| IVOD_ID |
162334 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/162334 |
| 日期 |
2025-06-09 |
| 會議資料.會議代碼 |
委員會-11-3-26-16 |
| 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16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 |
16 |
| 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16次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-06-09T10:20:31+08:00 |
| 結束時間 |
2025-06-09T10:34:40+08:00 |
| 影片長度 |
00:14:09 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4d6a092c3b844592ff91a76eb364840fba6a1b99ce3116a0dcc938fdb7fbdb6814d49caf4f3f18ce5ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
蘇清泉 |
| 委員發言時間 |
10:20:31 - 10:34:40 |
| 會議時間 |
2025-06-09T09:00:00+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16次全體委員會議（事由：審查
一、行政院函請審議「全民健康保險資料管理條例草案」案。
二、委員林月琴等21人擬具「全民健康保險資料管理條例草案」案。
【詢答及審查】
【第二案，如未經各黨團簽署不復議同意書，則不予審查】
【6月9日及11日二天一次會】） |
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剛才大家都在講急診,我幫你講屏東的情況是,謝謝屏東,屏東市有很嚴重度,屏東貧瘠 |
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27.04 |
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他的腦神因為腎中毒後他就要腦神經內科要二十四小時所以大家都在等他去找他的四個神經內科醫生找三個現在只剩下一個一個要來我那裡我說不可以啦你不可以把他修我跟他認定說你不可以把他修那修了他就斑斑 |
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51.67 |
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很嚴重,有三個醫生,五個早上到早上兩個都早上,早上兩個都早上,每天連續一天,早上兩個有三個醫生,一個八十幾歲,一個六十幾歲,數十,還沒要胖,所以我現在跟他們說,不然就做區域聯防啦,區域聯防,這是一個步啦,所以還是要想辦法啦, |
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79.6 |
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那這所以平基任何跑掉的就就給他引導 再去府營 婦產科啦不然怎麼辦所以我們在地方上我們都很努力的在讓他能夠維持好的運作雖然要有保證知道事情真的可能不是跟他鬥氣而已身高也很嚴重因為現在婦產科醫生平均五六十歲 |
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所以現在生小孩在家麻煩,婦醫生麻煩 |
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111.038 |
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132.992 |
| transcript.whisperx[5].text |
那像兒科,我們那邊現在維持七個兒科醫師,都是刺磚科那是硬要拿的,每個都撩錢,撩到頭就頭所以這個要怎麼去補償?署長你可能要研究看看每一次看到你們我都很疼惜啦還要疼惜我們這個年輕人現在整個社會的觀念都變了現在年輕人,沒有在聽這套啦 |
| transcript.whisperx[6].start |
139.685 |
| transcript.whisperx[6].end |
156.189 |
| transcript.whisperx[6].text |
現在因為科技業者晶片業者他們太好找工作了而且只要你願意值班我們的住院醫師在值班人家在晶片的施工的也在值班但是人家只要值班年薪就250萬起跳 |
| transcript.whisperx[7].start |
161.142 |
| transcript.whisperx[7].end |
183.701 |
| transcript.whisperx[7].text |
我去竹科那邊看 八八八三班另外一個班是on call那on call就是不能離開新竹縣市call你的時候40分鐘要到那就四班在亂每一個都是250起跳 隔年就可以到300萬了我院長的小孩是念志工碩士 |
| transcript.whisperx[8].start |
185.182 |
| transcript.whisperx[8].end |
196.898 |
| transcript.whisperx[8].text |
他現在在日夜光我說你現在年薪多少他就說80幾萬年薪沒有就上白班而已如果說他要值班就260 |
| transcript.whisperx[9].start |
199.085 |
| transcript.whisperx[9].end |
223.105 |
| transcript.whisperx[9].text |
所以現在年輕人你跟他講說 喔 當公務人員多好當警察多好 當醫生多好他不應該信到以前的公務人員 社會地位都很高現在公務人員要搞一個什麼退休用你自己提撥的錢 加政府提撥的錢這一筆基金 發完就沒了現在聽說變成這樣 這樣還得了我覺得這以後搞不搞就沒有人要考啦 |
| transcript.whisperx[10].start |
227.692 |
| transcript.whisperx[10].end |
229.961 |
| transcript.whisperx[10].text |
整個都崩盤了嘛所以整個價值觀都變啦 |
| transcript.whisperx[11].start |
232.332 |
| transcript.whisperx[11].end |
257.698 |
| transcript.whisperx[11].text |
這醫生這麼多年都沒薪水、沒什麼提高所以還是要籌多一點錢待遇還是很重要的一位醫生到台北去做醫生、做到老沒有一間房子,要找西人人家在國外是薪水月薪月薪差不多18個月就可以買一個房子 |
| transcript.whisperx[12].start |
260.673 |
| transcript.whisperx[12].end |
282.978 |
| transcript.whisperx[12].text |
四個月也可以買一部車子這是當統計所以部長還有署長你們責任重大好 今天講今天的健保的東西這十幾年來就是偶爾就會出現一個官員用CME拿資料出去了然後被判刑了 |
| transcript.whisperx[13].start |
284.178 |
| transcript.whisperx[13].end |
295.324 |
| transcript.whisperx[13].text |
好像都一直來那你現在的那個內部要拿資料的前線現在到底有沒有加強部長我們有要求健保署一定要去查清楚整個機制要加強請署長回答 |
| transcript.whisperx[14].start |
304.347 |
| transcript.whisperx[14].end |
320.083 |
| transcript.whisperx[14].text |
跟委員報告這個案子當然還在檢調偵查中不過我們在這個事件之後已經重新檢討過在內積的部分去強化包含資料使用權限的限縮還有可取得的這個 |
| transcript.whisperx[15].start |
321.484 |
| transcript.whisperx[15].end |
339.789 |
| transcript.whisperx[15].text |
資料的那個欄位就是最少原則那如果需要到大筆資料還要簽核所以都加強了這個內控的機制所有的使用紀錄都會被留下來就是你只要經過就對對對對另外還導入外機的機制包含這個ISO27001的標準CNS27001的標準還有外機所以我們是強化內機之外也導入外機的機制 |
| transcript.whisperx[16].start |
349.571 |
| transcript.whisperx[16].end |
366.115 |
| transcript.whisperx[16].text |
好那出皮肉都是健保署那國健署都沒問題喔國健署的資料也沒救捏我們這三高我們這什麼癌症病人都害得了所以國健署這邊有沒有洩露出去有沒有出事跟蘇昭偉報告一下這兩件事這個是形式問題這是他自己這是職員那個怕我們這個話齁 |
| transcript.whisperx[17].start |
371.696 |
| transcript.whisperx[17].end |
378.039 |
| transcript.whisperx[17].text |
那是我們本來就很嚴格,要在那個本金裡面,去個別化或是識別化,拿出來今天可以再做這兩件事情啦,那這個我們當然需要去檢討 |
| transcript.whisperx[18].start |
388.749 |
| transcript.whisperx[18].end |
416.109 |
| transcript.whisperx[18].text |
但是今天討論的是因為我們本來就已經在做後來是因為宣判所以我們把他弄得就能夠讓大家安心病人隱私的一個保護跟安全啦這有兩個齁這個法案過了會比較清楚規範說要怎麼贏啊背信給人家拿資料去贏我希望疫情開始的20年我的資料可以贏沒有你的資料可以贏你也不知道 |
| transcript.whisperx[19].start |
417.55 |
| transcript.whisperx[19].end |
439.35 |
| transcript.whisperx[19].text |
說什麼去名字都去掉就用了搞不好你已經被用了一百次了我被用了一千次了論文就有六千篇了嘛對不對所以你這個法通過你也不知道你繼續也不知道你到底有沒有用啊說你可以退出還是不同意我不知道發一個發一個問求你說給天保署說我的資料都沒有用 |
| transcript.whisperx[20].start |
445.86 |
| transcript.whisperx[20].end |
460.488 |
| transcript.whisperx[20].text |
有這個我們社權法規委來處理這個而且會更細膩來看他不能釋出哪些資料那基本上如果去識別化的話像我個人的話我覺得只要識別化對公共衛生對國家的一個醫藥發展提升我覺得應該是 |
| transcript.whisperx[21].start |
461.553 |
| transcript.whisperx[21].end |
486.308 |
| transcript.whisperx[21].text |
沒有啦 我們的資料被用去世白話 名字都遮起來這樣 這樣如果能遮到這樣 那當然安心啦對社會也有貢獻 連捐大體都在捐的大體老師都是這樣捐的嘛所以 我們是可以理解但是一般百姓會不會理解 我不知道好 你這個法通過之後跟另外一件事就是倒賣個資 倒賣資料出去這是兩回事 |
| transcript.whisperx[22].start |
487.849 |
| transcript.whisperx[22].end |
510.487 |
| transcript.whisperx[22].text |
所以倒賣這一塊你們有什麼防患的措施剛剛署長講的以外有加強嗎 還是現在都不可能發生啊從此以後不會發生的對 我們都強化了就是剛剛講的都是在那個事件之後我們重新檢討過強化到目前的話都維持得很好我們一定要強化到絕對不可能再發生 |
| transcript.whisperx[23].start |
512.202 |
| transcript.whisperx[23].end |
519.428 |
| transcript.whisperx[23].text |
今天這個法案拿出來 院辦得出來是要迎合這個憲法法庭的判決那跟我們資料會被盜賣這是兩回事所以這個要怎麼加強 |
| transcript.whisperx[24].start |
526.704 |
| transcript.whisperx[24].end |
554.62 |
| transcript.whisperx[24].text |
你要回答?來,你來回答我來,我問李處長資料被...大量資料被下載所以我們已經從去年開始就進行一個管理每個月每個單位,它只要有哪一個人在不對的時間、不對的地點、不對的量去下載資料,我們全部都有掌握然後都會給各個主管所以這個在USB跟硬碟現在都有這些管理跟委員報告好,OK |
| transcript.whisperx[25].start |
555.595 |
| transcript.whisperx[25].end |
577.513 |
| transcript.whisperx[25].text |
那我們健保這樣說30年來我們的就醫資料有680幾億筆有這麼多那怎麼用你們現在有人家的apply來申請你們IRB通過之外你們這邊有一個委員會在審查在核准嗎我們有專案小組有專案小組這裡面有24個委員在做審查 |
| transcript.whisperx[26].start |
582.798 |
| transcript.whisperx[26].end |
607.499 |
| transcript.whisperx[26].text |
那現在的設計如果經過審查以後當然沒有爭議就就看看後續怎麼樣我們會再來演繹但是如果有困難矛盾的話我們會有執議會來處理所以這個審查委員會上面還有一個執議會那這個執議會是這個因為他不可能主案審查那可能會受不了啦不可能啦不可能所以這個委員會先 |
| transcript.whisperx[27].start |
608.655 |
| transcript.whisperx[27].end |
611.78 |
| transcript.whisperx[27].text |
先審查小組,過了就過了,沒有過的再送到執意會有爭議的到執意會 |
| transcript.whisperx[28].start |
619.622 |
| transcript.whisperx[28].end |
632.197 |
| transcript.whisperx[28].text |
好那最後一個問題現在疫苗現在有還有三百多萬劑那現在要你不是支持高麗大家要煮有我自己煮六支我這個如果標準的就兩個童弟我就煮但是我煮到現在我會嚇到的阿博爹你有煮嗎 |
| transcript.whisperx[29].start |
639.167 |
| transcript.whisperx[29].end |
650.513 |
| transcript.whisperx[29].text |
我十月請他煮一支,四月請他煮一支我現在有很多老闆或鄉長、鎮長跟我說要煮嗎?煮了怎麼辦?我說你不煮可能會瘋掉煮會瘋掉嗎?我說也不一定煮疫苗出現事情的規矩但是你不煮疫苗應該是更危險 |
| transcript.whisperx[30].start |
665.305 |
| transcript.whisperx[30].end |
688.922 |
| transcript.whisperx[30].text |
錄影,這樣會中症嘛,中症會跳起來因為我在民間看那些玩家,有的年輕人,有的年輕人在過去這個疫情,做疫苗要有心理不整的有肉膜積水,心肝膜積水,咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕咕嚕 |
| transcript.whisperx[31].start |
694.045 |
| transcript.whisperx[31].end |
715.664 |
| transcript.whisperx[31].text |
我想大家都會說有可能有可能但是他們去秤的那些要害沒有一件過的因為都不會死 但是就都有症狀有的真的 主要病心力不整 真的有所以我在新浪溝這邊碰到一大堆所以我越看越擔心 |
| transcript.whisperx[32].start |
716.405 |
| transcript.whisperx[32].end |
719.928 |
| transcript.whisperx[32].text |
所以你現在叫我打,我還是會去打啦但是我怕會被打掉但是如果有人問我,我真的會保留保證你宣示一下市長可不可以請我們專家跟大家宣導一下打疫苗是不是過去專家的 |
| transcript.whisperx[33].start |
735.469 |
| transcript.whisperx[33].end |
736.17 |
| transcript.whisperx[33].text |
因為我們目前都還是有在針對所有的這個 |
| transcript.whisperx[34].start |
751.802 |
| transcript.whisperx[34].end |
775.724 |
| transcript.whisperx[34].text |
疫苗的接種之後有如果不良反應其實是都可以通報所以我們一直有在蒐集這方面的數據然後在這個食藥署這邊有去做定期的這個統計那另外像委員提到就是說有這種接種之後疑似是因為疫苗造成的其實我們在這個不管在第一層衛生局這邊也都會去做調查然後如果這個真的是可能跟疫苗有關的也都會跟他說有這個救濟的這個管道 |
| transcript.whisperx[35].start |
776.184 |
| transcript.whisperx[35].end |
798.171 |
| transcript.whisperx[35].text |
也就是可以提這個疫苗接種預防接種受害救濟這個部分那我們有一個獨立的這個專家委員會去做審議去判斷這個相關性因為疫苗本身一直在突變突變突變到現在跟原來的以前三年前的完全不太一樣了嘛那所以你現在新的疫苗是最新的這個病毒的突變那應該都有cover到 |
| transcript.whisperx[36].start |
799.372 |
| transcript.whisperx[36].end |
817.937 |
| transcript.whisperx[36].text |
至少自主會後 如果中就中不中重鎮嘛重鎮的死亡率高嘛 尤其是三高的人所以還是鼓勵要打啦個人覺得也是要鼓勵啦所以你們要宣導要講清楚啦現在老人家最大的疑慮就是剛剛我講的無主會死 主人白會死嗎 |
| transcript.whisperx[37].start |
823.702 |
| transcript.whisperx[37].end |
844.605 |
| transcript.whisperx[37].text |
所以現在針對這個疫苗接種的利弊得失的話我們當然還是會最建議的就是在這個高風險的族群像是這65歲以上的長者或者是這個有這個慢性病的患者他們如果得到這個新冠之後病發重症跟死亡的風險都很高所以在這個族群我們是一直大力的推廣要接種好 謝謝好 謝謝署長 謝謝 謝謝主席好 謝謝 謝謝部長 謝謝 |