| IVOD_ID |
162069 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/162069 |
| 日期 |
2025-05-28 |
| 會議資料.會議代碼 |
委員會-11-3-26-14 |
| 會議資料.會議代碼:str |
第11屆第3會期社會福利及衛生環境委員會第14次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
14 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第3會期社會福利及衛生環境委員會第14次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-05-28T14:47:12+08:00 |
| 結束時間 |
2025-05-28T14:59:08+08:00 |
| 影片長度 |
00:11:56 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/75aba70f567c6f245e40fb444abfb77fe795f59f7b69f6aeead003a588ee379991b1f0c7435980ee5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
14:47:12 - 14:59:08 |
| 會議時間 |
2025-05-28T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期社會福利及衛生環境委員會第14次全體委員會議（事由：一、處理114年度中央政府總預算決議有關衛生福利部主管預算凍結報告案64案(含報告事項51案及討論事項13案)。
二、審查
（一）行政院函請審議「兒童托育服務法草案」案。
（二）委員林月琴等16人擬具「兒童托育服務法草案」案。
（三）委員何欣純等16人擬具「兒童托育服務法草案」案。
（四）委員王育敏等24人擬具「兒童托育服務法草案」案。
（五）委員邱若華等16人擬具「兒童托育服務法草案」案。
（六）委員黃捷等21人擬具「兒童托育服務法草案」案。
（七）委員蔡易餘等17人擬具「兒童托育服務法草案」案。
（八）委員李坤城等22人擬具「兒童托育服務法草案」案。
（九）委員陳培瑜等19人擬具「兒童托育服務法草案」案。
（十）委員郭昱晴等21人擬具「兒童托育服務法草案」案。
（十一）委員陳素月等16人擬具「兒童托育服務法草案」案。
（十二）委員鄭天財SraKacaw等18人擬具「兒童托育服務法草案」案。
（十三）委員王美惠等19人擬具「兒童托育服務法草案」案。
（十四）委員林淑芬等25人擬具「兒童托育服務法草案」案。
（十五）委員王正旭等18人擬具「兒童托育服務法草案」案。
（十六）委員吳沛憶等18人擬具「兒童托育服務法草案」案。
三、
（一）繼續審查委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案。
（二）繼續審查委員劉建國等16人擬具「病人自主權利法部分條文修正草案」案。
（三）繼續審查委員邱志偉等19人擬具「病人自主權利法第八條、第九條及第十五條條文修正草案」案。
（四）審查委員李柏毅等16人擬具「病人自主權利法第九條條文修正草案」案。
（五）審查委員羅廷瑋等16人擬具「病人自主權利法增訂第十六條之一條文草案」案。
【第一案及第二案，綜合詢答】
【二、第（一）、（六）及（七）案，如經復議則不予審查；第（八）至（十六）案，如未經各黨團簽署不復議同意書，則不予審查】
【三、（四）及（五）案，如經復議，則不予審查】
【5月28日及29日二天一次會】） |
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時間有限齁自己要覺醒啦好 謝謝主席主席請一下長照師市長來請長照師市長 朱市長來來 請請 你不用緊張啦委員好市長好 市長我們接續上一次的 |
| transcript.whisperx[1].start |
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執行就是上一次市長的答詢內容認為台灣不是福利國家那我也覺得長照是家庭責任對不對 |
| transcript.whisperx[2].start |
52.764 |
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應該是說國家跟家庭一起來照顧老人一起照顧不是家庭責任我剛剛是說無法替代無法替代家人照顧貴蒙責任嘛 |
| transcript.whisperx[3].start |
70.673 |
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那其實我看賴總統曾經講過要把台灣打造成老人福利國那長壽3.0大概也是為了因應國家來支持家庭共同照護老人這樣子的一個責任因應而生的 |
| transcript.whisperx[4].start |
96.621 |
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譬如說直系血親之間互相負有撫養的義務家庭也有撫養的責任但是不代表家庭有能力提供足夠的照顧特別是現在少子化那麼嚴重啊政府未來如何提高替代性或者普通性的服務能量分擔家庭責任 |
| transcript.whisperx[5].start |
122.703 |
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148.82 |
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目前確實我們在長照的這些相關的措施裡面其實也是在協助家人一起來照顧所以包括提供家人可以有一些喘息家人需要工作的話我們也在佈建這些相關的居家服務社區式的服務來讓家人可以放心可以去安心 |
| transcript.whisperx[6].start |
149.84 |
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發揮他的專業那讓照顧長輩的交給專業的人來做照顧這個政策方向都是跟委員這邊剛剛垂詢的是一致的那現在長照的政策呢就是造成了長照悲歌啊悲劇啊一再發生長照政策把照顧者視為工具人 |
| transcript.whisperx[7].start |
177.335 |
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198.15 |
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那國家呢 有很多學者跟團體一直在呼籲國家應該保護照顧者那其實也應該要 就是受照顧者必須要得到國家的支持照顧者也需要 |
| transcript.whisperx[8].start |
199.505 |
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頻繁的長照杯葛不應該是台灣老化的宿命長照3.0的部分 |
| transcript.whisperx[9].start |
212.064 |
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假如以市長上一次答詢的時候回答照顧需要照顧者的責任是家庭的話那顯然跟民團和學者的看法不大一樣現在你們長照3.0要怎麼亡羊補牢 |
| transcript.whisperx[10].start |
233.161 |
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243.268 |
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跟委員再一次的澄清說明上一次的詢答我沒有說這個是家人的責任我一直強調是說我們的長照制度在我們的稅收規模下我們無法替代完全替代家人照顧概念上 |
| transcript.whisperx[11].start |
252.034 |
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272.648 |
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意思就是說今天如果家因為我們在我們的民法本來就有父父撫養義務所以本來在我們的國情裡面其實家人扮演很重要的支持角色那政府就是很重要的除了被照顧者在長福法裡面也已經在立法院通過的長福法已經把 |
| transcript.whisperx[12].start |
273.268 |
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288.744 |
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支持照顧者也入法所以對於長照制度的建構裡面除了被照顧者的服務我們也同步關注照顧者要有支持市長我講兩點第一點就是說所有的政策入法 |
| transcript.whisperx[13].start |
289.905 |
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312.959 |
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並不能解決一切的問題這個是第一個觀念第二個就是你上一次怎麼詢答的呢因為今天時間太短了我下一次回放給你看好了我問繼續問市長台灣因為稅收太低所以不是福利國家這個可能是可以探討的 |
| transcript.whisperx[14].start |
314.502 |
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340.622 |
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那長照的責任在於家庭那政府也願意分擔一定的工作那要長照長照森林要加深加廣服務的網絡必須要有更多的支出稅收制的長照制度顯然沒有辦法因應一切 |
| transcript.whisperx[15].start |
343.638 |
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357.007 |
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市長你對於把台灣的長照資金來源從現在的稅收制改成保險稅收雙軌制的看法是怎麼樣? |
| transcript.whisperx[16].start |
362.134 |
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388.84 |
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跟委員說明目前其實我們的長照基金去年年底是累積還有2039億那累積到今年的3月底現在是2200多億還有那麼多錢啊是是是我跟委員說明還有那麼多錢啊是是那所以目前沒有減薪就沒得做了沒有減薪就沒得做了我們的服務涵蓋率非常高我們服務涵蓋率已經達到去年年底就達到84%點多了 |
| transcript.whisperx[17].start |
395.102 |
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412.53 |
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我拿一個行政院的報告跟市長做個探討就是說監察院目前的報告就是說目前的長照政策對於減輕重度失能家庭負擔的注意不大 |
| transcript.whisperx[18].start |
414.308 |
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433.062 |
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監委指出112年各目標群體長照服務的涵蓋率顯然有落差近八成的長照幾支部服務使用的對象為輕中度失能者 |
| transcript.whisperx[19].start |
434.885 |
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454.485 |
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這個恐怕就是重度的失能者用不到恐怕是基金還有那麼多錢的主要原因就最需要的反而用不到我們的制度然後基金還有三千億兩千多億 |
| transcript.whisperx[20].start |
457.052 |
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462.236 |
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也跟有人說明事實上我們現在確實給支付是鼓勵因為我們國內的長輩 |
| transcript.whisperx[21].start |
473.606 |
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486.538 |
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都一直嚮往就是留在自己最熟悉的社區中老那其實所以整個的給支付的政策也回應我們國人的一個嚮往跟需求所以對於居家跟社區的目前有納入給支付那 |
| transcript.whisperx[22].start |
488.6 |
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505.721 |
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住宿型24小時照顧機構目前確實調查下來無法生活自理的老人被問到的時候大概只有三成六說願意到這24小時住宿機構這邊來接受中老那所以這樣的一個比例其實還有待提升所以我們一直 |
| transcript.whisperx[23].start |
506.221 |
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511.946 |
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努力的也運用長照基金在針對現在全國有1800家的這些住宿機構能夠強化他的照顧品質那把品質這邊提升上來之後我們也希望老人在被問到的時候他的優先選擇可以到住宿型機構 |
| transcript.whisperx[24].start |
522.734 |
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545.271 |
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如果這個時間到了或許在住宿型機構我們可以把它導入給支付那所以現階段我們才用定額補助的方式來補助這些住民那現階段是一年12萬那賴總統也有提出要一年提高到18萬那我們這個部分會整體配合整個的一個政府的政策來把它提高 |
| transcript.whisperx[25].start |
546.064 |
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562.35 |
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市長我們有在112年我們有22萬左右的失能者是聘僱外籍看護工那這些人裡面只有4成 |
| transcript.whisperx[26].start |
563.59 |
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583.471 |
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曾經使用過長照服務現況在使用長照服務其中超過三分之一只使用一項那這一項最多的就是喘息服務也就是說其實我們的長照制度並沒有辦法很普遍的覆蓋到 |
| transcript.whisperx[27].start |
586.707 |
| transcript.whisperx[27].end |
604.635 |
| transcript.whisperx[27].text |
最需要的人假如說我們有辦法覆蓋到最需要使用到長照制度的這些人呢我想長照背歌不會一再的演唱這個是一個事實那 |
| transcript.whisperx[28].start |
607.828 |
| transcript.whisperx[28].end |
634.453 |
| transcript.whisperx[28].text |
怎麼讓使用者更方便可以使用到長照提供的需求怎麼去找到需求的人我覺得這個都是長照師必須要去做的事情不要等到悲劇發生了再說什麼都來不及 |
| transcript.whisperx[29].start |
634.972 |
| transcript.whisperx[29].end |
653.241 |
| transcript.whisperx[29].text |
是 跟委員報告 聘外籍看護工這一塊其實本來大概使用都不到兩成所以我們經過這幾年一直努力那我們也把這個這樣的指標列為考核地方政府的一個長照的考核指標所以近期已經攀升到 |
| transcript.whisperx[30].start |
654.661 |
| transcript.whisperx[30].end |
680.737 |
| transcript.whisperx[30].text |
外籍看護工提高到4成你可能也不用拿出來這邊講因為外籍看護工就是因為移工的勞動意識也強了啦所以早期沒有再讓人家休假現在休假當然會所以才會說喘息服務是最多被申請的項目交通接送也很多懂我意思嗎 |
| transcript.whisperx[31].start |
682.618 |
| transcript.whisperx[31].end |
709.77 |
| transcript.whisperx[31].text |
對 教訓接受 然後還有那個復聚護障今天還有預算解凍要處理所以我們先討論到這邊那有關長照的問題呢我覺得是民進黨執政不可迴避的責任那也希望市長這邊不管在政策的擬定或是政策的落實都必須要加把勁是 好 謝謝委員謝謝市長 謝謝主席 |
| transcript.whisperx[32].start |
712.779 |
| transcript.whisperx[32].end |
715.104 |
| transcript.whisperx[32].text |
可以了 你可以了 |