| IVOD_ID |
160568 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160568 |
| 日期 |
2025-04-23 |
| 會議資料.會議代碼 |
委員會-11-3-26-7 |
| 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7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 |
7 |
| 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7次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-04-23T12:37:17+08:00 |
| 結束時間 |
2025-04-23T12:45:37+08:00 |
| 影片長度 |
00:08:20 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/27ac2f54fdf75cc00761806e19d2e9f54d63fb5309bb2e63ca7a32b531de3e8030a324e446e41dda5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
盧縣一 |
| 委員發言時間 |
12:37:17 - 12:45:37 |
| 會議時間 |
2025-04-23T09:00:00+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7次全體委員會議（事由：邀請衛生福利部部長、財政部次長就「國家社會福利政策財源檢討及偏鄉兒童發展篩檢執行情形」進行專題報告，並備質詢。
【4月23日及24日二天一次會】） |
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主席有請部長部長辛苦了我們先就我們偏鄉的篩檢來問幾個問題那我想知道看到你們的報告是說異常率是6.2%那30萬人大概是一年裡面的量嗎 |
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這是從去年 看委員報告這是從我們去年的7月1號開始實施到今年的4月17號還沒有還沒有滿一年我想知道這30萬的普及率是多少我們針對我們所有的小朋友來著大概我們全國統計起來大概46%左右所以還沒有連一半都不到嗎還沒有還沒有我查了一下期刊就是說2020的期刊小兒課的 |
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他在做一個所謂的這個developmental screen chart這個17項的這個針對0到3歲的他發現developmental delay也就是說發展遲緩的這個異常率其實是高達11.25可是我們的6.25我覺得我們是太低估了所以是不是我們做的項目沒有到這17項呢還是說我們的項目裡面有些遺漏了呢 |
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因為我們這些你看我們從上面開始就是說可以走階梯可以去抓東西可以去怎麼樣去回應一些單字其實這些當然我每個年齡層的篩檢表可能不一樣可是我是覺得我們的6.2太低了 |
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如果說我們太低估這個發展遲緩的話其實會有很大的問題所以畢竟國際期刊認為是11.25的話我覺得我們那個差距不能太大所以說不定我們的篩檢的這個部分是要嚴謹一點是不是 |
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119.304 |
| transcript.whisperx[5].text |
我們知道剛才有很多人講到關於費用的問題 |
| transcript.whisperx[6].start |
136.616 |
| transcript.whisperx[6].end |
150.189 |
| transcript.whisperx[6].text |
那費用一次篩檢是400塊對不對轉整費是250塊那如果就基層衛生所在做的話我來實際告訴你他醫生可以拿到多少錢醫生可以拿到如果只有一位醫師的話他可以拿到252塊那護理人員的話是 |
| transcript.whisperx[7].start |
155.35 |
| transcript.whisperx[7].end |
176.204 |
| transcript.whisperx[7].text |
14块如果是10个护理人员的话因为我们按照他的那个所谓的70 30降分的话所以要这么这么辛苦的工作做了17项然后护理人员可以拿到是14元然后如果是转诊的话其实转诊其实都是护士在做嘛就护士可以拿到的是多少钱7块钱 |
| transcript.whisperx[8].start |
177.392 |
| transcript.whisperx[8].end |
193.063 |
| transcript.whisperx[8].text |
所以你就知道說這個部分其實可以指定給施作的那名護理人員或是醫師然後轉整的是指定把這250塊給那名護理人員才會實際的增加我們護理人員的辛勞 對不對 |
| transcript.whisperx[9].start |
195.18 |
| transcript.whisperx[9].end |
218.118 |
| transcript.whisperx[9].text |
剛才就黃秀芳委員講的那個疫苗100塊護理人員可以拿到多少錢我這樣子來算是2.7塊2.7毛而已所以其實我們不是說注射費很便宜是實際分給醫護人員實在是太少少之又少而且是你是在偏鄉地區服務的話因為他沒有所謂的偏鄉的加急 |
| transcript.whisperx[10].start |
219.019 |
| transcript.whisperx[10].end |
244.509 |
| transcript.whisperx[10].text |
因為這些分配是全國一致性的所以這些部分其實你們都要去去考慮一下可以嗎謝謝那個牽扯到那個衛生所的獎勵兼分配辦法我們再來討論看看我想我想盧委員小弟我跟那個吳市長都是衛生所主任出身的啦所以其實你們都可以馬上就可以了解這個分配的辦法的確如果你沒有specify到說這個工作 |
| transcript.whisperx[11].start |
245.749 |
| transcript.whisperx[11].end |
268.447 |
| transcript.whisperx[11].text |
是這一格互理同仁那當然有十格互理同仁分下去但是問題是你分到這個你別人做的工作也會分到你這裡來是沒有錯啦只是說就概算是這樣實際上是太低太低了所以我的意思是說應該有可以想到更好的辦法但是我們絕對鼓勵偏鄉就是我們來研擬看看偏鄉有沒有特別獎勵的方式這樣 |
| transcript.whisperx[12].start |
269.307 |
| transcript.whisperx[12].end |
297.7 |
| transcript.whisperx[12].text |
好那我們進入到下一個主題就是社會福利的部分就是我看看我們現在的所謂的對稅出我們真正佔的比例是多少我看我們台灣大概是多少你知道嗎第三張第三張對這個現在OECD國家在2019年的時候大概是45%左右就是說佔了他的稅出就是他的比例那我們台灣現在是多少知道嗎部長 |
| transcript.whisperx[13].start |
299.741 |
| transcript.whisperx[13].end |
309.717 |
| transcript.whisperx[13].text |
所謂的社會福利Social protectionSocial protection其實他就是指的是社會福利啦我們有沒有大概我們我剛查了一下台灣大概是23.91%啦 |
| transcript.whisperx[14].start |
312.15 |
| transcript.whisperx[14].end |
340.568 |
| transcript.whisperx[14].text |
然後這樣的GDP是11.2那我是希望說我們大概還在落後國家這邊人家最旁邊的西班牙已經到55%了好 那我們看下一張那其實如果就以稅收來看的話其實從2000年也是2000年到現在已經20年的時間其實它這個所謂的我們social contribution指的是我們薪資所得或者是說雇主給的那些錢 |
| transcript.whisperx[15].start |
342.25 |
| transcript.whisperx[15].end |
355.329 |
| transcript.whisperx[15].text |
去給我們社會福利這邊的話其實是constant它不會什麼有太大的改變所以我們要去想這些財源要從哪裡來從這20年來其實都是差不多的都是這個樣子我們看下一頁 |
| transcript.whisperx[16].start |
357.622 |
| transcript.whisperx[16].end |
379.503 |
| transcript.whisperx[16].text |
其實有一個很新興的一個想法就是當然在國外已經不是新興所謂的碳稅其實可以作為社會福利的一個來源可是我看了我們的氣候變遷因應法的第三三條所謂的用途裡面沒有講到以後可以作為我們社會福利這個部分那我就去查了這個資料就是說在 |
| transcript.whisperx[17].start |
381.38 |
| transcript.whisperx[17].end |
398.585 |
| transcript.whisperx[17].text |
其實我們歐美很多 芬蘭1990年就開始有碳費其實我們碳費是多少 你知道嗎 部長 公告的價格一公噸是300塊 那我就舉瑞士的例子好了在2008年的時候 他訂的是474塊台幣過了大概10年以後 2022年 |
| transcript.whisperx[18].start |
403.649 |
| transcript.whisperx[18].end |
424.044 |
| transcript.whisperx[18].text |
他漲了10倍 現在是他要付4744塊的碳費那結果他把這個那麼大筆的收入呢他就直接所謂的lumsum transfer也就是一次性的支付給社福基金三分之二把所有的那個所得大概是12億瑞士法郎 |
| transcript.whisperx[19].start |
426.706 |
| transcript.whisperx[19].end |
454.024 |
| transcript.whisperx[19].text |
給我們所謂的health care rate這樣所以就是說其實從碳費這個部分以後的這個溫室氣體管理基金其實以後要有一個去修正它的用途其實可以用來做這樣的一個運用因為我們知道像看到這個一個表格這是立陶宛的表格他就說了其實他作為碳費作為一個財政資源的時候他可以幫忙 |
| transcript.whisperx[20].start |
454.985 |
| transcript.whisperx[20].end |
473.638 |
| transcript.whisperx[20].text |
百分之八十以上的人到八這邊到了零界點 到了零這個是以十單位所以這是百分之八十的意思也就是說碳費可以作為社會福利的一個來源的時候它可以照顧絕大多數的人所以請以後再做 |
| transcript.whisperx[21].start |
475.018 |
| transcript.whisperx[21].end |
494.366 |
| transcript.whisperx[21].text |
我們的財政規劃的時候可以把碳稅納入進來這樣你會減輕很多的負擔請部長多多去想一想謝謝我想感謝委員引經濟田的國外的經驗我想這個是我們未來來努力的方向謝謝謝謝盧委員最標準謝謝部長 |