這一些疾病的問題新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制那這個部分因為今天報告裡面完全沒有提到 |
| transcript.whisperx[253].start |
7752.018 |
| transcript.whisperx[253].end |
7778.358 |
| transcript.whisperx[253].text |
這個部長是不是可以補充跟大家報告一下?有沒有什麼成果?我先報告一下就是大流行公約是針對尤其是COVID以後大家覺得說要怎麼樣來合作其實不只WHO啦其實像在亞洲、歐洲、亞太地區都是有這樣的一個公約在存在因為區域的聯防也是非常的重要那當然WHO提這個我們臺灣絕對不能 |
| transcript.whisperx[254].start |
7782.721 |
| transcript.whisperx[254].end |
7810.528 |
| transcript.whisperx[254].text |
所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充 |
| transcript.whisperx[255].start |
7810.748 |
| transcript.whisperx[255].end |
7811.474 |
| transcript.whisperx[255].text |
好來副署長補充 |
| transcript.whisperx[256].start |
7812.994 |
| transcript.whisperx[256].end |
7841.669 |
| transcript.whisperx[256].text |
簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝 |
| transcript.whisperx[257].start |
7842.589 |
| transcript.whisperx[257].end |
7849.893 |
| transcript.whisperx[257].text |
有沒有把握我們可以用觀察員的身份來加入?到目前為止你們的評估是困難重重還是有機會? |
| transcript.whisperx[258].start |
7851.343 |
| transcript.whisperx[258].end |
7872.223 |
| transcript.whisperx[258].text |
以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難他都是採會員國就是是是 |
| transcript.whisperx[259].start |
7874.065 |
| transcript.whisperx[259].end |
7897.788 |
| transcript.whisperx[259].text |
好,那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力那接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說 |
| transcript.whisperx[260].start |
7899.269 |
| transcript.whisperx[260].end |
7923.681 |
| transcript.whisperx[260].text |
好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀 |
| transcript.whisperx[261].start |
7926.222 |
| transcript.whisperx[261].end |
7951.05 |
| transcript.whisperx[261].text |
這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有 |
| transcript.whisperx[262].start |
7952.719 |
| transcript.whisperx[262].end |
7957.245 |
| transcript.whisperx[262].text |
因為可以加強我沒有去加強的我們都一定要馬上來改善 |
| transcript.whisperx[263].start |
7958.299 |
| transcript.whisperx[263].end |
7982.75 |
| transcript.whisperx[263].text |
那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題 |
| transcript.whisperx[264].start |
7988.3 |
| transcript.whisperx[264].end |
7999.369 |
| transcript.whisperx[264].text |
這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎? |
| transcript.whisperx[265].start |
8001.465 |
| transcript.whisperx[265].end |
8023.199 |
| transcript.whisperx[265].text |
已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步 |
| transcript.whisperx[266].start |
8024.943 |
| transcript.whisperx[266].end |
8032.084 |
| transcript.whisperx[266].text |
好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環 |
| transcript.whisperx[267].start |
8052.308 |
| transcript.whisperx[267].end |
8062.269 |
| transcript.whisperx[267].text |
因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對? |
| transcript.whisperx[268].start |
8063.482 |
| transcript.whisperx[268].end |
8088.468 |
| transcript.whisperx[268].text |
朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法這個我想這個政府的財政我們稅有超徵是兩三千億那錢我覺得都沒有花在刀口上 |
| transcript.whisperx[269].start |
8088.928 |
| transcript.whisperx[269].end |
8105.776 |
| transcript.whisperx[269].text |
去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題 |
| transcript.whisperx[270].start |
8107.736 |
| transcript.whisperx[270].end |
8120.982 |
| transcript.whisperx[270].text |
的問題那站在未還委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了 |
| transcript.whisperx[271].start |
8122.102 |
| transcript.whisperx[271].end |
8147.887 |
| transcript.whisperx[271].text |
我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很瞭解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們已經桌前的來思考配套措施來完成這樣的一個我們近期就會來討論跟處理好謝謝謝謝 |
| transcript.whisperx[272].start |
8151.067 |
| transcript.whisperx[272].end |
8169.72 |
| transcript.whisperx[272].text |
好,謝謝王玉明委員發言接下來請王振旭委員發言謝謝主席有請邱部長 |
| transcript.whisperx[273].start |
8175.452 |
| transcript.whisperx[273].end |
8178.235 |
| transcript.whisperx[273].text |
國務委員好 國務委員好 國務委員好 國務委員好 國務委員好 國務委員好 國務委員好 國務委員好 |
| transcript.whisperx[274].start |
8191.548 |
| transcript.whisperx[274].end |
8210.607 |
| transcript.whisperx[274].text |
那這次也很高興有機會透過江副院長的率領以這個四島團的名義去參加相關的在瑞士的活動那在這個過程真的非常感謝很多友邦還有友好國家、民團跟僑界共同努力期待讓台灣 |
| transcript.whisperx[275].start |
8211.708 |
| transcript.whisperx[275].end |
8226.786 |
| transcript.whisperx[275].text |
需要全球健康的維護得到一個公平對待的機會雖然很可惜我們還是得要真的要譴責中共跟巴基斯坦這一些國家那麼不友善 |
| transcript.whisperx[276].start |
8228.288 |
| transcript.whisperx[276].end |
8246.028 |
| transcript.whisperx[276].text |
讓我們臺灣的民眾無法接受Has for all這樣的一個全球的要求不過還是非常感謝包括外交部的所有同仁都住在國的三位大使還有在現場的包括我們的外交部的同仁還有江科長共同的努力 |
| transcript.whisperx[277].start |
8246.568 |
| transcript.whisperx[277].end |
8265.266 |
| transcript.whisperx[277].text |
讓我們在這個過程裡面可以有機會去跟在瑞士的僑團跟相關的組織還有那邊的國會議員都有很好的互動很想要了解的就是剛剛也有很多委員提到參與很多相關的這個 |
| transcript.whisperx[278].start |
8268.949 |
| transcript.whisperx[278].end |
8283.021 |
| transcript.whisperx[278].text |
雙邊會談那這些雙邊會談有一些有簽訂的模擬有一些有具體的一些內容那到底哪一些部分是可以利用這個機會再向國人做報告讓大家都能夠 |
| transcript.whisperx[279].start |
8283.882 |
| transcript.whisperx[279].end |
8311.476 |
| transcript.whisperx[279].text |
謝謝。 |
| transcript.whisperx[280].start |
8312.197 |
| transcript.whisperx[280].end |
8326.337 |
| transcript.whisperx[280].text |
好,謝謝,謝謝文委員的辛苦,而且在那邊代表世導團有卓越的貢獻也協助我們世衛行動團很大的幫助,非常的感謝 |
| transcript.whisperx[281].start |
8327.622 |
| transcript.whisperx[281].end |
8346.812 |
| transcript.whisperx[281].text |
那我以前當立委或當議事公會理事長到那邊的時候我都覺得說 哇 怎麼這麼多秘密活動啊 外交部那邊的消息 社會團的人怎麼一下就不見、一下就不見 那我們立委團就跑去國會參觀、去各個醫院參觀 原來他們都在談這些雙邊的會議 這次雙邊會議我才每一次、每一場 |
| transcript.whisperx[282].start |
8355.27 |
| transcript.whisperx[282].end |
8371.704 |
| transcript.whisperx[282].text |
不但要周全的準備我很敬佩能夠找到真的能夠找到那麼多的國家這個外交部我很敬佩而且成績都越來越高但是你會發現這一場這個水明說不能照相不能送禮不能公告 |
| transcript.whisperx[283].start |
8372.665 |
| transcript.whisperx[283].end |
8396.333 |
| transcript.whisperx[283].text |
的很多表示說真的我們的外交的壓力還是相當的大那自己說剛剛有提過可以那個外交部有提過可以來公告可以來分享的話我們絕對沒有什麼好保留的一定要拿出來就像我們把WHA所有討論的健康議題我們一五一十在像去年我們就到那邊考察 |
| transcript.whisperx[284].start |
8398.914 |
| transcript.whisperx[284].end |
8408.366 |
| transcript.whisperx[284].text |
就是希望完全公開WHA所有的任何的資訊讓國人都能夠來了解共同來為健康台灣來努力 |
| transcript.whisperx[285].start |
8409.397 |
| transcript.whisperx[285].end |
8427.031 |
| transcript.whisperx[285].text |
好,我們很期待這樣的有新的目標或者是原來合作機制能夠持續延續而且對全民的健康在各方面都有很重要的這些努力要完成的部分讓大家都能夠很清楚的了解 |
| transcript.whisperx[286].start |
8427.971 |
| transcript.whisperx[286].end |
8453.062 |
| transcript.whisperx[286].text |
再過來就是沿著剛剛王委員所提到的大流行公約的部分這部分其實本席非常非常的關心因為我們知道WHO裡面第14期的工作計畫六大優先領域裡面最後一項就是即時偵測並有效的因應健康衛生禁止事件我相信這個都是為了這一次的疫情所衍生出來的一些重要的議題 |
| transcript.whisperx[287].start |
8454.122 |
| transcript.whisperx[287].end |
8465.918 |
| transcript.whisperx[287].text |
那在這個部分對於未來如果我們真的無法像剛剛一群副署長所提到的我們無法接受參與這個實際的這個討論的話 |
| transcript.whisperx[288].start |
8470.865 |
| transcript.whisperx[288].end |
8490.544 |
| transcript.whisperx[288].text |
就是類似聯合國這樣的角色的時候那我們如何從疫苗的研發疫情當中的一些物資的儲備還有這個資訊的流通取得還有相關的研究這方面如何能夠讓國人也非常安心的知道即使我們不具有官方的這種 |
| transcript.whisperx[289].start |
8493.186 |
| transcript.whisperx[289].end |
8507.323 |
| transcript.whisperx[289].text |
準備之下我們如何能夠針對這些疫情可能帶來的下一次的衝擊有做好完整的準備這部分可不可以也利用這個機會請讓國人安心知道我們努力的方向 |
| transcript.whisperx[290].start |
8508.271 |
| transcript.whisperx[290].end |
8528.501 |
| transcript.whisperx[290].text |
好謝謝王委員我先以我過去多年來從SARS以及到COVID這幾年帶領團隊在全國的EJ在看配合政府在看這個COVID的一個經驗其實我們 |
| transcript.whisperx[291].start |
8531.485 |
| transcript.whisperx[291].end |
8547.554 |
| transcript.whisperx[291].text |
我們的體系的韌性算相當的好所以大概都能夠早期在各個角落都能夠早期的detect到相關的信息或者實際上的個案其實像在海關 |
| transcript.whisperx[292].start |
8548.775 |
| transcript.whisperx[292].end |
8560.22 |
| transcript.whisperx[292].text |
這也非常的辛苦他們鎖住每一個可能性到現在還是非常到現在還是非常的辛苦都日以繼夜在做這個我真的非常要感佩這個 |
| transcript.whisperx[293].start |
8562.757 |
| transcript.whisperx[293].end |
8591.776 |
| transcript.whisperx[293].text |
所以相關的一些工作同仁那在醫藉這個部分因為病人是會跑到醫藉來嘛就會面對醫師大家醫師也比人比較緊張你不知道這個患者來修是什麼東西所以其實醫藉更緊張所以在不管是在醫院的急診或者在第一線的門診其實我們的訓練都非常的完整防疫的一個訓練尤其加上這次COVID全國或者是各個縣市 |
| transcript.whisperx[294].start |
8593.057 |
| transcript.whisperx[294].end |
8616.452 |
| transcript.whisperx[294].text |
像我在全國醫師公會主持過至少50場以上的全國各縣市的全國防疫會議和帶給全國分享全國的怎麼樣在第一線來防疫我想這個也是電力很好的一個防疫的韌性所以未來相關的一些新興的疾病我相信台灣是很有實力來 |
| transcript.whisperx[295].start |
8618.494 |
| transcript.whisperx[295].end |
8633.554 |
| transcript.whisperx[295].text |
來找期來偵測來守住但是大流行公園是一個大家這個好像是世界大家庭所應該共同來分享臺灣這樣的一個優等生卻不能進去這個教室去分享這個連世界醫師會都寫信給WHA的 |
| transcript.whisperx[296].start |
8636.357 |
| transcript.whisperx[296].end |
8652.928 |
| transcript.whisperx[296].text |
律師長說這是一種羞恥的事情沒有讓臺灣這優等生進去分享當然我們也沒有那麼驕傲說去分享還有很多是要互相學習的但是總是要進去教事這個也是我們努力的方向我不曉得易經律師長有沒有要補充 |
| transcript.whisperx[297].start |
8654.846 |
| transcript.whisperx[297].end |
8680.253 |
| transcript.whisperx[297].text |
簡單跟委員補充我想兩點第一個就是我們持續厚植我們國內防疫的一個基礎不管是防疫物資或者是疫苗藥品的一些準備那另外就國際幫我們善盡責任因為這個大流行公約是希望說能夠談出一個成果讓資訊跟一些病毒株的分享能夠更快速更公開透明另外就是說提供這個病毒株之後研發出來的疫苗藥物等成果也要能夠回饋給國際社會 |
| transcript.whisperx[298].start |
8681.713 |
| transcript.whisperx[298].end |
8693.646 |
| transcript.whisperx[298].text |
那我想我們除了善盡國際責任能夠不管有沒有加入都能夠符合這個國際上面的需求之外也會來注意整個公約裡頭一些權利義務的部分有沒有能夠對我們有利的部分來盡量爭取 |
| transcript.whisperx[299].start |
8695.342 |
| transcript.whisperx[299].end |
8718.943 |
| transcript.whisperx[299].text |
好 謝謝很期待台灣作為一個全球重要防疫的第一線我們希望能夠把握這樣的機會也能夠充分的參與好 謝謝再過來要麻煩這個外交部有關於如何能夠兩個部會之間相關的配合不曉得陳市長對於以價值外交 |
| transcript.whisperx[300].start |
8720.484 |
| transcript.whisperx[300].end |
8740.856 |
| transcript.whisperx[300].text |
來推動參與WHA或者是同步的透過臺灣這個醫療的實力有辦法讓全球知道說我們的這個衛生價值還有外交價值事實上是可以同步來運作讓世界可以看得到而且更願意來接納臺灣 |
| transcript.whisperx[301].start |
8742.632 |
| transcript.whisperx[301].end |
8762.293 |
| transcript.whisperx[301].text |
謝謝委員您剛剛的這個質詢我們非常同意有就是說您剛剛所提到說因為我們本來就是一個極度重視而且非常努力去實踐提升關於法治人權自由民主的一個國家那尤其我們在公共醫療體系這樣的努力跟成果而且又是全世界 |
| transcript.whisperx[302].start |
8763.693 |
| transcript.whisperx[302].end |
8781.68 |
| transcript.whisperx[302].text |
的一份子所以當然未來我們在推動我們的外交工作裡面的一個主軸除了說同盟外交、經貿外交以外就是價值外交那我們能夠其實在這個工作上面可以把這兩個相互結合也就是價值外交裡面一定有包含 |
| transcript.whisperx[303].start |
8781.92 |
| transcript.whisperx[303].end |
8782.38 |
| transcript.whisperx[303].text |
台灣當然也可以貢獻。 |
| transcript.whisperx[304].start |
8793.971 |
| transcript.whisperx[304].end |
8815.438 |
| transcript.whisperx[304].text |
好謝謝那其實這一次我有利用去到瑞士的機會也配同我們的國民健康署的衛副署長去UICC就是世界抗癌聯盟一起去報告我們臺灣在有關的癌症的整個防護還有整個癌症 |
| transcript.whisperx[305].start |
8816.218 |
| transcript.whisperx[305].end |
8817.979 |
| transcript.whisperx[305].text |
謝謝王建旭委員那我們現在休息10分鐘 |
| transcript.whisperx[306].start |
9568.579 |
| transcript.whisperx[306].end |
9570.32 |
| transcript.whisperx[306].text |
邀請衛福部長、邱部長 |
| transcript.whisperx[307].start |
9596.271 |
| transcript.whisperx[307].end |
9606.744 |
| transcript.whisperx[307].text |
部長早安喔,先恭喜您喔那接下來非常多千頭萬緒的事情我們要開展那我們辦公室一直都關心而上我們就直接切入的部分喔部長我想問你有小孩對不對 |
| transcript.whisperx[308].start |
9608.935 |
| transcript.whisperx[308].end |
9636.641 |
| transcript.whisperx[308].text |
有啊有啊有而且我記得我上次去看臺威斯杯的時候我看到你跟小孩一起去看球因為那天我也有去看球看網球只是我不好意思跟你打招呼因為才剛經過這樣那部長我問你如果你要把再回到20年前10年前你要把你的小孩送去這種民間的教練這種社團練習各式各樣的球類運動學習那你會不會擔心他如果遇到有不當對待兒少經驗的教練或者是大人你會不會擔心 |
| transcript.whisperx[309].start |
9638.581 |
| transcript.whisperx[309].end |
9657.227 |
| transcript.whisperx[309].text |
就是說他曾經有過對小孩不好的體罰啦霸凌啦相關的經驗你會不會擔心如果你把小孩送到這樣的教練但是你又不知道他是這樣的人因為我們在送小孩去一定會先評估打聽打聽這個教練班或者是學校是那當然會去討論對對對對那會訓練到怎麼樣是這是 |
| transcript.whisperx[310].start |
9661.108 |
| transcript.whisperx[310].end |
9661.548 |
| transcript.whisperx[310].text |
當然當然當然當然當然 |
| transcript.whisperx[311].start |
9682.634 |
| transcript.whisperx[311].end |
9709.141 |
| transcript.whisperx[311].text |
衛福部的CRC這個相關資訊網裡面可以查到只要有對小孩有不好的紀錄跟相關的教練我們就從衛福部的這個CRC平台可以查到目前相關的資料已經都上網而且目前的狀況也還算不錯說實話當然有一些可以改進的地方可是因為目前有相關公告姓名機制的法源落在三個法兒少法、幼兆法跟教保條例也就是說 |
| transcript.whisperx[312].start |
9709.941 |
| transcript.whisperx[312].end |
9716.37 |
| transcript.whisperx[312].text |
如果我是家長我要現在去查某某某例如說陳培宇有沒有曾經以前體罰過小孩不當對待、霸凌讓我的小孩在這個 |
| transcript.whisperx[313].start |
9719.286 |
| transcript.whisperx[313].end |
9738.676 |
| transcript.whisperx[313].text |
學球的過程當中受到不好的對待家長沒有辦法直接查詢來看下一頁那目前兒少法的部分我剛剛說其實還是有些困難可是目前看起來在兒少法CRC網站上我們可以看到例如說第一個人叫黃玉倫他違反兒童及少年福利權益法保障第97條88相關的樣態那詳情點下去就會有一些資料這個是目前家長查得到的可是再往下 |
| transcript.whisperx[314].start |
9745.697 |
| transcript.whisperx[314].end |
9760.902 |
| transcript.whisperx[314].text |
我們之前就告訴衛福部說你們只有管那個不是從教育機關來的可是教育現場也有很多對待小孩不當行為的人衛福部應該要把資料納進來所以我們辦公室經過去年一整年不斷跟衛福部討論我們開了很多協調會也開了記者會總算衛福部現在這邊把 |
| transcript.whisperx[315].start |
9766.544 |
| transcript.whisperx[315].end |
9784.372 |
| transcript.whisperx[315].text |
違反右照法還有教保服務人員條例的這些跟老師等級有關的資料也都納進來了我們非常感謝衛福部非常積極可是部長你有沒有發現如果我是一個家長我按進來我一下按這裡一下按那裡基本上我沒有辦法一件事查詢我沒有辦法那麼直覺 |
| transcript.whisperx[316].start |
9785.712 |
| transcript.whisperx[316].end |
9809.725 |
| transcript.whisperx[316].text |
所以對我來說我身為一個家長我到底要怎麼樣保護我的小孩確保我的小孩要送去面對這個大人這個教練這個老師他是不是有曾經不當對待小孩的事情這個部分我覺得我們一定還可以再多做一點什麼事情那我就直接跟部長分享到底可以做什麼來下一頁我們之前跟衛福部在討論的時候我們其實也問過衛福部有沒有可能有技術上的困難 |
| transcript.whisperx[317].start |
9810.325 |
| transcript.whisperx[317].end |
9829.908 |
| transcript.whisperx[317].text |
做到所謂一件事查詢。我在5月27日就跑去了交通委員會我問了訴發部因為訴發部說他們要做數位樣態的盤點我就問他那我們訴發部可不可以積極協助衛福部做相關技術的整合讓家長更直觀的可以一件事查詢 |
| transcript.whisperx[318].start |
9830.749 |
| transcript.whisperx[318].end |
9853.136 |
| transcript.whisperx[318].text |
所以一剛開始我才會問部長說部長你身為父親你會不會希望很快速的可以查到你即將把小孩送去的這個教練他過去有沒有不當的資料訴法部說他們願意協助衛福部、跨部會調整這個技術層面一次解決讓所有的家長可以一個網頁一件事查詢陳培宇某某某有沒有犯過相關的法令好部長聽到這裡你覺得這樣聽起來有沒有對家長是一個好事 |
| transcript.whisperx[319].start |
9859.287 |
| transcript.whisperx[319].end |
9873.552 |
| transcript.whisperx[319].text |
應該是一件好事情對對對沒錯這個是好事啦部長只是我們需要花一些時間所以我們在想說我們這樣時間壓久一點好不好我們機會在今年年底以前我們把這個網站建制完成你看我壓很長部長 |
| transcript.whisperx[320].start |
9876.753 |
| transcript.whisperx[320].end |
9900.713 |
| transcript.whisperx[320].text |
這個部分我們會再跟書發部再做一些確認跟討論那看後續的界面要怎麼設計是會比較完善的所以你們那請問一下你們站在家長的角度絕對是好事我們要全力以赴去做就對了好那我時間已經壓到年底可是我說年底不是說年底才跟我們進度而是我們希望在年底可以看到這個網站上線可以嗎我們馬上回去就開始進行 |
| transcript.whisperx[321].start |
9901.514 |
| transcript.whisperx[321].end |
9929.847 |
| transcript.whisperx[321].text |
好太好了謝謝部長我們會積極追蹤喔那最後跟部長分享喔延續的對CRC的關懷部長今年臺灣兒童權利公約實行法國內法化10週年那這件事情我相信部長過去在您的專業領域可能對兒少不是這麼熟悉但是我相信部長您上任之後一定會積極推動更多兒少保護政策甚至我們辦公室有更多的訴求希望後續都有機會再跟衛福部討論不管是因為兒少工作證或者是相關 |
| transcript.whisperx[322].start |
9930.667 |
| transcript.whisperx[322].end |
9943.417 |
| transcript.whisperx[322].text |
體育教學現場對兒少的不友善這個部分我們都希望接下來可以跟部長一起努力好謝謝指教好謝謝那就拜託部長囉好我們一起努力謝謝謝謝部長謝謝主席好謝謝陳培鈺委員發言接下來請盧憲一委員發言 |
| transcript.whisperx[323].start |
9955.919 |
| transcript.whisperx[323].end |
9957.741 |
| transcript.whisperx[323].text |
主席有請部長跟師長請邱部長跟孫師長國際組織師孫師長委員囉 |
| transcript.whisperx[324].start |
9974.062 |
| transcript.whisperx[324].end |
9999.231 |
| transcript.whisperx[324].text |
部長好,我們都是一屆你也是我的大學長,我們都是家庭醫師先恭喜你那我想先知道說我們被漠視8年這8年我們想說跟各個邦交國的一些或者是跟我們進口外勞這些我們移工的這些合作國家有沒有尋求他們的資源跟幫助比如說我們在第二頁看到說 |
| transcript.whisperx[325].start |
10001.953 |
| transcript.whisperx[325].end |
10017.61 |
| transcript.whisperx[325].text |
是美國、捷克建立了實質合作可是我們引進外老有越南、印尼、菲律賓跟泰國我們有沒有想辦法從這些我們引進國家的這些外老的國家呢幫我們發聲我覺得好像都沒有看到這方面的資料 |
| transcript.whisperx[326].start |
10019.503 |
| transcript.whisperx[326].end |
10042.046 |
| transcript.whisperx[326].text |
你也知道我們在醫療上這幾個國家都是我們算是在亞洲地方非常合作的在醫療上合作那在外交上為什麼有那麼多的必須要考慮的我先請問一下那個WHA目前的Chairman是誰 |
| transcript.whisperx[327].start |
10045.196 |
| transcript.whisperx[327].end |
10046.538 |
| transcript.whisperx[327].text |
韓國瑜主席 韓國瑜主席 |
| transcript.whisperx[328].start |
10060.958 |
| transcript.whisperx[328].end |
10079.557 |
| transcript.whisperx[328].text |
我的意思就是說我為什麼會特別提剛剛我講的是外勞引進的國家現在我們明年我們不是要跟印度簽了MOU嗎那我們有沒有嘗試說從這個教育區當中去跟印度講說也幫幫忙我們在WHA發聲應該是要有一個這樣一個邏輯這樣很好的合作模式可以嗎可以好不好 |
| transcript.whisperx[329].start |
10080.778 |
| transcript.whisperx[329].end |
10106.074 |
| transcript.whisperx[329].text |
不然我們永遠突破不了那個8年的困境我們也想辦法讓全世界的人知道說我們有多優秀我們有多努力我剛剛看了都是一些不說my health my right這些癌症篩檢偏鄉離島可是如果我們沒有進去的人再怎麼知道我們到底在做什麼是感覺說我們很辛苦可是得不到實際的一些更好的一個層面然後第二個就是我剛剛看了就是比較屬於這個 |
| transcript.whisperx[330].start |
10108.527 |
| transcript.whisperx[330].end |
10110.128 |
| transcript.whisperx[330].text |
紐西蘭為我們直言,我想知道他說了什麼?紐西蘭為我們直言,還記得嗎? |
| transcript.whisperx[331].start |
10138.514 |
| transcript.whisperx[331].end |
10154.148 |
| transcript.whisperx[331].text |
是報告委員那紐西蘭為我們直言就是基本上是講說臺灣應該要被邀請這個參加就是說在整個促進全球衛生健康至上也就是說他很堅定的幫我們講話那荷蘭呢荷蘭的話就是以不遺漏任何人 |
| transcript.whisperx[332].start |
10154.628 |
| transcript.whisperx[332].end |
10170.202 |
| transcript.whisperx[332].text |
那包含就是說只要對全球衛生有貢獻的都應該被納入到全球武力當中?按照我的理解荷蘭曾經是我們的殖民國家曾經殖民過臺灣他當然有想盡辦法可以幫我們我們也可以想盡辦法跟他套取這個連結 |
| transcript.whisperx[333].start |
10171.883 |
| transcript.whisperx[333].end |
10172.663 |
| transcript.whisperx[333].text |
新聞新聞新聞新聞新聞新聞新聞新聞新聞 |
| transcript.whisperx[334].start |
10199.057 |
| transcript.whisperx[334].end |
10207.54 |
| transcript.whisperx[334].text |
您和蕭薇娜有合適的脂肪和脂肪交換率達到90%但蕭薇娜已被療程8天而治療風險相當高拜託,拜託不要放棄我女兒,拜託!如果您不放棄,我們也不會放棄 |
| transcript.whisperx[335].start |
10236.171 |
| transcript.whisperx[335].end |
10241.336 |
| transcript.whisperx[335].text |
委員會委員會委員會委員會委員會委員會 |
| transcript.whisperx[336].start |
10262.864 |
| transcript.whisperx[336].end |
10277.575 |
| transcript.whisperx[336].text |
Today is not a beautiful day. |
| transcript.whisperx[337].start |
10279.385 |
| transcript.whisperx[337].end |
10280.106 |
| transcript.whisperx[337].text |
．邀請施琳去台灣．﹏﹏﹏﹏﹏﹏﹏﹏﹏ |
| transcript.whisperx[338].start |
10308.987 |
| transcript.whisperx[338].end |
10330.659 |
| transcript.whisperx[338].text |
這影片做得很好我很肯定不過剛剛看了主角那看了主角以後你看到我你有什麼感覺看到主角你主角看到我有什麼感覺感覺我們像是一家人因為我們是南島語系的國家 |
| transcript.whisperx[339].start |
10332.25 |
| transcript.whisperx[339].end |
10349.582 |
| transcript.whisperx[339].text |
剛才我只聽了一遍我就會說了 我也不知道什麼意思不過因為是因為我們南島語系的關係 我們會很熟悉那樣的一個發言就像之前那個就是那個我們之前的那個實案事件 它是南島語族的話 我的意思就是說 |
| transcript.whisperx[340].start |
10350.442 |
| transcript.whisperx[340].end |
10373.854 |
| transcript.whisperx[340].text |
我們在推這個影片的時候,如果它是南島語系的國家,你是不是應該多放在菲律賓啊印尼啊這種比較屬於這個南島語系的國家,它的觀看次數會更多啊目前全世界最大的民主國家是印尼,兩億多人那為什麼不放在那邊讓那麼多人來感動,所以我們台灣的業務有多麼進步我們不是只是展現說我們很會換肝,我們的醫生很厲害,不是這樣 |
| transcript.whisperx[341].start |
10374.684 |
| transcript.whisperx[341].end |
10398.046 |
| transcript.whisperx[341].text |
謝謝! |
| transcript.whisperx[342].start |
10398.482 |
| transcript.whisperx[342].end |
10400.163 |
| transcript.whisperx[342].text |
謝謝主席 那有請我們的邱部長 請邱部長 |
| transcript.whisperx[343].start |
10429.687 |
| transcript.whisperx[343].end |
10442.842 |
| transcript.whisperx[343].text |
委員好部長好首先謝謝辛苦歸國感謝大家現在我們國家在國際上的這個外交不容易所以也特別肯定特別辛苦那加油謝謝那再來就是部長 |
| transcript.whisperx[344].start |
10443.905 |
| transcript.whisperx[344].end |
10461.094 |
| transcript.whisperx[344].text |
我想要問一下因為這幾年因為要控制我們的藥費增加所以有許多新藥是被限縮給付那限縮的範圍當然包含這個療程、給付用藥時間等等那造成這個被限縮給付的藥品並不符合國際上的臨床指引 |
| transcript.whisperx[345].start |
10461.934 |
| transcript.whisperx[345].end |
10484.514 |
| transcript.whisperx[345].text |
所以病人很困擾那常見的狀況是病人用藥一段時間之後健保就不給付也只能自費那醫生也很困擾因為醫生也知道說可以開給某個適合病人的藥可是因為健保不給付了所以成本也變高了所以他可能病人負擔不起所以就改用其他藥我想這個部長你應該知道這個狀況是 |
| transcript.whisperx[346].start |
10485.915 |
| transcript.whisperx[346].end |
10512.166 |
| transcript.whisperx[346].text |
現在問題也一一浮現包括原廠開發在我國也找不到合格的病人做臨床實驗所以臺灣也已經在國際的新藥開發市場中逐漸被忽視了未來有許多新藥研發也將不會有我國的data醫師也無法爭取發表研究我覺得這部分也會將使我們我國整體的醫療發展停滯再來就是剝奪病患爭取成為新藥開發的試驗對象 |
| transcript.whisperx[347].start |
10515.144 |
| transcript.whisperx[347].end |
10538.18 |
| transcript.whisperx[347].text |
因為有許多疾病也是現行藥物沒辦法治療的只能爭取在新藥開發的時候爭取成為臨床試驗的對象並且藥廠會支付全部病人的費用所以請教部長限縮給付雖然省錢但是也造成剛剛所提到的問題部長我想您自己也是臺大醫院家醫科的教授相信您也很清楚 |
| transcript.whisperx[348].start |
10538.88 |
| transcript.whisperx[348].end |
10540.584 |
| transcript.whisperx[348].text |
那想要問說部長會不會考慮將這個用藥給付條件調整制和國際醫療指引一樣 |
| transcript.whisperx[349].start |
10549.151 |
| transcript.whisperx[349].end |
10572.129 |
| transcript.whisperx[349].text |
這個跟這個指引一致的這個部分因為想要問部長的態度喔因為這個問題當然我們知道他也受限於經費有限所以有點難但除了經費之外我們應該還是要以病人為中心嘛對吧同時也要考量到我們的醫療科技的發展所以想要問部長就是說你對於這個部分你有什麼想法那你是否願意去評估去推動這個新藥國際醫療指引全體付 |
| transcript.whisperx[350].start |
10574.958 |
| transcript.whisperx[350].end |
10597.139 |
| transcript.whisperx[350].text |
是,真的非常敬佩我們廖委員能夠這麼瞭解到這個醫療的需求跟現在的狀況以及像甚至臨床試驗這些事情這麼重要的都能夠瞭解真的非常敬佩那我想您提的能夠給我們的給臺灣的病人完全符合國際醫療指引 |
| transcript.whisperx[351].start |
10600.097 |
| transcript.whisperx[351].end |
10628.325 |
| transcript.whisperx[351].text |
的一個治療跟給他幾戶這是絕對是國家應該做的方向而且我們的確在做像今年就在新藥各方面的就比去年又多一倍我們未來希望爭取全民認可能夠有更多的健康投資希望能夠來達到這樣一個國際的標準我想是未來重要的目標好謝謝部長 |
| transcript.whisperx[352].start |
10629.185 |
| transcript.whisperx[352].end |
10645.214 |
| transcript.whisperx[352].text |
另外就是為了鼓勵用藥後收集真實世界的數據並且發展成真實世界的證據這個部分我也想問說我們健保制度上是否也應該去評估怎麼樣去支持跟鼓勵 |
| transcript.whisperx[353].start |
10647.606 |
| transcript.whisperx[353].end |
10668.668 |
| transcript.whisperx[353].text |
這個沒關係我們署長您幫忙跟委員報告確實這個有些新藥那麼受限於它的個案或者是臨床的突破性有的在臨床二期就取得藥證所以我們需要更多的真實世界資料來做佐證所以我們在去年開始也導入了暫時性支付的概念 |
| transcript.whisperx[354].start |
10669.088 |
| transcript.whisperx[354].end |
10692.433 |
| transcript.whisperx[354].text |
就是對於這些病人有臨床上需求但是臨床證據還有一些不足的我們先讓他到健保來給付但是在兩年到三年的時間內我們來收集真實世界資料來作為最後那麼兩年之後過了之後的這個決定所以我們在今年1月1日也成立了這個HTA的專責單位就是醫療科技評估的專責單位來協助做 |
| transcript.whisperx[355].start |
10696.894 |
| transcript.whisperx[355].end |
10710.408 |
| transcript.whisperx[355].text |
真實世界資料的收集跟後續的分析。了解。所以這部分你們還是會持續的去思考怎麼去支持跟這個獎勵和吸引他們嘛對不對?是。是。是。OK。沒問題。謝謝。那再來就是下一個問題喔。部長 |
| transcript.whisperx[356].start |
10712.189 |
| transcript.whisperx[356].end |
10740.752 |
| transcript.whisperx[356].text |
這一兩年有許多醫院都面臨關床的這個困境那有區域醫院已經關了這個三成的病床那當然有人說的說法就是急缺這個護理師所以有病床卻開不得導致很多病人都塞在這個急診室但衛福部卻說根據今年的這個統計5月跟去年5月同期相比你們的護理人員增加總病床數也增加所以我想要問一下衛福部的意思是說沒有媒體描述的這個關床潮嗎 |
| transcript.whisperx[357].start |
10744.583 |
| transcript.whisperx[357].end |
10766.719 |
| transcript.whisperx[357].text |
這個我先回答一下我想我們統計的是不是那個是整個傳輸啦那跟實際上的real World大家也知道我整天在這個醫院混啦每天我就看到這些你現在照出來的景象你每天可以感受到當天的狀況 |
| transcript.whisperx[358].start |
10768.18 |
| transcript.whisperx[358].end |
10794.072 |
| transcript.whisperx[358].text |
那以台大醫院來講我昨天跟院長也討論了很久台大醫院是不是有關床的現象但是中南部或者那個我相信可能會有需要床開少一點的這個部分那他的原因這個如果真的有這種情況而影響到 |
| transcript.whisperx[359].start |
10796.693 |
| transcript.whisperx[359].end |
10803.898 |
| transcript.whisperx[359].text |
應該照顧的病人受到影響 這個都是我們政府一定要去改善、去瞭解的我們來瞭解原因到底是護理人力不足嗎 還是因為 |
| transcript.whisperx[360].start |
10811.96 |
| transcript.whisperx[360].end |
10838.065 |
| transcript.whisperx[360].text |
因為點值如果你做太多點值是不是會有影響等等的其實我們要去了解到這個因素這部分的原因是不是可以請部長盡速的找出來然後要怎麼解喔因為我要告訴您的是全國都知道因為缺護理師這也可能是其中之一的原因您剛剛有提到嘛對不對所以導致關床但是這個趙副市長卻反問關床的醫院是哪幾家喔市長 |
| transcript.whisperx[361].start |
10839.025 |
| transcript.whisperx[361].end |
10842.366 |
| transcript.whisperx[361].text |
其實我們並沒有否認關闖 而是說他整個統計數據 所以我們後來自己在檢討說這樣的一個數據是沒辦法代表實際上大家所關心的事情 所以在這邊跟大家抱歉沒有呈現一個 我們只呈現我們所擁有的資料 因為各個議院關闖 |
| transcript.whisperx[362].start |
10866.82 |
| transcript.whisperx[362].end |
10890.417 |
| transcript.whisperx[362].text |
他不會去跟衛生主管報告因為如果他知道說你怪這麼多好,部長沒關係,我給你看下一頁喔50層你阿伯就給你減,這樣就對了對,我知道所以我跟你講這就是有數據佐證喔因為反正你們剛剛說總值登人數有增加但為何地區醫院以上的護理師人力還是卻一再的流失喔那所以實際上 |
| transcript.whisperx[363].start |
10892.25 |
| transcript.whisperx[363].end |
10906.125 |
| transcript.whisperx[363].text |
當然這是不是其中的原因要拜託衛福部趕快去了解清楚並改善因為這有關於我們一般民眾這個就醫的權益喔那我們來看一下這個數據喔我們是從貴部的網站上去下載這份資料喔 |
| transcript.whisperx[364].start |
10906.536 |
| transcript.whisperx[364].end |
10928.919 |
| transcript.whisperx[364].text |
那我也挑了比較有資源有能力的醫學中心層級去比較那從這個比較表其實可以看出來疫情前108年醫中的戰狀率平均接近8成5但是疫後這個111年的資料已經掉到7成5那112年跟113年更慘恐怕有7成都有困難 |
| transcript.whisperx[365].start |
10929.676 |
| transcript.whisperx[365].end |
10954.981 |
| transcript.whisperx[365].text |
那連醫學中心都這麼慘更不要說這個區醫院和地區醫院所以後來我也把這108年109年的這個Q1還有111年跟112年的每個年度的第一季的戰床率戰床率去比較可以清楚看出來我們平看到這個數據平均從7成和6成掉到112年的4成8所以平均也有掉了22% |
| transcript.whisperx[366].start |
10957.119 |
| transcript.whisperx[366].end |
10983.881 |
| transcript.whisperx[366].text |
所以這就是實務上會認為說關床有達到三成的原因所以我要告訴部長這個數據明明也清清楚楚的為什麼你們就不願意面對那要看要怎麼解決呢對不對威傑這個原因當然你剛剛都有講我覺得一定要面對對一定要面對那我那個第一次的回答那只是一個數據的呈現未來我相信我們衛福部會針對 |
| transcript.whisperx[367].start |
10986.783 |
| transcript.whisperx[367].end |
11011.712 |
| transcript.whisperx[367].text |
我們比如說在上次輸液的時候人工輸液的時候我也請全國醫療院所、醫事公會去調查所有的醫療院所到底缺了多少一樣的我們現在會跟相關的團體來密切的結合來才能真正了解到不管是醫中、區域、地區醫院到底他的情況是怎麼樣我們要一個一個分別來解決 |
| transcript.whisperx[368].start |
11012.392 |
| transcript.whisperx[368].end |
11030.806 |
| transcript.whisperx[368].text |
部長那可不可以告訴我們說因為這個數據還蠻明顯的嘛我們知道在做管理的時候你總是要有個目標啦我們希望說你們瞭解情況之後是不是可以真實的瞭解說這樣的占床率那你們未來希望這個東西可以怎麼這個數據會怎麼改善以前是87的 |
| transcript.whisperx[369].start |
11035.539 |
| transcript.whisperx[369].end |
11058.678 |
| transcript.whisperx[369].text |
因為我也當過醫學中心的部主任,所以常常每個禮拜都在那邊檢討各科的戰狀律師,我對戰狀律師非常敏感。小台大醫院全部都90幾%的,都98%可能也如果但是...但是平均啊,我給你的數據也是你們的資料啊。對啦,有的是可能是一般急性病房或者是特殊病房,特殊病房有時候... |
| transcript.whisperx[370].start |
11059.739 |
| transcript.whisperx[370].end |
11061.921 |
| transcript.whisperx[370].text |
但是護理人力的需要充實,我想這是 |
| transcript.whisperx[371].start |
11073.976 |
| transcript.whisperx[371].end |
11095.543 |
| transcript.whisperx[371].text |
最急迫要做的事情是因為部長您也剛上任了但是這個問題也好幾年了啦我想部長是不是可以到時候也把這個資料研究清楚和提供這個你們打算怎麼解決的方案給本席好嗎好一定然後再來我趕快再問一題喔所以我知道時間到部長下一頁就是其實在賴總統在2021年的時候有這個健保的國事論壇 |
| transcript.whisperx[372].start |
11096.883 |
| transcript.whisperx[372].end |
11116.608 |
| transcript.whisperx[372].text |
其實剛剛講到有關於病床的癥結點其實也有部分可能跟這個健保點子有關那2021年的時任副總統現在的賴總統說這個20幾年來不會言健保制度也存在很多問題那去年賴總統說要召開健保國事會議想要請問部長什麼時候要召開其實 |
| transcript.whisperx[373].start |
11118.508 |
| transcript.whisperx[373].end |
11132.002 |
| transcript.whisperx[373].text |
建保國事會議已經我的認知已經包含在過去五六場一個健康台灣大論壇、全國大論壇裡面已經提出了很多具體短期、中期、長期 |
| transcript.whisperx[374].start |
11133.303 |
| transcript.whisperx[374].end |
11160.925 |
| transcript.whisperx[374].text |
我們要解決的一些健保的改革那這個部分因為今天你沒有時間我們從公務依算歸公務就說公務依算不能用在健保裡面等等的這些處理那這個就可以提出一些經費那是不是研議相關的一些一些再可能是不是部長因為這個研議真的是研議相當的研議研議了非常的久所以這次的研議是很記題 |
| transcript.whisperx[375].start |
11162.206 |
| transcript.whisperx[375].end |
11185.359 |
| transcript.whisperx[375].text |
對,所以可不可以請部長到時候盡速的提出到底你們的願景要怎麼改?我想因為...因為願景講的都很美好,但始終是願景喔,看起來問題就是存在,那我們一直不面對,一直不改善,這個東西也做了好久了。這個一定要解決,這個一定要...所以部長您認真一定會強力的推動解決對不對?我過去10點就每天在解決這個問題,未來一定更加努力。好,謝謝部長。好,謝謝委員。 |
| transcript.whisperx[376].start |
11186.98 |
| transcript.whisperx[376].end |
11204.931 |
| transcript.whisperx[376].text |
好,謝謝廖偉祥委員現在處理臨時提案總共有兩案請一併宣讀第一案為落實衛生福利部分級醫療之推動建請衛生福利部研議與新增次醫療區域後評估部立醫院或協請新北市衛生局加入該次醫療區域 |
| transcript.whisperx[377].start |
11206.272 |
| transcript.whisperx[377].end |
11232.557 |
| transcript.whisperx[377].text |
成立區域醫院以健全北海岸地區分級醫療網絡提案人委員黃秀芳、王振旭、劉建國、蘇巧慧第二案未能全面性推動保護性業務回應其業務性質及組織規模建請衛生福利部就家庭暴力防治中心家庭暴力及性侵害防治中心研議調整其定位包含對其編制進行通案檢視與盤整並協助建立相關基準 |
| transcript.whisperx[378].start |
11235.077 |
| transcript.whisperx[378].end |
11258.754 |
| transcript.whisperx[378].text |
作為考試院全區部審查該中心編修案之參考依據提案人委員黃秀芳、王振旭、劉建國、蘇巧慧宣讀完畢。好,請問第一案行政單位有沒有意見?沒有。沒有。好。那就照案通過。那第二案?行政單位有沒有意見? |
| transcript.whisperx[379].start |
11262.008 |
| transcript.whisperx[379].end |
11262.468 |
| transcript.whisperx[379].text |
我們請邱太元部長 |
| transcript.whisperx[380].start |
11285.832 |
| transcript.whisperx[380].end |
11302.962 |
| transcript.whisperx[380].text |
好部長好部長第10屆的時候本席跟您都是在中心大樓地下一樓的委員所以常常那時候在走廊上也都會互相的碰到面那現在您高升到我們衛福部的部長不敢不敢想請教那剛剛也才這個風塵僕僕回國那也為臺灣為我們中華民國來努力 |
| transcript.whisperx[381].start |
11308.123 |
| transcript.whisperx[381].end |
11335.084 |
| transcript.whisperx[381].text |
接任衛福部長你認為現在面臨到衛福部有哪些重要的課題必須要面對跟解決我想就是繼續提升我們台灣醫療的韌性醫療防疫的韌性這是最大的保護我們台灣全體國人的健康這是最大的一個目標那這當中當然要有各種狀況來解決如果從醫療的角度 |
| transcript.whisperx[382].start |
11336.515 |
| transcript.whisperx[382].end |
11361.576 |
| transcript.whisperx[382].text |
當然我們希望能夠提升繼續提升我們醫療品質第二個我們能夠保障我們醫療團隊醫療人員的尊嚴跟專業第三個能夠讓我們臺灣所有的醫療院所在他各個層級都能夠很順利的運轉好好的照顧當地的國人醫療的部分因為可能也跟您之前是醫師背景有所相關 |
| transcript.whisperx[383].start |
11363.038 |
| transcript.whisperx[383].end |
11378.277 |
| transcript.whisperx[383].text |
請榮本席先再提醒衛福部不只是醫療食品安全衛生非常重要社會安全網非常重要所以食安、社安也都是國人所關注不過既然今天您有提到醫療本席就來跟您先討論醫療的部分醫療 |
| transcript.whisperx[384].start |
11380.68 |
| transcript.whisperx[384].end |
11407.173 |
| transcript.whisperx[384].text |
建保有可能是一大方向尤其大家講說建保改革的一個必要性包括點植以及包括醫療可是我先請教近期內有發生這個國內永豐化學被食藥署稽查認定違反標準所以說勒令官場5月20號那個時候還講是說這個是有民間或媒體在操作恐慌說只是吃緊啦沒有缺貨那個點滴沒有缺貨那現在又說要啟動專案進口 |
| transcript.whisperx[385].start |
11409.497 |
| transcript.whisperx[385].end |
11409.557 |
| transcript.whisperx[385].text |
十二屆會議 |
| transcript.whisperx[386].start |
11425.083 |
| transcript.whisperx[386].end |
11447.582 |
| transcript.whisperx[386].text |
那過去曾經有嚴重違反GMP這樣的一個記錄大概是在104年的時候104年所以2015年到現在那也不是算是第一次出包可是呢它算是一個高風險的這樣的一個製造生產廠商但我們還是讓它變成是說現在佔全臺灣市佔率七成 |
| transcript.whisperx[387].start |
11448.581 |
| transcript.whisperx[387].end |
11467.347 |
| transcript.whisperx[387].text |
那因為現在突然間讓他關場了結果我們就變成是說有七成的一個缺口部長我先請教一下重要的民生物民生藥品甚至有可能他會是戰備物資的一個情況變成寡占市場你覺得這有沒有 |
| transcript.whisperx[388].start |
11468.482 |
| transcript.whisperx[388].end |
11485.502 |
| transcript.whisperx[388].text |
我只有從這個事件裡面我們這幾天其實醫界還有相關的部門就認為要重新來思考就委員所提的戰備這種概念以免有缺藥或缺重要的物資的事情 |
| transcript.whisperx[389].start |
11486.104 |
| transcript.whisperx[389].end |
11511.599 |
| transcript.whisperx[389].text |
一個市占高達七成的廠商他過去有那麼有粗暴的經驗那現在被我們食藥署勒令停場而且他勒令停場的狀況其實是數據造假其實是展延許可的問題那現在突然間變成是廠商把持了我們這個民生藥品跟這個戰略物資那再請教這一次我們說要花專案進口來 |
| transcript.whisperx[390].start |
11514.383 |
| transcript.whisperx[390].end |
11515.246 |
| transcript.whisperx[390].text |
請教我們會預計要花多少錢? |
| transcript.whisperx[391].start |
11526.382 |
| transcript.whisperx[391].end |
11543.789 |
| transcript.whisperx[391].text |
委員報告因為它分成兩塊一個是暫時性就是短期的專案進口那這個費用因為還有貨櫃傳運的成本都會比較高那這邊大概短期是多短期就是到10月間到10月對好預計會花多少錢 |
| transcript.whisperx[392].start |
11546.01 |
| transcript.whisperx[392].end |
11560.095 |
| transcript.whisperx[392].text |
這邊會多支出大概2點多億2點多億算2.5億啦是不是還有沒有評估那另外10月之後勒那另外一部分是在這段期間也會有國內的 |
| transcript.whisperx[393].start |
11561.415 |
| transcript.whisperx[393].end |
11562.816 |
| transcript.whisperx[393].text |
會提高多少?目前的預估大概也會在2點 |
| transcript.whisperx[394].start |
11587.148 |
| transcript.whisperx[394].end |
11611.685 |
| transcript.whisperx[394].text |
那個量還沒有完全因為他們產能要出來才知道那個量有多少所以還沒有辦法預估最後的影響但是你剛剛講說也是差不多2點多億是不是應該是說前面那個是FDA已經核准專案進口的量所以那個量知道價知道所以能夠估出大概2點多億我們這次2點多億可以進口多少的量 |
| transcript.whisperx[395].start |
11613.079 |
| transcript.whisperx[395].end |
11640.738 |
| transcript.whisperx[395].text |
大概是400萬坪左右來部長回過頭來我想這一次這樣子的一個專案有沒有預計會到什麼時候這個專案要延續到多久專案進口專案進口也好或說你剛剛有講到說核價的部分可能要到跟配合國內的產物應該要到半年 |
| transcript.whisperx[396].start |
11642.131 |
| transcript.whisperx[396].end |
11660.353 |
| transcript.whisperx[396].text |
國內的產能要上來至少要半年的時間產能才能上來這之前可能還是要靠專案進口好部長這其實這一個都是盤根錯節的問題過去你也長期在衛煌委員會所以你也很了解其實健保的要價的部分是不是過去一直大家也講是說有 |
| transcript.whisperx[397].start |
11661.921 |
| transcript.whisperx[397].end |
11675.45 |
| transcript.whisperx[397].text |
的一個情況那再加上在這一次裡面你說相關的進口價比我們健保支付價其實要提高的比較多那還有我們現在要用比較高的這個健保的一個費用來去請其他國內廠商來去購買 |
| transcript.whisperx[398].start |
11678.553 |
| transcript.whisperx[398].end |
11693.833 |
| transcript.whisperx[398].text |
未來是不是應該就要考慮要調整這個健保的一個價格否則的話變成是廠商現在沒有意願啊為什麼會變成是說讓一個廠商他可以寡占然後七成的就是因為其他廠商其實其他廠也可以做但是為什麼到時候會變成是這個情況 |
| transcript.whisperx[399].start |
11695.322 |
| transcript.whisperx[399].end |
11711.712 |
| transcript.whisperx[399].text |
我覺得委員提的這個方向是應該要嚴厲來改善這是真的很根本的問題因為部長您之前的這個質詢我也有去調查資料也看過這也都是您之前一直很關心的議題所以我們不希望說只是 |
| transcript.whisperx[400].start |
11714.259 |
| transcript.whisperx[400].end |
11730.373 |
| transcript.whisperx[400].text |
這個講講什麼時候我們會落實因為您剛上任還不到一個月因為這個是牽涉到整個財務整個財務的問題如果你這邊多一點是不是你的診察會就會少一點是所以這當然餅就那麼大嘛如果說除非我們現在也講說我們要調漲 |
| transcript.whisperx[401].start |
11731.57 |
| transcript.whisperx[401].end |
11758.451 |
| transcript.whisperx[401].text |
相關的費用 對不對不然接下來你一定面臨到因為你一開始就開宗明義講說醫療的部分品質的提升以及相關的藥物的部分那兩塊啊本期認為說現在很重要一個是藥價的部分一個是健保點值的部分嘛等於是一個是人一個是藥品嘛就是一個是醫師護理師等相關人員那一個是藥品都很重要是那具體的做法是什麼 |
| transcript.whisperx[402].start |
11760.908 |
| transcript.whisperx[402].end |
11778.211 |
| transcript.whisperx[402].text |
你是不是要找相關的財主單位我們來開會還是說來做討論然後真真正正來去做當然健保的改革是一個重要的健保的改革裡面就會牽涉到剛剛您提的那兩個問題是 那部長要怎麼做 |
| transcript.whisperx[403].start |
11780.27 |
| transcript.whisperx[403].end |
11796.27 |
| transcript.whisperx[403].text |
你上任,我們期待新官上任相把火什麼時候會提出來一個比較具體可行的辦法包括健保的改革包括財源的增加包括健保點值以及包括藥品 |
| transcript.whisperx[404].start |
11797.051 |
| transcript.whisperx[404].end |
11809.664 |
| transcript.whisperx[404].text |
因為現在我們也有委員在提相關的修法那健保典值的部分也是賴清德總統那個時候競選的一個承諾我想在短暫的期間必須因為馬上有修法的這個問題我想我們就會趕快提出一個來 |
| transcript.whisperx[405].start |
11813.347 |
| transcript.whisperx[405].end |
11838.115 |
| transcript.whisperx[405].text |
短期必須要趕快做的而這些做的是可以來充實健保的資源來達到讓現在的整個醫界能夠盡量滿意這樣來部長那是不是給我們一個時間表你什麼時候會把這種資料給衛防委員會以及給本市一份如果配套措施應該兩個禮拜之內是是可以提出來一個方向尤其是近期的 |
| transcript.whisperx[406].start |
11839.255 |
| transcript.whisperx[406].end |
11854.104 |
| transcript.whisperx[406].text |
您說只是本席不是要只是針對這一次的永豐的事件的一個配套你們已經在進行了嘛有人講說這就像超市雞蛋進口的翻版啊因為我覺得還是有所差別啦 |
| transcript.whisperx[407].start |
11855.304 |
| transcript.whisperx[407].end |
11881.955 |
| transcript.whisperx[407].text |
因為畢竟並不是說我們的市場沒有調控好然後零時間缺這個我想兩個問題我們的提供資料給你們第一個就是我們的輸液的計畫是怎麼樣這個你們已經在進行了怎麼樣提供給您然後健保的改革的時程我們也很快就提給還有最重要的是要針對問題要去解決啦當然本席要的是說我們現在都知道問題但問題是怎麼解決 |
| transcript.whisperx[408].start |
11884.977 |
| transcript.whisperx[408].end |
11886.418 |
| transcript.whisperx[408].text |
會提出解決的問題兩個禮拜內 有辦法提出來應該是可以提出一個策略 |
| transcript.whisperx[409].start |
11896.914 |
| transcript.whisperx[409].end |
11916.797 |
| transcript.whisperx[409].text |
好不好,侯委員,因為時間的關係我聽到委員說沒中說要比較整理的因為對你所說的每一句話都是政策也都是國人的期待我們會提出策略啦好,部長本席願意請您兩個禮拜內提出也給外交委員會、給本席我們後續還會針對這部分因為這絕對不是一朝一夕可以討論 |
| transcript.whisperx[410].start |
11917.538 |
| transcript.whisperx[410].end |
11931.25 |
| transcript.whisperx[410].text |
但這重點是本席希望您回去找相關部會真的去把問題找出來過去您是監督者現在您是主政者所以一定要把這問題找出來然後來解決這問題好不好?謝謝好謝謝黃孟楷委員接下來請林淑芬委員 |
| transcript.whisperx[411].start |
11942.526 |
| transcript.whisperx[411].end |
11957.024 |
| transcript.whisperx[411].text |
我做一下宣告,不好意思現在請林淑芬委員質詢淑芬委員發言結束,中午就休息30分鐘4分鐘我沒有要講8分鐘,剛才黃孟楷就10幾分鐘了 |
| transcript.whisperx[412].start |
11961.37 |
| transcript.whisperx[412].end |
11963.451 |
| transcript.whisperx[412].text |
我重新宣告,現在請林淑芬委員質詢。楊瓊英委員質詢結束,我們就休息30分鐘。 |
| transcript.whisperx[413].start |
11985.821 |
| transcript.whisperx[413].end |
12007.962 |
| transcript.whisperx[413].text |
委員好部長好我在這裡先和序聲明過去我們是好同事所以情誼沒問題但今天在這裡你已經不是同事關係你是部長然後我是受人民之托要來這裡監督政府的立委所以今天如果態度上如果有稍微嚴格之處那也請你理解那我現在講永豐化學這件事情 |
| transcript.whisperx[414].start |
12008.783 |
| transcript.whisperx[414].end |
12008.823 |
| transcript.whisperx[414].text |
第三個． |
| transcript.whisperx[415].start |
12030.472 |
| transcript.whisperx[415].end |
12046.623 |
| transcript.whisperx[415].text |
他們重複發生的調製偏差事件並沒有針對根本原因執行矯正預防措施等比如說他們的輸液裡面灌水灌很多有效性不足等等所以導致你們把它停產了七成 |
| transcript.whisperx[416].start |
12049.505 |
| transcript.whisperx[416].end |
12073.144 |
| transcript.whisperx[416].text |
市佔率7成一個月150萬袋的輸液缺口在這裡但我今天要問你部長這個事情石耀署在5月20號發布了一個新聞他說我們石耀署積極調度永豐化學公司平產的替代藥品確保供應穩定這個新聞稿一發布以後呢現在進度怎麼樣沒有要進口 |
| transcript.whisperx[417].start |
12076.843 |
| transcript.whisperx[417].end |
12099.345 |
| transcript.whisperx[417].text |
市長說的誰有,他發布的就馬上飛過去了5月20,食藥署就只是聲明,只有聲明而已然後到6月3號缺藥平台發布了一個大包裝生理食鹽水供應方式前整個食藥署神明書店,現在這個書店你現在是沒有人可以贏了 |
| transcript.whisperx[418].start |
12101.721 |
| transcript.whisperx[418].end |
12124.942 |
| transcript.whisperx[418].text |
這件事早就要落台啊!如果我們沒有落台,你繼續因爲你在附近在這邊我問你5月20到6月3日兩個禮拜沒有足夠的輸液然後醫院裡面等著開刀的病人診所裡面需要的大家這些病患都在等等等,因為你政府沒有對應的政策食藥署在那裡擺爛,不對,這樣還不行 |
| transcript.whisperx[419].start |
12128.649 |
| transcript.whisperx[419].end |
12143.748 |
| transcript.whisperx[419].text |
我想我們所有的相關的部門都真的是每天在努力努力請問你有沒有做出相對應解決缺藥的問題的政策520到6月3日之前通通都沒有看到 |
| transcript.whisperx[420].start |
12145.376 |
| transcript.whisperx[420].end |
12164.195 |
| transcript.whisperx[420].text |
是不是署長要把最近的……不對,你不能叫署長回答,等一下,輪不到吳秀明當時成立缺藥平台有三大目標缺藥平台不是要讓人發現耶缺藥平台成立的目標第一個要解決第二個要緩解第三個要預防缺藥 |
| transcript.whisperx[421].start |
12165.436 |
| transcript.whisperx[421].end |
12194.082 |
| transcript.whisperx[421].text |
缺藥平台這三個功能完全沒有功用那我今天部長我也不是要針對這一次的個案我們是要跟你講回顧整個永豐化學的輸液事件食藥署在5月13日在缺藥平台公告了5月13日就公告了輸液畸形短缺徵求有意願供應的廠商然後就沒有了什麼都沒有了 |
| transcript.whisperx[422].start |
12194.844 |
| transcript.whisperx[422].end |
12212.354 |
| transcript.whisperx[422].text |
整個事件是藥師公會發布新聞稿在5月18號指出各類的手術洗腎的透析醫院住院所必需的生理食鹽水葡萄糖等輸液出現缺藥是藥師公會然後去反映的 |
| transcript.whisperx[423].start |
12213.354 |
| transcript.whisperx[423].end |
12228.043 |
| transcript.whisperx[423].text |
他一直跟你們講說這樣會造成各大醫院開刀住院停擺然後洗腎的人怎麼辦結果呢5月13日你們就知道你們就跟我們說我們欠這個東西看誰有錢來跟我們說5月18日藥師就跟你們說說這會出問題搞不好你們需要想在5月18當天的回應是什麼你知道嗎部長 |
| transcript.whisperx[424].start |
12237.626 |
| transcript.whisperx[424].end |
12258.274 |
| transcript.whisperx[424].text |
5月18日時要署告訴這些公會跟這醫院診所說已經協調國內其他廠增加產能考慮廠商若有調整產線需要先完成測試評估現在做法是請國內廠商就可供應的規格盡量擴充生產並請醫療院所配合調整使用習慣 |
| transcript.whisperx[425].start |
12260.014 |
| transcript.whisperx[425].end |
12267.475 |
| transcript.whisperx[425].text |
醫療院所調整使用習慣是什麼意思叫開刀的不要開刀叫洗身的不要洗身叫用書意的都不要用嗎然後我們今天在講他講說國內藥廠欸結果現在到4月他們就知道這個問題拖到現在一兩個月了國內藥廠有辦法解決這個缺口嗎完全沒有你們現在對案和這個對策也是要進口 |
| transcript.whisperx[426].start |
12291.901 |
| transcript.whisperx[426].end |
12292.101 |
| transcript.whisperx[426].text |
報告委員 |
| transcript.whisperx[427].start |
12307.236 |
| transcript.whisperx[427].end |
12321.566 |
| transcript.whisperx[427].text |
我現在跟你講部長,食藥署在5月20他們發佈了一個我剛剛講的他說他們會積極調度停產的替代藥品確保供應穩定的新聞稿以後都沒有更新進度也沒有結果只有6月3日有嘛但是我現在跟你講喔保證有在聽好喔現在我剛才聽你白人問你其實是都 |
| transcript.whisperx[428].start |
12333.322 |
| transcript.whisperx[428].end |
12336.006 |
| transcript.whisperx[428].text |
五月二十一日、五月二十四日、五月二十九日、五月三十一日 |
| transcript.whisperx[429].start |
12348.868 |
| transcript.whisperx[429].end |
12370.902 |
| transcript.whisperx[429].text |
他們次長說提醒基層診所要上藥品短缺通報平臺食藥署會聯繫並提供服務然後還講到說5月29號公布了健保共理會要加開會議同意啟動緊急專案進口第一批輸液在6月10號前到貨食藥署評估專案期長短在於專案期這個 |
| transcript.whisperx[430].start |
12375.985 |
| transcript.whisperx[430].end |
12384.578 |
| transcript.whisperx[430].text |
要平時價格二到三倍支付所以你們緊急專案進口欸這都不是在政府的官方網站公佈的捏 |
| transcript.whisperx[431].start |
12386.758 |
| transcript.whisperx[431].end |
12406.586 |
| transcript.whisperx[431].text |
次長的臉書變成官方網站網頁了嗎?這種調度的重要資訊衛福部沒有食藥署沒有健保署網站新聞稿通通都沒有短缺藥品的重要訊息是發布是以次長個人的臉書粉專為準的嗎?現在是要看次長的臉書粉專是不是?現在是依次長的粉專 |
| transcript.whisperx[432].start |
12416.464 |
| transcript.whisperx[432].end |
12431.553 |
| transcript.whisperx[432].text |
為主政策發布的主要平台,是不是?當然是要以官方的...阿你們都沒有捏?都沒有捏?應該都有阿人民要問責,是要問責次長說你臉書什麼這樣?阿怎麼才是很多天?如果要問責是找次長的臉書,還是要找衛福部? |
| transcript.whisperx[433].start |
12439.403 |
| transcript.whisperx[433].end |
12441.483 |
| transcript.whisperx[433].text |
現在是怎樣?次長的臉書發佈為主是不是? |
| transcript.whisperx[434].start |
12468.838 |
| transcript.whisperx[434].end |
12478.081 |
| transcript.whisperx[434].text |
市長是提醒一下,因為他怕議令市長提醒,你官網怎麼都沒有資料為什麼官網都沒有針對這幾個有相對應的新聞稿或資料呢不要在這裡說謊喔,藐視國會我是不主張抓起來關或是罰錢啦但是十一號署經常在這裡藐視國會署長曾經叫林淑芬時間到了下去 |
| transcript.whisperx[435].start |
12497.182 |
| transcript.whisperx[435].end |
12507.859 |
| transcript.whisperx[435].text |
我是不會主張把你抓起來關啦 也不會主張用錢、罰錢給你解決啦但是藐視國會這種事情 衛福部、食藥署都壞心鬼 |
| transcript.whisperx[436].start |
12509.062 |
| transcript.whisperx[436].end |
12523.491 |
| transcript.whisperx[436].text |
現在食藥署對食安藥品的準則是怎麼樣?立委不動我就不動 輿論不動我就不動現在不是咖罵 末梢神經循環有問題現在是中樞神經傳導已經壞掉了所以剛才還可以講到健保低價 這個是不是缺藥的理由? |
| transcript.whisperx[437].start |
12533.925 |
| transcript.whisperx[437].end |
12559.431 |
| transcript.whisperx[437].text |
我對你說這個是我們回去檢討請問健保低價是缺藥的理由嗎?您的次長也不承認有這件事喔你們的次長5月20說在藥品價格的部分這一次因為違反GMP而停產的藥品過去9年我們都沒有調降它的價格而且藥廠也沒有在定期詢問價格調整機制表示說藥廠也沒有反應說想要調高藥價 |
| transcript.whisperx[438].start |
12561.872 |
| transcript.whisperx[438].end |
12568.393 |
| transcript.whisperx[438].text |
您的署長說的啊,署長臉書說的那我問你,次長臉書是代表官方立場是不是?他說的啊,由您食藥署推卸責任給藥價太低所以沒人要責您的次長說藥價太低過去怎麼都沒錢賺啊我也沒給您調降藥品價格請問我是到底要找誰問責啦人民要問責要找誰,你告訴我次長的臉書 |
| transcript.whisperx[439].start |
12594.485 |
| transcript.whisperx[439].end |
12608.451 |
| transcript.whisperx[439].text |
我講這個是很嚴肅喔次長要個人作秀我沒有意見但是你正式人你政府態度是什麼我人民要問責我要找誰保證現在要繼續亂下去嗎整個體制都混亂啦整個國家整個政府運作的體制現在是要怎麼做我再問你勒保證我們食藥署的藥品組昨天有來嗎 |
| transcript.whisperx[440].start |
12625.897 |
| transcript.whisperx[440].end |
12643.964 |
| transcript.whisperx[440].text |
藥品組主長有來嗎?沒有今天你知道大家會關心這個議題最重要藥品組都沒有來他過去有沒有整理統計國內藥品市佔率不均或者是原料益生短缺的藥品名單來有沒有 |
| transcript.whisperx[441].start |
12649.384 |
| transcript.whisperx[441].end |
12675.994 |
| transcript.whisperx[441].text |
來,依據藥事法27條之2規範的必要藥品481項但我不是在問你們必要藥品必要藥品本來就要管制、要盤點但我現在問題的是另外兩個第一個,市佔率不均當頭輕啊,靠一斤在做,別人都不愛做的還有一種是原物料益生短缺有沒有啦,有沒有清單啊 |
| transcript.whisperx[442].start |
12677.762 |
| transcript.whisperx[442].end |
12687.136 |
| transcript.whisperx[442].text |
要品組有在做事嗎?有清單我們有納進去我們之前在評估其實都有把這個考慮進去都放在我們的必要品清單裡面 |
| transcript.whisperx[443].start |
12688.25 |
| transcript.whisperx[443].end |
12714.41 |
| transcript.whisperx[443].text |
來資料拿出來 署長你如果要回答用麥克風列為會議記錄 然後你要馬上明天就把資料提交到我們辦公室 因為你說你有做 我就相信你有做 明天在水搞出來 資料搞出來因為這份必要品清單是新的 我不是在講必要品清單 我是跟你講書意是不是必要品 |
| transcript.whisperx[444].start |
12715.912 |
| transcript.whisperx[444].end |
12724.661 |
| transcript.whisperx[444].text |
蘇易他不在必要品的清單上面啊你都搞不清楚蘇易會在必要品清單上面嗎你連這個都不知道你當署長當幾年了蘇易不在必要品清單裡面 |
| transcript.whisperx[445].start |
12738.564 |
| transcript.whisperx[445].end |
12739.966 |
| transcript.whisperx[445].text |
人民要找誰負責呢 |
| transcript.whisperx[446].start |
12755.24 |
| transcript.whisperx[446].end |
12782.097 |
| transcript.whisperx[446].text |
蘇易絕對不是必要品清單所以我跟你講了必要品清單是法律規定的你一定要好好的統計案盤點他有沒有問題可是這次出事的蘇易他就不是必要品清單所以我再跟你提點兩個第一個叫市占不均第二個叫原料益生短缺永豐蘇易他是市占不均的問題 |
| transcript.whisperx[447].start |
12783.899 |
| transcript.whisperx[447].end |
12784.82 |
| transcript.whisperx[447].text |
有沒有預警機制? |
| transcript.whisperx[448].start |
12805.962 |
| transcript.whisperx[448].end |
12816.407 |
| transcript.whisperx[448].text |
市政不均的跟原料衛生短缺的有沒有預警機制和處理機制?沒有!現在你用麥克風回答現在不是站在那裡委員給你質詢然後你又點點就可以轉過了沒有的 |
| transcript.whisperx[449].start |
12821.269 |
| transcript.whisperx[449].end |
12846.124 |
| transcript.whisperx[449].text |
因為我們就是在必要品清單這邊來做評估那評估了以後有納進來的就說我們這不是必要品清單因為當時永豐的他其實他市佔率是40%所以我們如果以這樣子去算的話那還有其他的當時現在是七成過去曾經八成有六家好來你再告訴我市佔不均和原料醫生短缺的藥品名單的指標你覺得用什麼當指標 |
| transcript.whisperx[450].start |
12847.725 |
| transcript.whisperx[450].end |
12860.209 |
| transcript.whisperx[450].text |
因為市佔率高跟原料醫生短缺也不一定代表用量大有可能是有替代藥品啊那你有沒有研理指標應該定成什麼?你有沒有去書課過嗎?你有沒有書課過嗎?書訂 我想部長不知道你有沒有思考過市佔率高跟原料醫生短缺如果他用量不大而且有其他替代藥品也不會是問題啊那到底是要管制什麼啊哪些是要 |
| transcript.whisperx[451].start |
12877.759 |
| transcript.whisperx[451].end |
12879.099 |
| transcript.whisperx[451].text |
現在就是沒有替代品用量又很大出問題了 |
| transcript.whisperx[452].start |
12909.195 |
| transcript.whisperx[452].end |
12933.332 |
| transcript.whisperx[452].text |
所以你看,不是腳麻手麻麻,總是神經穿斗齁都中風了,不可以停了啦所以今天以這個案例來看,你們4月就知道了就知道說他沒有獲得展言,沒有辦法繼續因為永豐化學吃定了你政府,吃定了你S藥署吃定了你衛福部,所以敢擺爛 |
| transcript.whisperx[453].start |
12935.694 |
| transcript.whisperx[453].end |
12942.239 |
| transcript.whisperx[453].text |
可是他擺爛你就這樣子一磅的爛啊你現在給他停產 這樣叫世新的不要世新開刀的不要開刀 用輸的不要用輸的嗎你們藥品組最重要藥品組的人沒有來今天不用去用這季 剛才點點都沒有事情藥品組沒有盤點市站不均或醫生短缺的這個會產生問題的藥品 |
| transcript.whisperx[454].start |
12959.713 |
| transcript.whisperx[454].end |
12978.958 |
| transcript.whisperx[454].text |
所以你都說沒藥沒金,你沒藥沒金叫大家病患自求多福捏,緣木求雨捏我再講一下,你剛才署長你說永豐化學2015年出問題他不是只有2015年,他的不良紀錄也有,你的藥品組在做什麼 |
| transcript.whisperx[455].start |
12981.169 |
| transcript.whisperx[455].end |
13006.821 |
| transcript.whisperx[455].text |
2015年檢察院提出對食藥署提出糾正2021年他們也還是出問題他們做的生理實驗署都不合規定2023年的去年是戰率已經八成了他的生理實驗水注射液裡面有黑色的懸浮物被誰遮住還有黑色的懸浮物 |
| transcript.whisperx[456].start |
13007.679 |
| transcript.whisperx[456].end |
13015.063 |
| transcript.whisperx[456].text |
我都不要說這個個案啦!你們自己看看!你們整個食藥署都可以說因為價格太低,所以調高價格就不會有這個問題就北京也要做價格太低可以成為製造出這種問題的理由和藉口嗎?保證你們說看看 |
| transcript.whisperx[457].start |
13027.344 |
| transcript.whisperx[457].end |
13041.204 |
| transcript.whisperx[457].text |
我想人民的安全是第一啦所以絕對不允許不管價格高人民安全第一這口號我可以講啦現在是你政府做什麼你的食藥署做什麼你的食藥署覺得價格太低覺得去給健保署反映過 |
| transcript.whisperx[458].start |
13042.245 |
| transcript.whisperx[458].end |
13051.688 |
| transcript.whisperx[458].text |
建保署覺得你無奈又貼到過嗎政府是一體這個問題做是沒人要做會存一間壟斷還做得拼一拼屢屢發生問題這種事情你做政府的現在還要有政府政府覺得去協調建保署說這個問題長久不是辦法要怎麼解決 |
| transcript.whisperx[459].start |
13063.772 |
| transcript.whisperx[459].end |
13068.517 |
| transcript.whisperx[459].text |
五月二十九你們的次長說要啟動盤點高風險的藥廠管理負擔他五月二十九臉書啦然後人家採訪他啦 |
| transcript.whisperx[460].start |
13079.989 |
| transcript.whisperx[460].end |
13084.69 |
| transcript.whisperx[460].text |
他說高風險藥廠就是過去茶廠記錄曾經有嚴重缺失的藥廠那未來我們要盤點它未來可能要比較早一點介入這個事情我們未來會重點處理你覺得高風險藥廠的定義是什麼 |
| transcript.whisperx[461].start |
13101.379 |
| transcript.whisperx[461].end |
13123.859 |
| transcript.whisperx[461].text |
委員 那個林委員 因為時間已經超過了 那等一下還有一場要 我要講 我要講 我要講最後一段而已啦 我要補充一下啦 因為喔 有一個訊息是這樣啦 因為林市長他跟議會密合 他趕快要安撫議會的心 所以有時候他急著發臉書 大家知道要怎麼做 這是用心良苦 |
| transcript.whisperx[462].start |
13123.999 |
| transcript.whisperx[462].end |
13130.003 |
| transcript.whisperx[462].text |
這關這麼簡單都用發言書的喔,這麼簡單喔,大家都可以做,不用議啦我現在跟你說啦,什麼叫高風險藥廠,你說不出來你敢知道,過去的茶廠裡面,永豐化學,我們給你討資料,你跟我們說的喔永豐化學除了今年嚴重違反GMP之外,在過去6年沒有任何違反藥事法的紀錄 |
| transcript.whisperx[463].start |
13150.762 |
| transcript.whisperx[463].end |
13155.664 |
| transcript.whisperx[463].text |
但是有很多次都是用回收藥品草草結案這是你們的陳科每一次藥廠都這樣明明就查到了不法都叫他們回收然後你們就不開法連股票上市的藥廠都可以製造劣質藥你們連行者也不敢啟動土法不足以自刑 |
| transcript.whisperx[464].start |
13177.834 |
| transcript.whisperx[464].end |
13206.09 |
| transcript.whisperx[464].text |
所以你高風險就要講大話你若要說這樣他沒有違反過藥事法的紀錄連這個永豐化學你要把它列為高風險恐怕都還有疑慮高風險指標是什麼沒錯你要想一下你要想好藥品的品質三項要素安全、有效、品質上市前要查驗上市後要管理現在我聽說我只要說這裡就好了我聽說 |
| transcript.whisperx[465].start |
13207.911 |
| transcript.whisperx[465].end |
13226.408 |
| transcript.whisperx[465].text |
實要是嚇到啊!事情沒有這麼突然嚇到啊!所以上面有交代下面!例行性檢查、機動性查詳、機查強度都要降低!把警鈴拔掉!然後就不會出問題!不查詳就沒問題!有這件事嗎?你一定說沒有的 |
| transcript.whisperx[466].start |
13233.251 |
| transcript.whisperx[466].end |
13233.811 |
| transcript.whisperx[466].text |
接下來請楊瓊英委員發言 |
| transcript.whisperx[467].start |
13265.739 |
| transcript.whisperx[467].end |
13269.353 |
| transcript.whisperx[467].text |
謝謝主席 本席想再邀請部長 請邱部長 |
| transcript.whisperx[468].start |
13276.67 |
| transcript.whisperx[468].end |
13303.971 |
| transcript.whisperx[468].text |
部長好,先恭喜你,但是我們首先要面對這個問題因為台灣洗腎的人很多所以現在不能睡這個健康很危險而且這是很棘手的問題所以這個事情屬於到目前為止到目前為止但在你還沒有出國的時候還沒有回國的時候我們也緊急的調度就是進口就進口,說是製程有問題 |
| transcript.whisperx[469].start |
13305.793 |
| transcript.whisperx[469].end |
13319.1 |
| transcript.whisperx[469].text |
到底我們這一批的進口多少錢?因為據聞它的金額是比我們自己健保的部分是兩倍到三倍所以這一次我們到底進了多少?那我們運用的金額有多少?請做說明 |
| transcript.whisperx[470].start |
13323.253 |
| transcript.whisperx[470].end |
13344.932 |
| transcript.whisperx[470].text |
請說明跟委員報告那這一次經過那個FDA核准專案進口的量加上我們最後專案核定的健保核價大概影響金額大概在兩億多兩億多嗎那兩億多總共的數量是多少大概在400萬瓶左右400萬瓶那400萬瓶你足以應對嗎 |
| transcript.whisperx[471].start |
13347.505 |
| transcript.whisperx[471].end |
13369.717 |
| transcript.whisperx[471].text |
當然因為這個是一部分另外一部分在請國內的廠商增產那個是另外一塊因為還是要讓國內的廠商有這個把他的產能拉高的機會部長你聽到了這個訊息那為什麼平白無故會要再緊急專案進口沒有辦法所以我們這2億多400萬瓶救急 |
| transcript.whisperx[472].start |
13373.779 |
| transcript.whisperx[472].end |
13402.219 |
| transcript.whisperx[472].text |
價格是兩倍至三倍這個價格你想民眾聽到他們作何感想因為本席還是要繼續請問緊急狀況會不會成為常態化請教請說明會不會成為常態化你如果沒有福利中心你沒有一個完善的一個制度你會不會成為常態化一次就兩億多怎麼辦會不會常態化本席請教 |
| transcript.whisperx[473].start |
13403.218 |
| transcript.whisperx[473].end |
13429.646 |
| transcript.whisperx[473].text |
我想每一個危機我們都一定要做教訓危機要做教訓所以我們不能刪除對,你的醫療財政你的穩健供應你病患的權益啊你不能讓洗身的不能洗啊當然當然當然當然所以它會不會常態化你說的必須要有制度要有方法那請教制度跟方法你怎麼做改善請做說明 |
| transcript.whisperx[474].start |
13431.721 |
| transcript.whisperx[474].end |
13446.348 |
| transcript.whisperx[474].text |
如果有這次的經驗我們當然就會更加的預防性的,譬如說當然我不是經濟學專家當然是不是市佔率的問題但是有時候這是一種自然的,因為永豐這個藥廠,既我醫師 |
| transcript.whisperx[475].start |
13451.533 |
| transcript.whisperx[475].end |
13462.582 |
| transcript.whisperx[475].text |
朋友的瞭解,他們服務的非常好,你要他送到哪裡,他就送到哪裡,方便,就很容易接,很方便,大家平穩很好政府控制不住,所以變成事實上有些關係,所以政府我們要負責,希望我們市民更早 |
| transcript.whisperx[476].start |
13472.791 |
| transcript.whisperx[476].end |
13491.432 |
| transcript.whisperx[476].text |
我們要理解、觀察一下,另外就是... 回答,也不要隨便回答,因為這個是包括的我們的醫療財政穩定的一個公益跟病患的一個權益 這三項是最基本的,都不能有所減免 |
| transcript.whisperx[477].start |
13492.173 |
| transcript.whisperx[477].end |
13508.11 |
| transcript.whisperx[477].text |
所以在這樣的情況之下我還是給你功課我相信你來自異界你也來自民意代表你很清楚但是我們要的是不要變為常態化要怎麼你所謂的當然當然要怎麼樣的方案出來 |
| transcript.whisperx[478].start |
13509.071 |
| transcript.whisperx[478].end |
13530.083 |
| transcript.whisperx[478].text |
你去研擬那個方案出來好不好?因為本席最怕的就是變為常態化我這樣很恐怖的啊好不好?好不好?因為命就是一點都不能打折的健康不能一點醫療是一點都不能打折的啊那你多久方案可以告訴本席可以給我們你去研擬沒關係本席還是希望要有政策性的多久時間可以告訴我們你怎麼樣去調整 |
| transcript.whisperx[479].start |
13536.087 |
| transcript.whisperx[479].end |
13557.555 |
| transcript.whisperx[479].text |
你告訴我們供應也很好什麼都很好除了這個狀況要多花了兩三億緊急調度國外400萬瓶三個禮拜好不好三個禮拜研議方案怎麼樣讓蘇伊可以恢復不要讓他緊急狀況成為常態化這太恐怖了好不好三個禮拜給我們方案要怎麼做 |
| transcript.whisperx[480].start |
13558.635 |
| transcript.whisperx[480].end |
13585.43 |
| transcript.whisperx[480].text |
好部長這一次您辛苦了到這個WHA雖然是在外面但是本期看到你接受訪問的時候你接受訪問的時候那你也說了未來的挑戰恐怕會更嚴峻喔你是這麼說喔你在日內瓦的時候接受你所謂的更嚴峻到底是什麼回事你一講更嚴峻大家在國內以為說我們就沒機會了 |
| transcript.whisperx[481].start |
13587.691 |
| transcript.whisperx[481].end |
13609.991 |
| transcript.whisperx[481].text |
怎麼回事呢?這是我根據我醫療團隊過去的戰役是這1、20年來我也代表醫界在參加世界對相關的會議裡面我們發現中國的策略從以前很硬現在變得很軟硬兼施他們也付出了很多的 |
| transcript.whisperx[482].start |
13611.84 |
| transcript.whisperx[482].end |
13612.801 |
| transcript.whisperx[482].text |
所以我們應該正面來想即使這樣的槍 |
| transcript.whisperx[483].start |
13630.399 |
| transcript.whisperx[483].end |
13655.777 |
| transcript.whisperx[483].text |
更加的嚴謹但是我們得到的友誼、得到的支持其實是更多的其實部長你談到這裡本席非常肯定你的就是說我覺得一個政府那你必須要將真實的事情告訴民眾這是本席對你的肯定而不是只有插支抹粉得不到答案 對不對所以就成如剛剛第一個議題一樣我希望要有政策 |
| transcript.whisperx[484].start |
13657.118 |
| transcript.whisperx[484].end |
13680.897 |
| transcript.whisperx[484].text |
這個才是我們理性討論的精髓所以本期希望就是說在台灣的醫療非常好我們的健保也很有名那我們包括在防疫的過程當中我們也是全國上下一致不分藍綠白全部搭一起來所以我們現在以你的智慧除了你告訴我們越來越遠近以外你還有什麼方案 |
| transcript.whisperx[485].start |
13681.998 |
| transcript.whisperx[485].end |
13706.766 |
| transcript.whisperx[485].text |
你還得到了那麼多的友誼你還有什麼方案告訴我們你這個議題也順便資料給我好嗎我們一起加油開個檢討會來把所有的以後會做得更積極的對所以也就是說你臺灣在國際上你要怎麼樣謀取更多的支持跟重視這個是我們有什麼籌碼請你把你研討就這一次 |
| transcript.whisperx[486].start |
13707.466 |
| transcript.whisperx[486].end |
13708.507 |
| transcript.whisperx[486].text |
謝謝楊瓊英委員的發言那現在休息休息30分鐘後下午一點繼續開會 |
| transcript.whisperx[487].start |
13737.892 |
| transcript.whisperx[487].end |
13739.428 |
| transcript.whisperx[487].text |
謝謝! |
| transcript.whisperx[488].start |
16173.936 |
| transcript.whisperx[488].end |
16177.377 |
| transcript.whisperx[488].text |
好現在繼續開會請劉建國委員發言有請邱部長請邱部長 |
| transcript.whisperx[489].start |
16199.11 |
| transcript.whisperx[489].end |
16222.012 |
| transcript.whisperx[489].text |
委員好部長好恭喜部長凱旬歸國也賀喜部長榮任部長都跟建國委員學習謝謝了部長我想參加WHA是不恩朝野黨派加入絕對是全台灣2300萬人共同期盼的一件事情那未來你可能有4年任期甚至於更久 |
| transcript.whisperx[490].start |
16223.1 |
| transcript.whisperx[490].end |
16250.912 |
| transcript.whisperx[490].text |
那怎麼樣的如何有雄心壯志有事先的規劃然後累積這8年客觀的經驗從你當這個醫師公共全聯會理事長還有這個委員還有世界這個醫師全聯會的這個理事累積這樣經驗的情況之下有什麼樣的一個計畫有什麼樣的一個雄心壯志有什麼樣的一個預期打造目標我們可以順利加入好 謝謝第一個我首先要 |
| transcript.whisperx[491].start |
16252.621 |
| transcript.whisperx[491].end |
16270.954 |
| transcript.whisperx[491].text |
聲明的就是說我們雖然目標是在當進入WHO甚至WHO當Observer但是如果碰觸政治的壓力我們也不要灰心喪志我們還有很多事情可以來照顧國人的健康也很多事情我們可以來幫助世界的人民這些都不要放棄 |
| transcript.whisperx[492].start |
16271.875 |
| transcript.whisperx[492].end |
16287.624 |
| transcript.whisperx[492].text |
我們目前所做的就是一步一步在努力這件事情而每一次的努力的成果就是一個關鍵一個小成功那等這個累積以後自然就有機會會水到其成這是我的理念第一個第二個 |
| transcript.whisperx[493].start |
16288.834 |
| transcript.whisperx[493].end |
16317.58 |
| transcript.whisperx[493].text |
第二個我覺得我們當然不能說固守於過去的做法要結合更多的力量比如說我常常在講因為我們的醫衛團體臺灣的醫衛團體至少有100個這每100個都是非常強的跟國際有做連結這些未來怎麼樣來做強大的一個結合的力量今天的委員也有形容到說我們因為專家可能很多有的國家是如果他去的話會 |
| transcript.whisperx[494].start |
16319.18 |
| transcript.whisperx[494].end |
16332.247 |
| transcript.whisperx[494].text |
大家尊敬他會有很大的力量這些我們也都要評估第三個我覺得培養更年輕的國際人才也是我們政府要做的責任我想大概 |
| transcript.whisperx[495].start |
16335.164 |
| transcript.whisperx[495].end |
16359.171 |
| transcript.whisperx[495].text |
這幾個來努力但是我還是要跟國會美麗大家我們一定要團結然後每一個努力都是未來成功的關鍵每一個努力都是有豐收的果實而不是一個可能受到政治力量的一個目標在那邊目前好像還達不到但是其實我們的努力我們已經享受到豐收的成果謝謝 |
| transcript.whisperx[496].start |
16361.582 |
| transcript.whisperx[496].end |
16382.968 |
| transcript.whisperx[496].text |
部長我就簡單讓你說明清楚但是從後面的這個人才的培訓坦白講樣成了也不是一朝一夕就可以完成對不對那我一直特別強調的主題說在這個未來的四年有可能更久嘛但是我們先講第一個階段就是未來這四年的時候要怎麼如何可以達標達到這個目標嘛那不過部長剛剛答覆我基本上 |
| transcript.whisperx[497].start |
16383.648 |
| transcript.whisperx[497].end |
16411.683 |
| transcript.whisperx[497].text |
是沒有針對我的問題來做答覆但是鼓勵國人不要放棄我們一起努力跟所有的這個這個醫界跟所有的醫治團體大家共同一起來發聲連結到世界各地的比較這個尖端精英的醫療的這些人士來讓台灣的能見度可以更高讓台灣的這樣的衛生醫療的領域可以持續的往前去領先我覺得那當然也是 |
| transcript.whisperx[498].start |
16412.384 |
| transcript.whisperx[498].end |
16433.486 |
| transcript.whisperx[498].text |
慢慢的去累積一點一滴的小小成果應該是誠如部長講的這樣的一個理念但是我還是希望有一個比較具體的我是不是在這邊可以具體建議部長你可以看到最近在臺北辦的沸沸揚揚的國際電腦展全世界科技的精英臺灣重要的科技龍頭 |
| transcript.whisperx[499].start |
16436.541 |
| transcript.whisperx[499].end |
16459.357 |
| transcript.whisperx[499].text |
每天的新聞報不完幾乎臺灣就是一個全世界在AI在科技非常重要、重中之重的一個國家我們的能見度打開了我們讓全世界看到臺灣在這一塊的實力是這麼堅強我們也無需擔憂中共透過任何政治力量的管道去打壓我們 |
| transcript.whisperx[500].start |
16460.626 |
| transcript.whisperx[500].end |
16477.84 |
| transcript.whisperx[500].text |
他們的醫療秩序非常的進步先進昨天我們又通過再生醫療雙簧等等等那AI未來絕對要跟醫療連結到一定的緊密的程度所以我才會特別希望部長你累積過去這麼多的經驗這麼多的職務應該 |
| transcript.whisperx[501].start |
16481.704 |
| transcript.whisperx[501].end |
16504.417 |
| transcript.whisperx[501].text |
是不是有這個機會更有一個願景更有一個規劃也讓全世界的醫療重要的人士剛才陳女所講的舉足輕重的是可以時不時的來到我們台灣參加任何的一個論壇還是所謂的尖端醫療AI醫療的這樣的一個相關的一個國際的一個會議 |
| transcript.whisperx[502].start |
16507.759 |
| transcript.whisperx[502].end |
16528.901 |
| transcript.whisperx[502].text |
我覺得這個樣子的情況之下或許也會讓世界衛生組織寡慕相看或許我們舉辦了相關的這些醫療公衛的論壇也會在功能上甚至超越過世界衛生組織所以我才想說部長有沒有這樣的雄心壯志再來我拜讀到賴總統的 |
| transcript.whisperx[503].start |
16531.091 |
| transcript.whisperx[503].end |
16555.758 |
| transcript.whisperx[503].text |
當天就職的演說．也拜讀了行政院我們院長卓院長的施政報告我覺得打造一個AI的島嶼國家．打造一個科技進步的國家．打造一個創新就正如邱部長說今天島嶼相關委員所講的努力到80%一直沒有辦法再往上衝的時候那可能就是要有更有智慧的更創新的這樣的一個思維 |
| transcript.whisperx[504].start |
16556.522 |
| transcript.whisperx[504].end |
16577.626 |
| transcript.whisperx[504].text |
所以我建立這樣一個創新的思維就要兼具具體的做法讓全世界的頂端的尖端的醫療的產業醫療的人才時不時的可以來聚集在臺灣這一個進步科技進步醫療進步的這個國家我們一起努力的為世界的衛生醫療為世界連結這個醫療跟科技結合 |
| transcript.whisperx[505].start |
16581.883 |
| transcript.whisperx[505].end |
16610.075 |
| transcript.whisperx[505].text |
最緊密的這樣的一個最有機會的一個國家我們可以朝這個方向來做努力,部長可以嗎?非常好,委員的指示非常著見我覺得我們國家就是應該要往這方面努力那在醫療衛生方面其實我剛剛有跟委員報告過就是很多很多的團體其實都有請重要級正重要級的都是世界主席來的所以幾乎所有的專業團體的不管外科內科 |
| transcript.whisperx[506].start |
16611.275 |
| transcript.whisperx[506].end |
16627.024 |
| transcript.whisperx[506].text |
加一科、副產科幾乎每年他們的主席世界主席都會到臺灣來演講的機會非常多另外衛福部本身在11月每年也都辦有全球的健康論壇幾乎把友好國家的 |
| transcript.whisperx[507].start |
16627.904 |
| transcript.whisperx[507].end |
16655.726 |
| transcript.whisperx[507].text |
我今天這次去40幾場每一場都遞邀請函給部長那當然不一定大家會來那就是這個也是盛況都是蠻盛況的也展示我們臺灣在衛生的國力那至於是AI或相關這個顧方面的人才我覺得我們要集合起來對所以我我這特別尊教委員的指示這樣來做不要說指示我只是特別跟部長建議我們可以有立即性的具體的做法當然 |
| transcript.whisperx[508].start |
16656.186 |
| transcript.whisperx[508].end |
16656.546 |
| transcript.whisperx[508].text |
今天有國際的電腦展在臺灣的臺北 |
| transcript.whisperx[509].start |
16673.327 |
| transcript.whisperx[509].end |
16693.273 |
| transcript.whisperx[509].text |
明年是不是有一個國際的AI醫療展在我們邱部長的主政之下馬上來推動第一年第二年第三年我們會越見成熟就不怕任何打壓任何政治上的干擾的行為我覺得這給部長做最好的一個建議跟參考好不好這是一件事情第二件事情 |
| transcript.whisperx[510].start |
16694.213 |
| transcript.whisperx[510].end |
16709.481 |
| transcript.whisperx[510].text |
就是你所講的人才的養成跟培育非常重要我請趙復師上來一下我最後的3分鐘拜託主席再給我把這事情講完那天女士來我特別跟她講社工能力社工能力的部署已經非常的嚴重未來的5年 |
| transcript.whisperx[511].start |
16709.701 |
| transcript.whisperx[511].end |
16730.026 |
| transcript.whisperx[511].text |
﹏﹏﹏ |
| transcript.whisperx[512].start |
16737.091 |
| transcript.whisperx[512].end |
16747.699 |
| transcript.whisperx[512].text |
但實際上跟市長說明的落差值是非常大我甚至可以馬上提供雲林縣的區域醫院在幾年前就關了百分之三十以上只不過是沒有見報而已 |
| transcript.whisperx[513].start |
16748.9 |
| transcript.whisperx[513].end |
16766.991 |
| transcript.whisperx[513].text |
只不過是不願意說出來而已當人才、護理能力這麼欠缺的情況之下如果我們沒有求新求變我們沒有像邱部長所講的有創新的思維創新的政策我跟你講你的人數還是會持續降下來因為我們面對到職場的環境 |
| transcript.whisperx[514].start |
16768.792 |
| transcript.whisperx[514].end |
16787.18 |
| transcript.whisperx[514].text |
我們面對到整個待遇希望從夜班從現在日班從相關的這樣的一個期盼都必須要政府在匡列相關的預算來支持但是如果持續做這樣的處理的一個方式我覺得一成不變然後從預算面 |
| transcript.whisperx[515].start |
16787.76 |
| transcript.whisperx[515].end |
16810.59 |
| transcript.whisperx[515].text |
去做這樣的解決你這個人力方還是一樣沒辦法解決你可以看我的圖表齁這個已經每況愈下114年63.44111年63.17113年63在100年的時候我要求助理要跟你們調相關資料你們竟然跟我講沒有那時候是跟幾位委員有共同提案改善護理環境提升護理待遇當時的衛生署編了10億 |
| transcript.whisperx[516].start |
16813.771 |
| transcript.whisperx[516].end |
16838.998 |
| transcript.whisperx[516].text |
因為10億分散給這些區議院、地區議院、醫學中心結果拿去買制服辦運動會完全沒有用在護理人員身上隔年才再增加20億這幾年不要說夜班的加班會不要說未來的日班的相關的津貼這幾年投入護理界我們公部門編了多少預算市長你比我更清楚但是我絕對支持 |
| transcript.whisperx[517].start |
16840.185 |
| transcript.whisperx[517].end |
16868.569 |
| transcript.whisperx[517].text |
但是投入這麼多的預算的情況之下讓護理人員的職業率持續下降你該當何罪你有什麼新的創新的方式就你部長所講的你要回應啊你要說明清楚啊好謝謝委員那整個現在臺灣的護理人力的問題是在於他留不住量上面是主要的問題是留不住那就是職場環境的改善是重要的 |
| transcript.whisperx[518].start |
16869.13 |
| transcript.whisperx[518].end |
16886.167 |
| transcript.whisperx[518].text |
我們改善了10多年我們投入這麼多的預算還是在講市場環境要改善是那我們在去年在行政院已經有得到這個核定那有12項的計畫那不管是從人才的這個增加10%的培育 |
| transcript.whisperx[519].start |
16887.335 |
| transcript.whisperx[519].end |
16893.264 |
| transcript.whisperx[519].text |
以及職場環境的改善跟薪資的改善有12項策略那這12項策略目前已經有40億在做一個這個經費已經得到這個支持跟也開始在運用了那目前我們還有三項計畫是中長程的就是 |
| transcript.whisperx[520].start |
16903.799 |
| transcript.whisperx[520].end |
16923.272 |
| transcript.whisperx[520].text |
現在4月也提到行政院如果合併完之後我們也會預期效益就是增加10%嘛對不對預期效益嘛能力能力要提高到10%嘛對不對是不是這樣對量能可以提高到10%嘛你如果從現在的112也是63那可能未來可以增加到73嘛是不是這樣你的意思是這樣嘛 |
| transcript.whisperx[521].start |
16924.565 |
| transcript.whisperx[521].end |
16944.07 |
| transcript.whisperx[521].text |
⋯⋯⋯⋯ |
| transcript.whisperx[522].start |
16948.695 |
| transcript.whisperx[522].end |
16972.924 |
| transcript.whisperx[522].text |
我們未來我們在我們有把這個供需做了一些試算那2030年我們需要的大概需要增加最少5.5萬最少5.5萬2030年2030年現在是2024所以還有6年時間所以平均每年要增加1萬出嘛對不對這是預期要達到的效益跟目標是確定可以達標我們 |
| transcript.whisperx[523].start |
16975.275 |
| transcript.whisperx[523].end |
16986.983 |
| transcript.whisperx[523].text |
積極努力積極努力那我們現在就要來檢視了嘛齁如果現在這些相關的計畫跟經費都到位了吧部分到位部分在爭取中 |
| transcript.whisperx[524].start |
16987.677 |
| transcript.whisperx[524].end |
16988.198 |
| transcript.whisperx[524].text |
12項已經到位幾項嗎? |
| transcript.whisperx[525].start |
17007.321 |
| transcript.whisperx[525].end |
17022.791 |
| transcript.whisperx[525].text |
基本上全部都啟動了啦那經費的部分有兩項兩項已經到位嘛那其他的還有三項目前在爭取經費那有的不是直接由我們來公務預算的也開始比如說公職護理師的比例增加啦 |
| transcript.whisperx[526].start |
17023.451 |
| transcript.whisperx[526].end |
17051.981 |
| transcript.whisperx[526].text |
或是這個三方互併比的標準的訂定跟推動。12項的這個這個指標這個這個這個這個政策基本上都啟動了嘛。對。對不對?對。好。阿所以預期到2031年可以增加護理人力進入到職場增加到5萬5千人嘛。是不是這樣?對。是。好。那我們明年就可以來檢視了喔。嗯。你的5萬5除以從2025開始嘛。對不對?齁。那等同就是一年要將近一萬嘛。沒有錯吧? |
| transcript.whisperx[527].start |
17053.997 |
| transcript.whisperx[527].end |
17074.936 |
| transcript.whisperx[527].text |
對,但是他的這個我們重點在於他每年有流失的就沒有進來跟流失的這個8000個人裡面我們希望每年能夠多增加這個5成我現在跟你講的我請教你的就是你增加的你不要再跟我講說你沒有扣掉流失的喔你不能跟我打呼這種模擬任何的事情喔 |
| transcript.whisperx[528].start |
17076.425 |
| transcript.whisperx[528].end |
17093.353 |
| transcript.whisperx[528].text |
⋯⋯ |
| transcript.whisperx[529].start |
17094.012 |
| transcript.whisperx[529].end |
17094.513 |
| transcript.whisperx[529].text |
接下來請洪森翰委員發言 |
| transcript.whisperx[530].start |
17124.89 |
| transcript.whisperx[530].end |
17126.02 |
| transcript.whisperx[530].text |
請邱部長請邱部長 |
| transcript.whisperx[531].start |
17132.15 |
| transcript.whisperx[531].end |
17154.688 |
| transcript.whisperx[531].text |
邱部長好今天是我第一次的向這個邱部長來質詢那因為我的時間不太多所以我就直接切入到重點了部長你過去其實也是醫師所以其實你應該很清楚瞭解我們這個第一線的醫護人員其實他常常是為了我們民眾的健康 |
| transcript.whisperx[532].start |
17155.749 |
| transcript.whisperx[532].end |
17181.958 |
| transcript.whisperx[532].text |
那他的付出然後尤其是我們看到很多公立尤其是衛福部主管的部立醫院常常會有加班的情形應該很清楚對不對是部長我最近跟衛福部來調資料的時候發現有超過八成的部立醫院他們很多這些基層第一線人員他們的加班的時數都被吃掉了部長知不知道這個狀況 |
| transcript.whisperx[533].start |
17183.918 |
| transcript.whisperx[533].end |
17203.759 |
| transcript.whisperx[533].text |
我必須要再去了解一下部長那我來跟你說明好不好我現在都用的都是衛福部的資料部長我們現在看到這些不利議員他們的猜情系統裡面都沒有辦法記錄這些加班的時數進而影響到他們的補休甚至加班費的權益我說的事情很簡單比方說我舉個例子 |
| transcript.whisperx[534].start |
17204.827 |
| transcript.whisperx[534].end |
17221.241 |
| transcript.whisperx[534].text |
今天如果你因為臨床的業務加班了一個小時又50分鐘對不起因為這50分鐘不滿一個小時所以這50分鐘的加班餘數在醫院是沒有記錄的這就是我們的加班時數被吃掉的狀況剛剛劉建國委員質詢 |
| transcript.whisperx[535].start |
17225.384 |
| transcript.whisperx[535].end |
17248.968 |
| transcript.whisperx[535].text |
議員． |
| transcript.whisperx[536].start |
17249.813 |
| transcript.whisperx[536].end |
17250.093 |
| transcript.whisperx[536].text |
這不是個案吶! |
| transcript.whisperx[537].start |
17268.511 |
| transcript.whisperx[537].end |
17296.161 |
| transcript.whisperx[537].text |
這是醫師還是護士這是護理師護理師嘛但是這些醫護在他們的猜情系統都遇到同樣的狀況啊部長我要跟你說這不是只有護理師啦在2023年也就是去年的8月29號我們的人事行政總署來推動一個計畫叫做輪班輪休人員納入加班餘宿並計事辦計畫大家看一下再往下 |
| transcript.whisperx[538].start |
17300.556 |
| transcript.whisperx[538].end |
17324.825 |
| transcript.whisperx[538].text |
這個輪班輪休人員納入加班餘宿並記示範計畫告訴各部會應該來依法申請來辦理來協助你們大家的猜情系統裡面要把加班餘宿可以用一種大水庫的方式來並記部長但是我們看到現在我們追查到目前為止有幾家不利的醫療機構加入這個示範你知不知道 |
| transcript.whisperx[539].start |
17326.839 |
| transcript.whisperx[539].end |
17348.069 |
| transcript.whisperx[539].text |
我想我們馬上檢討去了解而且馬上一定要按規定來處理部長現在只有5家我們的不利醫院加入這個事辦的計畫來確保我們公職醫護人員的權益啊剩下21家到目前為止這個計畫從去年8月開始公布只有這個 |
| transcript.whisperx[540].start |
17349.129 |
| transcript.whisperx[540].end |
17374.354 |
| transcript.whisperx[540].text |
現在還有21家的醫院都還沒有加入這個加班餘宿的病劑功能在他們猜刑系統裡面部長有沒有了解這個問題?我想應該這個...部長我今天我的質詢我的想法很簡單叫做加班多少時間就記錄多少時間就能拿到多少加班的權益 |
| transcript.whisperx[541].start |
17375.194 |
| transcript.whisperx[541].end |
17403.704 |
| transcript.whisperx[541].text |
部長 這個想法你覺得你同意嗎?我們的所有的醫療各機構應該都要按照規定來辦理嘛所以我剛才再說一次加班多少時間就可以記錄多少時間就可以拿到多少加班的報酬或者是補修的權益部長同不同意?同意啊你同意對不對可是我們現在明明下面有八成的不利醫院他都沒有跟上啊他還在吃這些基層醫護人員的加班時數啊 |
| transcript.whisperx[542].start |
17405.168 |
| transcript.whisperx[542].end |
17429.152 |
| transcript.whisperx[542].text |
你只要沒有到滿一個小時對不起那都不計都不算都消失了這是現況不是個案了好我們馬上檢討部長我現在我想提兩個要求啦很簡單三個月內督促這21家還沒加入的不利醫院第一個加班時數要如實記錄猜情系統馬上增列這個加班餘數並記功能這應該沒問題吧這三個月內21家不利醫院應該沒問題吧 |
| transcript.whisperx[543].start |
17435.618 |
| transcript.whisperx[543].end |
17451.211 |
| transcript.whisperx[543].text |
之前只有5家加入部長你現在的這個你現在遲疑的態度讓我會有一點懷疑你的決心阿我覺得這是最基本的事情阿我想基本的事情阿今天這麼簡單應該可以做的事情為什麼只有5家加入我是 |
| transcript.whisperx[544].start |
17452.993 |
| transcript.whisperx[544].end |
17476.55 |
| transcript.whisperx[544].text |
市長知不知道為什麼?或者是衣服會?衣服會知不知道為什麼?是!可是現在剛剛市長也說要改善大家的勞動環境跟條件像這種吃掉人家加班時數的狀況這算是友善的勞動條件嗎?部長我覺得你要給一個更明確的決心該做到就做到 |
| transcript.whisperx[545].start |
17479.017 |
| transcript.whisperx[545].end |
17494.142 |
| transcript.whisperx[545].text |
好,我們3個月內把它完成好了好,3個月內21家這個部立醫院跟療養院加班時數都可以如實記錄加入這病情功能第二件事情很重要現在是6月8月下個年度的總預算要送進來 |
| transcript.whisperx[546].start |
17495.382 |
| transcript.whisperx[546].end |
17516.352 |
| transcript.whisperx[546].text |
我們要要求衛福部把加班費補修增補的人力的這些人事成本就像剛才說的把加班餘數並記以後能夠呈現的可能會增加一些人事成本都應該納入114年明年的年度預算裡面應該沒有問題吧這個一定要部長的話也沒辦法做是所以就這兩件事情部長三個月內完成可以嗎好我覺得我們要還給這些基層的醫護人員 |
| transcript.whisperx[547].start |
17518.713 |
| transcript.whisperx[547].end |
17519.213 |
| transcript.whisperx[547].text |
拜託保護部長 |
| transcript.whisperx[548].start |
17548.134 |
| transcript.whisperx[548].end |
17559.264 |
| transcript.whisperx[548].text |
好,謝謝洪森翰委員接下來請張家俊委員、張家俊委員、張家俊委員不在接下來請鄭振淺委員、鄭振淺委員、鄭振淺委員不在接下來請張志倫委員、張志倫委員、張志倫委員不在接下來請楊耀委員發言 |
| transcript.whisperx[549].start |
17576.341 |
| transcript.whisperx[549].end |
17591.294 |
| transcript.whisperx[549].text |
謝謝主席 主席請邀請邱部長請邱部長委員好 部長好 部長換了位置 |
| transcript.whisperx[550].start |
17592.52 |
| transcript.whisperx[550].end |
17607.74 |
| transcript.whisperx[550].text |
我們還是要探討一些我們長期大家一起關心的問題我講沒有記錯的話大概部長從當立委的時候就很常去參加WHA大概因為 |
| transcript.whisperx[551].start |
17610.143 |
| transcript.whisperx[551].end |
17637.788 |
| transcript.whisperx[551].text |
我們大概每年都會雖然雖然我們沒有辦法參與會議可是我們每年都會藉由這個機會去現場跟一些國家做私底下的溝通也好然後提高臺灣公衛實力的能見度也好我們都會去部長你能不能跟國人說明一下就是說臺灣 |
| transcript.whisperx[552].start |
17640.199 |
| transcript.whisperx[552].end |
17652.591 |
| transcript.whisperx[552].text |
沒有參加世界衛生大會對於台灣獲得國際公衛資訊上有沒有影響?當然有影響有影響啊有什麼影響? |
| transcript.whisperx[553].start |
17656.894 |
| transcript.whisperx[553].end |
17678.987 |
| transcript.whisperx[553].text |
因為我首先謝謝委員的一直支持特別是去年未還能夠到WHA去做考察其實也是楊委員促成的雖然你人在離島但是心在國際令人敬佩這必須要講是這個創造立法院歷史的 |
| transcript.whisperx[554].start |
17687.272 |
| transcript.whisperx[554].end |
17705.338 |
| transcript.whisperx[554].text |
的原作者就是我們梁耀偉委員,非常感謝也創造了很多的成績那如果到底有沒有當然最重要就是資訊的落差那特別譬如說我們在很多技術以技術層面來講 |
| transcript.whisperx[555].start |
17707.585 |
| transcript.whisperx[555].end |
17708.866 |
| transcript.whisperx[555].text |
中國的壓力讓我們在在很多科技的互動 |
| transcript.whisperx[556].start |
17736.892 |
| transcript.whisperx[556].end |
17763.195 |
| transcript.whisperx[556].text |
那的確會受到影響那以整體來講比如說你如果是WHA會員你自然就是你是教室的學生你這個學校就一定給你什麼資料什麼就給你看你如果什麼也沒有這樣子所以資訊第一手的資訊一定是可能應該會有落差資訊是內容上的落差還是時效性的落差 |
| transcript.whisperx[557].start |
17764.485 |
| transcript.whisperx[557].end |
17778.006 |
| transcript.whisperx[557].text |
就是說內容性跟實效性當然都有落差,內容也會有嗎?一定有啊,但為什麼拿不到他們的資料,我們都必須要從各種角度我們有沒有辦法從其他的管道拿到? |
| transcript.whisperx[558].start |
17779.81 |
| transcript.whisperx[558].end |
17796.399 |
| transcript.whisperx[558].text |
其實國際上還是有很多國家是很支持臺灣的啊?絕對可以因為公共衛生的主題其實重要的就是那些對嘛所以比如說他重視的不管是以前的任何TB或任何相關的課題 |
| transcript.whisperx[559].start |
17799.166 |
| transcript.whisperx[559].end |
17817.732 |
| transcript.whisperx[559].text |
我們都非常掌握得很清楚其實就是說我自己的看法當然台灣我們作為世界的議員就是盡可能的參加各種國際組織參與國際會議 |
| transcript.whisperx[560].start |
17823.274 |
| transcript.whisperx[560].end |
17834.686 |
| transcript.whisperx[560].text |
那我為什麼問這個題目呢?就是說因為幾乎每一年到這個時候台灣就會討論到能不能成為觀察員、能不能參與世衛大會 |
| transcript.whisperx[561].start |
17839.571 |
| transcript.whisperx[561].end |
17863.469 |
| transcript.whisperx[561].text |
我是怕因為其實它也不是一個醫學的提升的會議它是公衛層面的東西我覺得我們有義務讓國人知道說雖然中國的打壓所以台灣沒有辦法進入這個會議可是我們 |
| transcript.whisperx[562].start |
17864.77 |
| transcript.whisperx[562].end |
17888.722 |
| transcript.whisperx[562].text |
我們還是可以透過其他管道甚至於世衛大會要開會的題目其實大概在過去一年會有什麼樣子的重要提綱大家也都知道我們盡可能的不要讓國人誤以為說我們沒有去參加WHA |
| transcript.whisperx[563].start |
17890.663 |
| transcript.whisperx[563].end |
17912.268 |
| transcript.whisperx[563].text |
會讓台灣的公衛跟全球有落差甚至於以防疫、以COVID-19這幾年台灣其實在公衛體系的能力是強的我常常跟很多朋友講台灣假如不是防疫做得好 |
| transcript.whisperx[564].start |
17913.905 |
| transcript.whisperx[564].end |
17942.542 |
| transcript.whisperx[564].text |
怎麼會經濟的成果這麼顯著所以我是希望部裡面可以就這一個部分跟國人做個清楚的說明不要讓國人以為說我們沒有去第一是不是醫學方面我們會有落差第二是不是會對台灣的公衛有很大的影響 |
| transcript.whisperx[565].start |
17944.003 |
| transcript.whisperx[565].end |
17966.568 |
| transcript.whisperx[565].text |
其實我很清楚我的判斷是不會因為它不是醫學類的公衛體系的那公衛體系呢就像剛剛講的事前的提綱其實過去一年大家注重的哪一些題目大概我們也有掌握那我們縱使沒有參與參與討論沒有發表我們的經驗 |
| transcript.whisperx[566].start |
17972.976 |
| transcript.whisperx[566].end |
17992.833 |
| transcript.whisperx[566].text |
可是事後我們還是有很多對台友好的國家會提供資料給我們我覺得這個是不是部裡面可以加強宣傳我覺得這個很重要因為這個幾乎每一年這樣子的今天這個題目大概每一年未完都會討論一次 |
| transcript.whisperx[567].start |
17995.515 |
| transcript.whisperx[567].end |
18014.291 |
| transcript.whisperx[567].text |
我希望部長因為你從當民意代表到現在當政務官你都有參與我希望可以部長可以我完全同意梁委員的見解我們真的雖然的確我個人是認為沒有參加WHO、WHA |
| transcript.whisperx[568].start |
18016.212 |
| transcript.whisperx[568].end |
18042.926 |
| transcript.whisperx[568].text |
是一種尊嚴、人權的問題但是我們台灣的鬥志就好像COVID-19來的時候我當時當醫師公會理事長我有見你SARS的時候死掉不少醫護人員所以我就對全國的各醫師公會宣告說我們不能再發生任何一個醫護人員以及民眾有 |
| transcript.whisperx[569].start |
18043.966 |
| transcript.whisperx[569].end |
18047.928 |
| transcript.whisperx[569].text |
臺灣人如果都愛這個臺灣然後貢獻所有的自己的專長那醫療人員也願意來把他的專業貢獻我覺得 |
| transcript.whisperx[570].start |
18070.501 |
| transcript.whisperx[570].end |
18096.166 |
| transcript.whisperx[570].text |
我們永遠都是在領先世界的一位的水準部長的這段話呢就剛好說明了我們在過去疫情的期間公部門跟民間團體公司合力然後民眾的配合其實台灣的公衛應該是必須要我個人的看法是 |
| transcript.whisperx[571].start |
18099.403 |
| transcript.whisperx[571].end |
18110.138 |
| transcript.whisperx[571].text |
市委大會我們沒有辦法參加我覺得這個真的就是部長講的這是主權的問題而且我也覺得這是 |
| transcript.whisperx[572].start |
18113.598 |
| transcript.whisperx[572].end |
18138.245 |
| transcript.whisperx[572].text |
WHO忽略了健康權是基本人權不應該排除任何一個國家在外我今天其實還有一些問題包括護理人員因為我時間到了我就簡單跟部長講一個跟澎湖有關的就是我們有因為 |
| transcript.whisperx[573].start |
18141.727 |
| transcript.whisperx[573].end |
18161.16 |
| transcript.whisperx[573].text |
護理人員、人力的欠缺,這個不只是澎湖湖,可是我覺得部立醫院的工職缺真的必須要開出來。這個我們也已經有跟人事總署溝通過了。希望部立醫院能夠掌握進度,加快時程。 |
| transcript.whisperx[574].start |
18165.023 |
| transcript.whisperx[574].end |
18174.27 |
| transcript.whisperx[574].text |
接下來請邱志偉委員、邱志偉委員、邱志偉委員不在接下來請徐欣盈委員、徐欣盈委員、徐欣盈委員不在接下來請陳盈委員發言 |
| transcript.whisperx[575].start |
18208.313 |
| transcript.whisperx[575].end |
18209.314 |
| transcript.whisperx[575].text |
邀請邱部長 |
| transcript.whisperx[576].start |
18215.666 |
| transcript.whisperx[576].end |
18239.999 |
| transcript.whisperx[576].text |
委員好部長好,恭喜你終於如願以償的站在對面我剛剛在下面偷偷幫您拍了一張照發現你站在那邊站在這兒比較有班好,那我想是這樣子第一個要請教的問題是因害防治法修法已經修訂通過了 |
| transcript.whisperx[577].start |
18241.961 |
| transcript.whisperx[577].end |
18246.901 |
| transcript.whisperx[577].text |
您也是我們委員會當時啊也是我們委員會的委員那一直到 |
| transcript.whisperx[578].start |
18248.206 |
| transcript.whisperx[578].end |
18277.066 |
| transcript.whisperx[578].text |
您就任部長其實在這整個推動的過程當中整個修法的過程已經歷經了三任的部長那我比較好奇的是說因為這部法我們衛環委員會是修訂的不夠好還是說條文有什麼自愛難行的地方因為過去這個部長擔任部分區立委的時候您也有提案嘛想聽一下你的看法有什麼自愛難行的地方嗎還是哪邊修不好 |
| transcript.whisperx[579].start |
18278.031 |
| transcript.whisperx[579].end |
18306.73 |
| transcript.whisperx[579].text |
應該那個時候經過大家那麼詳細的討論應該不至於有自然性的辦法我想也應該是這樣所以我就要請教一下就是說請問開放加熱菸除了可以有效管理之外這個菸捐跟稅收預計一年大概是多少? |
| transcript.whisperx[580].start |
18309.301 |
| transcript.whisperx[580].end |
18322.665 |
| transcript.whisperx[580].text |
多少?一百億嗎?我請副署長回答講個數字而已,來兩百億那我另外請教說,我們大概可以挹注健保署多少?50% |
| transcript.whisperx[581].start |
18326.711 |
| transcript.whisperx[581].end |
18326.731 |
| transcript.whisperx[581].text |
蘇司長 |
| transcript.whisperx[582].start |
18356.871 |
| transcript.whisperx[582].end |
18358.151 |
| transcript.whisperx[582].text |
目前就你們的了解,國內有沒有人在使用加熱菸? |
| transcript.whisperx[583].start |
18381.444 |
| transcript.whisperx[583].end |
18397.158 |
| transcript.whisperx[583].text |
國內有沒有人目前實質在使用加熱煙?這是一個非常簡單的問題。議法是不能使用,但是應該是有吧。因為部長不好意思回答,那我幫你講。那立法院有沒有人在抽? |
| transcript.whisperx[584].start |
18401.311 |
| transcript.whisperx[584].end |
18420.885 |
| transcript.whisperx[584].text |
我比較長期柯總在那裡,所以他沒有抽加熱菸,我要替他澄清,柯總你知道沒有抽加熱菸,他沒有,我們不能誤會他我沒有問你是誰,我只問你有沒有人而已,你不要講太清楚,免得日後預算會有問題 |
| transcript.whisperx[585].start |
18423.107 |
| transcript.whisperx[585].end |
18449.273 |
| transcript.whisperx[585].text |
我也曾經親眼目睹在這個青島剛紹就有我不知道是哪一個黨團但是那個助理我不認識但我知道他是助理也是大剌剌的就在青島剛紹我們大院旁邊就這樣抽起來了一點都不會像我們還有些同事不好意思躲在別的地方抽這樣子那所以 |
| transcript.whisperx[586].start |
18451.738 |
| transcript.whisperx[586].end |
18457.541 |
| transcript.whisperx[586].text |
根據本席上次的這個質詢我在質詢薛部長的時候就是國建署的假署長那表示就是說加熱菸 |
| transcript.whisperx[587].start |
18477.129 |
| transcript.whisperx[587].end |
18497.854 |
| transcript.whisperx[587].text |
表示加熱菸的進口必須要做流行病學的研究當時薛部長表示說等這個研究做完他就死了現在已經目前審查一年多了到底就是說我們還要等多久加熱菸才會實質的通過 |
| transcript.whisperx[588].start |
18503.732 |
| transcript.whisperx[588].end |
18525.251 |
| transcript.whisperx[588].text |
我們都希望大家可以好好的呼吸啦因為這一年多來我們已經若根據那個兩百億剛剛講兩百億嘛那我們已經短收了就短收了兩百億的稅金啦這不請副市長回答一下那個現在的審查狀況是怎麼樣 |
| transcript.whisperx[589].start |
18527.574 |
| transcript.whisperx[589].end |
18545.691 |
| transcript.whisperx[589].text |
我們現在從去年6月開始一個月會有兩次將審查的進度放在網站上那目前為止就是有12家的業者來申請那扣除一些未繳費或者是未補件的大概會有兩家目前是在審查中這樣子 |
| transcript.whisperx[590].start |
18546.087 |
| transcript.whisperx[590].end |
18567.294 |
| transcript.whisperx[590].text |
對阿你還是沒有回答我的問題阿我不是問你審查狀況我問你什麼時候會實質可以通過我們就可以大家可以很合法的來使用這個加熱煙然後也會有稅收對就因為不是我督導只是說我知道他目前現在應該都很積極對阿那這樣的狀況大概要多久 |
| transcript.whisperx[591].start |
18568.514 |
| transcript.whisperx[591].end |
18595.532 |
| transcript.whisperx[591].text |
還是還要再過幾個部長你預估因為其實依照我們的那個叫做什麼健康風險評估辦法有講到說他從申請日期是6個月內可以再延長一次就OK所以基本上一年內就要完成啦但是已經超過已經一年多不是嗎他扣除那個補件的期間對那所以部長讓你你他也是講了這麼多狀況那您評估大概可以預計什麼時候 |
| transcript.whisperx[592].start |
18597.506 |
| transcript.whisperx[592].end |
18619.701 |
| transcript.whisperx[592].text |
可以讓大家合法的再抽加油菸,我們也可以有收受。所以就說我必須要去了解到他現在真正的狀況是怎麼樣。但是我覺得這個站在國家發展的立場人民的權益應該用最快的速度來進行。所以會在您任內嗎?希望是啊。那可以在今年嗎?應該是今年可以啦。 |
| transcript.whisperx[593].start |
18625.427 |
| transcript.whisperx[593].end |
18642.57 |
| transcript.whisperx[593].text |
好,那我們就拭目以待喔,因為現在是6月嘛好,那7月也是今年,8月也是,12月也是,所以部長您大概覺得哪個月希望這些多多關心啦,多多支持這樣子好,那我就每次您來我就關心一下這樣子好不好好,謝謝 |
| transcript.whisperx[594].start |
18643.291 |
| transcript.whisperx[594].end |
18671.461 |
| transcript.whisperx[594].text |
好 那個如果沒有開放還是很多人使用因為法令也沒有至愛難行之處所以經過這麼長的時間都沒有開放就讓我們修法的目的跟有效管理加熱煙就等於大家都流於空談嘛所以唯一可以解釋的理由就是你們內部的官員沒有按期程完成審查這個叫做行政怠惰 |
| transcript.whisperx[595].start |
18673.042 |
| transcript.whisperx[595].end |
18679.892 |
| transcript.whisperx[595].text |
市場現在現況有大量加熱煙的流通卻收不到稅金這個就是賭值 |
| transcript.whisperx[596].start |
18681.377 |
| transcript.whisperx[596].end |
18706.068 |
| transcript.whisperx[596].text |
很嚴重的所以您身為部長是不是應該好好去調查一下對於這個相關不適任的官員都要進行查處啊你沒有在就是比較積極一點可能下次來又換不一樣的部長的時候我再問他一樣問題他還是不能回答那部長加熱菸跟一般止菸他是不一樣他比較沒有那麼臭 |
| transcript.whisperx[597].start |
18707.068 |
| transcript.whisperx[597].end |
18731.173 |
| transcript.whisperx[597].text |
你們沒有開放也不能這個取締跟管制所以如果說室內如果有人使用我相信除了我這個在場其他人不一定有人會發現那結果就是說你們讓更多的人就暴露在這種煙害之中而不自覺這個也是本席說要支持開放加熱煙為的是為了要 |
| transcript.whisperx[598].start |
18733.873 |
| transcript.whisperx[598].end |
18759.889 |
| transcript.whisperx[598].text |
讓這個加熱菸可以更有效的被管理跟防治這個就是我的初衷跟目的那我想法律已經很清楚那我們要開放跟日本等其他國家一樣限制使用的地方徵收相關的這個菸捐跟稅金那如今就是說已經修法已經過了那如果你們裡面內部再有人抗拒不開放那放任這個民眾違法使用的話 |
| transcript.whisperx[599].start |
18762.551 |
| transcript.whisperx[599].end |
18778.13 |
| transcript.whisperx[599].text |
這個然後又不取締所以這個其中的理由真的非常令人匪夷所思我真的打了非常多的問號那相關的這個官員實在是難辭其咎所以這個真的這件事真的需要被好好的調查需要好好的被懲處為什麼拖這麼久 |
| transcript.whisperx[600].start |
18780.313 |
| transcript.whisperx[600].end |
18802.669 |
| transcript.whisperx[600].text |
那我們必須要這個今天我是因為我關心這個議題已經很多次了然後我是最討厭人家抽菸的人所以我認為這個抽菸這件事情確實需要好好的被管理然後放著200億的稅金不收卻滿街的人都在抽還在立法院大剌剌的抽這樣像話嗎 |
| transcript.whisperx[601].start |
18804.41 |
| transcript.whisperx[601].end |
18830.83 |
| transcript.whisperx[601].text |
我每次看到有人抽我就覺得好多錢在我前面飛來飛去這些錢可以拿來救很多人來幫助很多人的所以喔部長你一定要好好的調查來維護我們國家的這個法治以及這個依法行政的精神你沒有要講幾句啊一定依法辦理而且禁訴辦理禁訴辦理要好好調查好好調查好謝謝 |
| transcript.whisperx[602].start |
18833.401 |
| transcript.whisperx[602].end |
18852.82 |
| transcript.whisperx[602].text |
好,謝謝陳瑩委員接下來請鍾嘉斌委員、鍾嘉斌委員、鍾嘉斌委員不在接下來請蔡易瑜委員、蔡易瑜委員、蔡易瑜委員不在接下來請李燕秀委員、李燕秀委員、李燕秀委員不在接下來請林楚英委員、林楚英委員、林楚英委員不在接下來請張志倫委員發言 |
| transcript.whisperx[603].start |
18862.725 |
| transcript.whisperx[603].end |
18867.699 |
| transcript.whisperx[603].text |
好,謝謝主席,各位委員各位官員,大家午安。好,謝謝,有請部長。請邱部長。 |
| transcript.whisperx[604].start |
18873.083 |
| transcript.whisperx[604].end |
18896.437 |
| transcript.whisperx[604].text |
委員好部長好首次見面很開心很高興擔任我們的衛福部部長那也非常知道最近你才剛從國外回來那你率領的這個世衛行動組有跟這個江啟臣副院長然後率領這個我們不管不分黨派的立委有王振旭委員陳金輝委員跟林益君委員一起前往這個瑞士 |
| transcript.whisperx[605].start |
18897.338 |
| transcript.whisperx[605].end |
18921.172 |
| transcript.whisperx[605].text |
的日內瓦為臺灣發聲先跟你說一聲辛苦了可是我相信今天還是有蠻多委員跟您分享到就是說在這個參加活動的途中當然這個我們希望說是大家要聚焦為了就是臺灣能加入WHA WHO來做一份努力可是我們可以看到這個我有顯示幾張的這個照片 |
| transcript.whisperx[606].start |
18921.872 |
| transcript.whisperx[606].end |
18931.144 |
| transcript.whisperx[606].text |
當然我們知道說這個有一些民團也有參與在背後就指了這些的標語那我相信很多委員都會覺得很不解請問加部長這些標語有助於我們參加這個WHO或WHA嗎? |
| transcript.whisperx[607].start |
18940.338 |
| transcript.whisperx[607].end |
18965.113 |
| transcript.whisperx[607].text |
很感佩委員可以拿到這幾張漂亮的照片有一張最右邊那張照片你還蠻帥的背後就舉了這樣的標語所以其實我們在這個所有的場合我們真的非常注意到外交的禮節外交的互動以及在一種和諧尊重所以我們這次特別要民團不要去圍著 |
| transcript.whisperx[608].start |
18966.854 |
| transcript.whisperx[608].end |
18987.029 |
| transcript.whisperx[608].text |
為了那個彈奪賽像去年吼,一直被逼問,但是今年還是有啦,但是但是還是就是有禮貌多了啦,我們覺得我們臺灣人雖然我們覺得受到委屈,但是我們還是要 |
| transcript.whisperx[609].start |
18988.436 |
| transcript.whisperx[609].end |
18989.056 |
| transcript.whisperx[609].text |
我們當然有世衛團、立委 |
| transcript.whisperx[610].start |
19006.284 |
| transcript.whisperx[610].end |
19019.071 |
| transcript.whisperx[610].text |
事導團聯合國促進會還有歐洲、美洲、北美來的團是很多所以老實講我今天也第一次看到後面有這個牌子 |
| transcript.whisperx[611].start |
19020.552 |
| transcript.whisperx[611].end |
19046.475 |
| transcript.whisperx[611].text |
我第一次看到好謝謝部長那我相信您的想法是一樣就大家應該要聚焦在我們臺灣未來真的可以參加WHO跟WHA是然後就是說那當然我們你剛剛也特別講到你現場有拜託這個民團的部分就是說國內當然有些時候我們大家意見不一致可是對外我們就是一致對外像未來其實從106年以後大家都很辛苦 |
| transcript.whisperx[612].start |
19047.616 |
| transcript.whisperx[612].end |
19068.713 |
| transcript.whisperx[612].text |
所以這邊感謝部長大家的想法是一致的那接下來我要請教就是說當然台灣這個要加入這個國際的這個組織的時候很多的東西我相信應該要跟國際的標準是一致的尤其我這邊常常來這個上次沒有見到部長我上次就有提到說全台灣這個癌症 |
| transcript.whisperx[613].start |
19070.855 |
| transcript.whisperx[613].end |
19093.85 |
| transcript.whisperx[613].text |
前三名第一名現在已經變成是肺癌那肺癌的話新聞這邊也有指出這個會讓人家得到肺癌的最主要的原因是這個空氣汙染那我跟這個部長報告現在臺灣整體的感覺是西安的人口有往下降然後現在外食族也比較多所以現在目前來講奇怪怎麼會變成是這個 |
| transcript.whisperx[614].start |
19096.932 |
| transcript.whisperx[614].end |
19122.585 |
| transcript.whisperx[614].text |
的肺癌因為空氣污染得到肺癌的人數最嚴重所以這邊我是不是可以請部長這邊這點是我非常重視的就是台灣在監測空氣品質的一個部分是不是沒有辦法跟這個全世界接軌我們可以看到左邊這張圖不管是我們最造成肺腺癌最嚴重的PM10跟PM2.5的部分台灣的這個量劑基準都比國際上的是它的國際上的低 |
| transcript.whisperx[615].start |
19124.256 |
| transcript.whisperx[615].end |
19141.582 |
| transcript.whisperx[615].text |
都比國際上的高,高了將近兩倍左右所以這個部分我相信我一直在講這人民有知的權利尤其像台灣是八成火力發電先不論政府的能源政策是否有誤可是現在有八成火力發電尤其到晚上尤其今天下雨太陽能發電是零 |
| transcript.whisperx[616].start |
19142.702 |
| transcript.whisperx[616].end |
19168.269 |
| transcript.whisperx[616].text |
所以晚上的部分可能空氣污染品質會更糟糕所以是不是拜託部長我們是不是要讓民眾有知的權利這部分是不是可以來調整一下跟國際接軌讓人民知道說我要出去運動的時候現在台灣的空氣品質到底是如何如果我可以選擇我不去運動或出門的時候戴一個口罩我相信這樣子癌症尤其肺腺癌的問題可以我相信希望可以有效的降低部長你認同我的看法嗎 |
| transcript.whisperx[617].start |
19168.809 |
| transcript.whisperx[617].end |
19189.714 |
| transcript.whisperx[617].text |
我非常認同,而且當然會議的原因我們要再請教一下會議的狀況但是空氣污染這個部分看起來是我不曉得嘉義是變成最高的那下一張,其實這個AQI這個部分 |
| transcript.whisperx[618].start |
19195.646 |
| transcript.whisperx[618].end |
19209.805 |
| transcript.whisperx[618].text |
我真的很感謝那個委員你可能跟我幾年前的年紀比較差不多我也注重我自己跟我小孩自己運動沒錯沒錯因為大家都暴露在這種環境下所以我也曾經說我常常在跑重症紀念堂 |
| transcript.whisperx[619].start |
19210.746 |
| transcript.whisperx[619].end |
19234.828 |
| transcript.whisperx[619].text |
請你給我指示這個時候的我都叫我太太不要去跑那個時候如果太然後所以你的你剛剛執行的部分剛好是我講到你的心聲了多年來一直在跟衛福部提的我也覺得應該要這樣子好謝謝部長那是不是可以給我一個預計的時間表一起來讓這個全民這個有知的權利有沒有可能性因為他們說很難 |
| transcript.whisperx[620].start |
19236.715 |
| transcript.whisperx[620].end |
19253.677 |
| transcript.whisperx[620].text |
⋯⋯⋯ |
| transcript.whisperx[621].start |
19253.837 |
| transcript.whisperx[621].end |
19274.313 |
| transcript.whisperx[621].text |
拜託環境部也跟他要求一下那我們那個衛福部再跟他共同努力那最後最後最後一個問題就是這個要幫這個基層的這個保姆來去做這個聲援我知道今天下午本來要開會可是我要先想先讓部長知道就是現行的準公共化保姆費合理嗎因為我 |
| transcript.whisperx[622].start |
19274.833 |
| transcript.whisperx[622].end |
19290.364 |
| transcript.whisperx[622].text |
有遇到就是有民眾就是保姆他跟我講說他現在真的快要發瘋了因為就現在的這個轉公共化保姆在宅日間托育時間要10個小時可是你看臺北市跟新北市帶一個小孩兩歲以下的小孩 |
| transcript.whisperx[623].start |
19291.533 |
| transcript.whisperx[623].end |
19310.188 |
| transcript.whisperx[623].text |
一個小孩他只能拿到費用只有17000塊兩個人的話如果帶兩個小孩只有34000塊那扣掉勞健保然後再扣掉他自己的水電費一個月他能拿到的薪水不到3萬塊他覺得他快要發瘋了所以我要拜託部長這個這樣的標準 |
| transcript.whisperx[624].start |
19313.704 |
| transcript.whisperx[624].end |
19334.852 |
| transcript.whisperx[624].text |
這個連最低工資可能都不到所以我說拜託部長這個部分可不可以來幫全天下的保母來因為台灣現在也少子化如果沒有這些保母願意帶那我要拜託部長這個部分我希望是不是中央可以來幫忙也不要增加我們一些年輕的爸媽他們如果未來這個生下來的壓力所以我希望說這點我已經在這個質詢的時候講過很多次了是不是可以拜託部長來幫忙 |
| transcript.whisperx[625].start |
19336.617 |
| transcript.whisperx[625].end |
19361.384 |
| transcript.whisperx[625].text |
現在的這樣嗎?是這樣子嗎?下午會再跟委員那邊做討論所以部長你是不是也覺得看起來有點讓你覺得吃驚我覺得這個就是要很平啦在民眾的負擔我們今天不是掃紙畫嗎?對啊你說這樣子而且現在掃紙畫別人說一個保姆他可能面對到兩個家庭給他的壓力他帶兩個他基本上就差不多 |
| transcript.whisperx[626].start |
19362.344 |
| transcript.whisperx[626].end |
19364.065 |
| transcript.whisperx[626].text |
我完全了解我三個小孩都是保姆帶的 |
| transcript.whisperx[627].start |
19387.799 |
| transcript.whisperx[627].end |
19403.125 |
| transcript.whisperx[627].text |
對啊第一個小孩被保母一直外交能力好常常抱出去各個地方逛人家家裡然後每一個人都給他糖果吃害他吃得很胖我就想要換保母這樣子 |
| transcript.whisperx[628].start |
19404.386 |
| transcript.whisperx[628].end |
19405.166 |
| transcript.whisperx[628].text |
現在作以下決定,報告及詢答完畢。 |
| transcript.whisperx[629].start |
19428.019 |
| transcript.whisperx[629].end |
19441.073 |
| transcript.whisperx[629].text |
委員質詢未及答覆或請補充資料者請相關機關於兩週內以書面答覆委員令要求期限者從其所定本日會議到此結束現在休息星期四上午9點繼續開會 |
| transcript.whisperx[630].start |
19461.152 |
| transcript.whisperx[630].end |
19476.664 |
| transcript.whisperx[630].text |
議員會議員會議員會議 |