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| 委員名稱 |
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| transcript.whisperx[0].start |
414.002 |
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414.022 |
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賣光測試 |
| transcript.whisperx[1].start |
1824.908 |
| transcript.whisperx[1].end |
1850.39 |
| transcript.whisperx[1].text |
好,我們現在繼續開會本日會議的議程為邀請衛生福利部部長就我國人工生殖法制度 |
| transcript.whisperx[2].start |
1852.463 |
| transcript.whisperx[2].end |
1860.115 |
| transcript.whisperx[2].text |
我國人工生殖法制化作業進度、衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃 |
| transcript.whisperx[3].start |
1867.901 |
| transcript.whisperx[3].end |
1869.102 |
| transcript.whisperx[3].text |
王振旭委員 |
| transcript.whisperx[4].start |
1900.363 |
| transcript.whisperx[4].end |
1925.613 |
| transcript.whisperx[4].text |
陳昭之委員介紹我們列席的政府官員衛生福利部部長我們邱太遠邱部長保護服務司司長張秀嫣心理健康師代理司長鄭淑欣 |
| transcript.whisperx[5].start |
1928.866 |
| transcript.whisperx[5].end |
1949.788 |
| transcript.whisperx[5].text |
醫事師護士長劉益清護理及健康照護師專員委員鄭淑芬我們國民健康署現在很重要我們署長胡昭君社家署代理署長張美美還有其他官員 |
| transcript.whisperx[6].start |
1955.131 |
| transcript.whisperx[6].end |
1957.254 |
| transcript.whisperx[6].text |
我們接下來請我們的邱部長來報告10分鐘 |
| transcript.whisperx[7].start |
1966.021 |
| transcript.whisperx[7].end |
1985.641 |
| transcript.whisperx[7].text |
好謝謝首先在這邊衷心祝福我們蘇委、蘇召委一切順利我們一起協助我們屏東的量能再度提升大家一起努力我們大家一起協力協助好那主席各位委員、女士先生今天大院第11屆第2 |
| transcript.whisperx[8].start |
1987.282 |
| transcript.whisperx[8].end |
2007.696 |
| transcript.whisperx[8].text |
立法院第11屆第12會期社會福利及衛生環境委員會提行第2次全體委員會議．本部呈邀列席專案報告深感榮幸之就我國人工生殖法制化作業進度．本部落實中央政府我國少子女化對策計畫之成效與未來規劃 |
| transcript.whisperx[9].start |
2009.013 |
| transcript.whisperx[9].end |
2012.375 |
| transcript.whisperx[9].text |
我國人工生殖法制化作業進度本部全身自84年起積極辦理人工生殖法制化事宜以96年公告 |
| transcript.whisperx[10].start |
2036.697 |
| transcript.whisperx[10].end |
2055.714 |
| transcript.whisperx[10].text |
公布施行人工生殖法能持續邀集專家研議人工生殖法修正草案,於105年函報行政院該草案。經行政院退回修正,考量108年5月24日施行時施法院甚至第748號解釋施行法。 |
| transcript.whisperx[11].start |
2056.926 |
| transcript.whisperx[11].end |
2086.227 |
| transcript.whisperx[11].text |
以及112年12月4日大院第10屆第8會期社會福利及衛生環境委員會司法及法治委員會第三次聯席會議都為立法委員口頭質詢有關放寬單身女性適用人工生殖並同研議該法適用對象納入同婚者及未婚女性亦針對開放異性夫妻及同性配偶私情 |
| transcript.whisperx[12].start |
2087.318 |
| transcript.whisperx[12].end |
2090.219 |
| transcript.whisperx[12].text |
本部對人工生殖法修法開放 |
| transcript.whisperx[13].start |
2117.423 |
| transcript.whisperx[13].end |
2144.898 |
| transcript.whisperx[13].text |
人工生殖法之適用對象包括未婚女性同性配偶代孕生殖未有預定預設立場為為盡可能兼顧民眾權益與需求提供法案版本以供各界研討原於113年5月14日至同年7月13日完成人工生殖法修正草案之預告 |
| transcript.whisperx[14].start |
2149.325 |
| transcript.whisperx[14].end |
2166.9 |
| transcript.whisperx[14].text |
維舊代孕生殖制意見尚有其意本部國民健康署與會籍預告期間所會籍各界修法意見、特政邀請醫學父前兒前倫理及法律等相關領域專家以及所涉及的全職部會就相關內容或規範積極密集 |
| transcript.whisperx[15].start |
2170.247 |
| transcript.whisperx[15].end |
2192.466 |
| transcript.whisperx[15].text |
進行細部討論．將重視並尊重多元聲音．盡可能擬計社會對修法的共識．本部未來能將積極邀請相關領域專家．審視年曆人工生殖法修正草案．盡速依法制作業程序將修正草案報請行政院審查．2 |
| transcript.whisperx[16].start |
2193.973 |
| transcript.whisperx[16].end |
2218.516 |
| transcript.whisperx[16].text |
本部落實中央政府我國少子女化對策計畫之成效與未來規劃行政院107年合併我國少子女化對策計畫由政務委員統策督導結合了8個部會推動幼兒全面照顧友善家庭的就業職場、兒童健康權益與保護、友善 |
| transcript.whisperx[17].start |
2220.317 |
| transcript.whisperx[17].end |
2227.245 |
| transcript.whisperx[17].text |
有善生養的相關配套4大對策。衛福部負責3個。本部負責 |
| transcript.whisperx[18].start |
2230.27 |
| transcript.whisperx[18].end |
2231.091 |
| transcript.whisperx[18].text |
我們運用講述 |
| transcript.whisperx[19].start |
2260.802 |
| transcript.whisperx[19].end |
2277.761 |
| transcript.whisperx[19].text |
想補助經會鼓勵托嬰中心照顧比1比5調降1比4提高托育人員及居家托育中心輔導人員薪資穩定人力並提升照護服務品質 |
| transcript.whisperx[20].start |
2279.181 |
| transcript.whisperx[20].end |
2293.733 |
| transcript.whisperx[20].text |
在兒童健康權益與保護方面的部分,我們推動了優化兒童醫療照護計畫,補助8家核心醫院成立兒童重難罕症焦點團體,3個重症轉印專業團體,以及1個困難診斷疾病平台。 |
| transcript.whisperx[21].start |
2299.057 |
| transcript.whisperx[21].end |
2315.922 |
| transcript.whisperx[21].text |
9家醫院設有做產期母嬰醫療中心負責高危險認生及新生兒家戶照顧。 112年11月1日期,出生幼兒前面納入3歲以下幼兒專責醫師制度。目前共有1,276家診所,2,837位醫師投入服務。 |
| transcript.whisperx[22].start |
2321.826 |
| transcript.whisperx[22].end |
2328.892 |
| transcript.whisperx[22].text |
另外,建設社會安全網線上求助平台補助12家醫院辦理兒少保護醫療整合中心 |
| transcript.whisperx[23].start |
2329.542 |
| transcript.whisperx[23].end |
2346.316 |
| transcript.whisperx[23].text |
防治兒少內帶與疏忽,擴充發展遲晚兒童社區療癒服務提高早期療癒補助以及輔助貧窮弱勢家庭自立推動兒童及少年未來教育與發展帳戶開戶人士計3.43萬人,開戶率達65% |
| transcript.whisperx[24].start |
2354.147 |
| transcript.whisperx[24].end |
2366.872 |
| transcript.whisperx[24].text |
在友善生養健康測試部分110年7月起擴大不印症治療補助對象至一般不印夫妻成功產下2.13萬名嬰兒補助 |
| transcript.whisperx[25].start |
2374.234 |
| transcript.whisperx[25].end |
2386.617 |
| transcript.whisperx[25].text |
應互產檢由10次提高到14次,超音波檢查由1次提高到3次,並新生妊娠糖尿病篩檢及貧血檢查。行政院已請國和會進行少子化 |
| transcript.whisperx[26].start |
2390.037 |
| transcript.whisperx[26].end |
2418.659 |
| transcript.whisperx[26].text |
少子女化實證調查分析作為精進下這段計畫參考本部將配合行政院規劃與相關部會共同提供育兒家庭道援讓年輕一代感恩、怨聲、樂揚3本部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討監察院糾正本部疏於督導地方 |
| transcript.whisperx[27].start |
2419.286 |
| transcript.whisperx[27].end |
2447.18 |
| transcript.whisperx[27].text |
政府落實聯合國兒童替代性照顧準則之有特殊需求兒童安置於成人機構一案本部以積極督導地方政府進促主案前面檢視事例兒少受照顧的狀況擬定轉嫌安置計畫及導入相關資源並要求地方政府定期匯報檢討情形事實給予協助 |
| transcript.whisperx[28].start |
2449.898 |
| transcript.whisperx[28].end |
2478.413 |
| transcript.whisperx[28].text |
為充實特殊需求兒童安置量能本部透過增加補助照顧特殊兒少所需經費搭配專業團隊到載指導寄養家庭並由精神醫療團隊外展制安置機構提供嚴重情緒障礙兒少服務另外針對因宿內嚴重有高度醫療或護理需求者補助公立醫療機構 |
| transcript.whisperx[29].start |
2481.397 |
| transcript.whisperx[29].end |
2503.923 |
| transcript.whisperx[29].text |
醫療財團法人附設的長照機構設立兒少照護專區提供滿足兒少身心發展需求的照護環境本部會積極督導地方政府落實以兒少最佳利益為優先考量之安置決策與處理計畫並近期檢視執行狀況及成效評估確保室內兒童獲得平等發展的機會 |
| transcript.whisperx[30].start |
2510.936 |
| transcript.whisperx[30].end |
2520.164 |
| transcript.whisperx[30].text |
本部曾答應各委員之指教及監督,在此敬致謝神,並期各位委員繼續予以支持。以上,謝謝。 |
| transcript.whisperx[31].start |
2530.256 |
| transcript.whisperx[31].end |
2556.072 |
| transcript.whisperx[31].text |
有關本市會議各項書面資料均列入記錄並刊登公報現在開始詢答做以下宣告本委員會的委員詢答時間6加2就是8分鐘列席委員4分鐘10點30分截止花園登記委員如有書面質詢請於上會前提出預期不受理 |
| transcript.whisperx[32].start |
2557.37 |
| transcript.whisperx[32].end |
2558.731 |
| transcript.whisperx[32].text |
主席麻煩我們的部長 |
| transcript.whisperx[33].start |
2592.977 |
| transcript.whisperx[33].end |
2612.755 |
| transcript.whisperx[33].text |
部長早今天要跟你部長來討論少子女化跟特殊需求兒少安置到底要怎麼樣去解決下一張首先針對特殊需求安置的孩子在我上任前就有參與我們在111年兒權公約的國家報告國際委員來台的審查會議當中 |
| transcript.whisperx[34].start |
2613.851 |
| transcript.whisperx[34].end |
2633.786 |
| transcript.whisperx[34].text |
我記得當時就有提到因為他覺得在106年的時候他們來審查的時候就希望安置能夠去機構化不要再安置在機構可是看起來很難達到所以他說那到底臺灣的短中長期怎麼去走就是到底既然你16年 |
| transcript.whisperx[35].start |
2635.66 |
| transcript.whisperx[35].end |
2660.659 |
| transcript.whisperx[35].text |
我提出來這樣做你做不到那你的短中長期怎麼去甚至私立的安置機構要改善還有要有有效的把關措施下一頁那可是為什麼國際委員審查有這些結論那我自己在上來之前我擔任兒童權益促進聯盟的 |
| transcript.whisperx[36].start |
2661.152 |
| transcript.whisperx[36].end |
2686.169 |
| transcript.whisperx[36].text |
﹗ |
| transcript.whisperx[37].start |
2686.783 |
| transcript.whisperx[37].end |
2710.401 |
| transcript.whisperx[37].text |
︺ |
| transcript.whisperx[38].start |
2710.674 |
| transcript.whisperx[38].end |
2727.227 |
| transcript.whisperx[38].text |
1111 |
| transcript.whisperx[39].start |
2727.527 |
| transcript.whisperx[39].end |
2751.352 |
| transcript.whisperx[39].text |
甚至也因為口耳相傳本來只有一個的就變成20個孩子安置在這個護理之家如果不是重症的話那沒有這個需求甚至有的剛開始是重症他也把呼吸器拿掉了各方面都顯現的OK的時候繼續因為單親媽媽沒辦法照顧這一次監察院報告裡邊有的當初就是我們提供的相關資料就你們報告完全不顯現這個甚至有情緒障礙的孩子他 |
| transcript.whisperx[40].start |
2751.732 |
| transcript.whisperx[40].end |
2779.036 |
| transcript.whisperx[40].text |
️ |
| transcript.whisperx[41].start |
2779.582 |
| transcript.whisperx[41].end |
2796.459 |
| transcript.whisperx[41].text |
️ |
| transcript.whisperx[42].start |
2796.819 |
| transcript.whisperx[42].end |
2797.74 |
| transcript.whisperx[42].text |
這過去本來安置機構就有這個問題 |
| transcript.whisperx[43].start |
2822.99 |
| transcript.whisperx[43].end |
2841.36 |
| transcript.whisperx[43].text |
那即便你先提出來你的報告提出來說要有社工人力進駐沒有錯社工人力進駐可是社工呢6點下班了孩子呢4點下課了他們交會的時間到底有多長根本就是還是沒有辦法符合兒少可是一般的安置機構他會考慮到這樣有提供生福人員 |
| transcript.whisperx[44].start |
2842.09 |
| transcript.whisperx[44].end |
2862.978 |
| transcript.whisperx[44].text |
︎ |
| transcript.whisperx[45].start |
2863.882 |
| transcript.whisperx[45].end |
2864.663 |
| transcript.whisperx[45].text |
那我不知道怎麼反而是成長的 |
| transcript.whisperx[46].start |
2893.812 |
| transcript.whisperx[46].end |
2918.345 |
| transcript.whisperx[46].text |
所以在111年人家國際委員也提出來所以想問你的從111年的6月的114人到112年的年底成長到176人所以想問部長原因是什麼衛福部為什麼對特殊需求的兒少安置的政策跟計畫有要修正跟調整嗎 |
| transcript.whisperx[47].start |
2919.79 |
| transcript.whisperx[47].end |
2947.35 |
| transcript.whisperx[47].text |
好 謝謝委員的催省那針對委員提出很多實務上發現的問題然後提出指導我個人深感敬佩因為這個是您花了很多的專業跟時間來瞭解非常謝謝那我們在針對特殊需求兒童的安置其實有兩個原則第一個就是我們盡量讓他回家庭 |
| transcript.whisperx[48].start |
2948.954 |
| transcript.whisperx[48].end |
2969.927 |
| transcript.whisperx[48].text |
就是剛剛委員所提到的這個是衛福部一直在做的政策如果能夠回原生家庭最好如果不然就是安養家庭如果他調養的好的話所以這也是跟國際市場要回到家庭裡面去如果說他真的不能出來的話我們一定會有給他教育那比如說巡迴輔導教師的資源當然剛剛委員提到 |
| transcript.whisperx[49].start |
2973.189 |
| transcript.whisperx[49].end |
2976.614 |
| transcript.whisperx[49].text |
在時間上的配合或怎麼樣,我們這個都可以來把細節的調研。 |
| transcript.whisperx[50].start |
2980.66 |
| transcript.whisperx[50].end |
2980.8 |
| transcript.whisperx[50].text |
下一頁 |
| transcript.whisperx[51].start |
3007.113 |
| transcript.whisperx[51].end |
3035.186 |
| transcript.whisperx[51].text |
在這邊還是要提出我們當時在公聽會的一個訴求第一個由衛福部來委託或補助規劃成立北中南東區的專業輔導團隊給予我們的安置機構更多的專業能力跟服務可是你們的報告裡面說只有我的公辦的兒童之家有這樣子其他的私立不需要嗎第二個是衛福部要研擬安置特殊需求的兒少照顧分類標準跟評估機制來評估結果 |
| transcript.whisperx[52].start |
3036.887 |
| transcript.whisperx[52].end |
3038.688 |
| transcript.whisperx[52].text |
第三個應該研擬將特殊需求安置兒少從長照機構 |
| transcript.whisperx[53].start |
3065.446 |
| transcript.whisperx[53].end |
3074.471 |
| transcript.whisperx[53].text |
轉嫌到兒少機構的實施計畫這上次提出來2月提出來講到現在已經一年多了那希望孩子能夠到 |
| transcript.whisperx[54].start |
3077.185 |
| transcript.whisperx[54].end |
3102.265 |
| transcript.whisperx[54].text |
主席不好意思再讓我一點時間那請問部長這些結論跟建議社家屬執行的進度是怎樣現在時間上來不及請你們就是再給我報告所以在這邊我大概有三個短中長期的計畫短期希望還是嚴理安置特殊需求的孩子分級分類的一個標準跟評估我們當然沒有辦法立即馬上去機構化可是應該要分級分類這個要去考慮 |
| transcript.whisperx[55].start |
3102.725 |
| transcript.whisperx[55].end |
3120.98 |
| transcript.whisperx[55].text |
那更何況應該針對特殊需求的孩子能夠有這樣子的兒少機構照顧那中期還是要有專業人員進入到兒少安置機構裡面提供兒少的安置機構的工作人員的真能不是護理人員自己去上課事實上是要有符合他們的設計特殊需求兒少的個別化的服務 |
| transcript.whisperx[56].start |
3121.22 |
| transcript.whisperx[56].end |
3144.48 |
| transcript.whisperx[56].text |
議員 |
| transcript.whisperx[57].start |
3144.991 |
| transcript.whisperx[57].end |
3146.132 |
| transcript.whisperx[57].text |
我10年來一向堅持這樣的方向 |
| transcript.whisperx[58].start |
3169.167 |
| transcript.whisperx[58].end |
3189.139 |
| transcript.whisperx[58].text |
在努力所以好,非常感謝部長能夠保持初心堅持對的事情也就是你同意要有中央的兒童專責單位我們一直在努力因為當時主張的是這樣今年是農年可是上半年只生了6萬3876人農年可能會比虎年更少去年度你還都 |
| transcript.whisperx[59].start |
3189.599 |
| transcript.whisperx[59].end |
3213.541 |
| transcript.whisperx[59].text |
23 |
| transcript.whisperx[60].start |
3214.622 |
| transcript.whisperx[60].end |
3240.132 |
| transcript.whisperx[60].text |
能夠以兒童為中心的社會以日本的經驗來成立兒童兒少的專責機構下一頁所以對少子化我們可不可以比照日本的經驗一個是成立中央級的專責單位來整合不是讓散播到各部會裡邊我們講的好聽叫各失其職講難聽叫各自為政要有統合才有辦法解決因為要預算編列還要 |
| transcript.whisperx[61].start |
3241.076 |
| transcript.whisperx[61].end |
3241.576 |
| transcript.whisperx[61].text |
接下來我們請陳昭智委員質詢 |
| transcript.whisperx[62].start |
3271.158 |
| transcript.whisperx[62].end |
3272.862 |
| transcript.whisperx[62].text |
麻煩邱部長部長早安 |
| transcript.whisperx[63].start |
3279.468 |
| transcript.whisperx[63].end |
3285.631 |
| transcript.whisperx[63].text |
委員長博定CIA前一陣子公布了全球2024年全球生育率因為差幾個月嘛它這個預測台灣拿下第227名生育率是1.11南韓是倒數第二名1.12新加坡是1.17那這個都還比我們在前面那請看右邊這個數字剛剛葉群偉也稍微提到到8月為止我們跟去年比今年是榮年 |
| transcript.whisperx[64].start |
3305.299 |
| transcript.whisperx[64].end |
3329.188 |
| transcript.whisperx[64].text |
然後我們出生的人數少了3000人啊所以部長民進黨越拚越害啦2016年有20萬人啦啊每年降1萬到去年是13萬啊現在還看來很不可觀喔很這個很危險喔所以部長你對這個傲視全球另類的傲視全球少子化的成績齁你要有些什麼想法啦我現在用數字告訴你是失敗的啦好第二張齁 |
| transcript.whisperx[65].start |
3330.569 |
| transcript.whisperx[65].end |
3353.644 |
| transcript.whisperx[65].text |
部長為了少子化問題我知道大家也做了一些努力了原來有個少子女對策計畫在國建署但是我要請問為什麼明年的計畫經費相較於今年還少了7億元少了將近兩成到底是國人不知道使用還是他不需要使用還是他不符合使用方法你覺得怎麼會還變是放棄了嗎 |
| transcript.whisperx[66].start |
3357.826 |
| transcript.whisperx[66].end |
3375.494 |
| transcript.whisperx[66].text |
衛福部是放棄了在搶救少子化嗎?這編的錢還比去年還要少這麼多這是第一個就是編列的預算那第二個我要談的還是人工生殖法兩千塊錢你就就基本的捐精捐卵的人工生殖法到現在已經17百年那個法度現在都還沒有改變 |
| transcript.whisperx[67].start |
3377.159 |
| transcript.whisperx[67].end |
3391.714 |
| transcript.whisperx[67].text |
那這個等於是你整個進步的法案你完全沒有跟上而且我們人工生殖技術越來越進步越來越成熟完全按兵不動所以我是不是要請這個國建署一周內給我一個資料為什麼少子女這個對策計畫今年還少編了這個7億元將近兩次 塞北一個一周內給我好嗎 |
| transcript.whisperx[68].start |
3399.442 |
| transcript.whisperx[68].end |
3409.005 |
| transcript.whisperx[68].text |
法委沒問題我要了解一下嘛到底發生什麼事我們來想辦法努力我們絕對不會輕視少子化的問題而且會一定要按照需求啦按照那個實證實際上因為我們的那個未滿2歲人口數 |
| transcript.whisperx[69].start |
3416.608 |
| transcript.whisperx[69].end |
3416.728 |
| transcript.whisperx[69].text |
下一張。 |
| transcript.whisperx[70].start |
3431.468 |
| transcript.whisperx[70].end |
3445.893 |
| transcript.whisperx[70].text |
部長,你們看一下,處長也可以一起看。那這麼多企業你們看出共同性嗎?這都很有名的。NVIDIA、Netflix、American Express、Google等等。還有Meta、ST Loader都有。你猜得出他們有什麼共同性嗎? |
| transcript.whisperx[71].start |
3448.032 |
| transcript.whisperx[71].end |
3462.53 |
| transcript.whisperx[71].text |
太難了我知道好下一個答案來下一張部長現在看那個企業齁都怪很多耳熟能詳的他都提供人工生殖的那個補助的大企業我要跟你講齁像這個化妝品那個SD Loader齁他提供齁 |
| transcript.whisperx[72].start |
3463.951 |
| transcript.whisperx[72].end |
3485.121 |
| transcript.whisperx[72].text |
15萬美元的人工生殖福利可以用在代理孕母跟試管嬰兒好這個為大家帶來希望跟夢想的迪士尼迪士尼也提供了75000美元的代理孕母福利Google也是300萬台幣的這個福利給代理孕母光光這個部分就是說這些大企業他們在鼓勵員工要來成家我們來看看我們自己台灣這光黃仁勳先生的輝達公司大家可以去網站看 |
| transcript.whisperx[73].start |
3488.703 |
| transcript.whisperx[73].end |
3509.099 |
| transcript.whisperx[73].text |
他被評比為代孕福利衝第一,最佳的企業。已在官網上寫著,這段話很讓人感動。發展家庭的這個決定是一個重大的決定。在你人生生命中最重要時刻之一,無論你走哪一條路,我們都會在這裡為你提供支援。支援可用在收養生育設施跟試管嬰兒治療,還代孕。 |
| transcript.whisperx[74].start |
3511.201 |
| transcript.whisperx[74].end |
3520.67 |
| transcript.whisperx[74].text |
無論你如何去擴大你的家庭我們都會為您和您生命中最重要的人提供公平公正的資源這是非常讓人感動的一句話黃仁勳台灣之光 |
| transcript.whisperx[75].start |
3522.619 |
| transcript.whisperx[75].end |
3541.374 |
| transcript.whisperx[75].text |
﹗ |
| transcript.whisperx[76].start |
3541.534 |
| transcript.whisperx[76].end |
3541.975 |
| transcript.whisperx[76].text |
我國建署三字民調 |
| transcript.whisperx[77].start |
3557.561 |
| transcript.whisperx[77].end |
3578.493 |
| transcript.whisperx[77].text |
3次國家民調2011年13年15年我簡單複習一下3年總來是這個是3次的總的標準大概是有8成人支持代孕6成的人是支持2成沒有意見不反對2011年超過一半就贊成說妻子無子宮這就可以找人來代孕2013年68 7成的民眾不贊成繼續禁止 |
| transcript.whisperx[78].start |
3580.074 |
| transcript.whisperx[78].end |
3608.401 |
| transcript.whisperx[78].text |
因為當時是禁止的而且86人他贊成就是要把他納入規範那在2015年那次有6成人是支持代理的2成人沒有反對所以3次民調當中大概都有8成人支持給予代理孕母一個因懷孕所需要的費用跟損失部長難道不知道你們最近收集什麼意見五月底就提出那個不版啊你收集什麼意見所有意見你這樣反對人就拼命寫拼命講啊那個意見公平嗎公正嗎 |
| transcript.whisperx[79].start |
3609.281 |
| transcript.whisperx[79].end |
3609.301 |
| transcript.whisperx[79].text |
部長 |
| transcript.whisperx[80].start |
3632.372 |
| transcript.whisperx[80].end |
3637.014 |
| transcript.whisperx[80].text |
但是上週陳金輝委員就質詢的時候總質詢的時候您說要10月底才能送出這個送到性評會是嗎我再跟您確定是什麼時候要送到性評會 |
| transcript.whisperx[81].start |
3652.165 |
| transcript.whisperx[81].end |
3675.215 |
| transcript.whisperx[81].text |
包委員現在我們經過了6次以上更多的專家會議因為的確最多的問題還是最多的雙方的意見還是在爭議還是在代理義務這個部分所以我們很用心的已經很鳥籠代孕了我們很擔心這個代孕出來即便你的不本出來都沒有人可以適用喔 |
| transcript.whisperx[82].start |
3677.663 |
| transcript.whisperx[82].end |
3678.586 |
| transcript.whisperx[82].text |
現在的時程是這樣,我們希望國民政黨署能夠在11月 |
| transcript.whisperx[83].start |
3684.71 |
| transcript.whisperx[83].end |
3710.104 |
| transcript.whisperx[83].text |
你信憑會你也是委員啊?11月送到那個衛福部,那我們經過衛福部法規會相關的處理以後我們...這2010幾年就開始做了啦,做了三十年啦你認為這個信憑會有權利退回衛福部的法案嗎?他上次這樣做啦,他上次沒有把他,會前會沒有把他放在議程裡啊他上次這樣做你允許嗎?你允許信憑會再把你的法案退回去嗎?不列在議程裡面嗎? |
| transcript.whisperx[84].start |
3712.028 |
| transcript.whisperx[84].end |
3722.978 |
| transcript.whisperx[84].text |
你一直說要凝聚共識再送審這30年沒有共識,我們在等30年嗎?天下有什麼事有共識?共識是誰的共識?賴清德總統也在40%而已,他就做總統啊我的答應80%呢?兩倍呢?為什麼他可以當總統,我的答應不能過? |
| transcript.whisperx[85].start |
3735.322 |
| transcript.whisperx[85].end |
3754.223 |
| transcript.whisperx[85].text |
你要找誰找共識?什麼叫共識?兩杯咧?好看一下賴總統你的上司賴立委任何一個政策都不可能因為社會少數人的意見不可能說得到百分之百的共識就是要去處理過去的同分法不就是如此嗎?無比無比我們還是讓他過啦 |
| transcript.whisperx[86].start |
3755.524 |
| transcript.whisperx[86].end |
3773.936 |
| transcript.whisperx[86].text |
任何有動見的執政者能夠摒棄隔絕這樣的聲音才是能夠做出對國家人權最有利的決定。你看那金德利委2002年就是這樣有先見之明的人,他提出了代孕法案,那是20年前,將近23年他還調查了很多做了一個非常完整的很感人的一個法案說明。 |
| transcript.whisperx[87].start |
3774.793 |
| transcript.whisperx[87].end |
3804.085 |
| transcript.whisperx[87].text |
部長,我必須相信你會延續他的意志,不然你去問他,你隨時可以找得到他,也不能打電話跟他抱怨別人,你當然可以跟他說,說他有事嗎?他有事就說你自己是有事嗎?一直說有事,他國務院也跟他說有有有,你一直告訴人家說我20幾年就開始支持你,他說支持啊,你去問總統,外部部版本人工生殖法,讓誕生、同性、子宮有病、免性在這個草版裡面都能夠有機會拿回他們籌組家庭的 |
| transcript.whisperx[88].start |
3804.945 |
| transcript.whisperx[88].end |
3828.279 |
| transcript.whisperx[88].text |
權力啊!你永遠沒有共識啦!要等到當時啦!要等到當時!這個我很討厭的團體一直辦很多直播啦!一直在說代孕有問題!然後不曉得誰讓他待在性癖會待了一輩子!他講什麼消尾你知道嗎?同性伴侶跟單身有燃眉之急!只供有病變的人先放一邊! |
| transcript.whisperx[89].start |
3829.71 |
| transcript.whisperx[89].end |
3844.044 |
| transcript.whisperx[89].text |
博敬這就是剝削這個就是階級化他來決定誰需要誰不需要單身跟同性有燃眉之急這個我們都支持單身跟同性那個子宮有病病的你放一邊脫鉤不做博敬你也信憑會委員的你會輸嗎你剛講出來沒有你以前也是支持的你也是提案支持代孕的 |
| transcript.whisperx[90].start |
3854.741 |
| transcript.whisperx[90].end |
3860.646 |
| transcript.whisperx[90].text |
把人的需求分高低前後實在讓人覺得噁心可惡最後部長一個進步的法案真的有需要為了永遠的少數的反對者在這邊繼續蹉跎嗎再一個30年嗎 |
| transcript.whisperx[91].start |
3877.176 |
| transcript.whisperx[91].end |
3878.437 |
| transcript.whisperx[91].text |
如果你要認為說為什麼待運要完美的演出? |
| transcript.whisperx[92].start |
3906.823 |
| transcript.whisperx[92].end |
3922.372 |
| transcript.whisperx[92].text |
你不允許他有一點點出錯率嗎?才小於1%如果你認為出錯率要用出錯率這群女人講的要用出錯率去決定要不要通過一個法案我告訴你我們要禁止的是結婚婚姻因為婚姻出錯率有30%我們要禁止的是收養因為收養出錯率有60% |
| transcript.whisperx[93].start |
3926.274 |
| transcript.whisperx[93].end |
3938.978 |
| transcript.whisperx[93].text |
博定要想一想各種狀況你為什麼要讓這些人沒有理智不需求的健康自私人在擋住我的法案呢我的法案不是我要用的很多人在等子宮有病面是他們想要的嗎趕快出來吧法案性評會好好的把你的立場站穩博定你要站穩喔你自己的老闆也是自己喔 |
| transcript.whisperx[94].start |
3949.477 |
| transcript.whisperx[94].end |
3957.204 |
| transcript.whisperx[94].text |
鼠長也麻煩你了,你們都是在信評會的委員。好,謝謝。好,謝謝委員,謝謝。謝謝陳昭珠委員,支持你啦,支持你。謝謝部長。好,接下來我們請陳清輝委員質詢。 |
| transcript.whisperx[95].start |
3971.317 |
| transcript.whisperx[95].end |
3994.629 |
| transcript.whisperx[95].text |
主席 啊 部長 抱歉啦 你都 坐不 幾分鐘謝謝 部長 我是接著 對啦 我是接著陳委員繼續問因為今天要質詢您的議題真的很廣泛 今天我們超委給我們排的問題太多了其實你要我問人工生殖法少子化 我問三天三夜也可以 但是 |
| transcript.whisperx[96].start |
3996.91 |
| transcript.whisperx[96].end |
4021.568 |
| transcript.whisperx[96].text |
我覺得我最近真的很像執政黨的委員了因為我拼命在幫你們辯護也希望你們可以拿出勇敢的 guts 好嗎我現在覺得我比執政黨委員還像執政黨委員當然剛剛說我們已經蹉跎了30年但是我覺得有一個優點就是我們希望我們可以在這個任期啊做出一點推進因為人工生殖第一進步非常的多 |
| transcript.whisperx[97].start |
4022.429 |
| transcript.whisperx[97].end |
4047.38 |
| transcript.whisperx[97].text |
第二其實經過30年的討論我看過國建署的版本我在這邊非常的讚許國建署因為他們把世界各國缺點都沒有都改過了他們發現有些衝比較快的國家的確有缺點改掉了現在我們是用最嚴謹的方法在制定我們的人工生殖法我們看過很多國家經歷的事我們也知道哪些事要避免所以我們往 |
| transcript.whisperx[98].start |
4048.41 |
| transcript.whisperx[98].end |
4065.281 |
| transcript.whisperx[98].text |
英國美國加拿大澳洲這些法國化非常嚴格的國家在學習這點必須要肯定那我也看了過去20到30年在這個今天這個場域有發言過的委員關於人工生殖法的發言 |
| transcript.whisperx[99].start |
4066.622 |
| transcript.whisperx[99].end |
4081.855 |
| transcript.whisperx[99].text |
許多呢我在這邊必須要說從醫學專業來看畢竟這邊我們有很多都是學科學學醫學的人女權還有社會議題跟醫學是沒有辦法相互解釋的剛剛陳昭之委員提到的這個女權前輩他在這個場域曾經說過我們醫學專家難以置信的話他在這邊有一天咆哮說憑什麼50歲的女人不能捐卵啊 |
| transcript.whisperx[100].start |
4095.166 |
| transcript.whisperx[100].end |
4114.399 |
| transcript.whisperx[100].text |
他居然講出這句話欸你認同嗎而且他對於這個胚胎的植入可屬也有他自己很獨特的看法那我覺得部長我先預告啦您等一下接續今天還有30幾個委員要問您可能會遇到一些砲火但是我們必須要根據國際最新的醫療期刊 |
| transcript.whisperx[101].start |
4116.24 |
| transcript.whisperx[101].end |
4128.029 |
| transcript.whisperx[101].text |
國際最新的數據還有人工生殖的科技是像火箭式每年在增長的我們要用最新的科學數據告訴大家為什麼這些人工生殖法的修正草案是這樣一筆一筆的定出來的好嗎 |
| transcript.whisperx[102].start |
4131.974 |
| transcript.whisperx[102].end |
4134.377 |
| transcript.whisperx[102].text |
這是一個台灣目前普世價值的問題所以部長您一定要堅持住好嗎? |
| transcript.whisperx[103].start |
4152.197 |
| transcript.whisperx[103].end |
4170.705 |
| transcript.whisperx[103].text |
我已經堅持到民眾的最大的權益還有當然少數民眾的需求我們一定要重視然後在法規在倫理在社會的共識沒有你也要相信你的國建署你的國建署已經花了很多的心思在做這個修正草案了非常多 |
| transcript.whisperx[104].start |
4172.284 |
| transcript.whisperx[104].end |
4197.856 |
| transcript.whisperx[104].text |
對他們掌握得非常清楚部長剛好國際組署長也在這邊我要關心一下腹癌的議題因為最近這幾週呢有一位我們議員的前輩許議員因為子宮內膜癌過世所以我認為啦在環境荷爾蒙不斷的上升還有我們的飲食改變高靈化、三高、糖尿病等等還有很多不孕症的疾病其實已經讓我們的腹癌分布有改變了 |
| transcript.whisperx[105].start |
4198.476 |
| transcript.whisperx[105].end |
4224.766 |
| transcript.whisperx[105].text |
因此我們其實腹癌的篩檢需要做一些調整這個您是專家家醫科醫師對不對所以之前其實您訂定的很好不管是抹片或是HPV的檢查或是HPV的疫苗你看關於子宮頸癌的死亡率跟發生率是大幅相較現在每年是1100個人好那為什麼呢我們子宮頸癌的這個申報成長率不會上升呢這個一定 |
| transcript.whisperx[106].start |
4225.894 |
| transcript.whisperx[106].end |
4226.054 |
| transcript.whisperx[106].text |
好。好。 |
| transcript.whisperx[107].start |
4248.31 |
| transcript.whisperx[107].end |
4261.038 |
| transcript.whisperx[107].text |
現在你發現其實你之前的政策不錯他不斷的在下降你的篩檢率也提高不了了結果你又灌了新的預算金去篩檢那我們來關心一下議員得到的這個子宮內母愛下一張欸這不能work |
| transcript.whisperx[108].start |
4264.312 |
| transcript.whisperx[108].end |
4284.351 |
| transcript.whisperx[108].text |
他是從過去1995年至今是提升10倍之多啦其中的環節其中的原因我們這個大家都是專家都知道啦肥胖啊三高啊糖尿病啊等等的所以你們不會想要在其他兩個卵巢癌跟子宮內膜癌增加他的篩檢方式嗎這篩檢方式很簡單欸 |
| transcript.whisperx[109].start |
4288.752 |
| transcript.whisperx[109].end |
4305.949 |
| transcript.whisperx[109].text |
我們一直在嚴厲相關的是不是有篩檢的工具那也應該要有實證的醫學本席在這邊提一下子宮內膜癌它初期的症狀其實是不正常的出血但大部分的婦女並不會把它當一回事因為月經不正常是常常發生的嘛下一張 |
| transcript.whisperx[110].start |
4307.418 |
| transcript.whisperx[110].end |
4328.184 |
| transcript.whisperx[110].text |
好我們來針對這些高風險的女性如果提供適當的篩檢其實很簡單就是一個陰道超音波就可以了陰道超音波大概只多花5到10分鐘他不僅是看子宮的構造連卵巢一起看所以你多一個篩檢你還可以預防兩個腹癌而且這些腹癌人數加起來是你的子宮頸來的4到5倍欸 |
| transcript.whisperx[111].start |
4335.169 |
| transcript.whisperx[111].end |
4349.876 |
| transcript.whisperx[111].text |
好,我想感謝委員關心這個主題,那的確我們的癌症會隨著環境的整個變遷,會有不同的incidence的發生,那我想我們要以日俱增來 |
| transcript.whisperx[112].start |
4352.457 |
| transcript.whisperx[112].end |
4378.326 |
| transcript.whisperx[112].text |
來對所有可能發生的癌症我們都能夠全面的來找到之後我再寫一個提案提供您一個很具體的做法這也是跟許多國會的專家、婦外的專家以及公衛的專家一起想出來的其實這個預算金額不會很高大概8到10億但是你針對全國50到75歲的女性大約快要430萬人這些人可以提供他們更多的保護好嗎 |
| transcript.whisperx[113].start |
4380.353 |
| transcript.whisperx[113].end |
4404.312 |
| transcript.whisperx[113].text |
好再來因為剛剛有講到說女性有許多癌症不管是腹癌或是其他癌症都在不斷的上升所以其實我們對這些癌症病友也很關心他們希望未來成為媽媽的願望嘛但是呢現在各縣市很多地方也有提供動卵補助可是他動卵補助沒有比預期的申請率高大家知道為什麼嗎 |
| transcript.whisperx[114].start |
4407.725 |
| transcript.whisperx[114].end |
4435.306 |
| transcript.whisperx[114].text |
沒關係部長我跟你講答案就是因為我們的人工生殖法還沒有修法也是其中的一個因素因為我們的女性有偶率已經來到10年來的新低這個署長一定知道48%的人是有偶的可是現在的人工生殖法如果你不去修正它的話它除非未來有找到對象不然它永遠沒有辦法使用自己的卵子OK嗎 |
| transcript.whisperx[115].start |
4436.673 |
| transcript.whisperx[115].end |
4436.813 |
| transcript.whisperx[115].text |
好,下一張 |
| transcript.whisperx[116].start |
4453.135 |
| transcript.whisperx[116].end |
4480.031 |
| transcript.whisperx[116].text |
這邊有講到說剛剛那個委員曾經也在這個場域啊講過說為什麼我們不植入5顆胚胎我在這邊也看到說國健署很細心在代孕的環節有規定代理孕母每一次只能植幾顆胚胎為限好這一點的話我希望當然大家很關心代理孕母也可以同樣把它援引到不管是同性伴侶或是單身女性這個部分 |
| transcript.whisperx[117].start |
4480.791 |
| transcript.whisperx[117].end |
4490.83 |
| transcript.whisperx[117].text |
其實我們也可以根據現在人工生殖的技術發展還有懷孕的成功率我們逐項的訂定胚胎植入數的標準這一點可以做到嗎? |
| transcript.whisperx[118].start |
4493.582 |
| transcript.whisperx[118].end |
4510.727 |
| transcript.whisperx[118].text |
對,署長應該很了解因為署長自從推了試管嬰兒補助以後其實對我們國家的多胞胎率下降貢獻非常大對,但是現在只有零補助的人會被規定植入科宿沒有零補助的人他想有的人想 |
| transcript.whisperx[119].start |
4511.627 |
| transcript.whisperx[119].end |
4512.608 |
| transcript.whisperx[119].text |
不好意思主席,抱歉 |
| transcript.whisperx[120].start |
4531.327 |
| transcript.whisperx[120].end |
4554.628 |
| transcript.whisperx[120].text |
再來也是這幾天大家很關心的部長你應該知道一三年憲法判決第八號說如果這個精神科醫師在發現這個加害人有重大的精神心智缺陷不得執行死刑好我們看這個臉書他是一個火車刺警案的鑑定醫師他被大出征啊 |
| transcript.whisperx[121].start |
4555.814 |
| transcript.whisperx[121].end |
4574.122 |
| transcript.whisperx[121].text |
他自從鑑定這個加害人有精神疾病以後他在網路上被出征他連基本的人身安全都沒有部長你也是醫生救人是醫生的天職你認為替死刑犯判定精神狀況是不是有違醫師的倫理 |
| transcript.whisperx[122].start |
4577.652 |
| transcript.whisperx[122].end |
4602.32 |
| transcript.whisperx[122].text |
這可能針對整個社會的狀況以及現在醫學的發展那我想我們還是要請醫學會的專家我跟你說醫學會的專家世界精神醫學會在1996年馬德里宣言2023年日內瓦宣言都有講過說在任何情況下精神科醫師不應該執行死刑能力的鑑定第二 |
| transcript.whisperx[123].start |
4603.18 |
| transcript.whisperx[123].end |
4613.063 |
| transcript.whisperx[123].text |
對於各種精神病患精神科醫師都應該積極協助法律上無法為自己有效防禦辯護不足足夠能力承擔法律責任的人 |
| transcript.whisperx[124].start |
4613.626 |
| transcript.whisperx[124].end |
4638.953 |
| transcript.whisperx[124].text |
好現在呢他好好的在醫學系想說要成為這個精神科醫師心理科醫師只為了幫助社會卻變成全民公審的對象或者是頭號罪人這個判決下去以後精神科醫師如果他說他有問題有精神病不得執行死刑就變成頭號公題如果他說好他沒有精神病 |
| transcript.whisperx[125].start |
4640.253 |
| transcript.whisperx[125].end |
4667.145 |
| transcript.whisperx[125].text |
他沒問題就違反當初的醫師誓言嗎?因為他就有可能會有執行實習的問題這一點你怎麼看?你是不是應該要出來為醫生講幾句話?我想我當醫學院的教授當了幾十年一定是堅守Hippocratic醫師誓言的那個教學但是醫師是不是對社會 |
| transcript.whisperx[126].start |
4668.168 |
| transcript.whisperx[126].end |
4669.249 |
| transcript.whisperx[126].text |
現在全國有151間的醫療單位可以做司法的精神鑑定 |
| transcript.whisperx[127].start |
4686.992 |
| transcript.whisperx[127].end |
4711.249 |
| transcript.whisperx[127].text |
我們在這個審判中保護兩兆的基本人權是天經地義的嘛不管是加害人或是被害人可是誰來保護這些提供精神鑑定的醫療人員這邊提供一些國外的做法給部長參考一下比如說在國外不管是加害人或被害人或是檢方或是法官雙方各自聘請不同的專家 |
| transcript.whisperx[128].start |
4712.21 |
| transcript.whisperx[128].end |
4716.933 |
| transcript.whisperx[128].text |
比如說曾經這個刺殺雷根總統的案子請了四個鑑定專家還有挪威的大屠殺兩邊各請了兩個專家所以他們在反覆的辯證中論述也會不同這樣可以分擔鑑定人員的心理壓力所以在這邊可以請部長具體的承諾您可以在一個月內給本席答覆可以跟司法司法體系來溝通嗎 |
| transcript.whisperx[129].start |
4738.39 |
| transcript.whisperx[129].end |
4749.647 |
| transcript.whisperx[129].text |
好,我想這個都我們一直在溝通,一直在溝通,所以一個月會提進度報告。好,主席,最後一題,最後一題,你先坐啦,你先坐啦,最後一題啦。 |
| transcript.whisperx[130].start |
4752.63 |
| transcript.whisperx[130].end |
4778.841 |
| transcript.whisperx[130].text |
好既然我們現在的量能不足既然我們現在的量能不足部長本來小英總統說呢要投入400億來完善司法精神醫療服務目標2025年要做到480床結果現在只有30床你的達成率是6%那未來呢我們只會需要更多這樣子的機構你知不知道這些有多高的比例是反社會人格 |
| transcript.whisperx[131].start |
4781.351 |
| transcript.whisperx[131].end |
4782.495 |
| transcript.whisperx[131].text |
包圍我們到這個月底會開到102床會繼續努力 |
| transcript.whisperx[132].start |
4787.011 |
| transcript.whisperx[132].end |
4811.141 |
| transcript.whisperx[132].text |
好你距離480床還是很遙遠這邊有一個報告是你們自己做的我也這邊具體建議部長可以讀一下你們很明確的在全民心理健康任性計畫裡面提到60%收治的精神病患中有反社會人格所以這些人如果沒有在完整的司法精神體系內他出來只會越來越嚴重 |
| transcript.whisperx[133].start |
4812.435 |
| transcript.whisperx[133].end |
4829.761 |
| transcript.whisperx[133].text |
好嗎?好,這個本期會繼續追下去。謝謝主席。謝謝主席。好,謝謝委員。謝謝,謝謝。謝謝陳委員。謝謝部長。我想請那個衛福部這邊人工生殖法再推一下。我想在這個會期把它組條,送出委員會。接續我們請廖偉強委員,質詢。 |
| transcript.whisperx[134].start |
4843.286 |
| transcript.whisperx[134].end |
4855.313 |
| transcript.whisperx[134].text |
謝謝主席。有請我們部長。委員長。部長好。那我拿一下這個。 |
| transcript.whisperx[135].start |
4858.356 |
| transcript.whisperx[135].end |
4873.23 |
| transcript.whisperx[135].text |
部長好這個為了要健保永續跟解決缺藥跟穩定藥品供應鏈很鼓勵國產保障國人的用藥安全的部分所以今年3月的時候我也曾經提出藥價調整的三原則的決議那也獲得了衛福部的同意那 |
| transcript.whisperx[136].start |
4873.951 |
| transcript.whisperx[136].end |
4887.891 |
| transcript.whisperx[136].text |
建保署的共你會議也在8月15號就已經通過了但是這個案子到現在不僅沒有公告連預告也還沒開始想要請教部長為何遲遲沒有公布是背後有什麼力量干預嗎是總統府還是有什麼國策顧問嗎導致你還不簽 |
| transcript.whisperx[137].start |
4890.683 |
| transcript.whisperx[137].end |
4901.834 |
| transcript.whisperx[137].text |
報告委員據我對這件事情的瞭解應該都是在做專業方面的程序並沒有我沒有感受到任何是那8月15通過這個共理會議請問什麼時候會公告共理會議以後這個 |
| transcript.whisperx[138].start |
4906.639 |
| transcript.whisperx[138].end |
4932.338 |
| transcript.whisperx[138].text |
因為在會議的代表其實對本案也沒有反對意見對 那什麼時候遇到那個我們會並同全民健康保險藥品價格調整作為辦法部分修正部分調整的修正那這個部分大概是什麼時候已經199月30號報到衛福部我們將依程序進行法規命令預告公告事宜 |
| transcript.whisperx[139].start |
4933.399 |
| transcript.whisperx[139].end |
4952.818 |
| transcript.whisperx[139].text |
所以部長大概什麼時候?對,大概。可不可以跟我講一個時間點?不是,我說要先預告啊。預告60天,所以我想我們應該很快就會預告。很快大概是什麼時候?可以跟我說嗎? |
| transcript.whisperx[140].start |
4958.105 |
| transcript.whisperx[140].end |
4970.353 |
| transcript.whisperx[140].text |
社保司有沒有那個依照這個如果已經報到衛福部然後社保司再整理一下因為我是希望一個月之內能夠 |
| transcript.whisperx[141].start |
4971.774 |
| transcript.whisperx[141].end |
4987.047 |
| transcript.whisperx[141].text |
1個月之內會預告?1個月之內會預告那再來部長國內的復康巴士供不應求預約困難喔那也有許多身心障礙或是有長照需求的長輩跟朋友常常跟我們反映其實我們在地方非常感謝有各種的那種團體會捐贈復康巴士 |
| transcript.whisperx[142].start |
4989.389 |
| transcript.whisperx[142].end |
5018.921 |
| transcript.whisperx[142].text |
但是我發現這扶植車的售價還蠻貴的不過還好有貨物稅的這個條例對於扶植車是有免稅的規定但部長你知道這個免稅規定即將到今年底到期嗎所以我也將提出這貨物稅條例第12條修正草案延長扶植車的免稅年限那我也算過因為這個有三大好處第一個扶植車可能增加讓民間捐贈的這個意願也會好一點再來就是駕駛人增加以及最重要就是我們身心障礙朋友跟 |
| transcript.whisperx[143].start |
5019.421 |
| transcript.whisperx[143].end |
5020.122 |
| transcript.whisperx[143].text |
拜託部長來努力一下。 |
| transcript.whisperx[144].start |
5044.022 |
| transcript.whisperx[144].end |
5072.761 |
| transcript.whisperx[144].text |
再來部長4月份調漲電價錢其實我也曾經抨擊過說調整前沒有完全的評估後來前行政院長陳建仁才說中央政府還要仔細盤點然後我們也要求動漲醫院的電價決議最後也才做出地區醫院動漲的決議那請教部長10月這個電價調漲這件事情已經議論了好幾個月那你520上任前衛福部有沒有主動找經濟部或者是經濟部有沒有找衛福部討論調漲電價這件事情 |
| transcript.whisperx[145].start |
5075.407 |
| transcript.whisperx[145].end |
5084.174 |
| transcript.whisperx[145].text |
我想這個溝通一直在持續,因為醫療...所以您覺得有一直在持續?所以有嘛對不對?這個溝通一直在持續這過程中都有討論對不對? |
| transcript.whisperx[146].start |
5087.694 |
| transcript.whisperx[146].end |
5108.626 |
| transcript.whisperx[146].text |
那如果都有討論的話我想要請問為什麼還會出現所謂的菸草這個銷售零售業動漲然後菸草製造業減半但是醫院卻要全額調漲荒謬情形然後最後才被批評為健康台灣淪為菸草台灣最後才說要動漲所以我想要請教這個你們真的有評估過這個調漲電價對醫療體系的影響嗎 |
| transcript.whisperx[147].start |
5111.587 |
| transcript.whisperx[147].end |
5115.49 |
| transcript.whisperx[147].text |
對部長我這些都知道我想要問你的就是說你有沒有主動去協調你有沒有主動去說哪些 |
| transcript.whisperx[148].start |
5131.44 |
| transcript.whisperx[148].end |
5134.462 |
| transcript.whisperx[148].text |
這是一個審議會啦那這個審議會大概沒有衛福部的代表在裡面這是一回事喔但是你有沒有去跟他們的人溝通過吧 |
| transcript.whisperx[149].start |
5147.29 |
| transcript.whisperx[149].end |
5162.329 |
| transcript.whisperx[149].text |
因為你剛剛有說中間一直有在協調啊你中間都有說嘛你不是說一直在協調好沒關係部長這裡我想要請你就是真的要為就是在衛福部的這個角色裡面也是可以去跟他們協調說哪些東西你認為應該 |
| transcript.whisperx[150].start |
5163.931 |
| transcript.whisperx[150].end |
5164.932 |
| transcript.whisperx[150].text |
是﹖反應 |
| transcript.whisperx[151].start |
5181.76 |
| transcript.whisperx[151].end |
5204.307 |
| transcript.whisperx[151].text |
對,所以我現在就是要拜託部長這件事因為我還要跟你反映一件事情就是這波調漲電價的過程我國的製藥產業又被遺漏了那部長我們現在不是都在強調藥品的供應鏈穩定嗎那什麼關鍵時刻的時候就他們就遺漏了其實主要我要講的是製藥業跟這個藥局但因為最終受到影響的也是人民我等一下給你看喔 |
| transcript.whisperx[152].start |
5205.407 |
| transcript.whisperx[152].end |
5229.915 |
| transcript.whisperx[152].text |
部長一個國產的健保藥當然不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不不無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無無 |
| transcript.whisperx[153].start |
5232.377 |
| transcript.whisperx[153].end |
5255.471 |
| transcript.whisperx[153].text |
這10%的售價那這10%是電力漲價所致而不是調漲原物料物品在有限時間內要從等於是他們說價格要乘以1.1那就是說藥品要漲價的意思所以我想要跟你說的就是說這是我們接獲的陳情那這是基層藥局也告知就基層的藥商通知基層藥局社區藥局的從10月1號開始要這樣子漲價所以我覺得這是一個連帶性的關係 |
| transcript.whisperx[154].start |
5260.194 |
| transcript.whisperx[154].end |
5286.606 |
| transcript.whisperx[154].text |
好所以你們漲價不是所謂說0.03%的CPI衝擊而已其實這個連一般的人民的用藥連社區藥局的藥品都在漲啊而且還電這個壓力也轉嫁到我們基層藥局所以我要為他們發聲喔他們社區藥局在新冠疫情期間幫我們發口罩對不對然後用快篩那也是社區的第一道防線我覺得當時幸好有全國的藥師幫忙才可以讓這個疫情有得到控制就這兩次調漲電價請問有哪一 |
| transcript.whisperx[155].start |
5288.747 |
| transcript.whisperx[155].end |
5292.614 |
| transcript.whisperx[155].text |
哪一個衛福部的官員去替他們爭取說免漲或動漲電價 |
| transcript.whisperx[156].start |
5295.117 |
| transcript.whisperx[156].end |
5319.247 |
| transcript.whisperx[156].text |
因為相關的醫療醫事院手其實機構也蠻多的所以我也希望說如果各個醫事機構在覺得說這樣的調漲對人民是不好的是那個都不用客氣都可以跟衛福部來反映所以部長我現在就是在跟你反映我們每次都稱讚社區藥局有多幫忙當需要他們幫忙的時候就叫他們去發口罩叫他們發快篩 |
| transcript.whisperx[157].start |
5319.667 |
| transcript.whisperx[157].end |
5344.616 |
| transcript.whisperx[157].text |
︎ |
| transcript.whisperx[158].start |
5344.976 |
| transcript.whisperx[158].end |
5370.735 |
| transcript.whisperx[158].text |
但是它最終可能都反映到人民的身上用要人的身上所以我要請部長你是不是可以在因為10月16號新店駕才會上路喔這段時間你是不是可以立即去跟經濟部反映因為它還是有幾個原則審議會還是有原則如果能夠相關的單位比如說社區要求這一邊如果覺得沒有當初煙草那個事情一出來新聞一燒馬上就公佈了因為它是按照比如說為什麼有幾個例子像 |
| transcript.whisperx[159].start |
5371.275 |
| transcript.whisperx[159].end |
5373.256 |
| transcript.whisperx[159].text |
我是覺得相關的單位能夠提出他的一個理由跟訴求我們比較好去反映 |
| transcript.whisperx[160].start |
5394.145 |
| transcript.whisperx[160].end |
5394.165 |
| transcript.whisperx[160].text |
部長﹖ |
| transcript.whisperx[161].start |
5418.318 |
| transcript.whisperx[161].end |
5439.598 |
| transcript.whisperx[161].text |
對藥品乘以1.1也是蠻可怕的每個漲10%其實一般用藥人也是很有感當然當然那另外還有一個問題就是你們疾管署死不認錯部長今年5月2號上任的時候和陳昭之委員也共同開了一場記者會內容是高等行政法院針對新冠疫苗救濟案件 |
| transcript.whisperx[162].start |
5440.279 |
| transcript.whisperx[162].end |
5454.655 |
| transcript.whisperx[162].text |
判決衛福部敗訴那敗訴理由中羅列各項缺失相關的審查會議應錄音並且保存但是是沒有但疾管署始終不願意去面對法官的指證去做改進 |
| transcript.whisperx[163].start |
5455.436 |
| transcript.whisperx[163].end |
5469.414 |
| transcript.whisperx[163].text |
那這個案子後來家屬跟律師又向賴總統陳情總統府很快的回應說希望機關署保存開會錄音並公佈所有參考的文獻等等那請衛福部著處敬賦並複製總統府但是貴部卻回文說 |
| transcript.whisperx[164].start |
5476.449 |
| transcript.whisperx[164].end |
5491.87 |
| transcript.whisperx[164].text |
是否保存開會過程錄音或公佈參考文獻片名並無外其審議結果之正確性及釋法性?部長,總統府都下了公文請問部長為什麼不能公開不能公開理由是什麼?他也要你們公開為什麼要繼續黑箱? |
| transcript.whisperx[165].start |
5492.29 |
| transcript.whisperx[165].end |
5494.011 |
| transcript.whisperx[165].text |
2小時審完90件案件,平均一個案件才80秒。 |
| transcript.whisperx[166].start |
5518.101 |
| transcript.whisperx[166].end |
5533.96 |
| transcript.whisperx[166].text |
甚至有多次會議審議下來平均不到80秒一個人命這樣走了然後你們說很專業審議然後建保署的共理會議不僅在網站上有公開所有完整會議記錄連錄音檔都有可是為什麼這個簡單的公開透明集管署做不到 |
| transcript.whisperx[167].start |
5535.031 |
| transcript.whisperx[167].end |
5560.653 |
| transcript.whisperx[167].text |
而且你們所謂的專家喔憑良心講啊之前都有資料啊專家很多根本就沒有參與多久啊所謂專家會議他在裡面待的時間非常的短最後只剩下少部分人品啊所以部長我想喔我真的要強烈的指責你們衛福部跟機關署如果連這麼基本的公開透明都做不到如何取信人民你要想這些受害者當初他等於是冒著他的生命危險去打了這個為了 |
| transcript.whisperx[168].start |
5562.034 |
| transcript.whisperx[168].end |
5565.096 |
| transcript.whisperx[168].text |
我們對於民眾因為不管因為什麼原因受傷或死亡我們真的是非常非常的難過跟遺憾 |
| transcript.whisperx[169].start |
5589.153 |
| transcript.whisperx[169].end |
5594.615 |
| transcript.whisperx[169].text |
不是部長你不能打太急啊,你要回去好好審視這件事情可以嗎?部長我真的不希望你們再持續的所謂的這種黑箱啊,然後就是做一套做一套喔 |
| transcript.whisperx[170].start |
5610.08 |
| transcript.whisperx[170].end |
5631.196 |
| transcript.whisperx[170].text |
我這些家屬很可憐啊我自己也有身邊也有好朋友他是年輕人絕對不會做黑箱任何黑箱作業但是如果他不能公告的委員譬如說名單啊或者是他的記錄這個部分我們去了解能公開的我們盡量公開而且你們其實那個案件到現在還在上訴還不想要不想要理賠啊 |
| transcript.whisperx[171].start |
5632.421 |
| transcript.whisperx[171].end |
5660.576 |
| transcript.whisperx[171].text |
沒有,那也不是不想理會,也不是像報紙講的說我們去請三個律師啦,我是說我們去委託一個一個事務,事務所,事務所裡面有很多醫生的沒有,那很多就是事務的嘛所以不是說請很多律師啦部長這件事情不要再辯解我覺得你們真的回去好好的用心面對,你們這樣子再搞下去未來也沒有人敢這個參與所謂的工為了大家全社會的公衛然後還要去打這個疫苗欸這些人這樣子過世了,就國家 |
| transcript.whisperx[172].start |
5661.616 |
| transcript.whisperx[172].end |
5683.535 |
| transcript.whisperx[172].text |
好,我們一定用最專業、最公正的立場來處理這些事情,請放心。好,謝謝部長。好,謝謝,謝謝委員。應該是用補償的心態啦,放寬放寬啦,不然就要這個是以後你要做這種緊急疫苗可能會出問題,沒有人敢。好,謝謝廖委員,謝謝部長。接下來我們請盧縣議委員質詢。 |
| transcript.whisperx[173].start |
5694.723 |
| transcript.whisperx[173].end |
5722.902 |
| transcript.whisperx[173].text |
有請部長部長好放假期間我有去了復興區復興區是我們最靠近我們都會區的一個原鄉復興區還有烏蘭那為什麼會提到復興呢因為我去復興的時候大概看一下這個地理環境雖然很靠近桃園或者是新北不過它的比較後段的部分是靠近宜蘭 |
| transcript.whisperx[174].start |
5723.709 |
| transcript.whisperx[174].end |
5747.92 |
| transcript.whisperx[174].text |
那你知道復興區有多少個部落嗎?部長?我不知道58個部落那58個部落它分布在這麼遼闊的地方像衛生所的大概所在位置就比較靠近我們那個大溪的地方就是比較靠近平地的地方所以所有族人的依賴的一個醫療的環境就是在所謂的衛生所大概原鄉也都是這樣是 |
| transcript.whisperx[175].start |
5748.82 |
| transcript.whisperx[175].end |
5772.461 |
| transcript.whisperx[175].text |
那我去了那邊以後他他跟我提說如果我們想要生小孩要做產檢的話勢必要大概要包車一兩個小時以後才到才到市區那他就希望說我們整個我家的那個ids的計畫常常就是需要的科別沒有希望有的科別他就說可能就在研究那永遠都是在這樣的一個 |
| transcript.whisperx[176].start |
5773.882 |
| transcript.whisperx[176].end |
5789.462 |
| transcript.whisperx[176].text |
﹗ |
| transcript.whisperx[177].start |
5789.822 |
| transcript.whisperx[177].end |
5793.126 |
| transcript.whisperx[177].text |
現在的IDS是哪一個醫院在的?父親相似哪一個? |
| transcript.whisperx[178].start |
5815.729 |
| transcript.whisperx[178].end |
5834.268 |
| transcript.whisperx[178].text |
長庚我想我們來跟長庚醫院協調那我一直說不是只有復興區全國的原住民地區應該都是這樣像我之前在的地方也沒有復長庚醫室來當然因為我在的地方比較近我是在村院比較靠近訪聊那我們要盤點的是這些比較遠的地方像復興區阿里山鄉 |
| transcript.whisperx[179].start |
5835.009 |
| transcript.whisperx[179].end |
5835.91 |
| transcript.whisperx[179].text |
包委員,因為我當過衛生所主任 |
| transcript.whisperx[180].start |
5863.597 |
| transcript.whisperx[180].end |
5872.16 |
| transcript.whisperx[180].text |
當時我去臺北縣青山鄉的時候沒有任何醫師我非常了解到對生所很需要加強戰備因為他在尤其在偏遠地區他就是負擔醫療的責任 |
| transcript.whisperx[181].start |
5881.963 |
| transcript.whisperx[181].end |
5905.557 |
| transcript.whisperx[181].text |
那所以當然有兩個方法,一個是說在IDS就是想要縮短這個偏鄉跟都市的差距那怎麼樣充分來提供資源,我想這個一定要努力第二個應該要信任更多的可以做全科的醫師去做更多的事情,包括從健康因為你完全要靠 |
| transcript.whisperx[182].start |
5907.229 |
| transcript.whisperx[182].end |
5910.931 |
| transcript.whisperx[182].text |
接下來就是我去了台東京豐因為這段期間裡面剛好是中秋節以後那已經快一個月了 |
| transcript.whisperx[183].start |
5936.305 |
| transcript.whisperx[183].end |
5961.101 |
| transcript.whisperx[183].text |
️ |
| transcript.whisperx[184].start |
5961.201 |
| transcript.whisperx[184].end |
5988.654 |
| transcript.whisperx[184].text |
可能就當作是一般的疾病處理就開了一個移種診斷所以大家回去報請相驗好回到家了以後原住民的習慣就是要去衛生剛好是中秋節晚上大家都回來了全部左鄰右舍鄰近的族人都過來剩下的到最後已經超過晚上12點以後大家可能都12了想要熱點東西又煮了他之前吃的這些東西所以才會造成一連串所以 |
| transcript.whisperx[185].start |
5989.774 |
| transcript.whisperx[185].end |
6010.283 |
| transcript.whisperx[185].text |
當然這些已經進入司法調查我們就不講我們要我們要省事的是什麼就是這個第一件事事情發生的時候為什麼沒有辦法在急診室足夠的來去想像他是不是中毒事件是非常困難嗎因為我有問過急診醫師急診室的醫生說他是其實他的味道其實是不是那麼好聞 |
| transcript.whisperx[186].start |
6011.563 |
| transcript.whisperx[186].end |
6038.059 |
| transcript.whisperx[186].text |
雖然它是無色的可是它在包裝上面有點像是我們的紅藜然後後來它的味道吃起來應該是有一些味道而且送到醫院它的那些anti cholinergic的那些side effect不是很明顯嗎就是那些我們知道的醫療的醫學的術語那這些難道在它的在history上面或是在它的編列上面沒有沒有記載這些東西嗎你們是不是要去看一下 |
| transcript.whisperx[187].start |
6038.699 |
| transcript.whisperx[187].end |
6048.125 |
| transcript.whisperx[187].text |
不然現在鄉親已經要組成自救會因為他們投宿無門求償無門也沒有人可以賠償他們這些生命的損失你不覺得非常的可憐嗎 |
| transcript.whisperx[188].start |
6050.501 |
| transcript.whisperx[188].end |
6077.443 |
| transcript.whisperx[188].text |
是,我們真的是為這件事情也感到非常的遺憾跟難過啦齁,那我記得,如果是我們這種年齡啦,像我跟蘇朝偉這種年齡齁,在接近的時候齁,只要有那個人,有有有,是農民啦齁,然後好像中毒的趕快,我們就趕快戴兩層殼,那個手套啦,不然那個巴拉圭那個不是開玩笑的齁,那所以是不是說我們 |
| transcript.whisperx[189].start |
6078.484 |
| transcript.whisperx[189].end |
6096.881 |
| transcript.whisperx[189].text |
或花生的比例越來越少之下,急診的醫師在這個部分的防患性稍微需要再加強。這個我覺得我們要整體系統性的來講。球場的部分,我想我們會相關的部會一定要給最大的支持,尤其在社工這個部分。 |
| transcript.whisperx[190].start |
6103.928 |
| transcript.whisperx[190].end |
6130.141 |
| transcript.whisperx[190].text |
我們看一下他們的事情發生的地方在賓茂我們看一下相對位置京豐鄉是大概在台東的稍微南方一點再過去到馬街的話要42分鐘左右這是一般開車可是那天晚上發生的時候應該是十幾個人要送急診室嘛所以急診室的那些我們關掉救護車也不夠所以很多都是用私家車送的因為有 |
| transcript.whisperx[191].start |
6131.622 |
| transcript.whisperx[191].end |
6132.743 |
| transcript.whisperx[191].text |
我們在屏東我們有兩個鄉是24小時營業的就是霧台鄉跟 |
| transcript.whisperx[192].start |
6158.044 |
| transcript.whisperx[192].end |
6160.425 |
| transcript.whisperx[192].text |
那個時間點根本就找不到人 |
| transcript.whisperx[193].start |
6187.239 |
| transcript.whisperx[193].end |
6199.138 |
| transcript.whisperx[193].text |
所以你只能就是天天由命那你說你要發展花棟的觀光這些都沒有的話你要怎麼去發展一個救命的東西都沒有 |
| transcript.whisperx[194].start |
6200.779 |
| transcript.whisperx[194].end |
6217.823 |
| transcript.whisperx[194].text |
你可以體會那個晚上,那天晚上所有的族人擔心跟焦急的那種狀況嗎?他們是用自己的車子載,尤其是明天要出殯的後,高增制的我們全國國大代表的夫人是明天要出殯,禮拜六要出殯,他是最後一個死亡,第4件。 |
| transcript.whisperx[195].start |
6218.623 |
| transcript.whisperx[195].end |
6219.304 |
| transcript.whisperx[195].text |
已是腦死的已經是缺氧的狀態了 |
| transcript.whisperx[196].start |
6237.731 |
| transcript.whisperx[196].end |
6263.334 |
| transcript.whisperx[196].text |
所以才為什麼到現在是就就是包括我們政府其實一直在推展從幾十年前到最近幾年更是更多的來經會來投入強化偏鄉的醫療是目前我看到的急救站如果實際上有一個狀況這樣子的話我們應該看怎麼樣來改善是啊你至少每10公里每20公里是不是一個急救站現在是只有大午嘛大午衛生所嘛 |
| transcript.whisperx[197].start |
6264.194 |
| transcript.whisperx[197].end |
6283.027 |
| transcript.whisperx[197].text |
對啊這到衛生所以北一直到一直到台東市大概還有一個多小時的距離哦啊你不要講跟裡面的部落所以要加強衛生所的醫療是急救能力嗯比如說我我在我帶過學台大醫學院的學生到萬山鄉的上面的部落嗯 |
| transcript.whisperx[198].start |
6283.487 |
| transcript.whisperx[198].end |
6303.946 |
| transcript.whisperx[198].text |
那個時候我們就發現那個地方衛生所是需要一些蛇毒血清的,因為常常,所以我們就加強,那個冰箱一定要冰凉。我們再看一下家屬的心聲,他們打電話跟我說,就是說就是剛才我講的一般死亡案件處理,然後就待會兒就報請下院,就很像這件事情就結束了。 |
| transcript.whisperx[199].start |
6304.386 |
| transcript.whisperx[199].end |
6331.096 |
| transcript.whisperx[199].text |
第二個就是說就是他們認為如果這個第一個是重頭的話後面這12個人就不會不信好最後一個我在去納瑪夏的時候納瑪夏跟我說納瑪夏衛生所以前是在部落的最前面就是民主民權民生最前面在民主八八風災以後衛生所不見了結果重建了以後好不容易重建這麼漂亮的衛生所它的位置在哪裡你知道嗎在部落的上面的非常上面 |
| transcript.whisperx[200].start |
6332.688 |
| transcript.whisperx[200].end |
6344.684 |
| transcript.whisperx[200].text |
﹗ |
| transcript.whisperx[201].start |
6345.094 |
| transcript.whisperx[201].end |
6375.094 |
| transcript.whisperx[201].text |
️﹏ |
| transcript.whisperx[202].start |
6375.247 |
| transcript.whisperx[202].end |
6393.746 |
| transcript.whisperx[202].text |
︎ |
| transcript.whisperx[203].start |
6393.766 |
| transcript.whisperx[203].end |
6394.526 |
| transcript.whisperx[203].text |
接下來我們請林淑芬委員質詢。 |
| transcript.whisperx[204].start |
6419.571 |
| transcript.whisperx[204].end |
6420.512 |
| transcript.whisperx[204].text |
安太醫院發生火警 |
| transcript.whisperx[205].start |
6442.386 |
| transcript.whisperx[205].end |
6442.646 |
| transcript.whisperx[205].text |
我們先看第一張照片 |
| transcript.whisperx[206].start |
6470.06 |
| transcript.whisperx[206].end |
6475.784 |
| transcript.whisperx[206].text |
這一張照片看起來讓我們覺得不可思議因為起火點是在前面這一棟機殿 |
| transcript.whisperx[207].start |
6477.848 |
| transcript.whisperx[207].end |
6499.763 |
| transcript.whisperx[207].text |
但是死的是在後面不同棟這對醫院安全來講他不是火災燒死他是濃煙嗆死了這不要講醫院安全連公共安全這樣子的這樣的結果這樣的悲劇都是不應該發生的更何況是醫院或是護理之家 |
| transcript.whisperx[208].start |
6501.184 |
| transcript.whisperx[208].end |
6507.53 |
| transcript.whisperx[208].text |
這個防火區劃是基本的配備怎麼會是這樣子的發生不同洞還濃煙嗆死嗆到隔壁洞 |
| transcript.whisperx[209].start |
6512.194 |
| transcript.whisperx[209].end |
6537.575 |
| transcript.whisperx[209].text |
這現在在2024年的現在如果你說發生在1990幾年大家都還沒有法規都還可以覺得有可能可是2024年的醫院安全的票配備不應該是這樣法律上規定也不是這樣子所以呢甚至是在加護病房可能這個死亡了4個人就是加護病房 |
| transcript.whisperx[210].start |
6539.373 |
| transcript.whisperx[210].end |
6553.466 |
| transcript.whisperx[210].text |
這個交互病房的病人怎麼逃啊交互病房的病人根本不可能逃所以這個事發到現在已經將近一個禮拜了你認為造成醫療院所這麼重大傷亡的原因或是你初步了解是什麼 |
| transcript.whisperx[211].start |
6555.123 |
| transcript.whisperx[211].end |
6569.296 |
| transcript.whisperx[211].text |
馬委員我想火災發生的火場鑑定這個要由專家來鑑定那接下來檢調也已經去了解已經去調查了那檢調會根據現在這樣說跟衛福部都沒關係嗎可能衛福部 |
| transcript.whisperx[212].start |
6571.758 |
| transcript.whisperx[212].end |
6572.979 |
| transcript.whisperx[212].text |
我先把順序講一下那個衛生局會做行政的調查 |
| transcript.whisperx[213].start |
6591.027 |
| transcript.whisperx[213].end |
6605.852 |
| transcript.whisperx[213].text |
我現在問你啦10月4號東森獨家新聞說安泰醫院的評鑑今年年底到期8月底才剛進行下一階段的評鑑但是去評鑑的衛福部的中央主管機關已經發現有什麼問題了結果已經被醫策會委員提出檢討改進了 |
| transcript.whisperx[214].start |
6611.534 |
| transcript.whisperx[214].end |
6623.637 |
| transcript.whisperx[214].text |
但是呢,醫策委從8月底他知道這個問題有嚴重的公共安全問題到發生之間沒有作為。而我現在問你,他到底是說他有什麼問題?部長你知道嗎?你知道嗎?你的醫策委去評過,8月就去評過安泰醫院,如果這個新聞沒有講錯的話,來你說,到底是發生什麼問題?當時就看到了。 |
| transcript.whisperx[215].start |
6639.05 |
| transcript.whisperx[215].end |
6666.776 |
| transcript.whisperx[215].text |
當時的那個委員有提醒的部分不曉得那個這篇補充一下那個委員那邊委員那邊是有補充意見就是那個這家可能要就是他的那個一些因為他的那個有一些那個人員疏散部分經營他們還是要有一些具體的那個 |
| transcript.whisperx[216].start |
6667.503 |
| transcript.whisperx[216].end |
6670.204 |
| transcript.whisperx[216].text |
人員疏散而已嗎?所以你們第一個你們證實了的確在8月就是有進場去評鑑第二個你們也證實了評鑑的時候就看到有管線老舊和疏散動線等病安的部分好你們都看當時就看到但從8月到發生火災的10月3號之間我要問你們你們有要求醫療院所應立即改善嗎? |
| transcript.whisperx[217].start |
6697.935 |
| transcript.whisperx[217].end |
6705.781 |
| transcript.whisperx[217].text |
有沒有要求他們做我應立即改善什麼你都沒有要求結果到10月3號就發生這樣欸人命欸八條人命欸蛤有沒有要求他們做什麼所以今天不是只有說消防局去調查火災原因事故第二這都事後的事情了我現在講事發以前已經看到了我們要求他們做了什麼呢 |
| transcript.whisperx[218].start |
6727.086 |
| transcript.whisperx[218].end |
6747.354 |
| transcript.whisperx[218].text |
來,請那個護士跟委員報告一下在醫院評鑑實地作業的時候他會用各項目去做查核那實際上進行的時候在查核項目現場當天沒有特別提出不合合的項目但委員通常就會就品質面求好心切會有一些建議意見並且在與 |
| transcript.whisperx[219].start |
6749.275 |
| transcript.whisperx[219].end |
6776.14 |
| transcript.whisperx[219].text |
品質面求好心切聽好所以管線老舊跟疏散動線等病安問題是求好心切的標準照你的講法這種話你講得出口嗎保定你來講要求管線老舊和疏散動線這個問題是我們醫策會這個建議的意見是吹毛求癡求好心切還是應該是標配 |
| transcript.whisperx[220].start |
6779.059 |
| transcript.whisperx[220].end |
6787.568 |
| transcript.whisperx[220].text |
因為評鑑有評鑑的標準項目嘛齁那這個大概評鑑 評鑑的標準項目才是大問題勒那我現在問你說管線老舊速戰動線有問題這種東西是標配還是選配就好了 |
| transcript.whisperx[221].start |
6799.788 |
| transcript.whisperx[221].end |
6811.963 |
| transcript.whisperx[221].text |
這當然從那個病人的安全方面我們一定要做到但是在醫院的評鑑裡面他有一定的經過多少年多少專家你不要再說這種五四三的都沒有重點你看這張圖會比較會流產的這種 |
| transcript.whisperx[222].start |
6819.071 |
| transcript.whisperx[222].end |
6847.606 |
| transcript.whisperx[222].text |
配電式起火的濃煙讓隔壁棟的5樓、10樓、11樓這樣子傷亡不要忘了我們啊這個新營醫院的北門分院還有新北市台北醫院的護理之家這個都死亡多少人呢這重大傷亡我們都知道醫院護理之家裡面你叫這些病人情何以堪啊在家戶病房的人他們怎麼逃生啊 |
| transcript.whisperx[223].start |
6848.741 |
| transcript.whisperx[223].end |
6850.682 |
| transcript.whisperx[223].text |
而且內湖的私人養護所死3個2018年台北護理自家死了10幾個 |
| transcript.whisperx[224].start |
6866.849 |
| transcript.whisperx[224].end |
6882.856 |
| transcript.whisperx[224].text |
當時消防署就推動了修法不論新建或變更的長照機構都要配備自動灑水設備火警自動報警裝備以及設置119火災通報裝置但是我請問你部長醫院有沒有在其中他講的是護理之家長照機構請問醫院當時為什麼排除在外 |
| transcript.whisperx[225].start |
6891.657 |
| transcript.whisperx[225].end |
6913.355 |
| transcript.whisperx[225].text |
為什麼醫院不再強制配置自動灑水設備、火警、自動警報設備的範圍呢?醫院不需要嗎?醫院這些加護病房的人可以自動逃生嗎?為什麼他們不需要這些裝置、基本配備、必要的配備來保護這些看病的人? |
| transcript.whisperx[226].start |
6915.402 |
| transcript.whisperx[226].end |
6929.438 |
| transcript.whisperx[226].text |
欸 你們的次長有講過一句話喔林基尼次長說由於這次事故造成重大傷亡很多人擔心醫院安全欸對此感到疑慮你們的次長都這樣子講了可是 |
| transcript.whisperx[227].start |
6930.379 |
| transcript.whisperx[227].end |
6948.071 |
| transcript.whisperx[227].text |
出一句詞沒好捏有黨我媽想吼啟動這個醫癒法的第35條什麼法醫療在衛生部我現在要講的是消防法捏那跟委員報告一下當天如果在評鑑的時候其實消防局他們提出來的在 |
| transcript.whisperx[228].start |
6949.251 |
| transcript.whisperx[228].end |
6950.433 |
| transcript.whisperx[228].text |
為什麼當時的衛福部認為醫院不需要?你告訴我。 |
| transcript.whisperx[229].start |
6977.327 |
| transcript.whisperx[229].end |
7000.078 |
| transcript.whisperx[229].text |
好那這樣子好了安泰是發生這個事情因為當時發生火車是護理之家所以特別負責當時發生護理之家然後都沒有想到醫院這就是現在的衛福部的能力喔專業喔老湖機構跟那個我現在當時你們就沒有專業不專業只想到護理之家沒想到醫院那現在你認為醫院醫院已經有一個非常說實在已經有一個非常好的一個評鑑 |
| transcript.whisperx[230].start |
7001.538 |
| transcript.whisperx[230].end |
7010.906 |
| transcript.whisperx[230].text |
醫院有非常好的評鑑,好,那我問你,你就安泰醫院再重新評鑑一次,你覺不覺得他們會通過你們的評鑑?通過評鑑是,要那個,整個實際上在審理。你不要在這裡喔,都沒專業啦,保證。您這個,或者那個,醫生會。 |
| transcript.whisperx[231].start |
7028.512 |
| transcript.whisperx[231].end |
7039.766 |
| transcript.whisperx[231].text |
醫師師副師長醫師師副師長來醫學中心就診民眾的命是命區域醫院第7醫院的人命不是命安泰中心是區域醫院我為什麼講這一句話因為呢 |
| transcript.whisperx[232].start |
7042.489 |
| transcript.whisperx[232].end |
7046.511 |
| transcript.whisperx[232].text |
我們醫學中心的評鑑當然標準都比區域醫院還要高可是就區域醫院你們的醫院評鑑基準及評量項目的第一篇經營管理第1.7章風險和危機管理中的1.7.4的項目醫院應指定專責人員研擬火災的減災預防和準備措施評量項目為我光起來我們看6789點 |
| transcript.whisperx[233].start |
7070.944 |
| transcript.whisperx[233].end |
7085.534 |
| transcript.whisperx[233].text |
就是醫院應該設有防火管理人等等6789就是說因依診療環境建築病人及第一線應變人員特色規劃符合所需的檢災預防準備設施第6第7點病人不亦疏散以採取就地避難的診療部門 |
| transcript.whisperx[234].start |
7091.218 |
| transcript.whisperx[234].end |
7106.254 |
| transcript.whisperx[234].text |
然後具有適當的防火區劃及病人持續的照顧的備援計畫然後每年定期檢查火災災害的檢災預防和等等這樣子這些以上的評鑑都很棒很棒但是備註不要看備註第一點 |
| transcript.whisperx[235].start |
7107.557 |
| transcript.whisperx[235].end |
7114.381 |
| transcript.whisperx[235].text |
本條為視頻條文,評鑑結果不納入評鑑成績計算。請問不納入評鑑成績計算的評鑑,這樣子的安泰醫院這些項目評鑑不合格會納入計算嗎?不會。我跟你講,不會。 |
| transcript.whisperx[236].start |
7131.798 |
| transcript.whisperx[236].end |
7150.011 |
| transcript.whisperx[236].text |
所以如果安泰醫院在評估說他們有沒有減災預防準備措施然後他們的不易疏散就地避難的這個計畫提的不好如果說他們這一些通通都沒有改善的成效沒有提出來都沒關係因為這個叫做視頻 |
| transcript.whisperx[237].start |
7154.855 |
| transcript.whisperx[237].end |
7173.285 |
| transcript.whisperx[237].text |
️ |
| transcript.whisperx[238].start |
7173.725 |
| transcript.whisperx[238].end |
7190.177 |
| transcript.whisperx[238].text |
換個角度這些在醫學中心的評鑑是重點喔是重點條文喔可是呢省市你們現在的那個全部在區域醫院地區醫院這個是試評保定試評安太醫院再去評還是一樣沒有關係 |
| transcript.whisperx[239].start |
7193.492 |
| transcript.whisperx[239].end |
7217.296 |
| transcript.whisperx[239].text |
所以難怪你們副司長說這個是求好心切因為評鑑沒有管到這麼多這個視頻不納入成績若你要求這個地方要做到好你如果要求這幾點要做到好就是你副司長講的叫求好心切站在病人站在這些死亡的病患的家屬的立場情何以堪 |
| transcript.whisperx[240].start |
7220.257 |
| transcript.whisperx[240].end |
7224.607 |
| transcript.whisperx[240].text |
本因安內地區醫院區醫院這樣子可以嗎保電 |
| transcript.whisperx[241].start |
7226.937 |
| transcript.whisperx[241].end |
7236.139 |
| transcript.whisperx[241].text |
當然我們病人的生命我們都要完全的珍惜那你不要說這種口號啦我現在要問你說啊好你有沒有掌握目前還有公安問題的醫院還有哪一些?還有幾家?你不要再說喔剛好七個還發生一件問題欸不要忘了一個颱風來兩家醫院起火欸 |
| transcript.whisperx[242].start |
7252.301 |
| transcript.whisperx[242].end |
7259.104 |
| transcript.whisperx[242].text |
因為這些經驗我們一定會深切地去檢討整個...我現在不是要問你這個問題答非所問來浪費我們的時間部長依社會網站來講106到112年合格醫院名單有417家那醫院評鑑校期在今年年底要到的有117家 |
| transcript.whisperx[243].start |
7274.051 |
| transcript.whisperx[243].end |
7288.337 |
| transcript.whisperx[243].text |
所以呢,所有四分之一的家庶的平建都在年底要到期。你有沒有掌握到這117家要到期要平建的,有哪些跟安泰醫院一樣管線老舊、疏散動線還有病安的狀況有問題的?你們現在有沒有掌握啦?還是要等平建放房錢啊,放著等醫院出事燒起來? |
| transcript.whisperx[244].start |
7298.98 |
| transcript.whisperx[244].end |
7319.689 |
| transcript.whisperx[244].text |
還是說這消防署的問題跟你們無關?你們根本就是這樣的態度啊所以衛福部都不用監督不用輔導責任病患的生命安全在你們官員裡面都是評鑑後醫院該負的責任嗎?都跟政府無關是醫院的責任而已嗎?如果只是醫院的責任的話那我們評鑑是算什麼? |
| transcript.whisperx[245].start |
7321.513 |
| transcript.whisperx[245].end |
7337.043 |
| transcript.whisperx[245].text |
而醫院評鑑的翻修制度,醫院評鑑的這個問題標準已經多久沒有改了?我現在問你,請你回答我第一個問題,還有哪幾家醫院,初步看起來真的還有問題的? |
| transcript.whisperx[246].start |
7339.025 |
| transcript.whisperx[246].end |
7339.385 |
| transcript.whisperx[246].text |
當然也是要... |
| transcript.whisperx[247].start |
7363.3 |
| transcript.whisperx[247].end |
7387.699 |
| transcript.whisperx[247].text |
你們醫院評鑑尤其醫學中心評鑑的重點就是醫院的公共安全了怎麼會說是消防局的消防署的問題?醫院的公共安全都是重點啦只是說他要求的一個要求當然是最安全的情況但是所以你的意思是說災災跟你衛福部不關的消息幾個人跟衛福部也不關的都消防署會怕嗎?不不不 我明天要講就是說層層來 |
| transcript.whisperx[248].start |
7390.421 |
| transcript.whisperx[248].end |
7393.123 |
| transcript.whisperx[248].text |
整層推卸啦!我現在是要問你,現在還有幾件病,它有類似的問題?啊你回答不出來說這都主要主責是消防署 |
| transcript.whisperx[249].start |
7403.325 |
| transcript.whisperx[249].end |
7405.547 |
| transcript.whisperx[249].text |
你們的醫院評鑑標準已經多久沒改了? |
| transcript.whisperx[250].start |
7428.903 |
| transcript.whisperx[250].end |
7433.509 |
| transcript.whisperx[250].text |
這一輪是到112要啟動下一輪的調整你們的副司長 |
| transcript.whisperx[251].start |
7437.077 |
| transcript.whisperx[251].end |
7457.928 |
| transcript.whisperx[251].text |
現在怎麼樣?你講一下醫院的評鑑標準多久沒改了?是,跟委員報告一下,我們的醫院評鑑標準一次用一輪是4年,然後我們都每年當中會...我沒在問你要評鑑的這個周期多久啦。已經要啟動這個下一輪的評鑑計畫。我現在問你說你的評鑑標準 |
| transcript.whisperx[252].start |
7460.309 |
| transcript.whisperx[252].end |
7461.25 |
| transcript.whisperx[252].text |
這句我了解一定都有改 |
| transcript.whisperx[253].start |
7481.424 |
| transcript.whisperx[253].end |
7490.935 |
| transcript.whisperx[253].text |
對那當時王碧正次長也講說他兩年內要訂出初稿要進行視頻三年後要下一次醫院評鑑請問這個這個標準項目會改變那個他們離開以後這個評鑑基準的調整他的翻修進度現在到哪裡了 |
| transcript.whisperx[254].start |
7501.283 |
| transcript.whisperx[254].end |
7502.924 |
| transcript.whisperx[254].text |
我們還是補充一下第一個我們已經籌組好這個改革的小組 |
| transcript.whisperx[255].start |
7521.954 |
| transcript.whisperx[255].end |
7524.775 |
| transcript.whisperx[255].text |
那這一次發生兩起醫院火災事件後,你們覺得醫院平建還有哪些地方可以再調整? |
| transcript.whisperx[256].start |
7551.499 |
| transcript.whisperx[256].end |
7551.619 |
| transcript.whisperx[256].text |
醫療機構的緊急應變手冊 |
| transcript.whisperx[257].start |
7578.873 |
| transcript.whisperx[257].end |
7601.913 |
| transcript.whisperx[257].text |
應該要考慮復合式災難的情境火災加颱風而且要做實際的演練在一次颱風天你在疏散的時候你一般室內火災疏散戶外的空曠處可是今天洪災來你要疏散到哪裡去啊只能在走廊一樓的戶外的空曠處不可得你就只能在急診室門口的走廊 |
| transcript.whisperx[258].start |
7605.215 |
| transcript.whisperx[258].end |
7627.462 |
| transcript.whisperx[258].text |
緊急救災消防警消的這些救災要進行還要一邊救治病患還要應對家屬詢問還要面對強風驟雨對病患的影響所以這種複合式災難到底應該要怎麼樣這種情境都要各種情境的scenario的analysis都必須要放進去 |
| transcript.whisperx[259].start |
7628.442 |
| transcript.whisperx[259].end |
7646.102 |
| transcript.whisperx[259].text |
對不對?你們的評鑑在這種狀況裡面是不是要要求加強演練這種東西?那有沒有互併比的問題啊?互併比現在在醫學中心都還比條件都還比區域醫院還要好。區域醫院是不是因為人力太少了互併比不足啦?或是交班時間啊? |
| transcript.whisperx[260].start |
7647.483 |
| transcript.whisperx[260].end |
7649.284 |
| transcript.whisperx[260].text |
再來最重要的是本來剛才那一張防火區劃跟消防排煙系統問題失去功能 |
| transcript.whisperx[261].start |
7670.107 |
| transcript.whisperx[261].end |
7690.158 |
| transcript.whisperx[261].text |
剛才第一張啊,垂直防煙區,防煙區化如果你做得好的話,它不應該往上串,不應該,它鎖在二樓。如果水平的防煙區化做得好,它只在機房,也不會跑到隔壁棟。所以這個東西防火區外沒有施作,或施作後被破壞。 |
| transcript.whisperx[262].start |
7691.502 |
| transcript.whisperx[262].end |
7715.472 |
| transcript.whisperx[262].text |
在這種狀況裡面排煙系統也沒有發揮功能這個就是你們建在區域醫院跟地區醫院評鑑裡面要納入重點的怎麼可能這裡一個都不能夠死死怎麼死了八個一個也不行你們的評鑑要不要納入機電設備的檢查保養是不是應該要怎麼樣去處理 |
| transcript.whisperx[263].start |
7717.486 |
| transcript.whisperx[263].end |
7735.756 |
| transcript.whisperx[263].text |
所以這些評鑑的基準不論在翻修新增你要加入複合式災難的SOP的檢栽、預防和準備都是有其必要性的所以我們講說啊寶定你都沒有在想像業務單位各司也沒有在想 |
| transcript.whisperx[264].start |
7736.616 |
| transcript.whisperx[264].end |
7737.617 |
| transcript.whisperx[264].text |
如果醫院發生火災,電梯要不要切斷電源? |
| transcript.whisperx[265].start |
7765.464 |
| transcript.whisperx[265].end |
7782.747 |
| transcript.whisperx[265].text |
要不要切這一次切斷了全部的電源切斷切斷了全部的電源我告訴你那高樓層的這一些家務病房的人每個人要被推著病床他要怎麼疏散家務病床死了4個啊啊你不切斷也不行啊啊那要怎麼辦 |
| transcript.whisperx[266].start |
7794.804 |
| transcript.whisperx[266].end |
7813.507 |
| transcript.whisperx[266].text |
︎ |
| transcript.whisperx[267].start |
7814.319 |
| transcript.whisperx[267].end |
7841.48 |
| transcript.whisperx[267].text |
報告委員那個機種廠是剛好在屋頂對啊所以我跟你講中央主管機關和各個院所要進行我剛剛講 scenario 的 analysis針對各家醫院不同的地理條件醫院特色樓層分配收治病人的行動力的特色各類災害的影響所以不是我加了一個消防署網站下載一個消防防護計畫案例交差了你就通過了 |
| transcript.whisperx[268].start |
7843.442 |
| transcript.whisperx[268].end |
7854.488 |
| transcript.whisperx[268].text |
這個才是重點復合式災害發生者SOP還有細緻的討論我們醫院跟其他醫院不一樣到時候是要切斷電源還是不切斷電源所以這個災難我們要痛定思痛中央主管機關還能夠有什麼作為我們的角色還能夠積極做什麼在復合式災難極端氣候跟電力風險都要納入考量 |
| transcript.whisperx[269].start |
7870.297 |
| transcript.whisperx[269].end |
7897.369 |
| transcript.whisperx[269].text |
護理人力流動率大他的日常演練或訓練應變能力不足的時候都要怎麼辦這是你怎麼做補助的人去收課不是都要立委自己教的嘛所以在這裡我們真的是希望我抱歉我不是針對安泰醫院這一家安泰醫院是剛好發生這麼不幸但很多制度面還有醫院的個案面都值得拿出來討論的 |
| transcript.whisperx[270].start |
7898.89 |
| transcript.whisperx[270].end |
7921.565 |
| transcript.whisperx[270].text |
我再說一次,我們做一個立委,我不是要找這個醫院的麻煩,我們希望中央的責任要扛起來。我不談這個問題,我們就太偽善、太鄉怨了。部長你要回去好好檢討啦。好,謝謝委員的指教。我想我們一定痛定思痛,從各方面來尋求最大的改善,以給病人最大的安全。 |
| transcript.whisperx[271].start |
7923.688 |
| transcript.whisperx[271].end |
7939.155 |
| transcript.whisperx[271].text |
謝謝林委員謝謝部長這裡報告王毅林委員花園完畢我們休息10分鐘那我們中午不休息等一下等到我花園的時候我再補充一下謝謝再來請邱政軍委員質詢好謝謝主席我們請邱部長 |
| transcript.whisperx[272].start |
7961.96 |
| transcript.whisperx[272].end |
7987.426 |
| transcript.whisperx[272].text |
部長我們民眾的生老病史在這個醫院的手裡那我現在看到醫院的生死在衛福部的手上上個會期你在這邊承諾健保點值要到0.95本來是可以慢慢這個接近我們賴總統的競選支票那麼但現在我這一次看我們的預算沒編滿那肯定會跳票部長你怎麼看 |
| transcript.whisperx[273].start |
7990.168 |
| transcript.whisperx[273].end |
7997.439 |
| transcript.whisperx[273].text |
跟委員報告齁,那個現在是這樣,那個我們 |
| transcript.whisperx[274].start |
7999.468 |
| transcript.whisperx[274].end |
8021.448 |
| transcript.whisperx[274].text |
在113年兩個部分一個是成長率的問題成長率這個才是真正意見拿到手上的我們是有史以來健保總額成長率最高5.5過去都大概是4點多所以在這個部分就增加了大概531億其實是注入到健保 |
| transcript.whisperx[275].start |
8022.108 |
| transcript.whisperx[275].end |
8038.554 |
| transcript.whisperx[275].text |
那另外在行政院也挹注到336億的健保協助方案那這其中所以這些錢是用在哪裡這些錢都是都是可以讓那個其實我只問啦我只問說健保點值會到0.95嗎 |
| transcript.whisperx[276].start |
8040.134 |
| transcript.whisperx[276].end |
8043.836 |
| transcript.whisperx[276].text |
但是你們的預算都沒有編滿啊,那你要叫其他醫院去怎麼做這些事情啊?對不對? |
| transcript.whisperx[277].start |
8066.061 |
| transcript.whisperx[277].end |
8080.492 |
| transcript.whisperx[277].text |
因為我們的高低估已經增加了500多億嘛,所以這個部分對於點子會有很大的幫助。問題是你沒有編滿,你要叫醫院怎麼去做?因為我們本來...你要怎麼樣讓他去跟我們的醫護人員來訂這個標準? |
| transcript.whisperx[278].start |
8084.099 |
| transcript.whisperx[278].end |
8110.564 |
| transcript.whisperx[278].text |
其實我們要增加點值,最重要的一個目的就是希望改善工作環境,讓醫院也好好...我知道啦,你們很會玩這個數字遊戲,但經營醫院的人也不會笨啦,所以我想說不要大家在玩這個遊戲,那最後倒楣的就是我們的民眾嘛,對不對?你現在你知道現在我們的醫護比是多少嗎? |
| transcript.whisperx[279].start |
8112.607 |
| transcript.whisperx[279].end |
8119.609 |
| transcript.whisperx[279].text |
我那天問院長,院長倒也沒有承諾啦。那我想說院長,你講有,院長說沒有。因為是這樣子啦,因為院長他很用 |
| transcript.whisperx[280].start |
8136.373 |
| transcript.whisperx[280].end |
8138.755 |
| transcript.whisperx[280].text |
現在講現況就好,這個講那個講得太多了齁。 |
| transcript.whisperx[281].start |
8159.329 |
| transcript.whisperx[281].end |
8173.445 |
| transcript.whisperx[281].text |
因為我們現在醫學大中心的大夜班護病比是67.8沒達標區醫院是51.22沒有達標大小夜班都沒有達標現在這樣看起來是不是我們醫護人員不夠護理人員 |
| transcript.whisperx[282].start |
8179.847 |
| transcript.whisperx[282].end |
8202.565 |
| transcript.whisperx[282].text |
護理人員其實怎麼樣留住我們的訓練出來的護理人員是夠的怎麼樣讓他留日難道提供一個工作好的條件就是福利不好嘛 那個錢不夠所以這個部分所以大家住不住所以我們有12個策略從人才的培育從工作的環境從工作的待遇這個一直在努力請不用一等時間我們一定會改善 |
| transcript.whisperx[283].start |
8205.708 |
| transcript.whisperx[283].end |
8223.746 |
| transcript.whisperx[283].text |
︎ |
| transcript.whisperx[284].start |
8223.866 |
| transcript.whisperx[284].end |
8246.287 |
| transcript.whisperx[284].text |
然後我們只要數字達標的就好。單位護理長就拿這個單位的護理長來講,他沒有實際照顧這個病患,可是他也可能被拉進來當分母。對吧?我們只算第一線的。只算第一線,所以護理長都沒有了? |
| transcript.whisperx[285].start |
8247.088 |
| transcript.whisperx[285].end |
8264.992 |
| transcript.whisperx[285].text |
好那但是你如果用平均的因為每個醫院的狀況不一樣每個病房的狀況是不一樣的是對不對所以如果你用平均的來講那對某些人不是來說他的他的壓力就增加增增大他的壓力就增大那我們當然講的就是說我們我們現在講說有有達標我們就領獎金對不對 |
| transcript.whisperx[286].start |
8269.033 |
| transcript.whisperx[286].end |
8277.866 |
| transcript.whisperx[286].text |
那這個政策對護理人員來講就是說這好像包著這個糖果的毒藥對不對他們是用肝去換的 |
| transcript.whisperx[287].start |
8279.649 |
| transcript.whisperx[287].end |
8292.377 |
| transcript.whisperx[287].text |
我們的立場非常清楚只要我們一直在跟護理界溝通看看護理界覺得怎麼樣做才能真正他們所需要我希望衛福部不要跟他們處在平行時空還是要能夠交會才能知道他們想什麼不要說我們在用這個數據來欺騙大家然後沒看到就算了 |
| transcript.whisperx[288].start |
8307.125 |
| transcript.whisperx[288].end |
8333.804 |
| transcript.whisperx[288].text |
包括委員護理人員是我們醫療團隊的最核心最靈魂的人物沒有他們醫療團隊都沒有辦法運作所以我希望醫療這個部分齁跟醫師全部了解到必須要好好的留住他們好不好我們一定多照顧我們病人因為你照顧護理人員就是照顧我們的民眾因為我們真的很多民眾都是在急診室排隊的都沒有病房 |
| transcript.whisperx[289].start |
8334.785 |
| transcript.whisperx[289].end |
8353.598 |
| transcript.whisperx[289].text |
這是我看到我最擔心的事情好不好是那另外我想這個少子女化已經成為這個國安的問題目前教育體系、勞動能力、經濟及國防安全都受到嚴重的衝擊我國少子化的預算從108年的193億元到去年1088億元成長了5.6倍 |
| transcript.whisperx[290].start |
8360.905 |
| transcript.whisperx[290].end |
8384.634 |
| transcript.whisperx[290].text |
那同期間新生兒人數卻持續地下降減少到25%減少了25%那去年只剩下13萬多人出生率只剩下1.09那我當然知道政府在做做這件事情我想我們我國少子化對策計畫裡面你覺不覺得這個有需要來檢討 |
| transcript.whisperx[291].start |
8386.906 |
| transcript.whisperx[291].end |
8387.747 |
| transcript.whisperx[291].text |
現在是第二期 |
| transcript.whisperx[292].start |
8401.889 |
| transcript.whisperx[292].end |
8414.012 |
| transcript.whisperx[292].text |
現在行政院已經是在開始請國科會先做一些研究,然後研究分析大概是到今年年底。所以主責機關是國科會?是行政院。那撥下來到時候以後是誰在負責? |
| transcript.whisperx[293].start |
8432.495 |
| transcript.whisperx[293].end |
8436.022 |
| transcript.whisperx[293].text |
我們衛福部會...我們衛福部會全力來...主責機關是誰? |
| transcript.whisperx[294].start |
8439.497 |
| transcript.whisperx[294].end |
8442.798 |
| transcript.whisperx[294].text |
您覺得我們有沒有需要制定這個專法?就是少子女化對策專法? |
| transcript.whisperx[295].start |
8471.375 |
| transcript.whisperx[295].end |
8482.38 |
| transcript.whisperx[295].text |
有沒有辦法?有沒有需要?如果任何的一個制度能夠改善,我相信少子化是我們國家重要的問題。我在這邊建議啦。任何的方法我們都可以來。我們建議啦。 |
| transcript.whisperx[296].start |
8486.101 |
| transcript.whisperx[296].end |
8486.221 |
| transcript.whisperx[296].text |
好,是 |
| transcript.whisperx[297].start |
8513.948 |
| transcript.whisperx[297].end |
8535.34 |
| transcript.whisperx[297].text |
那我再問一個問題就是說我們根據檢測報告今年第一劑大醫院家戶病房中超級細菌對抗生素的抗藥性已經超過7成那金黃色葡萄球菌抗藥性也都超過6成如果持續失控WHO推估我們2025年可能會造成我國3000億 |
| transcript.whisperx[298].start |
8537.585 |
| transcript.whisperx[298].end |
8538.926 |
| transcript.whisperx[298].text |
我看到環境部公布最近3年追蹤的意願 |
| transcript.whisperx[299].start |
8563.991 |
| transcript.whisperx[299].end |
8592.782 |
| transcript.whisperx[299].text |
有放流水檢驗的結果大概有8家醫院抗生素超標那部長你說這個不是醫療廢棄物產生的嘛 對不對因為醫療廢棄物據我的過去的經驗是那你覺得它是從哪一個環節那現在大家認為的是排泄物的問題因為你在醫院的人會被人但是據我了解就拿大台北地區來講各大醫院已經全面接了這個地下污水管線了嘛 |
| transcript.whisperx[300].start |
8593.629 |
| transcript.whisperx[300].end |
8596.372 |
| transcript.whisperx[300].text |
我看到機關署編導預算一年大概只有2億喔? |
| transcript.whisperx[301].start |
8619.494 |
| transcript.whisperx[301].end |
8645.828 |
| transcript.whisperx[301].text |
2億而且沒有納入醫療機構放流水管理,像這部分我希望能夠把這個計畫納入好不好?好,我想因為行政院已經核定這個計畫了,我也希望各位委員還有各界能夠多多指導。因為我們看到現在我們的做法只有藥品的管理,那缺乏環境的管理,這部分我請部長多多用心好不好?一定一定。好,謝謝部長。好,謝謝,謝謝委員,謝謝教委。 |
| transcript.whisperx[302].start |
8648.434 |
| transcript.whisperx[302].end |
8648.974 |
| transcript.whisperx[302].text |
謝謝主席。我們有請邱部長。 |
| transcript.whisperx[303].start |
8671.24 |
| transcript.whisperx[303].end |
8689.136 |
| transcript.whisperx[303].text |
部長好,部長我也要關心的是有關於這個有8家醫院放流水抗生素超標的這個問題那現在就你們現行去管制醫院的這個一般廢棄藥品的處理流程你剛剛也說你們其實是很嚴謹的對不對?大家都有叫保來嗎?都有按照SOP走嗎?醫院 |
| transcript.whisperx[304].start |
8698.32 |
| transcript.whisperx[304].end |
8707.137 |
| transcript.whisperx[304].text |
我想醫院的部分在醫療廢棄物方面絕對是相當的按照SOP所以這做對醫院的一個信心 |
| transcript.whisperx[305].start |
8708.038 |
| transcript.whisperx[305].end |
8730.71 |
| transcript.whisperx[305].text |
所以不會是從廢棄藥品的處理這邊過來廢棄藥品可能擔心的以我們自己的經驗擔心的是反而是會拋棄在家裡拋棄在這邊他不會拿到醫院去丟掉然後醫院就直接送給藥局所以如果是醫院旁邊的水質有真的有超標這幾年來 |
| transcript.whisperx[306].start |
8732.551 |
| transcript.whisperx[306].end |
8738.134 |
| transcript.whisperx[306].text |
所以你們現在就是你們研判出來的是因為病人的排泄物所造成的污染是這樣嗎 |
| transcript.whisperx[307].start |
8762.112 |
| transcript.whisperx[307].end |
8772.058 |
| transcript.whisperx[307].text |
這是你們抓到的原因嗎?現在?我不敢講就只有這個原因,因為這只是當時開會的時候有提出來,所以要注意這個問題。所以你們現在還沒有掌握確切的污染源到底是來自於哪裡?不清楚。都是用推估的對不對? |
| transcript.whisperx[308].start |
8783.675 |
| transcript.whisperx[308].end |
8794.472 |
| transcript.whisperx[308].text |
因為你們呈現出來這個環境部監測的數字你可以看到他是監測10家他是說8家超標那你知道其他兩家沒有超標的是哪兩家 |
| transcript.whisperx[309].start |
8796.002 |
| transcript.whisperx[309].end |
8821.005 |
| transcript.whisperx[309].text |
為什麼他們會只有超標?醫院應該是哪一個醫院還沒有公布?你也不知道?因為如果按照你說的是來自病人的污染物的話那各家醫院給藥的標準會不一樣嗎?會呈現你看這當中還有比如說奇美醫院他其中有一項他的這個超標值是高達3000倍跟他原來的標準值怎麼會差那麼多呢? |
| transcript.whisperx[310].start |
8822.452 |
| transcript.whisperx[310].end |
8838.249 |
| transcript.whisperx[310].text |
就是他好像有一些特殊性在我覺得這件事情你們真的是要用科學好好的去研究喔因為光是醫院之間的個別的差異化那就看起來有點奇怪特別是像齊美醫院他的那個平均都比較高 |
| transcript.whisperx[311].start |
8838.749 |
| transcript.whisperx[311].end |
8856.903 |
| transcript.whisperx[311].text |
那是因為他的醫院他跟一般的民眾的這個下水道排水管是一起的嗎?他監測的那個渠道不是只有醫院嗎?是混在一起的嗎?還是這家醫院在用藥方面他有比較特殊的病人所以他的這個會比較高?我覺得這個應該要好好研究一下。我光看這個數字我覺得是蠻奇怪的。這應該要好好的研究。好。 |
| transcript.whisperx[312].start |
8861.286 |
| transcript.whisperx[312].end |
8861.827 |
| transcript.whisperx[312].text |
目前我們是機關署跟食物鑰匙 |
| transcript.whisperx[313].start |
8880.384 |
| transcript.whisperx[313].end |
8897.5 |
| transcript.whisperx[313].text |
111111111111111111111111 |
| transcript.whisperx[314].start |
8897.7 |
| transcript.whisperx[314].end |
8919.483 |
| transcript.whisperx[314].text |
而這個一般的這個百姓身上來這個對健康會產生危害喔所以你們應該要扛起這個責任因為有有有行政已經核定這個行動計畫了我們會而且有經貨我們會不能等明年才開始現在當然現在就要現在就要開始好不好你們計畫我看到是2025年一直都在一直都在做啊像食藥署他對於一種 |
| transcript.whisperx[315].start |
8920.784 |
| transcript.whisperx[315].end |
8920.924 |
| transcript.whisperx[315].text |
那個標題喔 |
| transcript.whisperx[316].start |
8950.393 |
| transcript.whisperx[316].end |
8973.238 |
| transcript.whisperx[316].text |
少子化對策計畫之成果與未來規劃結果你們在未來規劃這邊總共只有95個字啊非常的粗糙你們的報告裡面作為衛福部也是執行少子化非常重要的一個單位結果未來的規劃總共這麼個短我想說我是有看錯嗎95個字 |
| transcript.whisperx[317].start |
8976.96 |
| transcript.whisperx[317].end |
8977.06 |
| transcript.whisperx[317].text |
博客委員 |
| transcript.whisperx[318].start |
8995.735 |
| transcript.whisperx[318].end |
9013.665 |
| transcript.whisperx[318].text |
請你看比較前面,其實我們有四大方向在做。未來規劃?已經在做了,譬如說幼兒的專者醫師。不是啊,這一個題目是還有包括你未來要改善的啊?以後要改善我們當然就是配合整個國家的一個行政案的一個計畫。 |
| transcript.whisperx[319].start |
9014.845 |
| transcript.whisperx[319].end |
9027.638 |
| transcript.whisperx[319].text |
部長這個問題我也不會覺得完全是衛福部的問題但是我看到的就是目前整個少子化的問題是我們國家根本沒有一個專責單位在負責在主導 |
| transcript.whisperx[320].start |
9029.309 |
| transcript.whisperx[320].end |
9047.005 |
| transcript.whisperx[320].text |
﹗ |
| transcript.whisperx[321].start |
9047.125 |
| transcript.whisperx[321].end |
9060.934 |
| transcript.whisperx[321].text |
你們恐怕是連一個專人都沒有人在想這件事情啦我敢這樣子講因為這個就是現況嘛大家都被現況的業務都已經綁死了所以如果真的行政院想要做我覺得他現在這一套做法是行不通的 |
| transcript.whisperx[322].start |
9061.852 |
| transcript.whisperx[322].end |
9086.118 |
| transcript.whisperx[322].text |
﹗ |
| transcript.whisperx[323].start |
9086.32 |
| transcript.whisperx[323].end |
9095.945 |
| transcript.whisperx[323].text |
所以坦白講這是行政院責無旁貸的責任但是行政院現在的架構是空的阿我就問你阿行政院是誰在負責政委喔 |
| transcript.whisperx[324].start |
9097.775 |
| transcript.whisperx[324].end |
9097.815 |
| transcript.whisperx[324].text |
陳時中?陳時中? |
| transcript.whisperx[325].start |
9122.168 |
| transcript.whisperx[325].end |
9130.413 |
| transcript.whisperx[325].text |
因為也沒有人在想就國科會我們就研究出來然後看大家要怎麼做那是未來的精進我們現在比如說在0到20歲的前面照顧這件事情要花非常大的力氣我只能跟部長講絕對不是你們現在這樣子用敷衍的方式去做就做得來的 |
| transcript.whisperx[326].start |
9142.961 |
| transcript.whisperx[326].end |
9163.387 |
| transcript.whisperx[326].text |
那這個我也要說不是衛福部你們完全的責任是行政院的責任他要給人給錢有專人有專責單位才做得出成績啦人家日本是怎麼做的我們用這套做法是完全行不通最後我問一個就是你們被監察院糾正的這個有關於特殊的兒少安置機構的問題喔 |
| transcript.whisperx[327].start |
9165.529 |
| transcript.whisperx[327].end |
9176.268 |
| transcript.whisperx[327].text |
這個部分這個去年其實也有這個立委召開公聽會那他們要求你們要轉從這個長照的機構轉嫌到兒少機構有在做嗎? |
| transcript.whisperx[328].start |
9178.261 |
| transcript.whisperx[328].end |
9201.653 |
| transcript.whisperx[328].text |
有進度嗎?因為時間的關係我要告訴部長的是這一件事情不是只有中央自己悶著頭做你要把機構找進來我去年在台中市擔任副市長我現在在嘉義縣跑地方地方的機構他們在經營第一線其實都非常的困難 |
| transcript.whisperx[329].start |
9202.774 |
| transcript.whisperx[329].end |
9218.631 |
| transcript.whisperx[329].text |
所以有一些是有床也不敢開因為他也沒有人啦坦白講那中央補助的經費又是限制重重他們也缺乏彈性所以現在的現場狀況是這樣子我覺得中央機構不能無感 |
| transcript.whisperx[330].start |
9219.172 |
| transcript.whisperx[330].end |
9241.084 |
| transcript.whisperx[330].text |
︎ |
| transcript.whisperx[331].start |
9241.184 |
| transcript.whisperx[331].end |
9270.447 |
| transcript.whisperx[331].text |
當然有些安置機構他們有問題但是安置機構也是你們的夥伴如果你沒把他視為是一個夥伴大家找來共同開會真的清他們現場第一線營運的問題是什麼棍子跟胡蘿蔔都是要的你不是一直棍子一直加鹽嗎那這樣子到時候都沒有人要來做這個業務的時候請問我們一直在增加的這一些有需求的兒少還有一些身心障礙的朋友他們要往哪裡去 |
| transcript.whisperx[332].start |
9271.187 |
| transcript.whisperx[332].end |
9286.262 |
| transcript.whisperx[332].text |
所以這個是我自己在第一現場我看到的問題那我覺得你們好像就是設了非常多的框架地方反應你們就是都是最後都是不了了之所以我要求你們要開一個專案的檢討會議剛好這次監察院提出了糾正你們要好好的邀這一些相關的機構負責人坐下來談真的聽到問題是什麼 |
| transcript.whisperx[333].start |
9294.27 |
| transcript.whisperx[333].end |
9294.57 |
| transcript.whisperx[333].text |
現在休息10分鐘。 |
| transcript.whisperx[334].start |
9406.681 |
| transcript.whisperx[334].end |
9407.159 |
| transcript.whisperx[334].text |
2 |
| transcript.whisperx[335].start |
9734.48 |
| transcript.whisperx[335].end |
9734.923 |
| transcript.whisperx[335].text |
﹗ |
| transcript.whisperx[336].start |
10175.148 |
| transcript.whisperx[336].end |
10189.374 |
| transcript.whisperx[336].text |
好,繼續開會。我們請王正希委員執行。在黃秀芳委員發言完畢後,我們處理臨時提案。好,謝謝主席。那還是麻煩邱部長。部長請。 |
| transcript.whisperx[337].start |
10198.022 |
| transcript.whisperx[337].end |
10222.522 |
| transcript.whisperx[337].text |
市長好今天有幾個問題來跟您請教就是包括今天的主題之一就是少子的話之下我們對台灣的一些政策或者是在人工流產部分有哪一些我們可以更瞭解多遠的地方那我們可以瞭解其實在過去一段時間一直都有相關的統計來告訴國人說針對於 |
| transcript.whisperx[338].start |
10226.286 |
| transcript.whisperx[338].end |
10242.624 |
| transcript.whisperx[338].text |
在臺灣我們懷孕的這些女性婦女們他對於這個整個過程裡面如果有需要做人工流產的話那曾經有哪一些的問題存在那其實每4年都會有一個訊息的報告 |
| transcript.whisperx[339].start |
10243.345 |
| transcript.whisperx[339].end |
10260.359 |
| transcript.whisperx[339].text |
可是這個最後一次的調查時間是在2016年那第12次的這個有關於衛福部國建署家庭與生育調查報告到了2016年以後就沒有繼續執行那沒有繼續執行的原因我們去了解 |
| transcript.whisperx[340].start |
10260.879 |
| transcript.whisperx[340].end |
10284.07 |
| transcript.whisperx[340].text |
︎ |
| transcript.whisperx[341].start |
10284.15 |
| transcript.whisperx[341].end |
10310.465 |
| transcript.whisperx[341].text |
那如果是相關的統計出了問題的話那未來對於少子化的對策方面我們就很難去找到比較具體的方法或者是具體的原因來做一些對策上的一些改善或者是協助那我們先來了解目前針對於有關人工流產相關的統計的部分有兩大的一個來源一個就是健保署針對於特別醫事機構生產於 |
| transcript.whisperx[342].start |
10313.507 |
| transcript.whisperx[342].end |
10332.449 |
| transcript.whisperx[342].text |
︎ |
| transcript.whisperx[343].start |
10333.35 |
| transcript.whisperx[343].end |
10342.107 |
| transcript.whisperx[343].text |
這些流產量其實我們知道事實上很多可能是有所遺漏或者是有一些不完整的地方所以針對這部分將來 |
| transcript.whisperx[344].start |
10345.029 |
| transcript.whisperx[344].end |
10364.277 |
| transcript.whisperx[344].text |
包括主管機關在衛福部這邊有沒有一些對策可以讓我們針對於人工流產的部分可以有更完整、更周全的這個統計的資料?或者是有什麼方法可以來改善目前的困境?我想謝謝委員,委員對於現在面臨少子化的一個社會 |
| transcript.whisperx[345].start |
10365.518 |
| transcript.whisperx[345].end |
10381.883 |
| transcript.whisperx[345].text |
那尤其對於非預期懷孕的婦女也常常關懷啦齁。如果啦,看我衛福部準備來協助來減少幾度,還比這個都是相當重要的事情齁。那剛剛委員所提的我們事情,吳市長,來。 |
| transcript.whisperx[346].start |
10384.219 |
| transcript.whisperx[346].end |
10401.961 |
| transcript.whisperx[346].text |
為什麼未來會針對這些數字去做一個更精進的分析那我們會跟健保一起來合作那因為過去的調查是採用面黃的方式那其實它的準確度後來評估它的使用上也有一些疑慮的地方所以很多專家建議我們說 |
| transcript.whisperx[347].start |
10402.602 |
| transcript.whisperx[347].end |
10418.166 |
| transcript.whisperx[347].text |
﹗ |
| transcript.whisperx[348].start |
10418.366 |
| transcript.whisperx[348].end |
10438.297 |
| transcript.whisperx[348].text |
是,所以除了跟健保合作以外,同時我會建議各位跟專家學者或相關的這些學會們一起來研擬,可以讓這樣的數據可以更精確。因為我們也很期待說,如果有比較精確的數據以後,我們可以針對這些施行人工流產的這些民眾, |
| transcript.whisperx[349].start |
10439.258 |
| transcript.whisperx[349].end |
10457.79 |
| transcript.whisperx[349].text |
︎ |
| transcript.whisperx[350].start |
10457.87 |
| transcript.whisperx[350].end |
10459.391 |
| transcript.whisperx[350].text |
所以我們很期待有這個更好的一些方式來解決 |
| transcript.whisperx[351].start |
10486.9 |
| transcript.whisperx[351].end |
10503.679 |
| transcript.whisperx[351].text |
那我們也了解說德國他們曾經針對想要做人工流產的這些民眾提供一個諮詢或者是一個思考期讓他們再重新去確定他的意願以後他們得到一個很好的一個成果就是可以讓這個民眾 |
| transcript.whisperx[352].start |
10505.481 |
| transcript.whisperx[352].end |
10509.763 |
| transcript.whisperx[352].text |
我想我們目前也有跟我們醫療照顧團隊還有婦產科醫學會共同製作了人工流產的諮詢的指引手冊給大家做參考那我們未來會加強做先導 |
| transcript.whisperx[353].start |
10534.156 |
| transcript.whisperx[353].end |
10546.785 |
| transcript.whisperx[353].text |
是,好,我想如果把整個生育養育的環境在像現在這樣的努力持續下去,我想有一些,第一個原因這個發現,因為這個大概比較沒辦法,因為 |
| transcript.whisperx[354].start |
10550.496 |
| transcript.whisperx[354].end |
10551.957 |
| transcript.whisperx[354].text |
我相信今天早上有委員請教過部長這個問題 |
| transcript.whisperx[355].start |
10578.985 |
| transcript.whisperx[355].end |
10595.348 |
| transcript.whisperx[355].text |
是那這個整個決策過程大家也覺得非常的納悶為什麼會一開始的時候會有一些相關的行業是不動長就是動長後來又做一些調整那這部分未來 |
| transcript.whisperx[356].start |
10597.145 |
| transcript.whisperx[356].end |
10598.065 |
| transcript.whisperx[356].text |
Thank you. |
| transcript.whisperx[357].start |
10616.75 |
| transcript.whisperx[357].end |
10633.431 |
| transcript.whisperx[357].text |
電價費利的審議會他要考慮的百工百業啦那也不可能所有的業者都進來那所以他們當然有一些原則我們也尊重但是一公布出來的話如果有些行業覺得說 |
| transcript.whisperx[358].start |
10635.283 |
| transcript.whisperx[358].end |
10661.795 |
| transcript.whisperx[358].text |
對他們來講是不合理的我想也行政院也接受到反應我這個還是要感謝行政院長他瞭解到我們醫療院所的確是照顧人民第一線我想不只醫療院所有很多很多的行業都必須要我們給他關心那這個部分特別是在行政院長也體認到這樣的一個 |
| transcript.whisperx[359].start |
10662.875 |
| transcript.whisperx[359].end |
10683.046 |
| transcript.whisperx[359].text |
1111111111111111111111111111111111111111111111111111111111111 |
| transcript.whisperx[360].start |
10683.046 |
| transcript.whisperx[360].end |
10701.92 |
| transcript.whisperx[360].text |
議員 |
| transcript.whisperx[361].start |
10702 |
| transcript.whisperx[361].end |
10720.754 |
| transcript.whisperx[361].text |
目前對於婦女來講尤其是到一定年紀以後子宮內膜的這個癌症如何能夠確定在他有症狀的時候呢可以或者是高風險群能夠及早的去做一些檢查這個檢查包括超音波包括子宮鏡 |
| transcript.whisperx[362].start |
10721.374 |
| transcript.whisperx[362].end |
10739.667 |
| transcript.whisperx[362].text |
︎ |
| transcript.whisperx[363].start |
10739.667 |
| transcript.whisperx[363].end |
10756.971 |
| transcript.whisperx[363].text |
️ |
| transcript.whisperx[364].start |
10757.151 |
| transcript.whisperx[364].end |
10785.596 |
| transcript.whisperx[364].text |
因為民眾如果知道對於這個癌症帶來的影響或者是針對一些症狀能夠提早去了解的話相信民眾對自己健康也要負一些責任那我們很期待民眾教育可以透過跟教育部這邊做一些相關的加強的合作包括兩個部會之間事實上有衛教委員會那很期待可以讓這個衛教委員會可以發揮它的作用那這部分也麻煩部長再能夠多加考量 |
| transcript.whisperx[365].start |
10787.557 |
| transcript.whisperx[365].end |
10802.169 |
| transcript.whisperx[365].text |
好,我們會配合。那我想那個王委員特別長期畢生貢獻於癌症治療跟關懷,那怎麼樣讓他更有效益,有時候篩檢是一個,問題是誰去做篩檢? |
| transcript.whisperx[366].start |
10806.172 |
| transcript.whisperx[366].end |
10820.321 |
| transcript.whisperx[366].text |
隨時讓民眾有意願這個我們要建立一個醫療體系那比如說你如果假設你都有一個管理你的健康的家庭醫師他對你全家大大小小都知道何時要做哪一種檢查 |
| transcript.whisperx[367].start |
10821.542 |
| transcript.whisperx[367].end |
10822.282 |
| transcript.whisperx[367].text |
好,非常謝謝部長。 |
| transcript.whisperx[368].start |
10853.753 |
| transcript.whisperx[368].end |
10856.216 |
| transcript.whisperx[368].text |
謝謝主席,我們請邱部長 |
| transcript.whisperx[369].start |
10875.529 |
| transcript.whisperx[369].end |
10900.988 |
| transcript.whisperx[369].text |
委員好部長好部長我首先先請教因為在去年我們知道新生兒整個新生兒是全年度差不多13萬人那我想請教就是說到目前為止我們的全台灣的新生兒目前是多少好像8萬到現在是大概8萬到現在剩下8萬 |
| transcript.whisperx[370].start |
10902.619 |
| transcript.whisperx[370].end |
10914.906 |
| transcript.whisperx[370].text |
﹗ |
| transcript.whisperx[371].start |
10915.247 |
| transcript.whisperx[371].end |
10940.027 |
| transcript.whisperx[371].text |
大概12萬多12萬多剩下3個月的時間可以可以到12萬多好那我們就期待那我想這個少子化的問題應該是很多人非常擔心這個出生率一直在下降從去年的13萬那今年到目前為止8萬多我們算9萬好了那 |
| transcript.whisperx[372].start |
10940.527 |
| transcript.whisperx[372].end |
10968.566 |
| transcript.whisperx[372].text |
像這樣子我相信這個也是我們衛福部一個非常重要的一個課題那我們當然就是說今天在討論我們這個人工生殖法的這個進度那我想請教就是說其實一個國家的一個進步當然就是說我們兒童的照顧還有婦女健康的一個照顧是一個指標性那我想請教就是說當然這個面臨少子化的這個議題就很多的面向 |
| transcript.whisperx[373].start |
10969.747 |
| transcript.whisperx[373].end |
10994.237 |
| transcript.whisperx[373].text |
那我想請教目前就是我們兒童的權益還有婦女健康的這個區塊當然我們現在也看到很多很多女生或者是說已經結婚的這個年輕朋友結婚之後我相信很多是他們會有結婚的這個打算那其實少子化更嚴重的問題是不婚 |
| transcript.whisperx[374].start |
10995.217 |
| transcript.whisperx[374].end |
11011.817 |
| transcript.whisperx[374].text |
是年輕人是完全是不結婚是完全不結婚不結婚然後造成這個少子化如果有結婚的話其實生育這個比例應該是跟以往差不多有結婚大部分都會想要有孩子這個是目前是這樣的一個狀況 |
| transcript.whisperx[375].start |
11013.018 |
| transcript.whisperx[375].end |
11031.531 |
| transcript.whisperx[375].text |
我想請教就是說其實有很多年輕朋友為什麼不想結婚其實他也想到很多可能就是說未來孩子的一個教育問題或者是說女生她原本現在就有一個工作那她想等到工作穩定之後才結婚才要有小孩 |
| transcript.whisperx[376].start |
11032.13 |
| transcript.whisperx[376].end |
11054.396 |
| transcript.whisperx[376].text |
那我想請教這個部長或者是我們署長未來像這樣的一個狀況我們衛福部這邊有沒有什麼樣因應的對策我相信衛福部針對少子化應該有因應的對策應該很多啦除了就是說一些生育補助之外那你們應該有很多的對策那我是不是可以請部長先簡單說明一下 |
| transcript.whisperx[377].start |
11056.156 |
| transcript.whisperx[377].end |
11083.2 |
| transcript.whisperx[377].text |
我想我們行政院有四個方向在希望變成大家願意生快樂的羊可是應該也要想要結婚吧現在很多是不婚那怎麼辦應該是說很多年輕人是不想要結婚如果說有結婚的話幾乎應該都會想要有孩子 |
| transcript.whisperx[378].start |
11084.622 |
| transcript.whisperx[378].end |
11097.18 |
| transcript.whisperx[378].text |
目前是這個狀況那不婚的這個部分我們也希望就是說當然請衛福部在這方面怎麼樣鼓勵這個年輕朋友 |
| transcript.whisperx[379].start |
11098.629 |
| transcript.whisperx[379].end |
11127.058 |
| transcript.whisperx[379].text |
包括我們先解決我們可以做到的,譬如說讓他知道生了以後小孩子會得到很好的照顧,也可以不要白天要去工作,白天白不下去,即使是準公文化各方面反正都可以讓你好好的再上,然後勞動部也再處理這個部分,讓他還可以上班。這個這些條件都好的話,我覺得可能有的人就說 |
| transcript.whisperx[380].start |
11129.053 |
| transcript.whisperx[380].end |
11133.896 |
| transcript.whisperx[380].text |
當然就是說我們希望這個衛福部真的少子化這個議題我們一直在講就是國安的議題國安危機那你看今年是農年 |
| transcript.whisperx[381].start |
11155.009 |
| transcript.whisperx[381].end |
11185.009 |
| transcript.whisperx[381].text |
️ |
| transcript.whisperx[382].start |
11185.169 |
| transcript.whisperx[382].end |
11204.15 |
| transcript.whisperx[382].text |
那不僅是這個國安危機啦,我覺得說剛剛講的台灣整個人口的結構我覺得真的要去正視這個問題而且剛剛部長我剛剛也有聽其他的委員有特別提到他是跨部會要去討論的一個非常嚴重的一個問題 |
| transcript.whisperx[383].start |
11205.131 |
| transcript.whisperx[383].end |
11220.15 |
| transcript.whisperx[383].text |
那當然我們希望就是說真的要去正視要不然這個議題今年是這樣子明年這個問題還是存在那我們當然也希望就是說孩子生出來之後一個都不能少這個我也時常在委員會的時候就提到 |
| transcript.whisperx[384].start |
11220.771 |
| transcript.whisperx[384].end |
11241.231 |
| transcript.whisperx[384].text |
孩子生出來之後一個都不能少那我們這個新生兒的這個死亡率其實比鄰近國家還高那我們也看到就是說我們台灣的這個兒童醫院整個大家會擔心就是說孩子生出來之後是不是可以得到好的照顧 |
| transcript.whisperx[385].start |
11241.992 |
| transcript.whisperx[385].end |
11264.293 |
| transcript.whisperx[385].text |
那現在台大醫院這個兒童醫院也表示希望政府能夠成立一個國家級的兒童健康研究中心好帶動臺灣的兒童醫療發展那讓新生兒跟孕婦能夠得到好的照顧我想請教部長你怎麼看只要是專科醫協會提出來的我們都非常的 |
| transcript.whisperx[386].start |
11265.864 |
| transcript.whisperx[386].end |
11267.226 |
| transcript.whisperx[386].text |
嗯。所以我 |
| transcript.whisperx[387].start |
11277.33 |
| transcript.whisperx[387].end |
11298.352 |
| transcript.whisperx[387].text |
如果說不管是台大的兒童醫院我想整個兒科醫學會這才是整體的不是因為醫院有醫院的一個發展的看法和基層很多很多的兒童還是在社區照顧那如果說兒科醫學會的意見我相信是很重要 |
| transcript.whisperx[388].start |
11298.752 |
| transcript.whisperx[388].end |
11313.608 |
| transcript.whisperx[388].text |
當然我知道全台灣的這個兒童醫院其實是不多那兒童醫院其實在整個醫療的這個經營當中他是不會賺錢的一個單位那現在目前的這個兒科醫師其實也很難招聘 |
| transcript.whisperx[389].start |
11314.309 |
| transcript.whisperx[389].end |
11329.36 |
| transcript.whisperx[389].text |
﹗ |
| transcript.whisperx[390].start |
11329.5 |
| transcript.whisperx[390].end |
11349.857 |
| transcript.whisperx[390].text |
就是新生兒啦或者是兒童癌症啦或者是兒童比較罕見疾病或者是兒童的遺傳疾病這些那我們也希望當然我們希望就是說兒童能夠就近照顧那如果說針對這些重症或者是罕見疾病我們也希望能夠有一個比較專比較這個比較好的單位 |
| transcript.whisperx[391].start |
11353.78 |
| transcript.whisperx[391].end |
11380.162 |
| transcript.whisperx[391].text |
﹗ |
| transcript.whisperx[392].start |
11380.222 |
| transcript.whisperx[392].end |
11384.047 |
| transcript.whisperx[392].text |
那我希望說衛福部針對這一部分應該要去好好的思考。 |
| transcript.whisperx[393].start |
11385.43 |
| transcript.whisperx[393].end |
11412.343 |
| transcript.whisperx[393].text |
我在這邊還是要呼籲所有的醫院我們政府要幫助你醫院好好的來運作但是各個醫院對於沒有賺錢的部門但是他是必要的一定要全力的支持包括設立兒童醫院那如果是必要的話我想各個大醫院應該都要來做這件事情不要因為他可能沒賺錢 |
| transcript.whisperx[394].start |
11413.844 |
| transcript.whisperx[394].end |
11434.051 |
| transcript.whisperx[394].text |
我把它縮小規模那這在醫院裡面其實我們在醫學中心的現在是五大或六大任務裡面其實在這個部分也一直在很注意那比如說台大醫院如果你在公部因為我當過部主任嘛如果我們都是屬於那種賠錢的 |
| transcript.whisperx[395].start |
11437.575 |
| transcript.whisperx[395].end |
11451.301 |
| transcript.whisperx[395].text |
我必須要呼籲就是說還是兒童的一個集中症尤其是寒病這個部分一定要跟他加強資源不然的話做這些的專家真的很需要幫忙 |
| transcript.whisperx[396].start |
11454.603 |
| transcript.whisperx[396].end |
11473.864 |
| transcript.whisperx[396].text |
對對對對那那像這樣子的話呃各個醫院的這些呃兒童的呃集中南韓的這些疾病齁應該也有這些呃比較這這些醫師來來照顧嘛齁對那一些呃這個譬如說人員的培訓啊齁要怎麼去做我覺得這個應該也是衛福部這邊要去這這個我們會全力以赴 |
| transcript.whisperx[397].start |
11474.324 |
| transcript.whisperx[397].end |
11502.087 |
| transcript.whisperx[397].text |
好那另外最後一個我想請教就是說剛剛講的這個少子化那如果有結婚的話他當然有的都希望能夠有孩子然後那現在嚴重的是不婚然後我現在講的是未來結婚之後的這些這一對年輕人我這樣講那這個年輕人結婚之後那有的是想說我可能等到這個工作穩定之後然後再來生小孩那有時候等到工作穩定之後可能都30幾歲了 |
| transcript.whisperx[398].start |
11503.828 |
| transcript.whisperx[398].end |
11528.698 |
| transcript.whisperx[398].text |
對於一個女生來講整個卵巢或者是卵子它的這個品質沒有那麼好受孕就會比較困難那我在想說未來有沒有可能就是說我們現在有那個婚前的健康檢查那在這個婚前的健康檢查當中是不是有針對AMH它這個算是一個抗穆勒氏管賀蒙它可以 |
| transcript.whisperx[399].start |
11529.718 |
| transcript.whisperx[399].end |
11529.838 |
| transcript.whisperx[399].text |
那未來…… |
| transcript.whisperx[400].start |
11558.712 |
| transcript.whisperx[400].end |
11574.848 |
| transcript.whisperx[400].text |
他是不是他自己也要去考慮一下那我是不是要趕快如果想要有孩子的話那我是不是也要趕快這個準備生育的這個計畫所以我是不是請部長未來有沒有可能在婚前的健康檢查當中就是針對這一部分來做檢查 |
| transcript.whisperx[401].start |
11575.509 |
| transcript.whisperx[401].end |
11599.259 |
| transcript.whisperx[401].text |
如果他有幫助我們只要有幫助我們受孕或者少子化的任何政策我相信我們都一定要全力以赴好那我也希望就是說部長針對這部分你們要去好好的思考是因為少子化確實真的是非常的嚴重而且我剛剛聽到今年到目前為止剩下8萬多人真的是非常嚴重的一個問題因為去年還有13萬今年剩下8萬好謝謝好謝謝謝偉 |
| transcript.whisperx[402].start |
11604.194 |
| transcript.whisperx[402].end |
11610.08 |
| transcript.whisperx[402].text |
謝謝部長 謝謝黃委員那我們現在處理臨時提案總共有6萬請一併先讀 |
| transcript.whisperx[403].start |
11613.289 |
| transcript.whisperx[403].end |
11639.127 |
| transcript.whisperx[403].text |
因安置特殊需求兒少人數成長,安置需求增加,原要求衛福部於一個月內邀集安置機構負責人召開專案檢討會,針對如何提高安置人數,增加人力及預算資源等議題,提出具體改善策進作為,向立法院社會福利及衛生環境委員會提出書面報告,提案人委員王育敏、陳昭芝、陳金輝、廖偉翔、蘇清泉。第二案 |
| transcript.whisperx[404].start |
11639.807 |
| transcript.whisperx[404].end |
11667.125 |
| transcript.whisperx[404].text |
我國婦女之子宮體癌發生率逐年提升若以每三年進行一次篩檢政府所需補助的金額粗估約為10億元為保障女性健康權益請衛福部緊速就子宮體癌篩檢補助一事進行研擬並於一個月內向立法院社會福利及衛生環境委員會提出具體之實施規劃提案人委員陳金輝、陳昭芝、王正旭、廖偉祥、蘇清泉第三案 |
| transcript.whisperx[405].start |
11667.785 |
| transcript.whisperx[405].end |
11690.373 |
| transcript.whisperx[405].text |
有鑒於羊膜穿刺檢驗費補助近10年來未有調整以及幼生保健血液染色體檢驗染色體異常在確診檢驗等費用補助時中未有調整等為求前述施政措施之維持並落實國民享有之檢驗服務可穩定於民間供應特要求衛福部限期於1個月內啟動改善檢討措施於2個月內提交 |
| transcript.whisperx[406].start |
11694.874 |
| transcript.whisperx[406].end |
11711.387 |
| transcript.whisperx[406].text |
解決規劃之書面報告提案人委員陳金輝陳昭芝、廖偉祥、蘇清泉第4案考量到醫療與民生物價相關性較高且醫院診所用電多為剛性需求貿然調漲電價將影響其穩定營運雖2024年10月3日經濟部已說明將建議電價費率審議會將醫院診所列入電價動漲 |
| transcript.whisperx[407].start |
11721.554 |
| transcript.whisperx[407].end |
11738.143 |
| transcript.whisperx[407].text |
衛生福利部仍應持續向經濟部等單位溝通及提供協助以確保2024年10月16日實施電價調漲時醫院診所為電價動漲行業提案人委員王振旭、黃秀芳、林月琴、蘇巧慧、林楚英、李博毅 |
| transcript.whisperx[408].start |
11739.861 |
| transcript.whisperx[408].end |
11768.02 |
| transcript.whisperx[408].text |
第5 住宿市長照機構評鑑雖有將公費疫苗接種率列入評鑑計算但具體指標內並未將肺炎鏈球菌疫苗納入項目衛生福利部應積極宣傳肺炎鏈球菌防護之重要性並研議將肺炎鏈球菌疫苗納入住宿市長照機構納入評鑑標準以使防疫政策更加周延提案人委員王振旭、林月琴、黃秀芳、蘇巧慧、李博義、林儲英 |
| transcript.whisperx[409].start |
11769.981 |
| transcript.whisperx[409].end |
11793.764 |
| transcript.whisperx[409].text |
第6案,衛福部支持在宅急症照護事辦計畫有關每日護理費、假日加成並與全民健康保險醫療服務給付項目及支付標準共同擬定會議提案並尋求支持推動以利在宅急症照護之業務推動提案人委員王振旭、林月琴、黃修芳、蘇巧慧、李博毅、林楚英宣讀完畢。 |
| transcript.whisperx[410].start |
11800.885 |
| transcript.whisperx[410].end |
11825.785 |
| transcript.whisperx[410].text |
我們現在主案來處理請問第一案 行政單位有沒有意見同意各位委員有沒有意見同意 謝謝好 那通過 來 第二案第二案可不可以謝謝委員的關心是不是可以修改幾個文字就是在具體實施規劃前面那個資本要刪除改成具體實施規劃之書面評估報告 |
| transcript.whisperx[411].start |
11829.617 |
| transcript.whisperx[411].end |
11836.402 |
| transcript.whisperx[411].text |
蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇緬報告蘇 |
| transcript.whisperx[412].start |
11861.753 |
| transcript.whisperx[412].end |
11866.855 |
| transcript.whisperx[412].text |
陳慶威不可以照呢?要不要跟我做主席? |
| transcript.whisperx[413].start |
11894.997 |
| transcript.whisperx[413].end |
11895.478 |
| transcript.whisperx[413].text |
法定人數不足 |
| transcript.whisperx[414].start |
11921.267 |
| transcript.whisperx[414].end |
11925.411 |
| transcript.whisperx[414].text |
臨時提案已經全部處理完畢接下來我們請蘇清泉委員發言好謝謝主席我請邱部長 |
| transcript.whisperx[415].start |
11944.068 |
| transcript.whisperx[415].end |
11960.911 |
| transcript.whisperx[415].text |
委員好 委員辛苦了我先用差不多一分鐘兩分鐘時間跟大家報告這次的大災難因為秘書委員指教我很虛心接受他也非常用心那我跟大家報告 |
| transcript.whisperx[416].start |
11961.997 |
| transcript.whisperx[416].end |
11983.097 |
| transcript.whisperx[416].text |
因為這個安泰醫療社同法安泰醫院是我跟我太太創立從零開始的醫院那現在的規模是600多床是重度責任醫院所以不是一個很爛的醫院是很認真的醫院這過去的30年也沒有發生過重大的災難 |
| transcript.whisperx[417].start |
11984.528 |
| transcript.whisperx[417].end |
11991.726 |
| transcript.whisperx[417].text |
所以對於大家的指教我虛心接受沒有人希望發生這種事情 |
| transcript.whisperx[418].start |
11993.305 |
| transcript.whisperx[418].end |
12012.924 |
| transcript.whisperx[418].text |
台大醫院開刀法我先回修處過所以大家都沒有事我先做事我很感謝因為屏東縣縣長消防局衛生局警察局還有八軍團的全部都從頭到尾大家都要拚 |
| transcript.whisperx[419].start |
12016.405 |
| transcript.whisperx[419].end |
12041.291 |
| transcript.whisperx[419].text |
5、60年來我沒有看過有一次這麼複合性的大災難同時在發生而且那個風是12、13、14級而且暴雨狂風瞬間陣風達到16級、17級島上我碰到那個奈瑞隆他說他們小港那邊連貨櫃都被吹下來 |
| transcript.whisperx[420].start |
12042.503 |
| transcript.whisperx[420].end |
12056.498 |
| transcript.whisperx[420].text |
那整個東港安泰院前面的中正路我跟大家報告那個裝潮牌是一直飛、一直掉好像血滴子一樣所以你沒辦法在外面停留30秒 |
| transcript.whisperx[421].start |
12058.226 |
| transcript.whisperx[421].end |
12076.737 |
| transcript.whisperx[421].text |
那跟大家報告發生的地點剛剛林淑雯委員講的也不對是在另外一邊的動力中心那全部都是煙因為發起火的地方是在動力中心那現在減掉 |
| transcript.whisperx[422].start |
12078.058 |
| transcript.whisperx[422].end |
12100.228 |
| transcript.whisperx[422].text |
還有三組檢察官還有那個鑑識小組都在查起火他們也非常非常的認真我很感謝他們那該負什麼責任就負什麼責任那我跟大家報告這個醫院我不是負責醫師但是我是創立的人我是榮譽院長所以我第一時間 |
| transcript.whisperx[423].start |
12101.664 |
| transcript.whisperx[423].end |
12122.671 |
| transcript.whisperx[423].text |
議員議員 |
| transcript.whisperx[424].start |
12123.807 |
| transcript.whisperx[424].end |
12144.527 |
| transcript.whisperx[424].text |
專人在陪伴等等該給的撫恤菌該給的商量補助費都已經花了一批又一批了那對於所有的轉出去的我們要報告300多個病人轉出去才100個表示說還有200多個在我們的前面的AV棟在處理在治療 |
| transcript.whisperx[425].start |
12146.089 |
| transcript.whisperx[425].end |
12155.109 |
| transcript.whisperx[425].text |
那至於管縣老舊跟大家報告這一次發生事情的是第一棟那是最新才十幾年那個管縣是沒有老舊 |
| transcript.whisperx[426].start |
12156.223 |
| transcript.whisperx[426].end |
12179.377 |
| transcript.whisperx[426].text |
那前面的A、B棟反而是老舊但是A、B棟已經換了一輪了不管所有的管件都已經換了一輪了我們不是笑的30年30來年沒有發生過公安事件那這一次發生我們真的是非常痛心那也跟大家報告那個風跟雨實在太大 |
| transcript.whisperx[427].start |
12180.558 |
| transcript.whisperx[427].end |
12183.663 |
| transcript.whisperx[427].text |
病人家屬還有消防隊在單單消防隊才有200個弟兄 |
| transcript.whisperx[428].start |
12187.386 |
| transcript.whisperx[428].end |
12211.284 |
| transcript.whisperx[428].text |
那所有的人還有我們員工差不多當時在施救差不多700個人整個1000多個人全部都塞在ABC棟根本沒有人有辦法出去所以這種災難我昨天那很感謝我們卓院長也關心我們邱部長也第一時間在風雨交加就最厲害的那個當下就是災害中心正在 |
| transcript.whisperx[429].start |
12214.367 |
| transcript.whisperx[429].end |
12233.487 |
| transcript.whisperx[429].text |
開會總統也在行政院長也在部長也在他們都打電話來關心所以我感謝陳其邁市長這裡要特別謝謝他派了21部救護車上面配備有護理師有醫師全部跑到東港來都在準備所以要感謝太多人 |
| transcript.whisperx[430].start |
12234.758 |
| transcript.whisperx[430].end |
12256.077 |
| transcript.whisperx[430].text |
我跟大家報告消防隊一來他在二樓一樓的動力中心來動他發現那個溫度已經300多度所以一來就全部斷電台電就全部斷電那醫院裡面發電機不讓開分電盤是不是也燒掉了我們到現在還搞不太清楚 |
| transcript.whisperx[431].start |
12257.472 |
| transcript.whisperx[431].end |
12258.013 |
| transcript.whisperx[431].text |
整棟大樓 |
| transcript.whisperx[432].start |
12277.369 |
| transcript.whisperx[432].end |
12298.343 |
| transcript.whisperx[432].text |
我昨天也跟我們內政部長也跟他報告所以是不是內政部這邊跟我們衛福部這邊來蓋一棟模擬大樓狂風暴雨看看怎麼來輸救我們的護理師有一個護理師背一個105公斤的病人從11樓背下來 |
| transcript.whisperx[433].start |
12299.887 |
| transcript.whisperx[433].end |
12323.888 |
| transcript.whisperx[433].text |
全身黑媽媽全身都是煙所以我對我們的醫護人員我最深最深的謝意還有我們消防局警察局連軍團的都來那陳其萬院長後來21輛救護車也載了4個回到高雄長庚等等所以在這邊再一次的跟大家致謝那 |
| transcript.whisperx[434].start |
12327.92 |
| transcript.whisperx[434].end |
12351.766 |
| transcript.whisperx[434].text |
會發生這種事情我們大家都虛心來檢討那現在因為我們是重度專業所以我們的量要如何來提升如何來恢復那設備我剛剛跟部長報告現在的設備我們再幫他提升現在是這樣我們再幫他往上提升變成更先進這倒是是不是更好的方法請部長給我們開示給我們實施一下 |
| transcript.whisperx[435].start |
12357.82 |
| transcript.whisperx[435].end |
12373.077 |
| transcript.whisperx[435].text |
好,謝謝趙薇,真的也很感動趙薇這句虛話。她的觀念拍到手就直接用了。藉著她自己慘痛的經驗,她願意把這些經驗分享,也希望全國 |
| transcript.whisperx[436].start |
12374.438 |
| transcript.whisperx[436].end |
12375.959 |
| transcript.whisperx[436].text |
我們的停車場就可以容納一千人 |
| transcript.whisperx[437].start |
12403.479 |
| transcript.whisperx[437].end |
12405.38 |
| transcript.whisperx[437].text |
昨天早上到屏東去,他就看到,他就一直跟我鼓勵 |
| transcript.whisperx[438].start |
12423.325 |
| transcript.whisperx[438].end |
12424.266 |
| transcript.whisperx[438].text |
委員加油 |
| transcript.whisperx[439].start |
12452.926 |
| transcript.whisperx[439].end |
12467.083 |
| transcript.whisperx[439].text |
謝謝部長。來我們請李坤成委員質詢。好,謝謝主席。我們是請我們邱部長。部長請。 |
| transcript.whisperx[440].start |
12471.949 |
| transcript.whisperx[440].end |
12493.19 |
| transcript.whisperx[440].text |
市長好,今天我們衛福部來報告這個少子化對策的執行的成效那對於少子化這部分的話我相信對於新生兒還有對孕婦的照顧都相當的重要那可是我們看一下我們的資料在2023年呢台灣的新生兒死亡率是千分之2.8那嬰兒死亡率是千分之4.3 |
| transcript.whisperx[441].start |
12494.311 |
| transcript.whisperx[441].end |
12497.534 |
| transcript.whisperx[441].text |
台灣因兒死亡率的居高不下的原因在哪裡?那第二個,孕婦的死亡率。那孕婦的死亡率,台灣按照這個數字 |
| transcript.whisperx[442].start |
12520.953 |
| transcript.whisperx[442].end |
12529.911 |
| transcript.whisperx[442].text |
在2019年創下23年的新高,達到10萬分之16。近3年雖有下降,但是數字也有限,下降到10萬分之13到14。一樣, |
| transcript.whisperx[443].start |
12531.741 |
| transcript.whisperx[443].end |
12552.382 |
| transcript.whisperx[443].text |
相較於其他的這個日本跟韓國日本是10萬分之3.4韓國是10萬分之8.8都遠低於臺灣那這個在我們這個衛福部國民健康署也有一個在110年有一個降低孕產復興生兒及5歲以下兒童死亡率的策略規劃 |
| transcript.whisperx[444].start |
12553.323 |
| transcript.whisperx[444].end |
12566.119 |
| transcript.whisperx[444].text |
那我定下了一個2020永續發展目標請教一下部長這個今年是2024年的2020的這個發展目標這個孕婦死亡率要低於10萬分之11.6 |
| transcript.whisperx[445].start |
12570.175 |
| transcript.whisperx[445].end |
12584.768 |
| transcript.whisperx[445].text |
請問有沒有答到?然後還有這個降低5歲兒童及新生王死亡率5歲以下兒童死亡率要低於千分之5然後新生王死亡率要低於千分之2.4請問一下有沒有答到? |
| transcript.whisperx[446].start |
12586.975 |
| transcript.whisperx[446].end |
12606.619 |
| transcript.whisperx[446].text |
報告委員其實在臺灣醫療水準這麼高的情況之下是啊如果有這樣的一個data我們真的是必須要深切的來檢討深切的檢討而且這是2020年的一個你們的發展目標到現在2024年了沒有一個指標達到那到底原因是出在哪裡 |
| transcript.whisperx[447].start |
12609.164 |
| transcript.whisperx[447].end |
12632.471 |
| transcript.whisperx[447].text |
我想市長應該針對這個有做很多的一個探討,是不是吳市長要幫我們...我想這個第一個我們就孕婦的死亡率的部分來做分析,那因為我們的孕產婦的數量,就是所謂的母數下降的速度...我不要講總結數字,我想你們做了什麼,好不好? |
| transcript.whisperx[448].start |
12634.432 |
| transcript.whisperx[448].end |
12635.152 |
| transcript.whisperx[448].text |
為什麼4年過去的這個數字都沒有達標? |
| transcript.whisperx[449].start |
12657.739 |
| transcript.whisperx[449].end |
12677.773 |
| transcript.whisperx[449].text |
﹗ |
| transcript.whisperx[450].start |
12678.592 |
| transcript.whisperx[450].end |
12702.129 |
| transcript.whisperx[450].text |
這個出生 嬰兒的出生率但是我們連嬰兒的死亡率降低我們到目前為止還沒辦法做到好 這個也是 薛委員這個也是我們健康台灣裡面兩大重點要做的事情那第一個在 孕產後怎麼樣在第一孕第一孕期第二孕期第三孕期甚至到所謂的產後的第四孕期我們都來提出一個 |
| transcript.whisperx[451].start |
12704.04 |
| transcript.whisperx[451].end |
12732.134 |
| transcript.whisperx[451].text |
來策略那在另外一個重要的指標就是我們希望把新生兒的一個死亡率降到從5點多降到4以下所以是我們的一個未來的目標那在這個目標之下我相信我們會檢討我們所有不是啊你這個未來目標時間是要多長我們是預計4年內要降到OECD的一個至少是前半端 |
| transcript.whisperx[452].start |
12733.427 |
| transcript.whisperx[452].end |
12740.17 |
| transcript.whisperx[452].text |
前半段那所以呢至少你們有沒有達到你們2020年的目標就好我就我就問這個就好了有沒有辦法達到可能剛新勝國死亡利益這個沒有沒有達到對那我說你們未來4年有沒有辦法達到因為這是2020年了嘛那我只是問說這2020年的目標在賴總統的這4年有沒有辦法達到好了 |
| transcript.whisperx[453].start |
12761.691 |
| transcript.whisperx[453].end |
12786.58 |
| transcript.whisperx[453].text |
我相信以現在大家的體認跟團結跟為台灣的一個醫療的指標努力我們也跟專家都有做詳細的討論應該是可以達到我們的目標好那因為日本跟韓國的不管是孕婦或是新生兒的死亡率都比我們低能不能去做一下研究報告好不好就是說為什麼我們會 |
| transcript.whisperx[454].start |
12788.039 |
| transcript.whisperx[454].end |
12809.515 |
| transcript.whisperx[454].text |
日本跟韓國其實生活條件什麼都跟我們差不多嘛我們的醫療的水準我甚至覺得說還比他們還要好但是我們的孕婦跟新生的手力為什麼還是會比他們高你們去做個研究的報告好不好至少這兩個國家我們一起做個比較有什麼可以改善的地方我們稍微來檢討一下研究一下好不好 |
| transcript.whisperx[455].start |
12809.915 |
| transcript.whisperx[455].end |
12823.205 |
| transcript.whisperx[455].text |
那如果已經有報告了,你就提供給我們參考,好不好?好,如果有報告我們提供,沒有的話我們趕快來委託專家研究。好,謝謝,謝謝部長,謝謝主席。好,謝謝,謝謝李委員,謝謝部長。接續我們請楊耀委員質詢。謝謝主席,主席我請一下邱部長。 |
| transcript.whisperx[456].start |
12842.171 |
| transcript.whisperx[456].end |
12862.541 |
| transcript.whisperx[456].text |
部長少子化是一個很嚴重的問題那少子化的因素很多啦其中有一項大概就是照顧的問題所以我想國家在拖音的部分必須要再加把勁那我來跟部長討論一下 |
| transcript.whisperx[457].start |
12867.089 |
| transcript.whisperx[457].end |
12890.219 |
| transcript.whisperx[457].text |
0-2歲的嬰兒照顧問題今年大概有很多報道都指出很多縣市的父母親排不到公托那我當然知道這個是地方政府負責的事務不過部裡面這邊的政策跟經費應該是也可以多 |
| transcript.whisperx[458].start |
12892.995 |
| transcript.whisperx[458].end |
12922.995 |
| transcript.whisperx[458].text |
議員議員 |
| transcript.whisperx[459].start |
12925.738 |
| transcript.whisperx[459].end |
12940.671 |
| transcript.whisperx[459].text |
針對公脫設置的速度太慢,衛福部這邊政策方向大概是怎麼樣?當然我們持續一直爭取監會...代理署長回答也可以齁沒有,是實際上一直那個爭取監會齁所以預計我們113人會設置...113年就是今年了會設555處 |
| transcript.whisperx[460].start |
12948.138 |
| transcript.whisperx[460].end |
12949.58 |
| transcript.whisperx[460].text |
一萬七加一萬一千二一萬八 |
| transcript.whisperx[461].start |
12970.299 |
| transcript.whisperx[461].end |
12994.16 |
| transcript.whisperx[461].text |
1萬8那就要看部件的地區還是以假如我這邊資料沒有錯的話大概就是台北市跟桃園算是最嚴重的這個必須要就是因為少子化算是一個國安層級的問題所以衛福部這邊必須要協助地方政府 |
| transcript.whisperx[462].start |
12994.981 |
| transcript.whisperx[462].end |
12997.082 |
| transcript.whisperx[462].text |
在擴充量的同時怎麼兼顧照顧的品質? |
| transcript.whisperx[463].start |
13022.773 |
| transcript.whisperx[463].end |
13040.523 |
| transcript.whisperx[463].text |
委員好 這個照顧的部分我想我們大概是放在公托大概就是一個是托嬰中心一個是公共家園或者是給保母那第一個我們當然是要求就是絕對不能夠虐待小孩或不當對待我們就加強這個托育人員的這個教育訓練這是一個 |
| transcript.whisperx[464].start |
13041.653 |
| transcript.whisperx[464].end |
13068.604 |
| transcript.whisperx[464].text |
那第二個是我們在這個職場裡面的同仁是很辛苦的所以我們衛福部也提高了就跟行政院有爭取經費提高他們的這個待遇好那希望是能夠這個讓他們的在職場上面的條件是比較友善的我想這是我們的第二個做法那第三個待我們也是在那個加強我們縣市的同仁去做一些查訪平常的查訪跟以及做評鑑 |
| transcript.whisperx[465].start |
13070.264 |
| transcript.whisperx[465].end |
13073.393 |
| transcript.whisperx[465].text |
的這個有沒有做好這個照顧的工作 |
| transcript.whisperx[466].start |
13075.471 |
| transcript.whisperx[466].end |
13102.986 |
| transcript.whisperx[466].text |
這三個方向好像都是正確的啦就是教育訓練然後讓他的專業的能力提高提高待遇讓他的情緒好一點那查核這個方向是對的可是希望能夠落實啦我常常說政策目標也好法律也好 |
| transcript.whisperx[467].start |
13104.99 |
| transcript.whisperx[467].end |
13108.575 |
| transcript.whisperx[467].text |
訂的再好,落實不了都是白搭啦。 |
| transcript.whisperx[468].start |
13112.133 |
| transcript.whisperx[468].end |
13136.059 |
| transcript.whisperx[468].text |
部長我這邊還有一個問題就是監察院有指出說現在大概有176名特殊需求的兒少被安置在一般的護理指教跟身心障礙機構就是不是安置在應該安置的地方 |
| transcript.whisperx[469].start |
13137.68 |
| transcript.whisperx[469].end |
13151.658 |
| transcript.whisperx[469].text |
這個案你們應該有,你們現在要怎麼重新安置這一些特殊的、特殊需求的兒少來符合他的最佳利益?好,那我想 |
| transcript.whisperx[470].start |
13152.833 |
| transcript.whisperx[470].end |
13178.46 |
| transcript.whisperx[470].text |
特殊需求兒少安排在成人機構這個是因為有他特殊需求我們也希望想要得到更好的照顧那當然我們終極的目標就是希望他能夠回家不管是回自己的原生家庭或者是安養的一個縮養的家庭都是但是他如果需要還是需要在機構的話我們也會在長照的區域裡面做一個專區 |
| transcript.whisperx[471].start |
13179.36 |
| transcript.whisperx[471].end |
13180.78 |
| transcript.whisperx[471].text |
有的因為他的情況比較特殊所以不得不喊自災 |
| transcript.whisperx[472].start |
13207.594 |
| transcript.whisperx[472].end |
13216.651 |
| transcript.whisperx[472].text |
理論上應該是這樣子嘛,對不對?那我們把它安置在一般的護理之家或是身體障礙福利機構怎麼落實 |
| transcript.whisperx[473].start |
13221.516 |
| transcript.whisperx[473].end |
13221.656 |
| transcript.whisperx[473].text |
禮拜二 |
| transcript.whisperx[474].start |
13249.673 |
| transcript.whisperx[474].end |
13263.627 |
| transcript.whisperx[474].text |
就上個禮拜二總質詢的時候的時候要講還是因為就天后的關係所以就改成書面還是還是一樣是 |
| transcript.whisperx[475].start |
13265.72 |
| transcript.whisperx[475].end |
13287.691 |
| transcript.whisperx[475].text |
醫學中心的問題因為我覺得這個醫學中心的評鑑應該要由部長跟陳時中政委都在的時候來討論會比較好所以我才原本要因為陳時中部長就是一再承諾醫學中心一定要有升有降 |
| transcript.whisperx[476].start |
13289.377 |
| transcript.whisperx[476].end |
13309.968 |
| transcript.whisperx[476].text |
可是他離職了以後卻突然一次評鑑就增加了三家的醫學中心醫學中心一直增加一方面健保的支出會增加會吧?會不會? |
| transcript.whisperx[477].start |
13312.745 |
| transcript.whisperx[477].end |
13338.246 |
| transcript.whisperx[477].text |
醫學中心跟區醫院的幾戶是不一樣的嘛對不對會增加那健保健保收的少然後資的多現在大家一直在討論財源然後你們一直一直在增加醫學中心的數量從我們原本原本就台灣的人口數我們的評估是12家現在已經22家是 |
| transcript.whisperx[478].start |
13341.189 |
| transcript.whisperx[478].end |
13367.39 |
| transcript.whisperx[478].text |
那假如說我還是因為今天時間的關係我不想佔用其他同事的太多時間我就想說假如說你們只升不降那是不是已經升級的醫學中心就好好的讓他從事醫療機構就停止他的評鑑要不然他浪費一大堆一大堆時間做出很多書面 |
| transcript.whisperx[479].start |
13368.427 |
| transcript.whisperx[479].end |
13390.028 |
| transcript.whisperx[479].text |
然後可是對他來講沒有意義因為他已經升到醫學中心他也不可能再升了那台灣的制度除了陳時中部長一直堅持說他一定會有升有降以外卻都是只升不降那何必浪費時間來做評鑑呢 |
| transcript.whisperx[480].start |
13397.946 |
| transcript.whisperx[480].end |
13414.399 |
| transcript.whisperx[480].text |
平建也是要求當然平建我們希望不要造成醫院太多的行政作業現在是這樣子因為平建是這樣他已經到醫學中心但是他現在維持他的平建嘛但他平建無關他平建無關我們都不會幫他 |
| transcript.whisperx[481].start |
13419.213 |
| transcript.whisperx[481].end |
13426.301 |
| transcript.whisperx[481].text |
現在就是...就是...我現在講的就是...醫學中心是從來沒有...沒有...沒有...沒有...台灣從來沒有醫學中心被降過 |
| transcript.whisperx[482].start |
13438.376 |
| transcript.whisperx[482].end |
13465.21 |
| transcript.whisperx[482].text |
不然你再想一想因為這個問題我因為還有很多同事要質詢我不想佔用大家的時間不過你想一想說臺灣到底在健保的財務已經這麼困難的情況下醫學中心一直加速一直增加對於健保來講是一種傷害 |
| transcript.whisperx[483].start |
13466.553 |
| transcript.whisperx[483].end |
13480.809 |
| transcript.whisperx[483].text |
那醫學中心只升不降這個會不會造成醫學中心的的怠惰這個部長想一想我們有機會再再做討論謝謝部長謝謝主席謝謝央委員謝謝部長接續我們請黃伯昌委員質詢 |
| transcript.whisperx[484].start |
13495.639 |
| transcript.whisperx[484].end |
13522.553 |
| transcript.whisperx[484].text |
謝謝主席,麻煩邀請部長好,我這樣請委員好部長好,以前當委員的時候是同事啊是恭喜你當上衛福部部長是,謝謝我們直接進正題啊大選的時候,我們的總統賴清德說他告訴所有一屆的朋友點子不會低於0.9,要朝議員努力啊一開始是這樣講的 |
| transcript.whisperx[485].start |
13524.916 |
| transcript.whisperx[485].end |
13547.486 |
| transcript.whisperx[485].text |
後來繼續加碼健保點子平均要1.1億元然後有人酸他你做不到來不及他說我最有能力解決我來自醫界我想第一個基本的價值的問題我們要先處理你認為健保的點子1.1億元是不是在浪費公帑 |
| transcript.whisperx[486].start |
13550.22 |
| transcript.whisperx[486].end |
13567.015 |
| transcript.whisperx[486].text |
報告委員因為這是總額制總額制它的點子就基本上就會有變化所以呢所以你覺得賴清德總統是在亂開支票嗎我想他是希望朝著這一方面來努力不是嘛你一個要選總統的人開了政見就要兌現啊 |
| transcript.whisperx[487].start |
13571.007 |
| transcript.whisperx[487].end |
13597.406 |
| transcript.whisperx[487].text |
什麼叫做要朝這個方向來努力我們先講價值的問題嘛健保點值1.1元是不是在浪費公帑這個基本概念很重要啊因為我聽到我們的行政院院長卓榮泰啊說行政院編預算不可以浪費公帑啊我聽了覺得啊陣容發愧啊非常的有道理啊所以我們繼續往下走以前啊先處理這個基本價值的問題嘛 |
| transcript.whisperx[488].start |
13598.735 |
| transcript.whisperx[488].end |
13622.056 |
| transcript.whisperx[488].text |
如果今天有一個臨時任用的人員一年給他一百多萬原來是立委的助理莊角我一定說這是浪費公帑但健保點子一點億元牽涉到基層醫護全力的保障所以我才請教你健保點子一點億元是不是在浪費公帑 |
| transcript.whisperx[489].start |
13625.048 |
| transcript.whisperx[489].end |
13629.959 |
| transcript.whisperx[489].text |
會嗎?您覺得會浪費工廠嗎?您也來自醫界嘛。會不會浪費工廠? |
| transcript.whisperx[490].start |
13632.202 |
| transcript.whisperx[490].end |
13656.698 |
| transcript.whisperx[490].text |
有沒有讓位醫療資源這個就是說有沒有管理得當如果他管理得很好醫療需求也是需要我想全民應該體會到醫界是真的很認真很節儉的資源在照顧病人對嘛那民眾應該所以你來自醫界就知道嘛我們醫界是勒緊了孤袋在照顧病人嘛 |
| transcript.whisperx[491].start |
13658.206 |
| transcript.whisperx[491].end |
13664.953 |
| transcript.whisperx[491].text |
我每次去醫院的時候看見那些醫生護理師那麼辛苦我都希望可以幫他們多講一點話所以啊我們為了要幫賴清德主席貫徹他競選總統的政見我們上個會期簽了組決議這是跨黨派的委員 |
| transcript.whisperx[492].start |
13680.117 |
| transcript.whisperx[492].end |
13706.87 |
| transcript.whisperx[492].text |
因為在照顧醫護同仁、照顧病患不應該有顏色之分、黨派之分我相信部長絕對有這個高度嘛所以跨黨派的委員拿這個來給我簽的時候我看了完全沒猶豫就簽了啊三個黨團的總召全部都簽了啊114年6月30號以前要達到平均點值0.95元做做得到 |
| transcript.whisperx[493].start |
13709.144 |
| transcript.whisperx[493].end |
13734.322 |
| transcript.whisperx[493].text |
報告委員因為這兩個分兩個部分簡單報告第一個就是我們在談總額有一個總額的成長率這個我理解今年的成長率是5.5是可能是有史以來最高的是這中間就成長了531億是那另外行政院也預注了336億元那當然有很多的其中有180億元是比較屬於協助健保所以這兩個加起來其實也700多億了那 |
| transcript.whisperx[494].start |
13738.735 |
| transcript.whisperx[494].end |
13751.101 |
| transcript.whisperx[494].text |
那這700多位當然就是說我們醫療的同仁一定要去做點事情然後再再有收入這樣子沒有關係啊單刀直入一點一點全委員做不做得到 |
| transcript.whisperx[495].start |
13753.71 |
| transcript.whisperx[495].end |
13773.216 |
| transcript.whisperx[495].text |
我想我們現在的努力對點子一定有很大的幫助但是能夠預期到因為報告委員那個各區在訂他自己的點子其實他們也可以自己訂比如說臺北區他們的臺大醫院農總醫院剛剛楊耀委員在質詢的時候他很客氣啊 |
| transcript.whisperx[496].start |
13774.196 |
| transcript.whisperx[496].end |
13800.764 |
| transcript.whisperx[496].text |
他說他不要耽誤到後面委員的時間但我知道他該講的話沒講完我也是靜靜的在等他那我希望啦我給你一個問題你就給大家一個明快的答案嘛那要不然的話在那邊拖來拖去其實沒什麼意思啦今年暑假的時候啊衛福部的次長林靜儀說啊說要到0.95元需要挹注700億這個估計對不對 |
| transcript.whisperx[497].start |
13804.048 |
| transcript.whisperx[497].end |
13816.872 |
| transcript.whisperx[497].text |
這是我們依照這個健保的總額來算所以這個估計對不對?對還是不對?原則上用那個總額來算是差不多要需要這樣的經費這樣子那有編進去嗎? |
| transcript.whisperx[498].start |
13820.621 |
| transcript.whisperx[498].end |
13821.361 |
| transcript.whisperx[498].text |
我只問一個關鍵的問題,預算夠不夠? |
| transcript.whisperx[499].start |
13840.263 |
| transcript.whisperx[499].end |
13854.043 |
| transcript.whisperx[499].text |
這個預算必須要在醫療體系齁也在盡量改在醫療體系的改革因為現在全國人民聽不懂啊卓院長跟大家說有困難你說你有信心那現在大家到底要聽誰的聽卓榮泰的還聽你的 |
| transcript.whisperx[500].start |
13856.198 |
| transcript.whisperx[500].end |
13859.041 |
| transcript.whisperx[500].text |
我只要相信醫療體系能夠大家能夠配合政府的努力我相信達到這個目標是不遠 |
| transcript.whisperx[501].start |
13876.663 |
| transcript.whisperx[501].end |
13889.591 |
| transcript.whisperx[501].text |
我不敢講說一定0.95但是我們一定朝這個目標來部長你是來很厲害的上來質詢要幫你爭取預算然後你可以在那邊歐聯社都可以讓他回報阿部沒有關係啦 |
| transcript.whisperx[502].start |
13891.024 |
| transcript.whisperx[502].end |
13905.439 |
| transcript.whisperx[502].text |
我想我質詢的重點你聽得懂啦這屋乖總是要為政策的成敗負責任嘛記得這件事就好了如果錢明明不夠你在這邊說夠我們明年夏天我們一定會檢驗的好 謝謝好 謝謝委員 謝謝謝謝黃委員 謝謝部長繼續我們請鍾嘉賓委員質詢 |
| transcript.whisperx[503].start |
13921.508 |
| transcript.whisperx[503].end |
13945.368 |
| transcript.whisperx[503].text |
主席,在場的委員先進。列席的正午,江市長、官員會長、工作夥伴、媒體記者、女士先生。有請我們邱部長及護理師的曾專門委員。部長請。部長好。今天本來要談人工生殖,人工生殖的原因是不是就因為我們少子化的原因? |
| transcript.whisperx[504].start |
13951.894 |
| transcript.whisperx[504].end |
13958.42 |
| transcript.whisperx[504].text |
少子化那我們因為現在台灣的少子化程度你知道目前一年的人口出生數是多少嗎下一頁 |
| transcript.whisperx[505].start |
13963.48 |
| transcript.whisperx[505].end |
13980.213 |
| transcript.whisperx[505].text |
13萬多嗎?那麼其實我們現在是生不如死,一年短差已經到7萬了。而且從2020前就已經生得不如死的了。好,你知道越南一年的新生人口大概多少?你知道我常去越南看新南向的醫療。你知道我這次去他們告訴我多少嗎?一年的新生兒185萬。185萬。好,那 |
| transcript.whisperx[506].start |
13988.012 |
| transcript.whisperx[506].end |
13988.272 |
| transcript.whisperx[506].text |
但是我覺得要糾正。 |
| transcript.whisperx[507].start |
14010.376 |
| transcript.whisperx[507].end |
14021.853 |
| transcript.whisperx[507].text |
大家不要畏懼其實我認為要調高的是65歲這個提高啦其實我這次吼難得受傷去醫院住院還被推去受手術全身麻醉我才發現幫我推論你的年紀比我還大 |
| transcript.whisperx[508].start |
14023.482 |
| transcript.whisperx[508].end |
14045.662 |
| transcript.whisperx[508].text |
其實這呈現什麼其實現在我們的健康情況都很好很多人中高齡就業70歲以前他還可以做很多事情所以我們要思考一下不要只看到事情的負面的一面要看到他可能的正向影響我們的雖然高齡化了但是我們的高齡人口的健康情況是有在持續提高的這是拜我們醫療所示謝謝往下看 |
| transcript.whisperx[509].start |
14046.443 |
| transcript.whisperx[509].end |
14063.418 |
| transcript.whisperx[509].text |
好那目前我們需要的問題就是這樣所以看事情要看兩面你認為要解決目前我們護理人員是不是因為開人不足才開不出床來很多醫院都病床啊他明明可以開一千床的他開不到八成是不是有這個情況那怎麼解決這個問題部長所以我們用 |
| transcript.whisperx[510].start |
14067.189 |
| transcript.whisperx[510].end |
14093.78 |
| transcript.whisperx[510].text |
其實訓練的護理人員是夠但是留任力比較重要但是我們來想想看你們都是從醫護訓練的量來看他未來的從業的量這裡面有很大的一個水桶如果破了你補再多水還是漏光啊以前我們常開玩笑說啊也說最好的工作嘛錢多事少離家近對不對睡覺睡到自然醒休息休到怎麼腳抽筋有沒有這樣的工作 |
| transcript.whisperx[511].start |
14095.031 |
| transcript.whisperx[511].end |
14113.67 |
| transcript.whisperx[511].text |
我們的護理人員剛好相反啊他是怎樣前面有很多事情很多對不對離家近有沒有用常常要待命被擒是不是這樣這就封殺很多人停班停課醫護人員最辛苦就算沒有門診還是要在颱風天幫大家看病是不是這樣甚至有的公立醫院還發病了什麼 |
| transcript.whisperx[512].start |
14115.452 |
| transcript.whisperx[512].end |
14132.731 |
| transcript.whisperx[512].text |
臺豐門診意思說我門診照開啊臺豐家門診有沒有聽說為什麼服務我們的同仁嘛好不好同胞嘛是不是這樣是所以重點不只是提升待遇有人很斤斤計較在點子之外他提醒了要改善職場的負荷啦我們要護理人員不只待遇問題是不是負荷過重 |
| transcript.whisperx[513].start |
14136.345 |
| transcript.whisperx[513].end |
14155.667 |
| transcript.whisperx[513].text |
你錢可以多但是你事情沒有減少的話年輕人還是不願意投入啦這些受過醫護訓練的人還是不願意投入臨床啦是不是這樣子好我們往下看所以呢普遍的他是高工時低薪我們除了改善他的薪資之外其實重點是怎樣要讓他的工時降低 |
| transcript.whisperx[514].start |
14156.327 |
| transcript.whisperx[514].end |
14184.265 |
| transcript.whisperx[514].text |
或者那工時降低人就要增加啊你不增加人那工時沒辦法降低啊多一點人他能每個人工作時間降低第二個事情要減少我這次才發現呢我是住院啦往下看齁我們醫院很多很多的人力在做什麼往下一頁餵食嘛我當然不需要餵食啦齁我要自己叫那個副PANDA啦然後呢移動把我推出手術房叫我坐輪椅我說我就可以走路啊大哥你比我年紀還大他說不行你待會全身麻醉要坐輪椅誰來推輪椅你知道嗎 |
| transcript.whisperx[515].start |
14186.803 |
| transcript.whisperx[515].end |
14202.091 |
| transcript.whisperx[515].text |
派遣人力派遣人力有專業訓練嗎你知道現在看到派遣人力在醫院裡面還要很小心啊你不能叫什麼阿姨最忌諱叫阿姨都不能對年輕的長大對年長的女性叫阿姨連大姐都不能叫要稱美女因為你不還要年齡啊 |
| transcript.whisperx[516].start |
14203.41 |
| transcript.whisperx[516].end |
14227.183 |
| transcript.whisperx[516].text |
你知道這些推輪椅的在幫你黃金萊巡訪的這些美女們是護理人員嗎?很多都是派遣人員甚至是外籍看護是不是這樣?那這些人員如果受到專業的訓練能夠有效的分攤我們護理人員非核心的護理業務你覺得有沒有有助於我們解決目前錢少勢多護理人員的窘境?有可以幫助好那我要告訴你 |
| transcript.whisperx[517].start |
14227.952 |
| transcript.whisperx[517].end |
14249.806 |
| transcript.whisperx[517].text |
我雖然對於外籍看護他們的貢獻我沒有完全抹煞但是還是有一個問題他們受的訓練太少語言溝通能力不夠但是如果今天我們的我昨天才過去辭會他們在發一個問題就他們五專現在只剩連二專都沒辦法招了因為他們考試的關係但是呢我問過很多 |
| transcript.whisperx[518].start |
14251.206 |
| transcript.whisperx[518].end |
14260.609 |
| transcript.whisperx[518].text |
認為五專的護理訓練他如果未來是錯護理佐的問題啊護理護理佐的問題呢是錯作有益現在有護理佐理人員的一個規劃嗎有沒有護理佐理人員的規劃簡單講有這部分有因為我們目前有個12項計畫裡面有一個住院整合照護計畫裡面有這個這些護理佐理人員有規定要本國人嗎 |
| transcript.whisperx[519].start |
14275.322 |
| transcript.whisperx[519].end |
14297.958 |
| transcript.whisperx[519].text |
嗯,沒有規定。好,因為他們有本國證照嘛,對不對?但是你想想看,這些護理卓理人員如果用這些美女、帥哥、年紀長的、無技術能力的還是外籍的看護,用來台灣學習護理教育的這些年輕的僑外生,你覺得他們未來在台灣完成訓練後,來到醫院裡面從事這樣的護理卓理人員適不適當? |
| transcript.whisperx[520].start |
14300.848 |
| transcript.whisperx[520].end |
14317.411 |
| transcript.whisperx[520].text |
我們現在其實也在演繹很好趕快加速演繹時間快到了往下看所以我建議一下因為我常去這些東南亞國家他們這些國家遇到問題就是他們人員的專業訓練不夠他們都很嚮往來台灣接受完整的醫護技術訓練跟教育培養 |
| transcript.whisperx[521].start |
14318.092 |
| transcript.whisperx[521].end |
14338.255 |
| transcript.whisperx[521].text |
但是他們也希望能夠在這段期間台灣能夠投入一些有幾的工作這個如何跟勞動部跟教育部商量我覺得很重要但是你們要先把護理佐理這個人力需求切割出來這些僑外生受護理教育的僑外生他們才會有機會進入到臨床來減輕我們本國護理人員的負擔你同意嗎 |
| transcript.whisperx[522].start |
14340.152 |
| transcript.whisperx[522].end |
14340.532 |
| transcript.whisperx[522].text |
部長,下一位。 |
| transcript.whisperx[523].start |
14364.574 |
| transcript.whisperx[523].end |
14380.484 |
| transcript.whisperx[523].text |
其實啊,您的思考比較久,我很快樂時間,開玩笑。我跟您講,現種科技,傳動就把電力,現在叫儲能設施。儲能設施由於科技的發展,現在一個特斯拉的電動車,一個車庫有一個特斯拉,你這次颱風就算停電三天你也不怕。 |
| transcript.whisperx[524].start |
14381.184 |
| transcript.whisperx[524].end |
14408.18 |
| transcript.whisperx[524].text |
因為一個特斯拉的電池的供電量可以讓一個5人的家庭可以用3天所以目前如果我們用像醫院這種關鍵性的維生的一個機構應該轉換用安效為安全不是說絕對安全 較為安全的儲能設施或者是燃料電池來取掉傳統的柴電部長有沒有去盤點目前我們全國的醫護機構醫療機構他們目前的備援電力是用柴電還是用其他的先進技術有沒有評估過 |
| transcript.whisperx[525].start |
14414.874 |
| transcript.whisperx[525].end |
14433.824 |
| transcript.whisperx[525].text |
是的但是柴油已經證明了這是一個上個世紀的技術上個世紀的備援系統要趕快盤點避免再發生我們醫院的火警來往下最後一個結論請評估引進喬外森訓練後能擔任輔佐減輕我們醫護的壓力也請你在一個月內提出的說明報告我們醫療機構的原來的設置柴電的替代方案 |
| transcript.whisperx[526].start |
14434.424 |
| transcript.whisperx[526].end |
14436.647 |
| transcript.whisperx[526].text |
謝謝主席 主席有請邱部長 |
| transcript.whisperx[527].start |
14458.322 |
| transcript.whisperx[527].end |
14484.463 |
| transcript.whisperx[527].text |
部長晚安很開心可以來質詢這個過去的同事然後現在已經是我們的部長部長我想剛剛聽到我們蘇組蘇昭偉剛剛至情至心一番有關於安泰醫院的這個用心良苦的發言本席是相當肯定的不過就像剛剛包括連中嘉賓委員也在詢問就是有關於這個醫療機構的安全本席是特別的建議啦是不是我們接下來應該要安排一個就是醫療機構有關防 |
| transcript.whisperx[528].start |
14486.785 |
| transcript.whisperx[528].end |
14513.551 |
| transcript.whisperx[528].text |
災的安全專報反正大家都介意都在乎也在意那我們就可以一起來共同討論那麼包括安泰醫院他年底也要來進行這個所謂的相關的醫療評估的時候也不會讓大家覺得說因為這個榮譽院長是召委然後通過評估是不是有瓜田李夏或什麼我們就一起來關注我覺得這個對召委也是比較公平的不知道這個部長是不是可以同意那我們就趕快可以來也來安排我們到時候所有的委員也可以一起來關注 |
| transcript.whisperx[529].start |
14515.979 |
| transcript.whisperx[529].end |
14521.644 |
| transcript.whisperx[529].text |
這是在2019年5月17號當時我跟包括主席洪森漢委員然後賴品宇委員林昌作委員跟陳培宇委員我們當時針對人工生殖法該修法舉行了公聽會 |
| transcript.whisperx[530].start |
14537.178 |
| transcript.whisperx[530].end |
14565.715 |
| transcript.whisperx[530].text |
當時其實所有NGO團體最大的公約數就是單身女性跟同志伴侶要緊述來修正人工生殖法我知道今天前面有一些委員是說人工生殖已經來不及了最好還要提升到一步到位到代理育母的部分但是我剛剛看了一下我們專報的書面報告裡頭第一頁就說要將人工生殖跟代理育母採脫鉤的方式來處理喔那麼這個到底是不是肯定的 |
| transcript.whisperx[531].start |
14566.075 |
| transcript.whisperx[531].end |
14568.22 |
| transcript.whisperx[531].text |
因為我們都知道下一張 |
| transcript.whisperx[532].start |
14569.943 |
| transcript.whisperx[532].end |
14596.474 |
| transcript.whisperx[532].text |
在衛福部之前的預告裡面感覺上不是這樣人家說小孩才做選擇所以一次通通都要但是對於一個相關的醫療的法規的修正真的可以這樣嗎真的可以一步到位嗎當你如果爭議很多的時候會不會因為代理育母的爭議包括道德性的一些爭議甚至於說是不是子宮販售化像這樣的議題讓 |
| transcript.whisperx[533].start |
14599.155 |
| transcript.whisperx[533].end |
14599.175 |
| transcript.whisperx[533].text |
因為剛剛﹖ |
| transcript.whisperx[534].start |
14623.243 |
| transcript.whisperx[534].end |
14651.828 |
| transcript.whisperx[534].text |
我們也特別知道像這種一個修法或是一個制度的改變常常會牽涉到的是有沒有爭議沒有爭議的有沒有可能或者是說爭議少的可能先行那現在衛福部的態度到底是什麼會不會因為有別的委員希望一起搭上這班車然後一起把門打開那麼就讓原本爭議比較少的反而遭到阻礙 |
| transcript.whisperx[535].start |
14652.868 |
| transcript.whisperx[535].end |
14680.575 |
| transcript.whisperx[535].text |
部長謝謝委員的垂行我想我們對人工修法就是一直滾動式的需要應應這個社會的需求民眾的需求那我們一定要堅持幾個原則就是的一個不管是人工生殖的質理的最佳前代的一個利益還有就是在倫理各方面的一個考量 |
| transcript.whisperx[536].start |
14681.475 |
| transcript.whisperx[536].end |
14688.96 |
| transcript.whisperx[536].text |
我能不能獲得一個肯定的答案就是報告已經說了會脫鉤那麼有沒有可能沒有爭議的未婚女性跟 |
| transcript.whisperx[537].start |
14706.929 |
| transcript.whisperx[537].end |
14731.24 |
| transcript.whisperx[537].text |
同志、伴侶可以先行,還是真的就是要全部通通一起來?我是不是請吳署長先回答一下?好,署長。我想我們都是在努力當中,那這個是政策的定調,那未來也是,因為這個立法院這邊本身也有16個版本,那相關的需求都在裡面,那未來在討論的時候也會有相關的這些議題。 |
| transcript.whisperx[538].start |
14731.8 |
| transcript.whisperx[538].end |
14743.525 |
| transcript.whisperx[538].text |
那如果說爭議的部分到底你們怎麼樣來判讀判斷?如果說現在代理運母的部分?最後我們還是尊重立法院的審理結果好時間到我想後面還有其他的這些同仁好謝謝林委員謝謝部長那繼續我們請紅色浪委員質詢 |
| transcript.whisperx[539].start |
14763.846 |
| transcript.whisperx[539].end |
14786.38 |
| transcript.whisperx[539].text |
謝謝主席那請這個邱部長部長請委員好部長剛剛前面很多同仁其實當然都談到給討論到了這個人工生殖法是接下來下一步的狀況那我自己其實不管是衛福部的公聽會或立法院公聽會幾乎每一場我都參與是好 |
| transcript.whisperx[540].start |
14787.304 |
| transcript.whisperx[540].end |
14794.765 |
| transcript.whisperx[540].text |
那也把每一場的會議記錄跟各方的主張論述也都全部看過一遍 |
| transcript.whisperx[541].start |
14795.802 |
| transcript.whisperx[541].end |
14819.178 |
| transcript.whisperx[541].text |
那這為什麼當時其實我特別希望先通過女同志跟單身女性人工生殖法因為他共識相對高那尤其是在時間的流逝之下其實有很多女性其實真的等不及那當然接下來我想跟部長請教幾個更進一步的問題部長我看了一下當時衛福部提供的草案也請這個吳署長上來 |
| transcript.whisperx[542].start |
14822.014 |
| transcript.whisperx[542].end |
14838.944 |
| transcript.whisperx[542].text |
如果一位20到29歲的成年女性來看她可以決定結婚生子她在符合草案的條件規劃下符合草案的條件下她可以成為代理孕母代理母20歲可以但很奇怪 |
| transcript.whisperx[543].start |
14839.924 |
| transcript.whisperx[543].end |
14866.457 |
| transcript.whisperx[543].text |
他卻不能夠自己決定動卵後要決定做試管嬰兒因為我們在草案裡面說對不起單身女性要滿30歲才能夠自己決定做後面的形成受精卵或試管嬰兒部長為什麼一個20歲到29歲的女性他說我可以當代理孕母可是我卻不能決定我自己動的卵要去做試管嬰兒為什麼這個差別為什麼30歲才可以部長 |
| transcript.whisperx[544].start |
14867.694 |
| transcript.whisperx[544].end |
14887.172 |
| transcript.whisperx[544].text |
好 我想吳市長是專家齁沒有 這個是我們在專家會議討論裡面來講那論的這個部分必須要有一定的社會經濟能力的評估以後才這樣設定那一個20歲他可以變代理部但是他卻不能決定自己是來處理自己的受精卵沒有辦法 這只是中間的落差大家看不懂啊 |
| transcript.whisperx[545].start |
14896.212 |
| transcript.whisperx[545].end |
14916.841 |
| transcript.whisperx[545].text |
蘇董不能只推給專家啊那這個本來就是你要自己懷孕自己生子那你的家庭狀況必須要去考量啊是對那剛剛提到這個是要成為被代孕的委託部長我要先跟你反映這一點是一些很多民間團體很疑惑的地方為什麼這兩個之間的年齡落差接下來當然 |
| transcript.whisperx[546].start |
14917.779 |
| transcript.whisperx[546].end |
14930.193 |
| transcript.whisperx[546].text |
我要跟這個部長再談到其實民眾也很好奇喔當時的草案其實允許成立代孕服務機構那我想問一下衛福部目前其實盤點了全台灣可以可能會有多少家的代孕服務機構 |
| transcript.whisperx[547].start |
14932.335 |
| transcript.whisperx[547].end |
14952.864 |
| transcript.whisperx[547].text |
我們也是需要一定要成立這樣的機構目前沒有不是你的草案裡面說要成立代孕服務機構所以你們評估有可能我們有能力可以成立多少家嘛一定是我們評估有能力成立我才會去做這樣子的入法規劃嘛那評估會成立多少家 |
| transcript.whisperx[548].start |
14954.175 |
| transcript.whisperx[548].end |
14982.214 |
| transcript.whisperx[548].text |
我們未來還是要看需求啊成立了沒有需求還是沒有問題那我問你 你的評估結果你覺得需要多少家嘛你做的法規 入法的規範難道不用做這法規前面的評估嗎你有多少能量有可能可以有多少家我們目前台灣相對應的這些機構或組織有多少有能力去做這件事情衛福部有沒有掌握嘛我的問題是這個嘛這是大家的問題啊這是大家的疑問啊 |
| transcript.whisperx[549].start |
14985.045 |
| transcript.whisperx[549].end |
15010.368 |
| transcript.whisperx[549].text |
我想委員提的提的建議齁如果我們沒有把它理得太清楚我們會馬上來來來部長我要再繼續問了我也是把大家的問題要反映了對於孕母跟受託者來說最關鍵的事情就是這個叫做代孕契約之定型化內容與其應記載及不得記載事項這是最重要的事情那我要問衛福部這個會怎麼定 |
| transcript.whisperx[550].start |
15013.921 |
| transcript.whisperx[550].end |
15014.846 |
| transcript.whisperx[550].text |
這個我們目前也是在討論當中 |
| transcript.whisperx[551].start |
15016.499 |
| transcript.whisperx[551].end |
15043.054 |
| transcript.whisperx[551].text |
我的意思是說你在五月五月應該在朔前裡面你在五月的時候你做了這個草案的預告這個名詞出來以後大家對這個東西會有很多的疑問可是這幾個月下來很多相關的疑問都得不到衛福部的回答我自己覺得這是一件不太負責任的事情你把這個概念跟名詞跟法律入法丟出來了當大家都有疑問的時候你卻說沒有我這個還在討論中 |
| transcript.whisperx[552].start |
15045.376 |
| transcript.whisperx[552].end |
15065.16 |
| transcript.whisperx[552].text |
部長,你覺得這是OK的嗎?你不用跟我講完整的內容,你要告訴我這個內容裡面可能會有什麼東西,或它的價值是什麼?因為這個議告以後大家有很多的意見,我們都一直在收集,在開專家會議啦,所以可能在時間上還沒有跟對外來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來...來 |
| transcript.whisperx[553].start |
15073.021 |
| transcript.whisperx[553].end |
15079.754 |
| transcript.whisperx[553].text |
後續的調解機制是什麼在這裡面我們其實都沒有看到我要說的事情很簡單我自己並不全然反對代孕 |
| transcript.whisperx[554].start |
15081.633 |
| transcript.whisperx[554].end |
15104.283 |
| transcript.whisperx[554].text |
我自己並不全然反映代孕但是對於社會上面對整體代孕機制尤其是對於孕母的保障的部分當時這幾個月下來提出很多的問題但這些問題到目前為止我都沒有看到衛福部進而進一步的出來回應這些具體的問題只看到衛福部啪一聲在五月的時候丟出一個草案裡面擺入了一個代孕的專章 |
| transcript.whisperx[555].start |
15106.169 |
| transcript.whisperx[555].end |
15106.189 |
| transcript.whisperx[555].text |
部長 |
| transcript.whisperx[556].start |
15132.762 |
| transcript.whisperx[556].end |
15156.139 |
| transcript.whisperx[556].text |
嗯...現在也不是專章啦,大概是...就是你把待遇放入法了嗎?專節啦。對,專節。你把待遇放入法了嗎?那因為都一直在討論當中,所以其實也有很多委員一直在催時程,但是我們也快不了,因為就是有這麼多的疑惑,我們需要去跟專家再討論、再釐清、再擔心。不然我只要說的一件很簡單的事情,再一點點時間齁。 |
| transcript.whisperx[557].start |
15157.62 |
| transcript.whisperx[557].end |
15185.951 |
| transcript.whisperx[557].text |
今天代孕這一個事情事關重大我剛剛說了我也不全然反對可是確實社會有很多到底代孕這件事情怎麼運作它的機制是什麼遇到的問題該怎麼解決相關的問題我今天到目前為止我還是沒有辦法看到衛福部針對這些問題有一個相對清晰的回應如果沒有辦法有個清晰的回應一下子就要把這個代孕這件事情啪丟到法裡面 |
| transcript.whisperx[558].start |
15187.372 |
| transcript.whisperx[558].end |
15213.834 |
| transcript.whisperx[558].text |
其實我覺得途征非常非常多的困擾也會讓相對比較沒有爭議的剛剛說到包括女同志或單身女性可以往前走的部分受到很多的拖延這是為什麼希望說是不是比較沒有爭議的部分可以先往前走因為大家也會有急的急迫的感覺至於代孕的部分我們把相關的問題跟解決的方案給釐清了以後要不要脫鉤處理或要不要另外處理我們不反對這個事情 |
| transcript.whisperx[559].start |
15216.126 |
| transcript.whisperx[559].end |
15238.581 |
| transcript.whisperx[559].text |
首先這是概念是這個,所以我剛才是透過我希望能夠把大家有的疑問讓部長知道至少部長你應該知道到目前為止衛福部針對這些問題看起來我們一直以來我們包括所知也好包括詢問也好私底下詢問也好或在各個大大小小的場合都沒有聽到衛福部有具體而清晰解惑的回答 |
| transcript.whisperx[560].start |
15239.46 |
| transcript.whisperx[560].end |
15262.114 |
| transcript.whisperx[560].text |
其實委員的...委員的所知我們都知無不言言無不盡阿是一定提出來阿就盡...但如果知無不言言無不盡現在沒辦法提出就代表覺得沒辦法解決嗎?可能還在專家的討論阿可能還在專家的討論部長我說你說知無不言言無不盡可是當大家提出來得不到回答難道是因為這些問題真的沒辦法解決嗎?可能還要再跟...因為有雙方面的意見所以必須要再... |
| transcript.whisperx[561].start |
15263.829 |
| transcript.whisperx[561].end |
15291.111 |
| transcript.whisperx[561].text |
所以我們現在也一直在開專家的會議啦是我知道但是衛福部還是有責任要告訴大家到底這些大家疑問的點或者是對保障擔憂的點你的具體的方案跟回應是什麼如果沒有辦法我覺得就不應該匆忙的包括我認為甚至是不負責任的就把一個這樣子的代孕的概念放到草案裡面你又沒有辦法回答又要放我不懂這邏輯是什麼 |
| transcript.whisperx[562].start |
15292.928 |
| transcript.whisperx[562].end |
15307.314 |
| transcript.whisperx[562].text |
一般來講大概這個立法有很多執法規可以去解決的可以去處理的問題我知道執法規可以解決但我一樣要知道請問你所說的執法規是想要怎麼解決你不用現在給我看條文 |
| transcript.whisperx[563].start |
15307.654 |
| transcript.whisperx[563].end |
15309.235 |
| transcript.whisperx[563].text |
但我希望不要再犯之前那個狀況之前的那個問題 |
| transcript.whisperx[564].start |
15324.582 |
| transcript.whisperx[564].end |
15324.702 |
| transcript.whisperx[564].text |
好 謝謝委員 謝謝 |
| transcript.whisperx[565].start |
15351.857 |
| transcript.whisperx[565].end |
15353.339 |
| transcript.whisperx[565].text |
好 謝謝委員謝謝部長那繼續我們請黃婕委員質詢黃婕委員好謝謝主席請部長 |
| transcript.whisperx[566].start |
15375.182 |
| transcript.whisperx[566].end |
15396.682 |
| transcript.whisperx[566].text |
好部長好呃針對剛剛其實傷害委員的問題我想要接續啦因為其實總結剛剛所有委員的問題我認為衛福部還沒準備好你們真的還沒準備好那如果依照你們現在的草案要上路我認為是非常非常非常不負責任的 |
| transcript.whisperx[567].start |
15397.883 |
| transcript.whisperx[567].end |
15414.876 |
| transcript.whisperx[567].text |
為什麼要這樣講呢?其實我看完你們的草案我非常擔心啊。擔心什麼?因為其實民間,我不知道部長你知不知道在那個join平台上面有600多則的意見,針對你們的草案提出了大家的擔憂。請問你們有看嗎?你們有看嗎?有有有有,我們不但有看還是分類去請了開專家會議一直在討論。 |
| transcript.whisperx[568].start |
15424.147 |
| transcript.whisperx[568].end |
15425.748 |
| transcript.whisperx[568].text |
好,那我隨便舉幾個大家的意見,第一個 |
| transcript.whisperx[569].start |
15451.776 |
| transcript.whisperx[569].end |
15469.184 |
| transcript.whisperx[569].text |
請問這個代孕者裡面你們在草案的第22條裡面有寫到說現與有足月懷孕生產經驗而且沒有重大病發者這個是裡面的一個其中一個條件但是對於這樣子的條件他真的有辦法做到知情同意嗎 |
| transcript.whisperx[570].start |
15470.612 |
| transcript.whisperx[570].end |
15484.483 |
| transcript.whisperx[570].text |
怎麼說呢就是如果他沒有任何活產的經驗就是他沒有真的成功生下小孩的經驗他有辦法知道說我知道接下來作為一個代理孕母他可能會遇到什麼樣的情況嗎 |
| transcript.whisperx[571].start |
15487.528 |
| transcript.whisperx[571].end |
15514.854 |
| transcript.whisperx[571].text |
所以我們條文設計就是說要想成為代理姻母這件事他必須要有逐月順產的經驗他必須要有去媽媽的資格也有做孕婦的資格也都已經有那個經驗過了但我的意思是說他沒有生過嗎我們沒有規定我們規定他不可以的沒有生過就不可以啊所以在你們的文字裡面是有一定要生過小孩才可以一定要生過而且還是順產 |
| transcript.whisperx[572].start |
15516.496 |
| transcript.whisperx[572].end |
15536.05 |
| transcript.whisperx[572].text |
好那這個就是必須要在文字裡面寫到非常清楚這就是民眾的疑問再來在這個22條裡面還有一個這個其實剛剛有提到就是你們針對這個身心評估的標準跟程序目前看起來是沒有任何細節的而且是一個空白的授權是這樣子嗎 |
| transcript.whisperx[573].start |
15537.608 |
| transcript.whisperx[573].end |
15564.87 |
| transcript.whisperx[573].text |
我們已經在建置相關這些諮詢的機構還有它的條件還有諮詢的流程跟內容我們都已經有都正在建置完成已經建置完成了已經在建置當中已經在建置當中那我必須要說如果到時候照你們的這個版本出來如果沒有任何的具體的評估的程序以及標準沒有送出來之前這個版本是不能通過的好嗎可以嗎 |
| transcript.whisperx[574].start |
15567.729 |
| transcript.whisperx[574].end |
15590.744 |
| transcript.whisperx[574].text |
我想通過跟公告實施啦應該是都在公告實施之前我們必須要把這些完備因為你們沒有讓民眾知道說接下來可能的程序可能的標準是什麼然後你就先通過了然後空白授權之後再來說我們實施之後等要實施了就會生出來這樣是一個負責任的表現嗎你們還沒有辦法解決民眾的疑問就要先通過這個空白授權的內容 |
| transcript.whisperx[575].start |
15594.326 |
| transcript.whisperx[575].end |
15594.987 |
| transcript.whisperx[575].text |
署長,非常不負責任。 |
| transcript.whisperx[576].start |
15609.642 |
| transcript.whisperx[576].end |
15609.662 |
| transcript.whisperx[576].text |
好嗎? |
| transcript.whisperx[577].start |
15634.622 |
| transcript.whisperx[577].end |
15647.304 |
| transcript.whisperx[577].text |
再來最後一個我認為你們也應該先把代孕的定型化契約拿出來因為你們現在也都沒有你嘛沒有你對吧有你啊為什麼沒有讓大家看 |
| transcript.whisperx[578].start |
15650.57 |
| transcript.whisperx[578].end |
15667.875 |
| transcript.whisperx[578].text |
對啊沒有任何的內容然後就跟大家說反正我們先通過到時候契約的內容等你們定執法等你們要施行了再來決定這些文字白紙黑字先出來好不好先讓民眾先知道說接下來可能會遇到什麼情況是請問您是副署長副署長 |
| transcript.whisperx[579].start |
15669.135 |
| transcript.whisperx[579].end |
15692.516 |
| transcript.whisperx[579].text |
報告委員那個有關那個所謂的那個應通報就是那個應記載跟不記載事項他是屬於契約內容不過我們一直有在開專家會議可是因為他不是屬於法定的預告內容我們現在目前是沒有預告所以這個就是我一直在說的你們就覺得他不是法定應該要預告的內容你們就不用讓民眾知道是這樣子嗎不是我們其實開會的時候相關的NGO團體都有來參加 |
| transcript.whisperx[580].start |
15696.039 |
| transcript.whisperx[580].end |
15723.806 |
| transcript.whisperx[580].text |
所以呢不用讓民眾知道嗎?你們可以在這麼就是黑箱的程序之下不用解決民眾的疑慮然後就打算這樣草率的上路這是我最大的擔憂喔因為我認為在沒有完備所有這個代孕者的他的身體自主權以及尊重他的身體之前這樣的草案都是都不是正確的 |
| transcript.whisperx[581].start |
15724.446 |
| transcript.whisperx[581].end |
15746.19 |
| transcript.whisperx[581].text |
所以當然我希望好我知道時間到了最後我希望說你們還是要考慮一下先脫鉤處理的可能性是不是沒有爭議的單身女性以及女同志就先讓她上路了有爭議的之後等你們把這些定型化契約身心評估的程序標準全部定出來之後我們再來好好的讓她細緻完整的上路啊好不好 |
| transcript.whisperx[582].start |
15746.53 |
| transcript.whisperx[582].end |
15746.93 |
| transcript.whisperx[582].text |
我們請吳春成委員諮詢。 |
| transcript.whisperx[583].start |
15778.797 |
| transcript.whisperx[583].end |
15780.709 |
| transcript.whisperx[583].text |
邀請衛福部邱部長 |
| transcript.whisperx[584].start |
15789.225 |
| transcript.whisperx[584].end |
15814.795 |
| transcript.whisperx[584].text |
部長你辛苦了在開始我想邀請你一起跟我們那個昭緯蘇清泉昭緯致敬對於屏東的災情還有醫院的災情表達慰問同時我們蘇昭緯現在不僅一肩扛起所有責任而且還坐在這裡處變不驚 |
| transcript.whisperx[585].start |
15817.285 |
| transcript.whisperx[585].end |
15829.416 |
| transcript.whisperx[585].text |
主持會議這是忍者跟勇者的精神那我們做所有事情都應該效法這種精神我們跟他表達敬意好不好來那個敬禮敬禮敬禮 |
| transcript.whisperx[586].start |
15833.373 |
| transcript.whisperx[586].end |
15835.314 |
| transcript.whisperx[586].text |
今天這個少子化的問題,其實我看了我們所有的報告,我看得實在越來越沉重。 |
| transcript.whisperx[587].start |
15852.065 |
| transcript.whisperx[587].end |
15867.65 |
| transcript.whisperx[587].text |
都是補助!補助!補助!哇!我們知道政府這麼有錢啦!這麼多東西都可以補助!社福預算都8300億了還一直補助喔!然後所以呢好了這個下一代之意真正少子化的原因就是 |
| transcript.whisperx[588].start |
15868.43 |
| transcript.whisperx[588].end |
15868.79 |
| transcript.whisperx[588].text |
那現在呢? |
| transcript.whisperx[589].start |
15893.351 |
| transcript.whisperx[589].end |
15918.338 |
| transcript.whisperx[589].text |
有什麼解方我也沒有聽到什麼解方不是靠補助能夠解決這個問題的啦現在就撞世代是一個可行的方法把分子撞起來拉下來當分母不是成為一個寄生者依賴者能夠成為生產者消費者把我們的臺灣的底盤撞起來大家才有未來而且世代也會更和諧這個是你現在都講是是是就對了 |
| transcript.whisperx[590].start |
15920.9 |
| transcript.whisperx[590].end |
15922.081 |
| transcript.whisperx[590].text |
接下來,龐大的高齡浪潮,這個叫英法海嘯,800萬人,85% |
| transcript.whisperx[591].start |
15940.36 |
| transcript.whisperx[591].end |
15957.982 |
| transcript.whisperx[591].text |
我們不能我們要避免人口土石流啦大家都崩壞都臥床啦所以必須要發展這個雙軌制有照護性跟發展性的這種政策壯實在就是一個發展性的政策那部長這個贊不贊成這樣的非常支持非常支持好謝謝 |
| transcript.whisperx[592].start |
15959.984 |
| transcript.whisperx[592].end |
15980.853 |
| transcript.whisperx[592].text |
所以我們要把銀髮海嘯變成國家發展的動力。這個不是只有衛福部的事情。你知道我看著所有的部會把高齡的事情都丟給衛福部了。大家都不習慣了。所有的部會高齡的預算都不到1%。我今天早上還執行國科會的五層位。他說科技不能為特定人服務。 |
| transcript.whisperx[593].start |
15981.573 |
| transcript.whisperx[593].end |
16004.742 |
| transcript.whisperx[593].text |
我說他說高齡人是特定人他沒有高齡的政策我說這個現在高齡者在人口三分之一咧三分之一叫特定人喔所以他們腦袋都沒有轉過來啦就覺得老人都打紅都面啦不用教育不用文化不用科技不用數位打紅都面啦啊大家紛紛倒下來都要推給你推推給衛福部你千萬不要一肩扛起好不好 |
| transcript.whisperx[594].start |
16005.862 |
| transcript.whisperx[594].end |
16007.003 |
| transcript.whisperx[594].text |
臺灣為一半人口的事情全方位的事情齁 |
| transcript.whisperx[595].start |
16021.522 |
| transcript.whisperx[595].end |
16041.261 |
| transcript.whisperx[595].text |
所以這裡其實我提了一個壯世代裡面有一個象限就是其實我們可以發展長壽經濟這經濟部也要做然後包括活化三分之二資產在他們手上要活化資產還有包括勞動部解放勞動力然後才有辦法好好的照顧我們這一些弱勢的社福世代平權所以我 |
| transcript.whisperx[596].start |
16041.821 |
| transcript.whisperx[596].end |
16047.103 |
| transcript.whisperx[596].text |
政府應積極推動輔助壯士財產業發展並結合財稅及金融制度、土地及建物活用提供壯士財產業發展政策 |
| transcript.whisperx[597].start |
16058.446 |
| transcript.whisperx[597].end |
16087.069 |
| transcript.whisperx[597].text |
培植新創級產業鏈,促進長壽經濟的發展。部長同不同意。非常同意。非常同意。謝謝。再請問部長同不同意。政府應建立壯世代的新形象,藉由合理的機制尊重維護世代共存共榮的新文化,並積極建立相關的文化產業。同不同意。這是一個國家應該做的。謝謝部長。再來就針對活躍性的解放勞動力。這裡請問部長同不同意。應該積極地推動壯世代的就業,建立合以媒合及培訓機制, |
| transcript.whisperx[598].start |
16088.07 |
| transcript.whisperx[598].end |
16105.535 |
| transcript.whisperx[598].text |
在尊重及反歧視原則下,創造壯士在適性就業環境並積極推動彈性工作,高利有向職場的指標及退休準備,如此可以有助於補充勞動市場所需勞動力與人才。部長同不同意?我記得我當召委的時候是通過了中高點就業的。對對對,那就是,那 |
| transcript.whisperx[599].start |
16110.456 |
| transcript.whisperx[599].end |
16132.342 |
| transcript.whisperx[599].text |
接下來就安穩型的活化資產請問部長同不同意藉由資產的活化帶動經濟產業的發展是否應建立超高齡社會金融行動方案指標提供相關的金融商品或投資的鼓勵措施建構壯士代金融生態系並同時積極的提供壯士代普及公正的金融教育強化金融的勢能 |
| transcript.whisperx[600].start |
16132.602 |
| transcript.whisperx[600].end |
16138.045 |
| transcript.whisperx[600].text |
政府應促成公私部門與學術機構的合作,促進狀態研究資源的運用,並成立或指定狀態生活需求長期性應用性基礎性的調查研究的專責單位 |
| transcript.whisperx[601].start |
16158.622 |
| transcript.whisperx[601].end |
16169.276 |
| transcript.whisperx[601].text |
政府應與大學合作整合相關的教育資源培訓機構及團體協助建立以形塑良好的環境宣傳推廣原本及滿足第三男生需求的理念 |
| transcript.whisperx[602].start |
16169.696 |
| transcript.whisperx[602].end |
16171.759 |
| transcript.whisperx[602].text |
政府應協助壯士代積極參與數位社會,創造數位平權環境,以使壯士代智慧資產有效貢獻社會。 |
| transcript.whisperx[603].start |
16189.447 |
| transcript.whisperx[603].end |
16215.179 |
| transcript.whisperx[603].text |
上面所有的問題有一個關鍵就好像我舉個例子我在台大醫院教授如果退休像我是退休我是名義教授那年輕人都叫醫生出去不可以再進來不然我們都沒辦法開啦我們手術房都那個這個是一個很錯誤的觀念就是要老的不退年輕沒機會我的意思就是說他應該扮演什麼角色是未來整體要思考的所以這個基本上他參與 |
| transcript.whisperx[604].start |
16216.739 |
| transcript.whisperx[604].end |
16221.84 |
| transcript.whisperx[604].text |
這一個就是明年進入台灣超高齡社會元年我們一起送給全民一個大禮物在82天就進入超高齡社會了所以呢這個會期 |
| transcript.whisperx[605].start |
16241.264 |
| transcript.whisperx[605].end |
16257.563 |
| transcript.whisperx[605].text |
我們提出了壯世代政策與產業發展促進法部長你剛才幾乎同意了大部分的條文了所以在這個法案我們主審是在衛福部要請衛福部的全力支持而且這個是我們這一屆當中唯一一個 |
| transcript.whisperx[606].start |
16258.524 |
| transcript.whisperx[606].end |
16259.825 |
| transcript.whisperx[606].text |
謝謝林委員 謝謝部長繼續我們請侯孟楷委員質詢 |
| transcript.whisperx[607].start |
16290.225 |
| transcript.whisperx[607].end |
16314.353 |
| transcript.whisperx[607].text |
主席謝謝麻煩請邱部長部長好部長今天關注少子化的對策跟成果這個書面報告本席非常認真仔細的把它給看完但是幾個部分我想還是要就教一下您認不認為現在我們台灣的少子化或是新生兒的這個負成長的狀況非常嚴重 |
| transcript.whisperx[608].start |
16317.899 |
| transcript.whisperx[608].end |
16345.216 |
| transcript.whisperx[608].text |
應該是很重應該?不能講應該,您是主管機關欸0到2歲算是我們衛福部的主要責任欸您知不知道說2023年我們新生兒有多少人?十四十三萬五千沒關係,怕是可以打大聲一點或直接上來部長旁邊好不好我不是考,不是隨堂測驗但是總是最基本的數字要在心裡面嘛是那8月的新生兒有多少位?8萬多 |
| transcript.whisperx[609].start |
16348.297 |
| transcript.whisperx[609].end |
16353.18 |
| transcript.whisperx[609].text |
8月到8月份11600多人到8月1月到8月是85000人 |
| transcript.whisperx[610].start |
16358.872 |
| transcript.whisperx[610].end |
16378.14 |
| transcript.whisperx[610].text |
1月到8月是8萬5千人換言之過去8個月8萬5千人如果說這樣推估到今年12月底的時候這樣子的一個平均數應該是13萬人以內會比去年還要再少了5千人而今年是龍年 |
| transcript.whisperx[611].start |
16379.488 |
| transcript.whisperx[611].end |
16392.265 |
| transcript.whisperx[611].text |
我們之前都講講說龍寶寶龍寶寶大家會覺得是說龍年的時候新生兒會比較多但是現在看起來今年只有13萬人甚至可能不到問題嚴不嚴重 |
| transcript.whisperx[612].start |
16394.355 |
| transcript.whisperx[612].end |
16421.16 |
| transcript.whisperx[612].text |
嚴重嚴重真的嚴重部長剛剛我特別看一下你的這個報告裡面全部幾乎啦都是補貼補助較多立法院的預算中心這邊有提到少子化對策經費不管是衛福部跟11個部會共同推動總共我們合計編列有高達上千億元主要分三塊兒童教養公托以及友善生養的環境措施 |
| transcript.whisperx[613].start |
16422.02 |
| transcript.whisperx[613].end |
16428.397 |
| transcript.whisperx[613].text |
部長這三項執行的部分您清不清楚執行率 |
| transcript.whisperx[614].start |
16432.84 |
| transcript.whisperx[614].end |
16460.231 |
| transcript.whisperx[614].text |
說實在我直接說少子女化的對策我們有分四個方面那第一個0到2歲的前面照顧那這個部分都有在補助跟公托的推設立都有長足的進步那在兒童健康權益保護方面我們也成立了核心的醫院來解決兒童寒難、急然症還有重症的轉印等等的這些還有 |
| transcript.whisperx[615].start |
16461.351 |
| transcript.whisperx[615].end |
16463.414 |
| transcript.whisperx[615].text |
那其實這三大對策裡面友善生養環境的執行率甚至不到7成 |
| transcript.whisperx[616].start |
16479.912 |
| transcript.whisperx[616].end |
16480.833 |
| transcript.whisperx[616].text |
那部長本席只想要確認一下 |
| transcript.whisperx[617].start |
16507.591 |
| transcript.whisperx[617].end |
16526.62 |
| transcript.whisperx[617].text |
我們花了那麼多的費用我不是講說這些費用不應該花喔如果說花有效的話執行有效的話當然我們應該投入而且少子女化本來就全世界大家都想要努力的目標但請告訴我因為今天的召委他其實的報告內容是成果跟未來規劃 |
| transcript.whisperx[618].start |
16528.39 |
| transcript.whisperx[618].end |
16547.682 |
| transcript.whisperx[618].text |
那我們只想問一件事我們到今年投入了那麼多的預算衛福部投入那麼多的一個經費的時候但是看起來是負成長那我們有沒有預期至少我們可以達到什麼樣的成果我們能夠多增加多少的誘因還是說什麼時候我們可以擺脫變成是正成長部長心裡有沒有一個藍圖 |
| transcript.whisperx[619].start |
16551.104 |
| transcript.whisperx[619].end |
16576.082 |
| transcript.whisperx[619].text |
我想這個牽涉到蠻多的啦,我們那個寶祖會願意好的環境,讓他願意生,也可以養,可是他是不是在價值觀的問題,今天也有人講嘛,不要結婚等等的這些問題,是不是在整體社會的一個社會的一個文化的一個 |
| transcript.whisperx[620].start |
16578.472 |
| transcript.whisperx[620].end |
16591.85 |
| transcript.whisperx[620].text |
變遷齁,我們準備來調整,我個人是覺得怎麼樣,就像我跟蘇偉那個時代,我們醫學生齁,有人去娶老婆生孩子,我都覺得那是異例,但是現在醫學院是特設檔齁 |
| transcript.whisperx[621].start |
16602.899 |
| transcript.whisperx[621].end |
16615.869 |
| transcript.whisperx[621].text |
時代在改變價值觀在改變沒有就像以前可能大家會覺得說代求結婚可能大家會覺得說比較羞於告訴別人但現在會覺得是雙喜臨門嘛這點我都理解但我的意思是說我們不能 |
| transcript.whisperx[622].start |
16616.529 |
| transcript.whisperx[622].end |
16633.621 |
| transcript.whisperx[622].text |
政府部門做事跟一般的民間做事最大不同就是政府部門做事你投入了那麼多的預算你總是會有短期中期長期的一個成效那我們到底什麼時候我們預估成效是多少還是你現在投入那麼多的經費沒有辦法有任何一個目標 |
| transcript.whisperx[623].start |
16635.405 |
| transcript.whisperx[623].end |
16663.189 |
| transcript.whisperx[623].text |
我知道我的時間有限但我還有另外一個嚴重的問題想要跟您就教在《煙害防治法》裡面在10月7號的時候預告期滿就是禁止添加使用物的部分對不對那總共這一次在兩個月裡面有多回收了一萬兩千多則的意見跟留言那其中大部分我們也都看過了其實最主要加味煙為什麼大家會覺得說它很嚴重就是因為加味煙在很多的學者 |
| transcript.whisperx[624].start |
16663.609 |
| transcript.whisperx[624].end |
16666.631 |
| transcript.whisperx[624].text |
但是現在我們是從禁止花香果香巧克力等香口味變成禁27種添加物成分 |
| transcript.whisperx[625].start |
16684.295 |
| transcript.whisperx[625].end |
16698.267 |
| transcript.whisperx[625].text |
那人民眾一般人還是會覺得疑惑到底進27種添加物的成分那就代表第28種第29種未來只要新興的不在這27種裡面的就是可以加了是這樣嗎 |
| transcript.whisperx[626].start |
16701.808 |
| transcript.whisperx[626].end |
16720.503 |
| transcript.whisperx[626].text |
我們的方向是什麼我們的法條寫的就是禁止中央主管機關公告之添加物是但是這樣就變成你是正面表列你現在27種你如果說之後有28種29種或是其他的你沒有在那裡面的是不是菸商就可以把它加進去那就代表是說你就開了一個後門跟巧門給菸商嗎 |
| transcript.whisperx[627].start |
16721.943 |
| transcript.whisperx[627].end |
16737.776 |
| transcript.whisperx[627].text |
年來的市總會正面表的也是滾動檢討滾動檢討但是現在大家看到的所有你這次公告兩個月之後所有的意見是不是多數人還是認為是說加味煙他是讓人家有疑慮的而且再者你們公告完之後是給18個月的緩衝期 |
| transcript.whisperx[628].start |
16746.328 |
| transcript.whisperx[628].end |
16752.998 |
| transcript.whisperx[628].text |
而不是像之前煙害防治法47條行政院公布後一個月就要實施了為什麼還要再給18個月緩衝期 |
| transcript.whisperx[629].start |
16755.563 |
| transcript.whisperx[629].end |
16783.595 |
| transcript.whisperx[629].text |
因為這些菸品假設它現在已經在市面流通了那你公告禁止它那這些市面流通的我們沒有辦法馬上叫它回收啊為什麼沒有辦法馬上叫它回收因為它本身就是如果說你認為這個東西這個東西我們法令禁止公告了如果說真的認為是說對於我們人體是有危害或是說對於會影響到青少年使用以及讓抽菸年齡不斷下修的話那就代表是說它可能有部分的疑慮 |
| transcript.whisperx[630].start |
16786.089 |
| transcript.whisperx[630].end |
16804.369 |
| transcript.whisperx[630].text |
部長我特別查了一下我以前有抽菸啦學生時代有抽但現在真的是幾乎沒有但是我要問的是你知不知道菸品的保存期限是多久一包菸最長就一年半一年半18個月 |
| transcript.whisperx[631].start |
16805.874 |
| transcript.whisperx[631].end |
16826.047 |
| transcript.whisperx[631].text |
所以你公告緩衝期18個月我不禁就認為說你根本就是幫煙商煙商好朋友欸等於是說當我們公告的時候跟你講說緩衝期有18個月剛好你現在市面上最近做出來的煙保存期就18個月所以你就是可以把你現在市面上18個月的煙都賣完那不就是煙商好朋友嗎 |
| transcript.whisperx[632].start |
16831.411 |
| transcript.whisperx[632].end |
16851.418 |
| transcript.whisperx[632].text |
我們公告禁止以他製造阿所以公告禁止他製造以後所以製造完之後所有製造出來的都可以讓他在市面上賣完之後才會截止新做的都不能加入阿就不能在市面上來是阿所以說就變成是說你只要現在有的你都可以讓他賣完賣完在市面上所有賣完你覺得這樣子合理嗎你怎麼會那麼的量身打造阿 |
| transcript.whisperx[633].start |
16858.309 |
| transcript.whisperx[633].end |
16885.089 |
| transcript.whisperx[633].text |
煙品剛好保存期限18個月我的公告緩衝期就是18個月有這麼好的事情有這麼多好的事情部長之後你們這個法條還會再修正之後才會再拿出來提出政願然後再送到立法院嘛對不對是不是部長我真的希望是聽到民眾聽到社會大眾的意見好 |
| transcript.whisperx[634].start |
16885.93 |
| transcript.whisperx[634].end |
16886.33 |
| transcript.whisperx[634].text |
這是我們的方向,謝謝。 |
| transcript.whisperx[635].start |
16911.944 |
| transcript.whisperx[635].end |
16915.187 |
| transcript.whisperx[635].text |
謝謝副委員謝謝部長繼續我們請楊瓊英委員質詢謝謝主席楊瓊發言邀請部長部長請 |
| transcript.whisperx[636].start |
16932.625 |
| transcript.whisperx[636].end |
16958.293 |
| transcript.whisperx[636].text |
委員好部長好我要跟你討論電價的問題是因為這一次呢在電價審議委員會他就通過要漲價漲價了之後我們發覺到醫療院所24小時不能斷電ICU開刀房更是要低溫才能夠殺菌在這樣的情況之下如果在這個階段又把醫療院所 |
| transcript.whisperx[637].start |
16959.153 |
| transcript.whisperx[637].end |
16983.749 |
| transcript.whisperx[637].text |
的這個店家長了14%那這個真的是白色巨塔的噩夢對不對所以我們大家跟著我們的召委大家一起反應終於部長也聽到了院長也聽到了所以他就在隔天就公告了我們的這個醫療院所他 |
| transcript.whisperx[638].start |
16985.128 |
| transcript.whisperx[638].end |
17012.182 |
| transcript.whisperx[638].text |
他是什麼?不是部長喔,而是董長,對不對?當你提到你聽到董長的時候,你是不是說會怕怕不怕?我們反應了,他董長。我們不反應,他就順勢給你長。但是你是這個一屆的大家長。我們看到這樣子想要強度關山,還好被我們攔住了。但是這是短暫的。 |
| transcript.whisperx[639].start |
17013.775 |
| transcript.whisperx[639].end |
17020.706 |
| transcript.whisperx[639].text |
所以針對於醫療院所的電力的問題你有什麼看法怎麼協助他們 |
| transcript.whisperx[640].start |
17022.293 |
| transcript.whisperx[640].end |
17044.561 |
| transcript.whisperx[640].text |
是因為的確齁因為如果讓醫療院所能夠順利運作才能夠照顧好人民的健康所以我想感謝各位委員齁幫助醫療院所讓他們能夠更加的能夠順暢來運作就是我們務必要全力以赴但是一朝被蛇咬十年怕草啊沒關係啦因為這次我講這次齁就是說 |
| transcript.whisperx[641].start |
17047.882 |
| transcript.whisperx[641].end |
17067.807 |
| transcript.whisperx[641].text |
因為這是審議委員會,他也沒有去分清楚,他覺得這是農藝業什麼什麼,所以受益就在動,受益動長。所以當你噴到這樣子的面,你怎麼處置?我們當然去反映說醫療跟,我想我們的心情都跟委員一樣。你怎麼來什麼動作,來協助我們的醫療院所? |
| transcript.whisperx[642].start |
17072.288 |
| transcript.whisperx[642].end |
17091.535 |
| transcript.whisperx[642].text |
你要有動作啊你是大家長欸對不對有兩個意見第一個告訴政府醫療院所不能去照顧全民這是立足點最重要的公平點認不認同要不要去講有這個我們都有反應第一個第二個有人就呼籲 |
| transcript.whisperx[643].start |
17092.731 |
| transcript.whisperx[643].end |
17106.719 |
| transcript.whisperx[643].text |
也就是說萬一他如果真的要漲我們怎麼辦那也不能倒這是生命只有一個非常嚴肅的議題所以因此是不是應該要編列公務預算來補助我們的醫療院所的電價有沒有這個思維 |
| transcript.whisperx[644].start |
17112.762 |
| transcript.whisperx[644].end |
17140.126 |
| transcript.whisperx[644].text |
有人提出這樣子所以本席要提出這也是可以研議的一個方法研議的方法我請你研議好不好因為我覺得醫生啊醫療院所你不要再煩惱了他全力的一道專業來照顧人民的健康好不好所以你說這個是一個方向你去研議好不好我完全是站在怎麼樣維護全民的健康一定要有好的醫療院所來照顧好你就研議大概多久時間可以告訴本席 |
| transcript.whisperx[645].start |
17141.337 |
| transcript.whisperx[645].end |
17142.542 |
| transcript.whisperx[645].text |
在外國可以告訴我這個方案 |
| transcript.whisperx[646].start |
17143.953 |
| transcript.whisperx[646].end |
17146.735 |
| transcript.whisperx[646].text |
那你多久可以告訴我你的方案? |
| transcript.whisperx[647].start |
17172.627 |
| transcript.whisperx[647].end |
17175.823 |
| transcript.whisperx[647].text |
讓醫界放心嘛安心嘛你多久可以提出 |
| transcript.whisperx[648].start |
17176.772 |
| transcript.whisperx[648].end |
17203.29 |
| transcript.whisperx[648].text |
我想我們原理一個月就...一個月告訴我們是不是會用公務預算編列來撥補我們的醫療院所的電費這個調漲的電價我想只要合理的只要我們爭取有道理我相信以目前的行政院都會盡量支持我全力支持你你趕快幫我編列好不好我全力支持 |
| transcript.whisperx[649].start |
17207.512 |
| transcript.whisperx[649].end |
17225.541 |
| transcript.whisperx[649].text |
在一個議題告訴你新冠肺炎呢感染了這30天內的死亡率那麼呢他跟他相對你非再次感染的我還比較起來是4.29倍在這樣的情況之下我們又用年齡層的級距來討論18到49歲的族群來作為65歲到74歲他的風險是高於65到74 |
| transcript.whisperx[650].start |
17234.965 |
| transcript.whisperx[650].end |
17260.375 |
| transcript.whisperx[650].text |
風險是高於22.7倍75歲以上的長輩是116.4倍在這樣情況之下如果我們有預防性只要有症狀就篩檢才不會又再次感染所以本席要跟你討論的是說那麼我們也曾經碰到很多的陳情案件他不知道他又得了新冠所以他又去看長輩結果長輩感染了一個月後沒了 |
| transcript.whisperx[651].start |
17263.536 |
| transcript.whisperx[651].end |
17278.149 |
| transcript.whisperx[651].text |
哇 這個很難過的事情這個是可以預防的所以本席要請教在這樣的情況之下我們到底我們新冠的防疫預算我竟然看到明年的預算是零欸我嚇一跳 |
| transcript.whisperx[652].start |
17279.802 |
| transcript.whisperx[652].end |
17304.005 |
| transcript.whisperx[652].text |
為什麼明年的預算是零呢?有兩個因素第一個你認為完全管共不可能我給你答案不可能第二個你掉以輕心所以我請教部長在這樣的情況之下你要怎麼樣趁著現在預算重溢的時候你應該要把這筆預算要放上去吧真正的照顧人民吧請做說明 |
| transcript.whisperx[653].start |
17304.755 |
| transcript.whisperx[653].end |
17320.712 |
| transcript.whisperx[653].text |
好 謝謝委員 這個我有跟集官署做詳細的討論第一個就是我們在12月底還有一筆錢可以購買那個藥物或相關的那個疫苗還有藥物 藥物現在的準備大概 |
| transcript.whisperx[654].start |
17322.261 |
| transcript.whisperx[654].end |
17344.531 |
| transcript.whisperx[654].text |
23 |
| transcript.whisperx[655].start |
17344.551 |
| transcript.whisperx[655].end |
17344.711 |
| transcript.whisperx[655].text |
那當然那個 |
| transcript.whisperx[656].start |
17369.696 |
| transcript.whisperx[656].end |
17384.088 |
| transcript.whisperx[656].text |
部長,你超前來預防勝過於你後面治療所要花的費用嘛,好不好?本期具體提出,我希望得到你的支持,好不好?是。好,是就是支持喔。 |
| transcript.whisperx[657].start |
17385.014 |
| transcript.whisperx[657].end |
17385.134 |
| transcript.whisperx[657].text |
謝謝楊瓊英委員 謝謝部長 |
| transcript.whisperx[658].start |
17415.066 |
| transcript.whisperx[658].end |
17424.811 |
| transcript.whisperx[658].text |
接續我們請何欣淳委員質詢。好,我們請邱部長。 |
| transcript.whisperx[659].start |
17436.074 |
| transcript.whisperx[659].end |
17462.696 |
| transcript.whisperx[659].text |
部長好首先針對那個我們基層的醫療院所的電價動漲我相信部長一定是有極力的主張跟發聲這個醫療單位就是醫人救命所以這個是必須要動漲那我也很高興行政院也接受了大家的意見在電價動漲的這一個部分有納入了基層的醫療 |
| transcript.whisperx[660].start |
17463.857 |
| transcript.whisperx[660].end |
17492.06 |
| transcript.whisperx[660].text |
在這邊也謝謝何委員長期對醫療驗手的照顧是一起那我今天要質詢的是有關雖然今天的主題叫少子化對策我個人是非常主張也大力的來呼籲希望這個中央政府能夠成立這個少子化對策的一個專責單位那在還沒有成立專責單位之前我相信針對兒童托育服務法的這個的院板不知道部長 |
| transcript.whisperx[661].start |
17493.376 |
| transcript.whisperx[661].end |
17513.102 |
| transcript.whisperx[661].text |
你知道嗎?院版在哪裡?我跟其他另外一個委員我有一個版本那林月琴委員也有一個版本那我們兩個版本都是希望說在少子女化的對策裡面最重要的一環就是兒童托育那能夠有專法 |
| transcript.whisperx[662].start |
17514.522 |
| transcript.whisperx[662].end |
17514.962 |
| transcript.whisperx[662].text |
還在拼啊? |
| transcript.whisperx[663].start |
17538.599 |
| transcript.whisperx[663].end |
17558.316 |
| transcript.whisperx[663].text |
當然要一直拼了。還在拼。這個願板是早就承諾的,那也在中央很大的討論是認為行政院必須要有願板,因為兒童托育服務是一個非常重要的一環,尤其在少子女化 |
| transcript.whisperx[664].start |
17559.196 |
| transcript.whisperx[664].end |
17584.264 |
| transcript.whisperx[664].text |
對策裡面這個非常重要那很多年輕的家庭甚至呢在我們這麼多件的這個不管是兒女也好或者是呢兒女童其他的包括有一些不好的保姆啦或者是有一些不好的一個托嬰中心啊在托嬰服務裡面如果真的有出了什麼事情大家都一下子找衛生福利部一下子找哪個單位一下怎樣 |
| transcript.whisperx[665].start |
17584.824 |
| transcript.whisperx[665].end |
17608.658 |
| transcript.whisperx[665].text |
那大家都認為應該第一個資源整合第二個應該專法能夠呢來做一個整合的一個專法依靠的平台希望提供更周全更安全的一個兒童托育嘛對不對所以這個專法實在是刻不容緩啦所以我們有版本了所以我拜託衛生福利部可不可以快一點我們希望有原版當然呢 |
| transcript.whisperx[666].start |
17609.218 |
| transcript.whisperx[666].end |
17623.917 |
| transcript.whisperx[666].text |
一起來討論、一起來建構、一起來讓專法早一日的立法通過,可以嗎?部長。是的。包委員,從我過去擔任8年的立委,我的經驗是有M版的話比較好討論。 |
| transcript.whisperx[667].start |
17624.978 |
| transcript.whisperx[667].end |
17648.235 |
| transcript.whisperx[667].text |
有願板的話比較好討論嗎?我可以講如果你願板到時候再不出來的話今年你再不出來的話那我就要拜託召委我們委員的板板要先審喔負責的單位要趕快提出來是嘛因為我們今天討論的主題裡面在我最重視的很多的年輕家庭很多的家長阿公阿嬤 |
| transcript.whisperx[668].start |
17649.616 |
| transcript.whisperx[668].end |
17649.636 |
| transcript.whisperx[668].text |
閱讀者 |
| transcript.whisperx[669].start |
17676.474 |
| transcript.whisperx[669].end |
17699.021 |
| transcript.whisperx[669].text |
非常的嚴峻的是剛剛你講的一個數字啊臺灣的生育率是全球倒數第一啊第二那所以呢對我們來講少子女化就是國安問題那呢必須把孩子的事情當作是國家的事情那這也是賴清德總統所宣誓出來的啊對不對部長所以呢在少子女化對策裡面 |
| transcript.whisperx[670].start |
17699.741 |
| transcript.whisperx[670].end |
17717.353 |
| transcript.whisperx[670].text |
我剛剛講的第一個我認為應該成立專責單位第二個我們在很多的利多誘因的方面一定要再加強那很多的補助的預算是在我們衛生福利部那我認為的除了補助預算之外呢更重要的是建立他的 |
| transcript.whisperx[671].start |
17718.336 |
| transcript.whisperx[671].end |
17735.623 |
| transcript.whisperx[671].text |
﹗ |
| transcript.whisperx[672].start |
17735.623 |
| transcript.whisperx[672].end |
17751.596 |
| transcript.whisperx[672].text |
⋯⋯⋯ |
| transcript.whisperx[673].start |
17752.456 |
| transcript.whisperx[673].end |
17760.26 |
| transcript.whisperx[673].text |
第3個我要跟你討論的我今天特別找貴部的國建署跟教育部國教署來我們在談我們剛剛在講嬰幼兒然後嬰幼兒到來就是這個3到6歲再來就是小學中學兒童勢力的問題 |
| transcript.whisperx[674].start |
17782.964 |
| transcript.whisperx[674].end |
17811.861 |
| transcript.whisperx[674].text |
根據我Google到的數據全台灣22個縣市裡面兒童勢力平均值較差的叫做基隆那六都的裡面兒童勢力平均值較差的最差的叫做台中那我是台中選出來的立委我就在想說部長我們對於學童的勢力這個現場應該我看一看大概超過七八成以上都戴眼鏡 |
| transcript.whisperx[675].start |
17813.422 |
| transcript.whisperx[675].end |
17830.451 |
| transcript.whisperx[675].text |
我們這個年代已經來不及拯救那我們對未來我們的孩子現在的孩子我們要來得及拯救所以我拜託部長能夠大力的支持國建署未來要跟教育部國教署要合作提出針對 |
| transcript.whisperx[676].start |
17831.671 |
| transcript.whisperx[676].end |
17847.061 |
| transcript.whisperx[676].text |
我們的第一個國小國中的學童勢力的一個我們要如何的去保護我們要預防剩餘治療我們如何及早的去做第二個我知道還有未來要下到 |
| transcript.whisperx[677].start |
17848.522 |
| transcript.whisperx[677].end |
17865.344 |
| transcript.whisperx[677].text |
5歲到6歲就是我們幼兒園的大班希望能夠及早進入校園能夠面對孩子幫他們篩檢幫他們檢視他們的視力問題有問題要及早治療所以要請部長全力來支持好不好 |
| transcript.whisperx[678].start |
17865.871 |
| transcript.whisperx[678].end |
17893.66 |
| transcript.whisperx[678].text |
我非常重視這個協同的資歷所以非常重視很重視齁所以拜託有計畫有預算拜託部裡面全力支持好不好而且台中要請多幫幫忙謝謝謝謝謝謝何委員我們休息三分鐘大家膀胱受不了了我們全部執行完畢再上會不休息了 |
| transcript.whisperx[679].start |
18117.694 |
| transcript.whisperx[679].end |
18132.607 |
| transcript.whisperx[679].text |
好 大家都辛苦了 各位委員各位官員辛苦了那下一位我們請李景委員質詢謝主席 有請邱部長請邱部長 |
| transcript.whisperx[680].start |
18143.379 |
| transcript.whisperx[680].end |
18171.314 |
| transcript.whisperx[680].text |
委員好部長好今天要從勞動的角度來跟您探討代理孕母的問題我想代理孕母她從懷孕到生產的過程當然就是一個勞動的過程而且還是一個9個多月不分晝夜涉及生命安全以及身心健康所以是高強度高風險的勞動過程那台灣有一部規範勞動權益的法律就是大家耳熟能詳的勞動基準法 |
| transcript.whisperx[681].start |
18173.255 |
| transcript.whisperx[681].end |
18199.235 |
| transcript.whisperx[681].text |
這部法令從1984年頒布到已經40年了過勞、高工時、血汗、加班這是現在臺灣勞動現場的代名詞所以透過勞基法施行的經驗我們可以了解到法律文字定是一回事實際上的勞動關係又長得又是另外一個樣子那請教部長那如果連我們的勞動者 |
| transcript.whisperx[682].start |
18202.059 |
| transcript.whisperx[682].end |
18202.079 |
| transcript.whisperx[682].text |
部長 |
| transcript.whisperx[683].start |
18227.252 |
| transcript.whisperx[683].end |
18242.746 |
| transcript.whisperx[683].text |
謝謝委員我想這個問題是一個值得真的是值得思考的問題令人敬佩來討論到這樣的一個保護在這個部分我們國建署也有做相關的研議 |
| transcript.whisperx[684].start |
18245.638 |
| transcript.whisperx[684].end |
18262.336 |
| transcript.whisperx[684].text |
我想印母懷孕這件事情是非常嚴肅也非常專業的而且是非常辛苦的啦是高勞動他跟職場勞動高風險是有一點但是他的高風險沒有錯所以我們會有相關的一些計畫規來做相關的一些規範 |
| transcript.whisperx[685].start |
18263.177 |
| transcript.whisperx[685].end |
18292.109 |
| transcript.whisperx[685].text |
嗯所以必須如果這個規範必須是要重演假設這個法過我們必須要做重演是好那我想有部分人士表示就是說在我國代理孕母的制度還沒有合法化了這段時間那極度渴望擁有自己血緣血脈的這個伴侶他必須要花大錢到國外去找這個代理孕母的勞動供給那我想國外非代理 |
| transcript.whisperx[686].start |
18292.329 |
| transcript.whisperx[686].end |
18313.507 |
| transcript.whisperx[686].text |
︎ |
| transcript.whisperx[687].start |
18313.707 |
| transcript.whisperx[687].end |
18313.807 |
| transcript.whisperx[687].text |
我講這個部分 |
| transcript.whisperx[688].start |
18334.93 |
| transcript.whisperx[688].end |
18360.763 |
| transcript.whisperx[688].text |
國税署其實都討論過也有做NG的規定那至於說其他的有沒有其他的考量是不是吳市長有沒有要補充因為我剛提的嘛就是說我們的醫療好讓我們性別相對友善我們也是民主法制就是說我們的條件其實比國外都好那我們如果一旦通過了那我們是不是成為一個全球的升職工廠 |
| transcript.whisperx[689].start |
18362.489 |
| transcript.whisperx[689].end |
18383.652 |
| transcript.whisperx[689].text |
我剛剛提到的特別是跟委員報告我們對於受委託成為代理義母的規範他大概必須要有一定的年齡限制而且他必須要有順胎產的經驗當然當然可是這不必然台灣就不會成為生殖工廠這個要成為生殖工廠我認為 |
| transcript.whisperx[690].start |
18384.833 |
| transcript.whisperx[690].end |
18409.863 |
| transcript.whisperx[690].text |
不是那麼容易因為衛福部的草案當然你們有設就代孕委託者不管是國籍或居住時間的限制或者至少在台灣要有社友戶籍等等或者說另外一方要在台灣居住183天以上可是部長我還是覺得這樣的規範不夠充足因為我有認真看你們的草案那我覺得你必須還要有其他重演的防治的措施 |
| transcript.whisperx[691].start |
18410.623 |
| transcript.whisperx[691].end |
18427.836 |
| transcript.whisperx[691].text |
是不是?是,我們委員的建議,我們回去再檢討,一定檢討。好,我最後再次呼籲,就是說當我們要討論代理孕母這個制度的時候,請看見女性的處境,而不是又是一個生殖工具罷了。那最後 |
| transcript.whisperx[692].start |
18429.417 |
| transcript.whisperx[692].end |
18446.915 |
| transcript.whisperx[692].text |
30秒時間跟部長討論一下我總諮詢的時候跟你提到樂生療養院的問題那我想隨著這個院設陸續整修完成那近兩年要開放院民搬回他熟悉的這個院區來居住可是現在樂生院他要求僅限一名照顧者 |
| transcript.whisperx[693].start |
18447.756 |
| transcript.whisperx[693].end |
18474.36 |
| transcript.whisperx[693].text |
﹗ |
| transcript.whisperx[694].start |
18474.82 |
| transcript.whisperx[694].end |
18497.617 |
| transcript.whisperx[694].text |
協助願民回歸社區與家庭的這個承諾同時我想願民的居住權又一次的受威脅部長你有沒有這樣認為這個要看一下他們規定的原因那我們是很關心他目前是這樣規定像中秋節我就到那邊跟這些六十幾個阿公阿嬤一起一起吃個中秋團飯唱個歌這樣子 |
| transcript.whisperx[695].start |
18500.393 |
| transcript.whisperx[695].end |
18500.953 |
| transcript.whisperx[695].text |
接下來我們請羅志強委員發言 |
| transcript.whisperx[696].start |
18537.168 |
| transcript.whisperx[696].end |
18537.872 |
| transcript.whisperx[696].text |
主席有請部長部長 |
| transcript.whisperx[697].start |
18544.713 |
| transcript.whisperx[697].end |
18568.519 |
| transcript.whisperx[697].text |
部長,監察院上個月糾正衛福部,認為家外安置兒少中有15%特殊需求的兒少長期安置在成人機構當中。衛福部疏於督導地方政府,復起定期評估相關安置作為是否符合兒少最佳利益。監察院也通過糾正衛福部。我想請教一下, |
| transcript.whisperx[698].start |
18569.039 |
| transcript.whisperx[698].end |
18582.483 |
| transcript.whisperx[698].text |
現在家外安置兒少當中有發展遲緩或領有身心障礙證明的特殊兒少在民國110年是多少人?我這邊數字是718人那111年是993人這數字對嗎?我看到數字是這樣對不對?正確那到112年變多少人? |
| transcript.whisperx[699].start |
18597.81 |
| transcript.whisperx[699].end |
18601.957 |
| transcript.whisperx[699].text |
短短三年成長了快要一倍我這個數字蠻驚人的為什麼呢?部長為什麼會暴增? |
| transcript.whisperx[700].start |
18608.285 |
| transcript.whisperx[700].end |
18610.246 |
| transcript.whisperx[700].text |
除了說這個數字暴增,它馬上就連帶會影響到一件事嗎?什麼事? |
| transcript.whisperx[701].start |
18635.118 |
| transcript.whisperx[701].end |
18636.839 |
| transcript.whisperx[701].text |
目前那個安置的量確實是不足 |
| transcript.whisperx[702].start |
18664.302 |
| transcript.whisperx[702].end |
18666.015 |
| transcript.whisperx[702].text |
現在解決方式是什麼? |
| transcript.whisperx[703].start |
18667.511 |
| transcript.whisperx[703].end |
18692.998 |
| transcript.whisperx[703].text |
當然第一個我們還是還是應該要成長在原神的家庭對所以我們如果是發現這個不當的對待原則上我們還是跟家庭來做工作希望他做改善我們現在看到監察院的那個糾正其實主要就講因為安置這前提是安置能量不夠嘛結果就發生了15%是安置在一般護理之家身障福利機構長照機構精神復健機構這樣做法有什麼問題合理嗎 |
| transcript.whisperx[704].start |
18695.889 |
| transcript.whisperx[704].end |
18717.365 |
| transcript.whisperx[704].text |
法務委員,我想我們最重要的目的真的就是要希望能夠回歸到原生家庭,或者是他的寄養...可是我現在暫時你就...我們可以...第一個就是說我們要求地方政府一定要去關心這個部分,第二個部分我們跟教育部...我跟部長說,關心也不夠啦。是。 |
| transcript.whisperx[705].start |
18717.805 |
| transcript.whisperx[705].end |
18734.637 |
| transcript.whisperx[705].text |
因為事實上成人機構的人力跟專業職能資源不足他就跟前面我剛剛講的量就暴增所以我也沒特別苛求啊或覺得說一定要嚴格的苛責不管是中央跟地方因為你剛剛就看到那個量增加快一倍說這那種三年順增的量 |
| transcript.whisperx[706].start |
18735.518 |
| transcript.whisperx[706].end |
18744.18 |
| transcript.whisperx[706].text |
你其實會產生這種問題就跟你的量暴增有關但是衛福部作為主管機關就這個問題你就要想辦法去解決那否則的話像成人機構這種狀況其實兒少在那邊他也很難滿足兒少適應同儕互動這些需求 |
| transcript.whisperx[707].start |
18753.763 |
| transcript.whisperx[707].end |
18777.484 |
| transcript.whisperx[707].text |
所以才會出現今天監察院糾正的這個問題嘛那我自己是一個具體的一個建議就是說現在你看到目前有需求安置的需求的一些兒少有69.3%安置超過2年甚至有4成打5年以上有38人已經超過已經10年那36.3%是輕度或中度智能障礙 |
| transcript.whisperx[708].start |
18778.164 |
| transcript.whisperx[708].end |
18794.129 |
| transcript.whisperx[708].text |
超過4城市跨峽安置45%未滿12歲那有三分之一無語言能力這些都是今天我覺得我們現在面臨我覺得還蠻嚴峻的問題但我真的拜託我們衛福部你們有一個專門的報告說你怎麼解決這個問題特別是資源端 |
| transcript.whisperx[709].start |
18794.989 |
| transcript.whisperx[709].end |
18795.45 |
| transcript.whisperx[709].text |
接下來我們請張雅玲委員發言 |
| transcript.whisperx[710].start |
18823.362 |
| transcript.whisperx[710].end |
18824.469 |
| transcript.whisperx[710].text |
謝謝主席,有請部長 |
| transcript.whisperx[711].start |
18831.343 |
| transcript.whisperx[711].end |
18858.609 |
| transcript.whisperx[711].text |
非常好因為剛羅委員問的那個題目我其實也蠻想延續的齁因為其實我們這個找療的人口是越來越增加不管是安置兒或是一班兒其實大家都要排隊排非常久的時間平均3到5個月才能夠去做到這些評估所以我也認為說我們其實應該要怎麼樣去提高這個量能讓小孩子不用等那麼久因為找療每一分每一秒都是非常之珍貴的所以我想這個題目我不曉得說現在我們到各縣市分部的這個找療的量能是多少現在是有相關的數據可以提供嗎 |
| transcript.whisperx[712].start |
18859.44 |
| transcript.whisperx[712].end |
18889.138 |
| transcript.whisperx[712].text |
是的,因為我們有臨床的經驗齁,早要做得好的話,它後面的小孩子的成長是沒有錯,所以我想知道現在的量能,到底都好像怎麼樣?請問委員是說後面的服務的部分,還是前面的評估的部分?我們的加速,我們到底有現在有多少評估?評估的嗎?對,評估的加速目前我們全國有85家的評估中心,那有10家的重點評估,重點評估就是說,它沒有辦法,沒有辦法計劃各縣市、二所縣市,我們分區域的,每個縣市當然都一定要有這樣的服務量能 |
| transcript.whisperx[713].start |
18889.258 |
| transcript.whisperx[713].end |
18917.757 |
| transcript.whisperx[713].text |
好因為我想因為這個題目我想我們約個時間來好好的看一下各縣市的分部因為現在我想知道的就是桃竹的地方到底為什麼大家要等那麼久那接下來就進入我今天原本的那個題目就是說今年就是因為台北市這個信義區這個幼兒園的一案之後呢我們衛福部很快就是在8月份的時候就頒訂了一個叫做媒體報導兒少及性暴力指引也有開始研擬如何完善這個法規這一點我覺得必須要肯定 |
| transcript.whisperx[714].start |
18919.678 |
| transcript.whisperx[714].end |
18940.869 |
| transcript.whisperx[714].text |
8月10日我也召開了一個叫性平案件是否納入兒童及少年福利與權利保障法第49條及第97條公佈姓名之列那會議記錄裡面呢是告訴我們說是有是有的是有把校園性平案件納入其中的但是現在有一個問題來看一下這個流程他怎麼沒有動好 |
| transcript.whisperx[715].start |
18946.306 |
| transcript.whisperx[715].end |
18964.942 |
| transcript.whisperx[715].text |
來看一下這個流程就是說我們現在性平案件就是說發生的時候我們是要教育部先教育單位要先調查之後社政單位會介入然後要公佈名稱的話就要再確認這個案情內容才會決議是否要公佈在我們社政的相關網站對嗎這沒有錯那我們現在有一個案例 |
| transcript.whisperx[716].start |
18971.482 |
| transcript.whisperx[716].end |
18984.7 |
| transcript.whisperx[716].text |
我們有一個陳情案他是在2021年最後一次被受害人燒了被燒了2023年6月大概花了一年半的時間兩年半的時間他鼓起勇氣了來向學校來檢舉這個加害人 |
| transcript.whisperx[717].start |
18986.502 |
| transcript.whisperx[717].end |
19012.047 |
| transcript.whisperx[717].text |
那教育部、學校也非常依循這個法規在14個月之內也就確認了這個加害人有一個不法的行為那今年初因為這個幼兒園的事件之後我們也非常感謝衛福部和教育部來清查這三年內的一個性平案件那因為清查就花了一些時間所以清查完的時候是2024年的8月了所以就超過了行政法三年的時間 |
| transcript.whisperx[718].start |
19012.807 |
| transcript.whisperx[718].end |
19036.63 |
| transcript.whisperx[718].text |
⋯⋯⋯ |
| transcript.whisperx[719].start |
19037.715 |
| transcript.whisperx[719].end |
19053.318 |
| transcript.whisperx[719].text |
我想這樣的流程這麼久導致於無法來保護這個是一個很需要檢討的那我想知道說現在已經有一些可能在這個已經調出來我們可以怎麼做呢?我們有什麼做法嗎? |
| transcript.whisperx[720].start |
19054.56 |
| transcript.whisperx[720].end |
19069.892 |
| transcript.whisperx[720].text |
謝謝委員我想分成兩個層面第一個97條他的確是有這個所謂的公佈姓名這件事那這一案他有兩個問題第一個就是說他是不是當時就已經這個被調查處分 |
| transcript.whisperx[721].start |
19072.774 |
| transcript.whisperx[721].end |
19101.429 |
| transcript.whisperx[721].text |
只是他沒有做97條的公佈姓名這個是一個問題但如果說是這樣因此他在姓平的處罰上面應該也列入不適任的人員的名冊但是我們現在講的是公佈嘛但是我說現在是我們不能夠公開嘛因為我們必須要公開我才會知道說家長去搜尋才會知道說我好像被這個教練教過我被這個老師教過我才有辦法的去知道我小孩是不是有受到什麼樣的狀況如果他在社福法規裡頭他沒有被公佈 |
| transcript.whisperx[722].start |
19101.769 |
| transcript.whisperx[722].end |
19103.57 |
| transcript.whisperx[722].text |
其實兩年半他才敢講出來其實已經高於平均值了 |
| transcript.whisperx[723].start |
19127.841 |
| transcript.whisperx[723].end |
19143.865 |
| transcript.whisperx[723].text |
﹗ |
| transcript.whisperx[724].start |
19144.465 |
| transcript.whisperx[724].end |
19170.264 |
| transcript.whisperx[724].text |
目前性騷擾防治法有把這個未成年遭受性騷擾它把它延長到成年後還可以再來提出所以我想確認一下所以我們現在之前性騷擾追溯期是10年嗎之前那個邱部長在修這個性平三法的時候你也是修法成員嘛性騷擾追溯期10年強制性交易還有這個強制猥褻的追溯期都是20年 |
| transcript.whisperx[725].start |
19171.525 |
| transcript.whisperx[725].end |
19195.921 |
| transcript.whisperx[725].text |
那我們行政這個兒少權法的行政採取規範是不是也可以因為我們現在在修兒少權法嘛我們是不是可以一併的來考慮一起來修正對可以考慮可以考慮好那我想我們因為這個兒少權法的進度其實大家都非常的關心大家都非常想要知道我們到底兒少權法的一個進度因為其實牽扯到還有就是說我們兒虐事件就是這幾年啦雖然就是說通報數有增加 |
| transcript.whisperx[726].start |
19196.721 |
| transcript.whisperx[726].end |
19197.361 |
| transcript.whisperx[726].text |
接下來我們請圖全吉委員發言 |
| transcript.whisperx[727].start |
19232.602 |
| transcript.whisperx[727].end |
19236.024 |
| transcript.whisperx[727].text |
好,謝謝主席,那不好意思麻煩一下我們邱部長。謝謝部長。好,部長,請問一下,那不知道我們本席這次有觀察到今年比往年發生更多的社會案件,那當然也搞得我們社會人心惶惶,那不知道這部分部長有沒有注意到? |
| transcript.whisperx[728].start |
19260.421 |
| transcript.whisperx[728].end |
19275.539 |
| transcript.whisperx[728].text |
對沒關係因為據我們目前看到發生很多社會案件像我們最近有看到學校同儕之間發生口角就把利器將人割喉致死還有多年照顧 |
| transcript.whisperx[729].start |
19277.245 |
| transcript.whisperx[729].end |
19303.686 |
| transcript.whisperx[729].text |
施能施治者不堪照顧的沉重壓力殺死至親這個案件那這些悲劇也一再證明我們社會安全網仍有破口,不知道部長認同嗎?是,我想社會安全網我們過去幾年來真的是一直在努力但是可能還是沒有辦法完全的周全我們一定全力來改善 |
| transcript.whisperx[730].start |
19304.929 |
| transcript.whisperx[730].end |
19325.618 |
| transcript.whisperx[730].text |
那這一部分其實我們有注意到那如果公權力可以提早介入像這個新北戈壕跟高雄市母案這些事情如果公權力如果能夠提早介入這個憾事就能夠避免發生那陽性國中今年也可以平安的就讀高中 |
| transcript.whisperx[731].start |
19325.998 |
| transcript.whisperx[731].end |
19351.834 |
| transcript.whisperx[731].text |
﹗ |
| transcript.whisperx[732].start |
19352.635 |
| transcript.whisperx[732].end |
19373.239 |
| transcript.whisperx[732].text |
父親離異再婚母親自殺那繼母又因為毒品坐牢那衛祖父是槍炮案然後高雄四母案他的加害者是代業四個人同住一個家庭但是重點父母都領有身心障礙的手冊三人代業那個正父他是唯一 |
| transcript.whisperx[733].start |
19373.439 |
| transcript.whisperx[733].end |
19392.346 |
| transcript.whisperx[733].text |
﹗ |
| transcript.whisperx[734].start |
19392.737 |
| transcript.whisperx[734].end |
19418.805 |
| transcript.whisperx[734].text |
是 是的 謝謝委員對這件事情的關心吼 那我們也有做檢討啦吼 那在橫向的方面當然就是教育體系跟那個關乎體系的一個連接點吼 這個部分是不是可以再緊密一點吼 那當然我們衛福部都會在社會安全網方面提供更多的資源來 |
| transcript.whisperx[735].start |
19425.209 |
| transcript.whisperx[735].end |
19443.835 |
| transcript.whisperx[735].text |
因為這些事情其實我們認為政府應該要在事前明明這些他就應該政府早就掌握這些訊息事前就可以防治但是這些事情確實每次發生後才去現場瞭解所以我們說是不是他這個機制產生了問題那 |
| transcript.whisperx[736].start |
19445.856 |
| transcript.whisperx[736].end |
19467.687 |
| transcript.whisperx[736].text |
說實在話是不是我們針對社會這個漏網的媒介社工的部分是不是因為社工的部分真的太短缺了社工的部分如果割喉案的部分呢一個孩子在學校其實學校的確也有專輔人員然後再來他因為他是偏差少年 |
| transcript.whisperx[737].start |
19468.211 |
| transcript.whisperx[737].end |
19486.876 |
| transcript.whisperx[737].text |
所以他也有關乎體系的關乎的這個關乎的這個我們的關乎人所以在網絡跟網絡之間彼此互相在資訊上面還有這個連結上面可以更緊密我想就如委員說的這個漏網之魚事實上是可以攔得到的 |
| transcript.whisperx[738].start |
19487.438 |
| transcript.whisperx[738].end |
19509.426 |
| transcript.whisperx[738].text |
對啊 所以我們認為應該要加強我們衛福部保護性志工這一部分要加強可是據我們了解好像這些志工好像面臨是不是現在都面臨三高三缺的問題部長你知道三高三缺嗎是志工還是社工保護性社工保護性社工 |
| transcript.whisperx[739].start |
19511.575 |
| transcript.whisperx[739].end |
19531.204 |
| transcript.whisperx[739].text |
對,因為今天保護性社工會這麼缺乏,據我們了解這三高就是剛剛講的高案量、高風險、高壓力那三缺就是缺合作、缺督導、缺資源 |
| transcript.whisperx[740].start |
19531.864 |
| transcript.whisperx[740].end |
19560.516 |
| transcript.whisperx[740].text |
那這些保護性社工缺乏所以我們一直認為政府早在這些就應該要事前先去做結果每次都是發生之後我們再去了解以後是發生了什麼情形我們覺得這麼多的社會案件你看這尤其這兩件喔它本來就應該是我們政府早就掌握資訊了可是並沒有事前去做所以我們一直認為應該是預防重瑜治療對不對 |
| transcript.whisperx[741].start |
19562.873 |
| transcript.whisperx[741].end |
19587.053 |
| transcript.whisperx[741].text |
是的是的所以重點我們衛福部有沒有針對這部分去做檢討你看六都沒有一個縣市的社工是足兒的而且這個離職率還是都非常非常的高你看我們台南台南的這個離職率比護理師的離職率還高那針對這部分衛福部有沒有提出一些檢討的辦法 |
| transcript.whisperx[742].start |
19589.082 |
| transcript.whisperx[742].end |
19602.516 |
| transcript.whisperx[742].text |
我在這邊還是要特別強調社工工作的多元化跟辛苦那我想衛務部應該提出更積極的計畫來留住社工的人才 |
| transcript.whisperx[743].start |
19603.496 |
| transcript.whisperx[743].end |
19604.997 |
| transcript.whisperx[743].text |
謝謝委員我們在行政院推動強化社會安全網的第二期計畫裡頭 |
| transcript.whisperx[744].start |
19625.384 |
| transcript.whisperx[744].end |
19640.401 |
| transcript.whisperx[744].text |
︎ |
| transcript.whisperx[745].start |
19640.481 |
| transcript.whisperx[745].end |
19661.483 |
| transcript.whisperx[745].text |
然後再來他把他的職位有做了一些增加也就是我們把這個資深的社工多了一個資深社工這樣的一個調整讓他的這個深圈管道他的天花板拉高所以這些還有加強他的專業訓練這些都是在整體上我們想留住人才的一些措施 |
| transcript.whisperx[746].start |
19662.761 |
| transcript.whisperx[746].end |
19691.855 |
| transcript.whisperx[746].text |
對 所以這邊今天講這個凸顯這個問題啦因為保護性社工這個問題我們希望趕快因為已經知道原因了那衛福部就應該趕快去克服不應該讓這些憾事一再的發生像這些事情你看針對學生這個暴險少年還有這個社會的弱勢群體我們早就應該是預防重於治療那如果把這個社工的人數趕快去看怎麼樣去補足 |
| transcript.whisperx[747].start |
19692.295 |
| transcript.whisperx[747].end |
19693.635 |
| transcript.whisperx[747].text |
好,還有針對我們最近也有發生 |
| transcript.whisperx[748].start |
19716.806 |
| transcript.whisperx[748].end |
19736.954 |
| transcript.whisperx[748].text |
幼兒園,現在人家講幼兒在幼兒園到底安不安全,現在又發生孩童教保園治三肋兒監視器的畫面,就我們新北永和分校有發生這件事情,那個部長你知道這個案件嗎? |
| transcript.whisperx[749].start |
19740.505 |
| transcript.whisperx[749].end |
19752.539 |
| transcript.whisperx[749].text |
那是幼兒園教育部主管那針對我們社家屬是不是本身在今年有要針對全台的監管員上線那目前情形到底如何 |
| transcript.whisperx[750].start |
19756.715 |
| transcript.whisperx[750].end |
19757.215 |
| transcript.whisperx[750].text |
但是我們現在發現一個問題喔 |
| transcript.whisperx[751].start |
19787.115 |
| transcript.whisperx[751].end |
19808.792 |
| transcript.whisperx[751].text |
衛福部托嬰中心監視錄影設備的設置及資訊管理利用辦法這第3條他針對指定場所安置監視設備那我沒有看到這個條例但是如果他沒有安裝的話有沒有有沒有罰則有依照兒少權法是有罰則有訂定罰則嗎有 |
| transcript.whisperx[752].start |
19810.717 |
| transcript.whisperx[752].end |
19828.397 |
| transcript.whisperx[752].text |
已經有訂定法則了目前托嬰中心就應該要裝監視器如果他沒有裝是有法則的好那針對我們這次幼兒園發生他說什麼監視器硬碟損壞沒有盡快修復沒有辦法提供畫面那這部分也有法則嗎 |
| transcript.whisperx[753].start |
19830.152 |
| transcript.whisperx[753].end |
19856.089 |
| transcript.whisperx[753].text |
跟委員報告這個幼兒園因為是教育部主管那我們衛福部是主管0到20歲的托嬰中心對那針對這部分沒有做沒有沒有修復這些部分我們衛福部這邊有沒有針對剛剛我講的衛福部托嬰中心這個監視器設置設備如果沒有做或者他說硬碟損壞沒有辦法提供畫面你有這個條例可是好像我們沒有看到這個罰則 |
| transcript.whisperx[754].start |
19859.123 |
| transcript.whisperx[754].end |
19879.308 |
| transcript.whisperx[754].text |
我們的通音中心如果他沒有這個裝監視錄影帶這些都有法則因為我們地方政府的人員都會去查核那這是依照兒少權法裡面的明定通音中心必須要裝監視器那幼兒園是教育部主管那教育部並沒有對幼兒園一定強制性的要求要裝飾那個監視器 |
| transcript.whisperx[755].start |
19882.926 |
| transcript.whisperx[755].end |
19895.27 |
| transcript.whisperx[755].text |
而少前法有規定透明中心應該要裝置監視錄影設備而且要保存30天阿如果他沒辦法提供影像可以限期改善或者是新台幣3萬以上30萬以下的花款 |
| transcript.whisperx[756].start |
19898.635 |
| transcript.whisperx[756].end |
19920.466 |
| transcript.whisperx[756].text |
我們希望衛福部針對監管員這部分盡快趕快如期上線還有也要針對我們這些監視器該安裝沒有安裝甚至該提供他沒有辦法提供我覺得要訂定一個相關明確的針對這些法令還有這些配套一定要訂定明確然後針對監管員到時候 |
| transcript.whisperx[757].start |
19923.387 |
| transcript.whisperx[757].end |
19923.427 |
| transcript.whisperx[757].text |
好謝謝好謝謝 |
| transcript.whisperx[758].start |
19953.39 |
| transcript.whisperx[758].end |
19964.196 |
| transcript.whisperx[758].text |
徐欣盈委員徐欣盈委員徐欣盈委員不在高金素美委員高金素美委員高金素美委員不在請陳佩玉委員發言謝謝主席那有請部長請部長 |
| transcript.whisperx[759].start |
19978.755 |
| transcript.whisperx[759].end |
20006.502 |
| transcript.whisperx[759].text |
委員長部長辛苦了吼午安我想我們就快速來進入主題我國人工生殖法法制化的進度我想要問一下今天早上非常多委員也都問過了我想要幫部長複習一下其實之前衛福部有兩場公聽會衛環委員會也有公聽會可是當時我要談一下當時衛福部在公聽會上的立場說沒有既定立場有非常多專家學者會給予建議還會聽非常多有這個需求的朋友的建議 |
| transcript.whisperx[760].start |
20008.323 |
| transcript.whisperx[760].end |
20026.962 |
| transcript.whisperx[760].text |
目前我們知道其實女童性配偶還有單身女性至於要不要納入代理孕母的版本在2024年8月19號中央社這個新聞我們看到部長你說盡可能希望在兩個月內把更好的人工生殖法草案送到立法院部長我可以問一下目前進度跟這個相關的規劃 |
| transcript.whisperx[761].start |
20030.236 |
| transcript.whisperx[761].end |
20057.647 |
| transcript.whisperx[761].text |
如果以進度表演的話我們因為預告以後收集了600多則的意見所以我們最近也開了五場六場的專家的討論會那我們希望把一些疑慮爭議那今天當然也聽到一些大家的聲音那我們請國建署再好好的在演繹希望如果以原來的規劃是西洋11頁到衛福部能夠 |
| transcript.whisperx[762].start |
20059.062 |
| transcript.whisperx[762].end |
20060.265 |
| transcript.whisperx[762].text |
那部長你自己在這幾場公聽會裡面你覺得最有爭議的點會是什麼? |
| transcript.whisperx[763].start |
20074.036 |
| transcript.whisperx[763].end |
20091.892 |
| transcript.whisperx[763].text |
對我來說我覺得裡面最重要我想要談一下其實從開放給女同性配偶使用人工生殖從2019年開始原本他們只能用寄親收養的方法到了後來去年修法開放同性可以共同收養基本上我們對於同志家庭的權益保障已經越來越好了 |
| transcript.whisperx[764].start |
20093.013 |
| transcript.whisperx[764].end |
20114.618 |
| transcript.whisperx[764].text |
但是對於你同性配我想要透過人工生殖技術生育子女的部分因為我覺得進展實在很慢那如同部長你剛剛說的到11月到12月那目前我們看到你們草案的版本裡面在這個部分確實有一些討論可是我要說的是在這樣的討論情況下那關於人工生殖的部分關於這個代孕的部分我覺得 |
| transcript.whisperx[765].start |
20115.538 |
| transcript.whisperx[765].end |
20138.712 |
| transcript.whisperx[765].text |
﹗ |
| transcript.whisperx[766].start |
20138.992 |
| transcript.whisperx[766].end |
20155.724 |
| transcript.whisperx[766].text |
但現在婚跟育我覺得是有機會脫鉤的討論的這個進步氛圍底下也許衛福部在很多的考量上可以把這件事情考慮進去好不好部長是的那我想要分享一個案例之前有個新聞就這兩天彩虹平泉大平台的理事長 |
| transcript.whisperx[767].start |
20156.485 |
| transcript.whisperx[767].end |
20177.977 |
| transcript.whisperx[767].text |
前一陣子在美國代孕的小孩出生了9月27號出生可是他之前代孕失敗了兩三次那也就是說確實在第一線的現場有人有這樣代孕的需求可是我們當然也聽到有非常多民眾如同部長您剛說的有600多則留言對於代孕這件事情是有疑慮的所以我要提醒部長在相關的法案版本要出爐之前在這件事情上討論 |
| transcript.whisperx[768].start |
20178.757 |
| transcript.whisperx[768].end |
20190.944 |
| transcript.whisperx[768].text |
我的態度是持開放但是我希望衛福部在這件事情上可以更積極的討論到底那個意見因為我知道衛福部在相關政策認為要不要綁定其實都有不同的說法那部長你今天可以稍微說明一下嗎 |
| transcript.whisperx[769].start |
20192.881 |
| transcript.whisperx[769].end |
20210.496 |
| transcript.whisperx[769].text |
我覺得這個待遇當然是爭議很大的部分可是我們還是想要聽聽看你們目前的立場或者是可能的規劃會是什麼我們本來國建署跟專家還有預告的版本是都出了開放的態度是綁在一起的嘛對不對對 |
| transcript.whisperx[770].start |
20211.697 |
| transcript.whisperx[770].end |
20228.194 |
| transcript.whisperx[770].text |
但是可能因為這個綁在一起我必須要說他到底要不要脫鉤處理讓女童配偶的部分單身女性的部分可以先用人工生殖的技術把比較有專業代理孕母也許在之後但是我知道衛福部還在討論但是我只要提出在現場其實有非常非常多需求要被衛福部看見好嗎 |
| transcript.whisperx[771].start |
20230.273 |
| transcript.whisperx[771].end |
20243.71 |
| transcript.whisperx[771].text |
因為這是一個老問題我們應該要有新的思維來解決看看有沒有辦法解決嘛所以我想大家存著互相尊重大家社會關懷 |
| transcript.whisperx[772].start |
20246.212 |
| transcript.whisperx[772].end |
20247.433 |
| transcript.whisperx[772].text |
雖然我的時間已經結束,可是主席可以再給我1分鐘嗎? |
| transcript.whisperx[773].start |
20268.12 |
| transcript.whisperx[773].end |
20271.101 |
| transcript.whisperx[773].text |
有一個社區他的居民多由單親、隔代教養、移民華僑、原住民、身心障礙等等家庭所組成,成員非常複雜。 |
| transcript.whisperx[774].start |
20291.67 |
| transcript.whisperx[774].end |
20304.478 |
| transcript.whisperx[774].text |
所以這個社區呢逐漸成為治安的毒瘤自成一格裡面有吸毒幫派竊盜打架家暴層出不窮裡面的很多孩子都遇到非常非常多的困境部長你覺得這是一個什麼樣的機構或是什麼樣的一個組織他們在面臨的問題 |
| transcript.whisperx[775].start |
20308.464 |
| transcript.whisperx[775].end |
20311.866 |
| transcript.whisperx[775].text |
這是一個真實存在臺北市的安康社區那我要講的是像他們裡面就有一個協會是由政大的學生他們所組成的協會 |
| transcript.whisperx[776].start |
20327.517 |
| transcript.whisperx[776].end |
20342.534 |
| transcript.whisperx[776].text |
️ |
| transcript.whisperx[777].start |
20342.534 |
| transcript.whisperx[777].end |
20365.333 |
| transcript.whisperx[777].text |
️ |
| transcript.whisperx[778].start |
20365.473 |
| transcript.whisperx[778].end |
20366.533 |
| transcript.whisperx[778].text |
但是他們完全不在衛福部社安網的視野。 |
| transcript.whisperx[779].start |
20383.379 |
| transcript.whisperx[779].end |
20383.979 |
| transcript.whisperx[779].text |
對對對 有人在你頭上說了啦齁 |
| transcript.whisperx[780].start |
20403.312 |
| transcript.whisperx[780].end |
20426.502 |
| transcript.whisperx[780].text |
但是我要講的是 但是如果說有這種 真的有這種情況我們很NAT了解來幫忙 我要給部長報告最後一個 其實全臺灣像這樣子類機構 他們做的是比較創新的事情 在陪伴孩子有非常非常多 絕對不是只有微光盒子 微光盒子我特別拿出來是因為他就在臺北市 而且他就在文山區 但是日本文山區可能是知識 |
| transcript.whisperx[781].start |
20427.182 |
| transcript.whisperx[781].end |
20427.542 |
| transcript.whisperx[781].text |
謝謝部長,謝謝主持人。 |
| transcript.whisperx[782].start |
20452.976 |
| transcript.whisperx[782].end |
20478.825 |
| transcript.whisperx[782].text |
那我們衛環委員會關心這些邊緣的孩子進步了法規範資源的孩子一起關心謝謝主席謝謝鄭正前委員鄭正前委員鄭正前委員不在張家俊委員張家俊委員張家俊委員不在蘇巧惠委員蘇巧惠委員蘇巧惠委員不在葉元之委員葉元之委員葉元之委員不在請劉建國委員發言 |
| transcript.whisperx[783].start |
20483.802 |
| transcript.whisperx[783].end |
20501.686 |
| transcript.whisperx[783].text |
好,謝謝主席。有請部長。部長。委員好。部長好。部長辛苦。部長要去的地方還有很多。我等一下再一一跟您提醒。我們現在講電價。這個9月30號113年度的二次電價匯率的審議會,部長應該有掌握嘛。就是決議產業用電要調漲這個14%。 |
| transcript.whisperx[784].start |
20513.048 |
| transcript.whisperx[784].end |
20531.819 |
| transcript.whisperx[784].text |
那過去在事務機構、身障機構、衛福機構、護理師家使用維生器材及必要的生活輔具的身心障礙者家庭他們有這個電價的優惠那因應這一次的台電漲價行政院也依照電業法已經指示了就是拍板114年的優惠電價及電價動漲金額要回歸到這個衛福部內來編列 |
| transcript.whisperx[785].start |
20540.223 |
| transcript.whisperx[785].end |
20554.554 |
| transcript.whisperx[785].text |
請問部長,現階段有相關因應嗎?沒有,你說這一...不好意思,請問委員是講這一次嗎?對啊。114年度。114年度的優惠電價及電價動漲進來要回歸到衛福部來編嘛。這個有因應嗎?我們社福機構本來就... |
| transcript.whisperx[786].start |
20564.389 |
| transcript.whisperx[786].end |
20587.247 |
| transcript.whisperx[786].text |
有編了一億七千九百十三萬一百一十四年就已經有編列了嘛 對不對?那預算到現在還沒有過嗎?沒有啊所以沒什麼問題?等他過就OK嗎?要等他過啊沒有過就不OK嗎?當然啦當然嗎?這是今年度?是114年度才編的嘛?113沒有嘛對不對? |
| transcript.whisperx[787].start |
20590.1 |
| transcript.whisperx[787].end |
20601.092 |
| transcript.whisperx[787].text |
對嘛,預算沒有,就是新編的預算嘛,對嘛。那我講的都如果預算過就OK嘛,如果預算沒有過就不OK囉。是啊,因為它是新興基金。是嘛是嘛,那我怎麼因應,萬一沒有過?你說預算沒有過?對啊。預算沒有過... |
| transcript.whisperx[788].start |
20613.999 |
| transcript.whisperx[788].end |
20617.761 |
| transcript.whisperx[788].text |
我們看看從法規上面有什麼狀況有什麼可以來 |
| transcript.whisperx[789].start |
20630.078 |
| transcript.whisperx[789].end |
20650.588 |
| transcript.whisperx[789].text |
我要跟你表達說,如果114年度的預算卡關,那到時候會不會影響到整個你要去處理的這些相關的社會的機構的這個電匯的情況,對不對?當然會啊,尤其是新興的計畫。是啊,所以這個你要準備要因應嘛。因為你如果沒有準備相關的因應作為,因為是新的預算,到時候就會出問題嘛。 |
| transcript.whisperx[790].start |
20652.016 |
| transcript.whisperx[790].end |
20667.622 |
| transcript.whisperx[790].text |
當然不是很多但是他還是要命的錢啊不要到時候讓所有我們這些身上有需要的衛生的這些用電的器材都不敢用啊那就糟糕了對啊那到時候變成部長要到很多地方去看因為都不敢用電啊 |
| transcript.whisperx[791].start |
20668.582 |
| transcript.whisperx[791].end |
20669.022 |
| transcript.whisperx[791].text |
這部長有掌握吧 |
| transcript.whisperx[792].start |
20688.741 |
| transcript.whisperx[792].end |
20688.761 |
| transcript.whisperx[792].text |
臺灣媒體 |
| transcript.whisperx[793].start |
20707.766 |
| transcript.whisperx[793].end |
20736.301 |
| transcript.whisperx[793].text |
經濟部給予這個醫療院所的電價動漲本期是肯定那也要感謝部長在這過程中努力溝通但是本期也請部長看一下這個新聞電價調漲加缺工那新冠疫情再起普拉登下個月就要漲價5到6%我想這個部分我不曉得部長怎麼看待這個事情因為醫療院所會跟民生物價有相關聯那藥品也是重要的民生物品 |
| transcript.whisperx[794].start |
20737.722 |
| transcript.whisperx[794].end |
20738.282 |
| transcript.whisperx[794].text |
因為我們已經缺藥一段滿長久的時間 |
| transcript.whisperx[795].start |
20767.165 |
| transcript.whisperx[795].end |
20770.987 |
| transcript.whisperx[795].text |
如果缺藥的話我們當然食藥署有缺藥的一個平台那如果因為成本 |
| transcript.whisperx[796].start |
20793.931 |
| transcript.whisperx[796].end |
20795.032 |
| transcript.whisperx[796].text |
對那部長有什麼樣的考量跟意願作為嗎? |
| transcript.whisperx[797].start |
20822.97 |
| transcript.whisperx[797].end |
20840.848 |
| transcript.whisperx[797].text |
在如果是要訂不到或者是那個可能這個我們食藥署就有一個平台只要任何缺藥的狀況我們就會馬上處理那如果是整系統性的問題我們當然會做整體的處理那如果因為 |
| transcript.whisperx[798].start |
20842.517 |
| transcript.whisperx[798].end |
20872.346 |
| transcript.whisperx[798].text |
對﹖ |
| transcript.whisperx[799].start |
20872.606 |
| transcript.whisperx[799].end |
20895.815 |
| transcript.whisperx[799].text |
因為...因為其實...所以不能就講到重點嗎?這個事情有沒有還有機會來努力嗎?我想...我今天早上也有談過就是說如果有各個單位比較符合條件的我覺得都可以來跟經濟部來反映嘛那我們如果是比較屬於醫事方面 |
| transcript.whisperx[800].start |
20896.704 |
| transcript.whisperx[800].end |
20898.284 |
| transcript.whisperx[800].text |
第2件事情剛才講到特殊的兒童當然就必須要特殊的照顧 |
| transcript.whisperx[801].start |
20917.569 |
| transcript.whisperx[801].end |
20941.526 |
| transcript.whisperx[801].text |
部長雖然是在吳俄庭剛上任那我想你做事你是極先鋒我也期待你再把你的立委這種精神可以對衛生部相關業務做一次總體檢說真的這是有必要的但當然你要騰出一些時間出來你看監察院在9月提出糾正糾正衛生部長期忽視安置在成人機構之特殊需求兒少相關權益 |
| transcript.whisperx[802].start |
20944.096 |
| transcript.whisperx[802].end |
20967.625 |
| transcript.whisperx[802].text |
並未能落實兒少最佳利益何有代思這是監察院的一個報告在176名的特殊需求兒少被地方政府安置在成人機構沒有適當的療癒及照顧沒有定期的評估沒有符合兒少最佳利益甚至於有6成9兒少就這樣放任在成人機構中超過兩年還有47位到現在沒有就學 |
| transcript.whisperx[803].start |
20973.227 |
| transcript.whisperx[803].end |
20988.196 |
| transcript.whisperx[803].text |
我想身為這個中央主管機關衛福部疏於監督啊所以被監察院糾正但是我要恭喜部長你知道為什麼要恭喜你嗎因為萬幸的是今天是監察院提出糾正 |
| transcript.whisperx[804].start |
20990.069 |
| transcript.whisperx[804].end |
21005.771 |
| transcript.whisperx[804].text |
而不是小朋友出的狀況那其實齁在這樣下去狀況會越來越多狀況會擺出啊是是是不然應該大家都還記得吧半年前凱凱案這半年的事情 |
| transcript.whisperx[805].start |
21007.472 |
| transcript.whisperx[805].end |
21009.494 |
| transcript.whisperx[805].text |
在520就任之後可能我希望 |
| transcript.whisperx[806].start |
21024.548 |
| transcript.whisperx[806].end |
21049.861 |
| transcript.whisperx[806].text |
就是說要去針對這個事情做整個一次性的盤整我當時在凱凱安的時候在這個委員會我特別提到我相信幾位長官應該都有聽我講過我們衛福有定格叫直轄縣市運用居家托育人員照顧家外安置兒童處理原則而這個原則還說明像針對凱凱這種特殊家庭小朋友的保母還必須上課 |
| transcript.whisperx[807].start |
21051.318 |
| transcript.whisperx[807].end |
21062.708 |
| transcript.whisperx[807].text |
才有這個資格去代他對不對那結果台北市他認為他自己的安置資源足夠不必遵循這樣的原則所以最後才發生這樣的憾事 |
| transcript.whisperx[808].start |
21064.491 |
| transcript.whisperx[808].end |
21079.385 |
| transcript.whisperx[808].text |
所以我是針對這個凱凱案來談論這個糾正案這兩個東西還是要放在一塊嘛我要提醒部長還有提醒各位長官這個不是一個單一安置的制度出問題啦 對不對所以你們針對這個事情要怎麼去運用 |
| transcript.whisperx[809].start |
21082.968 |
| transcript.whisperx[809].end |
21108.463 |
| transcript.whisperx[809].text |
市委員我們當然本部已經很積極的督導地方政府足按全面檢視特殊需求兒童的照顧狀況擬定安置計畫那第二個當然就要增加所需要的經費第三個我們補助長照機構受制兒少專顧專門照顧的區域然後給他一個完整比較完整的身心發展需求的一個照顧環境 |
| transcript.whisperx[810].start |
21110.076 |
| transcript.whisperx[810].end |
21134.102 |
| transcript.whisperx[810].text |
部長 我是這樣跟你去理解你好不好我覺得說一個月內趕快把它盤整完成啦相關的我們的準則啦地方政府是不是有照這樣子去落實啦如果沒有的話那你們要怎麼應用怎麼處置嘛然後也是也不只涵蓋兒少嘛還有老人緊急長期的這些都應該要有一定的這樣的一個SOP嘛 |
| transcript.whisperx[811].start |
21135.862 |
| transcript.whisperx[811].end |
21161.715 |
| transcript.whisperx[811].text |
謝謝! |
| transcript.whisperx[812].start |
21162.202 |
| transcript.whisperx[812].end |
21163.546 |
| transcript.whisperx[812].text |
謝謝劉委員、謝謝部長。接續我們請陳盈委員質詢。 |
| transcript.whisperx[813].start |
21181.032 |
| transcript.whisperx[813].end |
21198.197 |
| transcript.whisperx[813].text |
好謝謝昭偉還是要先對昭偉表示佩服你今天在這裡勇於承擔的一個發言因為我一個人在下面不好意思跟你鼓掌但我還是給你拍拍手非常感動好謝謝我們請那個部長好部長請委員好 |
| transcript.whisperx[814].start |
21203.935 |
| transcript.whisperx[814].end |
21229.483 |
| transcript.whisperx[814].text |
部長好我們來看一下這個是在9月24號總質詢的時候我有特別提到這個問題就是當時因為質詢的時間很有限那沒有讓部長好好回答這個問題那我在這邊想要放慢一下速度來請教一下部長我們的這個文建站以及巷弄長照站的照服員其實已經5年 |
| transcript.whisperx[815].start |
21233.966 |
| transcript.whisperx[815].end |
21245.217 |
| transcript.whisperx[815].text |
在這5年當中,如果依照公務人員的調薪的幅度,如果加上明年的3% |
| transcript.whisperx[816].start |
21247.379 |
| transcript.whisperx[816].end |
21273.013 |
| transcript.whisperx[816].text |
全部加起來這幾年當中已經調整了11%那部長但是我們回頭去看一下這個趙服務員五年他都沒有調薪那在這個時間點我們是不是也應該要有一個適度的調整我這個薪水看起來是比較低應該我印象中好像有調整 |
| transcript.whisperx[817].start |
21274.699 |
| transcript.whisperx[817].end |
21282.918 |
| transcript.whisperx[817].text |
以前的調整是因為忘記就是應該只是補齊他們該領而沒有領的部分 |
| transcript.whisperx[818].start |
21283.834 |
| transcript.whisperx[818].end |
21287.637 |
| transcript.whisperx[818].text |
新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞新聞 |
| transcript.whisperx[819].start |
21314.354 |
| transcript.whisperx[819].end |
21315.314 |
| transcript.whisperx[819].text |
但是那個經費是從你們這邊來的啊 |
| transcript.whisperx[820].start |
21343.729 |
| transcript.whisperx[820].end |
21346.191 |
| transcript.whisperx[820].text |
因為整個的這個預算也還是跟衛福部協商調整這個申請過來的嘛那我想 |
| transcript.whisperx[821].start |
21362.206 |
| transcript.whisperx[821].end |
21377.514 |
| transcript.whisperx[821].text |
這個部分我看我看你們兩個兩位還在上面一直討論可能不是很清楚的感覺沒有因為這個是原民會那沒關係如果說我們就轉達給原民會來討論就是你們願意加碼然後他們可以去調整薪資 |
| transcript.whisperx[822].start |
21378.354 |
| transcript.whisperx[822].end |
21384.758 |
| transcript.whisperx[822].text |
再來部長,就是透過這個調整軍公教待遇,帶動民間企業跟進,那全民來共享這個經濟成長的果實。我覺得呢,這個包括非營利單位, |
| transcript.whisperx[823].start |
21404.069 |
| transcript.whisperx[823].end |
21428.825 |
| transcript.whisperx[823].text |
當然就是說包括我們的這個造福源呢因為我們就是要準備要進入了這個長照3.0那接下來就是我想衛福部是不是可以好好的來研議然後準備就是說來整體來看一下這個事情那當然就是說也謝謝部長剛剛特別提到這個文化健康站造福源的部分 |
| transcript.whisperx[824].start |
21431.127 |
| transcript.whisperx[824].end |
21450.622 |
| transcript.whisperx[824].text |
另外就是說我在總諮詢的時候也有提到就是當時我有列出所有的這個部會主管的法人還有基金會的這個調心狀況那我不知道部長當時有沒有看得很清楚就是我們這些衛福部主管的法人基金會 |
| transcript.whisperx[825].start |
21451.823 |
| transcript.whisperx[825].end |
21470.594 |
| transcript.whisperx[825].text |
他們今年都是沒有調薪或調不到40%像比如說婦女權益促進發展基金會、要害救濟基金會等等、國衛院、醫測會等等這些他們也都沒有調或調不到4%我想在這邊我們先強調一個概念 |
| transcript.whisperx[826].start |
21472.162 |
| transcript.whisperx[826].end |
21500.372 |
| transcript.whisperx[826].text |
因為調整這個軍公教薪資的待遇這件事情我們不是要去討論他的績效或績效獎金我想跟部長討論的是這些人他們跟公務人員一樣都是為了我們政府的這些政策推廣跟服務在努力軍公教調薪的狀況下加薪調薪的部分卻漏了他們我覺得這個不是 |
| transcript.whisperx[827].start |
21501.172 |
| transcript.whisperx[827].end |
21518.3 |
| transcript.whisperx[827].text |
很合理啦因為也嚴重的打擊打擊士氣吼那部長我想說想請教就是說這些單位今年的4%什麼時候可以調整還有明年的3%是不是也可以如期的調整 |
| transcript.whisperx[828].start |
21520.161 |
| transcript.whisperx[828].end |
21532.097 |
| transcript.whisperx[828].text |
法務委員我想這個數據好像跟我上次我們關心的時候稍微我印象中只有婦女權益促進發展基金會當時是沒有條 |
| transcript.whisperx[829].start |
21536.34 |
| transcript.whisperx[829].end |
21557.91 |
| transcript.whisperx[829].text |
︎ |
| transcript.whisperx[830].start |
21558.03 |
| transcript.whisperx[830].end |
21575.955 |
| transcript.whisperx[830].text |
他們的制度要怎麼處理,我們都趕快來處理。對,因為有的還要強調就是說那個績效這件事,因為它有些性質它是不一樣的。像國衛一樣就沒什麼績效,績效他都一直在研究。我的意思是說他很有績效但是沒有錢的績效,不一定有錢的績效,但是他是國家衛生智庫,所以他對國家的貢獻是非常大。 |
| transcript.whisperx[831].start |
21585.418 |
| transcript.whisperx[831].end |
21600.675 |
| transcript.whisperx[831].text |
因為有些單位不是看他們賺多少錢來衡量。他其實很窮,國家衛生研究院很窮,那個每次統三都把他們的一些計畫比較刪掉一些,他們也痛苦不堪。 |
| transcript.whisperx[832].start |
21601.876 |
| transcript.whisperx[832].end |
21629.594 |
| transcript.whisperx[832].text |
對,所以部長如果有這樣的概念很好那我們也請部長回去就是好,我馬上來研究你還沒有回答我的問題就是那個今年嘛我們現在才10月嘛起碼還有後面還有兩個月啊就是今年其實是有調調這個4%然後明年要調3%你們要不要追上 |
| transcript.whisperx[833].start |
21631.072 |
| transcript.whisperx[833].end |
21632.163 |
| transcript.whisperx[833].text |
就是趕上一下進度 |
| transcript.whisperx[834].start |
21633.431 |
| transcript.whisperx[834].end |
21661.718 |
| transcript.whisperx[834].text |
我們馬上來處理啊。如果該補的就補啊。這個錢的事情,絕對火急啊這個是。大家都都有聽到,這是我們詢問過,這個認知最棒的衛福部部長。這個應該要調的就要趕快調啊。是,謝謝。那我們有沒有可能在10月底的時候麻煩大家會診然後可以跟我們辦公室說明一下這個狀況? |
| transcript.whisperx[835].start |
21663.178 |
| transcript.whisperx[835].end |
21682.064 |
| transcript.whisperx[835].text |
好,沒問題啊。我們回去跟人事處講一下。我們回去跟人事處,但是我是覺得一定要想盡辦法,要達到目標這樣子。沒錯,我們大家一起努力啦。但我還是要講一下10月底到我們辦公室報告一下狀況,你們努力的結果這樣。 |
| transcript.whisperx[836].start |
21684.685 |
| transcript.whisperx[836].end |
21684.845 |
| transcript.whisperx[836].text |
是的。 |
| transcript.whisperx[837].start |
21713.94 |
| transcript.whisperx[837].end |
21736.068 |
| transcript.whisperx[837].text |
結合了智慧科技的運用當然這個是整體來說是我們現在的趨勢星期一記者會的主題是在智慧醫療但是我8月的時候有邀請衛福部各個機關來開會請你們彙整目前衛福部所有有關智慧科技運用的政策與計畫這些表是你們彙整給我的 |
| transcript.whisperx[838].start |
21740.45 |
| transcript.whisperx[838].end |
21756.66 |
| transcript.whisperx[838].text |
那這個我們看一下其中紅色框起來的兩個項目也是我上屆推動社區健康營造結合科技應用的計畫這是我相當關心也是部落我們偏向非常需要的一個計畫那其中呢 |
| transcript.whisperx[839].start |
21756.92 |
| transcript.whisperx[839].end |
21780.077 |
| transcript.whisperx[839].text |
️ |
| transcript.whisperx[840].start |
21781.057 |
| transcript.whisperx[840].end |
21803.746 |
| transcript.whisperx[840].text |
這個也是我們賴總統的這個推動的健康台灣的政策那健康台灣當中有一個項目呢是智慧醫療結合智慧照護所以部長我們是不是應該再詳細的去給大家盤點到底是哪些政策跟計畫呢是以這個智慧科技用在醫療 |
| transcript.whisperx[841].start |
21805.687 |
| transcript.whisperx[841].end |
21831.289 |
| transcript.whisperx[841].text |
還有這個照護上面的那我們要把它要請你們說把它彙整成一個計畫裡面哪些是常態性的政策哪些是階段性的項目這個部分我們把它做一個完整的整理那我提出這樣的要求是因為我們之前跟你們這個詢問那要求做的這個整理的內容其實是不清不楚 |
| transcript.whisperx[842].start |
21832.483 |
| transcript.whisperx[842].end |
21834.223 |
| transcript.whisperx[842].text |
我們那個三大中心是世界算是領先的 |
| transcript.whisperx[843].start |
21857.55 |
| transcript.whisperx[843].end |
21865.624 |
| transcript.whisperx[843].text |
那相關這個智慧科技的政策會整成這個智慧醫療結合健康照護的這個計畫你們如果很強的話那需要多久的時間? |
| transcript.whisperx[844].start |
21867.496 |
| transcript.whisperx[844].end |
21883.669 |
| transcript.whisperx[844].text |
1個月好了這樣齁阿如果可以的話也10月底你就一併跟那個條新的事情來跟我們報告啦好阿好好記起來好阿謝謝我想說我前面謝謝臺北歐羅這麼久時間也不夠了好啦好啦謝謝謝謝陳委員謝謝副長最後一個林憲齊講快一點阿還沒吃飯欸好謝謝 |
| transcript.whisperx[845].start |
21900.236 |
| transcript.whisperx[845].end |
21909.482 |
| transcript.whisperx[845].text |
好,謝謝昭偉還有我們立委同仁和衛福部的同仁,大家好。我就先直接請部長吧。 |
| transcript.whisperx[846].start |
21912.967 |
| transcript.whisperx[846].end |
21937.867 |
| transcript.whisperx[846].text |
我想最後一個也有一些期待啦。好啦,稍微講,講得快一點,我就講得快一點。好,那部長我就直接啦,我們就進入今天的PPT。今天要跟你探討的是一個,前幾天其實我也有把這個文送進來,就是有關於學齡前聽力篩檢的這個議題。好,那現在最主要的重點是你們在2012年衛福部就開始推動這個新生兒的聽力篩檢。 |
| transcript.whisperx[847].start |
21939.268 |
| transcript.whisperx[847].end |
21966.505 |
| transcript.whisperx[847].text |
但是現在碰到的一個問題就是學齡前兒童的聽力篩檢現在碰到很大的問題那這個問題呢就導致其實有一些學童他是可以在黃金時期把這樣子的一個問題去做一個處理所以他未來在有關於聽力方面的一個學習就會不會受遭遇到沒有被篩到的問題 |
| transcript.whisperx[848].start |
21967.886 |
| transcript.whisperx[848].end |
21996.057 |
| transcript.whisperx[848].text |
這是今天最主要的一個問題那當然制度層面讓我們下一張制度層面就是現在就是政策不一怎麼說呢你們在這個新生兒的篩檢這個部分由衛福部這邊做的還挺不錯的那但是呢現在很多的這個縣市可能因為地方的財力或者是地方的量能的一個問題而導致許多縣市目前已經停辦 |
| transcript.whisperx[849].start |
21996.957 |
| transcript.whisperx[849].end |
22003.948 |
| transcript.whisperx[849].text |
學齡前的聽力篩檢那不曉得衛福部對這樣一個問題的看法是如何? |
| transcript.whisperx[850].start |
22005.714 |
| transcript.whisperx[850].end |
22024.061 |
| transcript.whisperx[850].text |
我們現在的一個學齡前聽力篩檢的政策就是...委員能不能讓我來說明一下?好,謝謝。衛福組織在新聖河的聽力篩檢,那這個聽力篩檢委員當然也知道我們大概目前大概成績大概都在98%到99%,換句話說大概不到1%的小孩子沒有篩過。 |
| transcript.whisperx[851].start |
22028.843 |
| transcript.whisperx[851].end |
22050.081 |
| transcript.whisperx[851].text |
那最後這個包括後續的追蹤轉介大概都說都能夠達到98以上的這樣的一個規模但是協定條約我們放在的是在兒童健康檢查裡面他必須要去做這些就是我們那個孩子的健康檢查裡面有這個項目啦可能就是落實的問題啦那還有縣市他在執行端的問題我們來檢討這個部分好不好 |
| transcript.whisperx[852].start |
22052.304 |
| transcript.whisperx[852].end |
22053.646 |
| transcript.whisperx[852].text |
您剛才也回應了這個問題但是我這邊把那個比較更 |
| transcript.whisperx[853].start |
22068.187 |
| transcript.whisperx[853].end |
22097.387 |
| transcript.whisperx[853].text |
我這邊研究的這個區塊也跟您做一個交流你們在新生兒的部分其實是篩得不錯但是現在大家碰到一個問題是跟地方地方怎麼來處理這件事然後第二個是所謂的黃金期所以新生兒不錯但是學齡前比例差很多那這跟制度上也有點關係所以兩個重點第一個是地方的量能還有中央的支持這是一個問題第二個部分是對不起往下一頁 |
| transcript.whisperx[854].start |
22099.308 |
| transcript.whisperx[854].end |
22126.062 |
| transcript.whisperx[854].text |
好第二個部分是你們在學齡前的這個聽力篩檢的給付目前只有100塊然後新生兒的篩檢700塊所以在品質方面也有一些差異但是最重要就是這個黃金騎士在新生兒一直到這個學齡前的這一段差距如果依照很多現行大家實際的狀況的了解在這個部分如果能夠篩出來的話那他其實會影響後面很大很多人就是在這個部分被漏篩了 |
| transcript.whisperx[855].start |
22126.442 |
| transcript.whisperx[855].end |
22149.48 |
| transcript.whisperx[855].text |
閱讀 |
| transcript.whisperx[856].start |
22149.48 |
| transcript.whisperx[856].end |
22171.374 |
| transcript.whisperx[856].text |
️ |
| transcript.whisperx[857].start |
22171.454 |
| transcript.whisperx[857].end |
22171.554 |
| transcript.whisperx[857].text |
新聞報告 |
| transcript.whisperx[858].start |
22195.734 |
| transcript.whisperx[858].end |
22221.525 |
| transcript.whisperx[858].text |
我們來組一個團隊跟大家跟協會來這邊做討論那看看做出什麼樣的問題找出來然後我們來規劃看後續後續怎麼來處理這個問題好不好好的謝謝那謝謝署長所以我這邊的幾個建議除了剛才我們講的那個城鄉的一個差距最後給大家做一個沒有人用PPT啊好吧反正今天的重點就是你一定要掌握這段 |
| transcript.whisperx[859].start |
22223.005 |
| transcript.whisperx[859].end |
22246.804 |
| transcript.whisperx[859].text |
這段那個年齡層的人然後當然學校的家長也很重要那你說相關的這個協會那可能我要書裡面把你們對於聽障師的這樣一個數量跟是不是足夠來處理這一塊年齡的這個人可以給我一些很具體的一個回應好不好對那這樣我們就能夠很很清楚的具體的來處理跟解決這樣一個問題好嗎好謝謝謝謝署長 |
| transcript.whisperx[860].start |
22253.349 |
| transcript.whisperx[860].end |
22260.371 |
| transcript.whisperx[860].text |
本日會議詢答全部結束委員張家俊所提書面質詢列入紀錄刊登公報現在做以下決定第一報告及詢答完畢 |
| transcript.whisperx[861].start |
22281.86 |
| transcript.whisperx[861].end |
22302.43 |
| transcript.whisperx[861].text |
2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。委員另要求則其者,從其所定。本次會議到此結束。現在上會。謝謝大家。 |
| 會議時間 |
2024-10-09T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討」進行專題報告，並備質詢。
【10月7日及9日二天一次會】） |
| 委員發言時間 |
08:31:06 - 14:43:00 |
| IVOD_ID |
16157 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/16157 |
| 日期 |
2024-10-09 |
| 會議資料.會議代碼 |
委員會-11-2-26-2 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
2 |
| 會議資料.會次 |
2 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.標題 |
第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議 |
| 影片種類 |
Full |
| 開始時間 |
2024-10-09T08:31:06+08:00 |
| 結束時間 |
2024-10-09T14:43:00+08:00 |
| 支援功能[0] |
ai-transcript |