| IVOD_ID |
160185 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160185 |
| 日期 |
2025-04-16 |
| 會議資料.會議代碼 |
委員會-11-3-26-6 |
| 會議資料.會議代碼:str |
第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
6 |
| 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3會期社會福利及衛生環境委員會第6次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-04-16T09:37:41+08:00 |
| 結束時間 |
2025-04-16T09:53:57+08:00 |
| 影片長度 |
00:16:16 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f9d2e74df98279df406e7c9dddc7cdded598beef862d51bb9b98284df90a891acfd5e39c6a8a3cb35ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
陳菁徽 |
| 委員發言時間 |
09:37:41 - 09:53:57 |
| 會議時間 |
2025-04-16T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議（事由：邀請衛生福利部部長就「面對國際經貿情勢瞬變，我國如何因應並確保藥品、醫療器材等各面向供應正常，保障國人權益。」進行專題報告，並備質詢。
【4月16日及17日二天一次會】） |
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謝謝主席 謝謝各位委員還有官員我們請邱部長 謝謝邱部長現在已經是4月16號請問你過去做立委的時候啊這是您109年 110年 111年 112年啊您過去做立委的時候 您還記得這些時間你們都在幹嘛嗎 |
| transcript.whisperx[1].start |
34.392 |
| transcript.whisperx[1].end |
39.794 |
| transcript.whisperx[1].text |
都在努力為人民的健康在奮戰這個時候你們都在提出解凍報告還有解凍預算了甚至呢110年雖然稍晚是5月9號可是呢當時你們這個胃黃委員會有128案提案預算提案凍結各類的預算提案還發新聞稿行政院還發新聞稿說最後感謝三讀通過所以胃黃委員會在5月9號也排了預算解凍的處理 |
| transcript.whisperx[2].start |
64.122 |
| transcript.whisperx[2].end |
70.089 |
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那現在也讓您稍微回憶一下其實您過去這個110年111年也是大刀闊斧啦您又砍蔡政府砍蘇貞昌內閣的預算是不手軟那我有把您的一些緣由啊理由啊都有讀完了 |
| transcript.whisperx[3].start |
82.622 |
| transcript.whisperx[3].end |
93.647 |
| transcript.whisperx[3].text |
110年您砍了防疫業務的錢砍了少子化降低家庭負擔經費的錢到110年呢你一樣是砍了防疫的錢砍了傳染病防治業務的錢砍了WHO業務的錢但是 |
| transcript.whisperx[4].start |
98.27 |
| transcript.whisperx[4].end |
114.97 |
| transcript.whisperx[4].text |
當時陳時中部長是非常積極的把解凍的報告我查了一下您當4年的這個立委期間陳時中部長呢都是大概在3月3月初就把解凍報告全部都送進來了所以我在這邊也很想問您啊 |
| transcript.whisperx[5].start |
116.632 |
| transcript.whisperx[5].end |
144.374 |
| transcript.whisperx[5].text |
這個今年的這個凍結案有藍的有綠的有白的為什麼你遲遲不把解凍報告送進來讓我們解凍經費呢因為我們看了一些其他委員會的質詢也有部長看起來像是覺得好像有上級授意還是說柯總召的指示你們是整齊劃一的動作在遲遲不提出解凍報告但是您擔任立委的期間我看您是非常負責在 |
| transcript.whisperx[6].start |
145.955 |
| transcript.whisperx[6].end |
170.186 |
| transcript.whisperx[6].text |
砍預算而且非常負責在監督政府也非常負責在審這些解凍的報告然後也協助衛華委員會跟陳時中部長配合解凍請問有什麼緣由嗎到現在還沒有辦法提出解凍報告謝謝委員我可不可以先針對你這兩張PowerPoint解釋一下第一個我當了兩屆的立委 |
| transcript.whisperx[7].start |
171.607 |
| transcript.whisperx[7].end |
187.62 |
| transcript.whisperx[7].text |
我的核酸這樣好像不太盡責但是我很用心在審查預算都覺得行政部門真的是有需要為了人民的健康在努力所以我們也盡量讓不應該酸的就不要去酸不應該凍的也不要影響人家去凍 |
| transcript.whisperx[8].start |
189.742 |
| transcript.whisperx[8].end |
200.248 |
| transcript.whisperx[8].text |
所以我要解釋的第一你剛列出來的都是動的我可以把我可以可以可以我唸完了我已經把你的理由我已經把你的理由都已經我已經把你的理由都讀完了我覺得是合理的合理的沒錯 |
| transcript.whisperx[9].start |
206.192 |
| transcript.whisperx[9].end |
224.974 |
| transcript.whisperx[9].text |
我現在只想問你嘛因為你過去這四年你也很認真的看了陳時中部長的解凍報告那你也來配合做解凍的動作嘛所以為什麼你現在不送解凍報告嘛因為你完全了解這個流程啊所以現在在卡解凍的人是你啊 |
| transcript.whisperx[10].start |
227.622 |
| transcript.whisperx[10].end |
232.005 |
| transcript.whisperx[10].text |
你什麼時候要送馬因為前幾天教育部部長說前幾天教育部部長說大概兩到三週那您可以給我們一個時程嗎 |
| transcript.whisperx[11].start |
243.971 |
| transcript.whisperx[11].end |
258.019 |
| transcript.whisperx[11].text |
因為這整個相當的一個這次的動山預算跟以前是不一樣的完全的不一樣所以有點出乎意料之外所以有很多事情要處理而且必須要去 |
| transcript.whisperx[12].start |
258.319 |
| transcript.whisperx[12].end |
267.502 |
| transcript.whisperx[12].text |
完全的不一樣其實我有核對一下您對小子化的評論還有我有核對您對疫情愛滋病防治的評論很多都跟我們現在的看法是相同的喔很多都跟我們現在看法相同的喔你當時覺得防治愛滋病做得不夠好然後你當時也覺得有些小子化做得不夠好所以其實我們現在只是想要問你我們現在只是想要問你依照您 |
| transcript.whisperx[13].start |
286.669 |
| transcript.whisperx[13].end |
294.514 |
| transcript.whisperx[13].text |
當時擔任委員的經驗還有您當時解凍報告的經驗請問你大概還需要幾週我其實就是很簡單的問你你大概幾週內想要提出解凍報告嗎我只是要問你這個問題因為這次我們的委員的確要求的比較嚴格所以我們非常謹慎所以你的意思是說你回答不出來所以你回答不出來不是你回答不出來我們在努力當中所以你講不出幾個禮拜我覺得 |
| transcript.whisperx[14].start |
315.87 |
| transcript.whisperx[14].end |
331.923 |
| transcript.whisperx[14].text |
我們會盡快 我們會盡快 請委員放心可以 教育部長也說盡快 所以他講兩到三週那您的盡快是多少我想我們衛福部也要至少要跟教育部一起兩到三週你要追求教育部兩到三週你要不要先從你覺得最重要的開始 要不要 |
| transcript.whisperx[15].start |
340.899 |
| transcript.whisperx[15].end |
356.049 |
| transcript.whisperx[15].text |
呃 也可以啊而且我查了一下哈當時陳時中部長一邊在應付疫情非常的忙碌但是他交這個結論報告從來沒有delay過都是3月初喔好 那好 你也是兩到三週嘛你是兩到三週嘛 對吧是吧是 是兩到三週我想我們時間上齁我想我們不要去做那個 |
| transcript.whisperx[16].start |
366.704 |
| transcript.whisperx[16].end |
377.959 |
| transcript.whisperx[16].text |
你剛才說你會配合教育部對但是但是如果說你說要我醫院要兩到三週我當然就會接著說我們希望兩到三週送你覺得最重要的這樣怎麼樣我們來努力 |
| transcript.whisperx[17].start |
381.829 |
| transcript.whisperx[17].end |
385.872 |
| transcript.whisperx[17].text |
沒有答案再來我們來問經濟部有沒有發現我們藥品的逆差是48.2億元所以剛雖然有講到說進口的藥美國的藥 歐洲的藥不管進口的藥雖然數量佔的不多但其他的價值佔了七成因為它的藥費是貴的 |
| transcript.whisperx[18].start |
404.944 |
| transcript.whisperx[18].end |
425.851 |
| transcript.whisperx[18].text |
這是貴的這也是我們的製藥工會統計出來的所以當然您有提到說這個供應鏈的生態啊原物料的漲價一定會造成藥價變貴那我現在是想問啊您有提到說您會扶植在地的廠商所以有兩個行政辦法修正案嘛剛剛也有許多人講到了 |
| transcript.whisperx[19].start |
426.311 |
| transcript.whisperx[19].end |
436.572 |
| transcript.whisperx[19].text |
之前好像有點嚴當但是最近的新聞又說4月要上路請問這個4月要上路是確定要上路是會跳票還是不會因為之前跳票了一次 |
| transcript.whisperx[20].start |
437.401 |
| transcript.whisperx[20].end |
456.502 |
| transcript.whisperx[20].text |
好 我跟委員報告齁 我們完全 據瞭解完全沒有延宕而且我還敬佩健保署的同仁在時事長領導之下把這兩個政策做得非常的完美而且在11月20號就預告那因為有很多的一些意見所以我們必須 這已經是 |
| transcript.whisperx[21].start |
458.084 |
| transcript.whisperx[21].end |
479.148 |
| transcript.whisperx[21].text |
其他在對等其他的法案規定已經是最快的速度很快會送到衛福部來那我想一定會是4月上路符合大家的需要4月會上路那現在是4月中嘛如果我想這幾天應該就會完成我們用最快的速度來公告所以您預計做出應該4月底好我們也想問因為這個也是台灣致藥業滿關切的你預計做出什麼成績那民眾會對藥價會有什麼感受 |
| transcript.whisperx[22].start |
486.77 |
| transcript.whisperx[22].end |
506.798 |
| transcript.whisperx[22].text |
您預計做出什麼成績請政策擬定時事長來跟委員報告這裡面分成幾塊第一個當然就是剛剛提到對國內製藥的支持所以我們在藥價調整辦法裡面有新修對於這個 |
| transcript.whisperx[23].start |
508.138 |
| transcript.whisperx[23].end |
535.001 |
| transcript.whisperx[23].text |
必要藥品清單裡頭那麼國內的這個品項有國內製造的品項然後那個該組裡面少於三個品項以下的那我們就免於這個當年度我們就不調藥價所以藥價不會一直往下砍的意思那同時這裡面呢如果是有一個必要抗生素的話連國際進來的我們也都一起比照所以這個是第一個那第二個呢我們在這個置物標準裡面也有一些 |
| transcript.whisperx[24].start |
535.521 |
| transcript.whisperx[24].end |
552.107 |
| transcript.whisperx[24].text |
支持的措施那麼譬如說呢你是使用國內的原料要我們加價10%在國內做過的臨床試驗有發表paper這個讓這個學名要有這個公信力那這個我們也是加價10%的那另外我們也去鼓勵這個 |
| transcript.whisperx[25].start |
554.608 |
| transcript.whisperx[25].end |
570.986 |
| transcript.whisperx[25].text |
這個新藥的上市過去我們只有對於台灣的首發新藥就是全球首發我們才有這個優惠的價但我們現在也去鼓勵如果你是在國際先上市的兩年內到國內來製造的這種新藥我們也有合價的優惠措施這邊我也是 |
| transcript.whisperx[26].start |
571.306 |
| transcript.whisperx[26].end |
594.04 |
| transcript.whisperx[26].text |
當他們請命啦因為他們有提到說之後如果他們證明他們生產成本有增加的話其實你也會適當反映在要價調整機制中嘛這個不管對於進口廠商還有國內廠商您都會一樣做但是國內呢他們還有面臨一個隱形的成本也就是說水費啊電費啊通膨啊所以他們希望在這個您可不可以考慮把它納入 |
| transcript.whisperx[27].start |
596.314 |
| transcript.whisperx[27].end |
612.824 |
| transcript.whisperx[27].text |
就是水電費我記得上次的電費有特別有處理過委員也有協助醫院醫療端還有通棚那再來想問一下因為部長非常在意的是這個 |
| transcript.whisperx[28].start |
614.466 |
| transcript.whisperx[28].end |
632.046 |
| transcript.whisperx[28].text |
戰備任性的藥品的這個list嗎因為您現在上次我們經歷了生理鹹水這個混亂其實藥品它是一個非常重要的戰略物資所以未來一旦發生供應鏈中斷或是遞原的風險我們應該要怎麼辦請問我們可以跟你要到這個list嗎因為裡面一定有東西是 |
| transcript.whisperx[29].start |
633.447 |
| transcript.whisperx[29].end |
658.943 |
| transcript.whisperx[29].text |
獨佔或是寡佔我們絕對只能仰賴進口的你想得出來哪一些嘛比如說剛剛有提到的癌藥啊 罕病藥啊還有在專利期之內的啊COVID的用藥啊 COVID的疫苗啊等等這個您定不定義為是一個戰略物資我們戰略物資是另外一塊我們是定義的就是跟食藥署合作的必要藥品清單好 所以我們之後可以跟您要到這個清單嗎應該有 |
| transcript.whisperx[30].start |
662.145 |
| transcript.whisperx[30].end |
689.64 |
| transcript.whisperx[30].text |
報告委員這584項所謂必要藥品的清單是我們已經在今年2月份已經公佈完全已經確立下來所以可以提供給委員另外第二個部分特別提到所謂的戰備的相關的藥物的韌性的時候是有25項的舉例是抗生素裡面的amoxicillin的抗生素譬如說epinephrine,arthropine等等的我們比較在意的是這個戰備清單裡面有沒有一定會是 |
| transcript.whisperx[31].start |
690.62 |
| transcript.whisperx[31].end |
701.356 |
| transcript.whisperx[31].text |
大部分仰賴進口的因為這個絕對有我們目前都是國產的COVID用藥還在專利期所以COVID用藥我們大部分是仰賴進口對 這個是 |
| transcript.whisperx[32].start |
704.031 |
| transcript.whisperx[32].end |
711.578 |
| transcript.whisperx[32].text |
你沒有把它放進戰備物資 並不是特別的戰備 戰備物資是在暫時平時轉鑽石 非常非常關鍵的用藥特別是在戰傷的那個部分好沒關係 這個我們等拿到您的這份list我們可以再一樣樣逐項討論那再來也問一個這個醫界非常關心的問題因為下一波呢 |
| transcript.whisperx[33].start |
725.331 |
| transcript.whisperx[33].end |
750.834 |
| transcript.whisperx[33].text |
川普要談判的就是對於這個藥品那藥品他目前很強調的這個也是我們都在業內所以我們也知道現在這些美商啦美國的藥廠啊他其實長期就是非常介意我們有許多的非關稅貿易壁壘你審查他的新藥太久啦你給付他的藥價太低啊等等其實也嚴重的妨礙到我們病人的權益尤其是有一些 |
| transcript.whisperx[34].start |
751.354 |
| transcript.whisperx[34].end |
767.611 |
| transcript.whisperx[34].text |
癌症病人他們希望可以用到新藥等等的所以在這未來90天的談判藥品的談判藥品進口的談判一定會是很重要的一環我想知道這個你們有沒有派出衛福部的代表一起參與這一次的談判我想要 |
| transcript.whisperx[35].start |
771.691 |
| transcript.whisperx[35].end |
794.986 |
| transcript.whisperx[35].text |
藥品醫材是雙方面的啦所以至少到現在是用零關稅在互相對待我們比較擔心的是說在整個關稅的這樣的一個變動當中的確成本會增加那這個部分我們國內已經很早都有一個從一個及早來監測然後缺藥的一個處理然後藥價的一個調整 |
| transcript.whisperx[36].start |
797.908 |
| transcript.whisperx[36].end |
813.274 |
| transcript.whisperx[36].text |
都已經很完整了所以現階段是沒有缺藥的問題我現在沒有再跟你講缺藥第一個是成本增加第二個他要談的是很多非關稅貿易壁壘也就是他希望打破以前他禁藥禁台灣的這些障礙他要把它列入他的談判項目白話文來說白話文來說 |
| transcript.whisperx[37].start |
820.518 |
| transcript.whisperx[37].end |
828.692 |
| transcript.whisperx[37].text |
就是說就是如果我們價格談不攏他就不想進台灣影響到病人的權益但是如果我們硬著頭皮把這些進口藥買進來 |
| transcript.whisperx[38].start |
830.745 |
| transcript.whisperx[38].end |
855.451 |
| transcript.whisperx[38].text |
很多醫生真的很擔心會壓縮到我們的健保點子啊所以我想問你的因應是什麼因為這個就是他們放在非關稅貿易壁壘裡面很重要的一個項目也是長期我們看這些外商的藥廠來跟我們遊說的嘛他們就是說我們這審查很慢嘛然後給他的價格非常的低有的人就乾脆不想進來了嘛 |
| transcript.whisperx[39].start |
856.909 |
| transcript.whisperx[39].end |
871.721 |
| transcript.whisperx[39].text |
好 包委我想在談判的事情並不是非A及B而是有雙方共同創造利益共同創造三領的局面站在我們的政府絕對是站在人民健康的維護 |
| transcript.whisperx[40].start |
873.703 |
| transcript.whisperx[40].end |
876.005 |
| transcript.whisperx[40].text |
那個立場上來做相關的談判那中間有很多很有智慧的一個互動所以你會派代表一起參與我們一直在各種層次的一個幕僚我們當然都有充分的把我們的這一邊的醫藥品醫療的醫療體系 |
| transcript.whisperx[41].start |
893.159 |
| transcript.whisperx[41].end |
899.021 |
| transcript.whisperx[41].text |
藥品醫材方面的一個資訊以及我們盤點的進入一個幕僚再盤判的我先在這邊跟部長示警因為我覺得未來我們勢必這個健保總額一定是不足的因為你說他是零關稅沒錯但是我們現在第一波所有這些鋁 |
| transcript.whisperx[42].start |
913.886 |
| transcript.whisperx[42].end |
935.515 |
| transcript.whisperx[42].text |
包裝的材料啊玻璃瓶啊等等就是我們藥品製造裡面大量用到的包裝材料所以他賣進來的錢是一定增加的他賣進來的錢是一定增加的所以未來這個是部長你很大的一個挑戰我相信我們還會在這邊就健保點值在同樣一個問題我們還會再談論到他 |
| transcript.whisperx[43].start |
938.536 |
| transcript.whisperx[43].end |
941.84 |
| transcript.whisperx[43].text |
委員報告一下真的很感謝我們立法院尤其衛反這些委員前輩們的努力我們今年的健保總額成長是有史以來最高的同時政府也給了預算所以應該是醫療的韌性 |
| transcript.whisperx[44].start |
953.712 |
| transcript.whisperx[44].end |
974.067 |
| transcript.whisperx[44].text |
你兵力成長總和的時候還沒發生這件事情如果未來我們當然有一個趨勢如果需要的話我相信政府一樣會秉持著像今年給我們這麼多的一個預算一樣來充分的讓我們的人民健康得到最好的保障請放心這邊就是先給您一個示警一個提醒大家一起努力謝謝不好意思召委謝謝 |