| IVOD_ID |
163488 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/163488 |
| 日期 |
2025-08-14 |
| 會議資料.會議代碼 |
委員會-11-3-26-24 |
| 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24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 |
24 |
| 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24次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-08-14T10:13:14+08:00 |
| 結束時間 |
2025-08-14T10:25:03+08:00 |
| 影片長度 |
00:11:49 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3ced7f9f61571ec953546778c24dde29bce7d2d90249eb2f9ae818901e71e46d092caf3064e3a5735ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
王育敏 |
| 委員發言時間 |
10:13:14 - 10:25:03 |
| 會議時間 |
2025-08-14T09:00:00+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24次全體委員會議（事由：邀請衛生福利部、經濟部、財政部就「美國針對進口藥品、原料藥課稅對我國產業造成影響」進行專題報告，並備質詢。） |
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| transcript.whisperx[0].start |
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好謝謝主席我們有請邱部長委員好部長好部長是請問解決少子化的這個關鍵的做法是靠聯誼嗎 |
| transcript.whisperx[1].start |
27.084 |
| transcript.whisperx[1].end |
39.257 |
| transcript.whisperx[1].text |
謝謝王委員給我這個機會澄清我想我們面對潮汁化國家有那個我們我有一直在媒體講有四大政策都很積極在進行 |
| transcript.whisperx[2].start |
41.019 |
| transcript.whisperx[2].end |
61.612 |
| transcript.whisperx[2].text |
那最後我才提到說因為最近剛好這幾天六師聯誼會六師我想蘇昭偉都有深度的參與會計師 律師 建築師 中醫師 醫師 牙醫師他們常常在聚會對國家的一些政策做討論以外 |
| transcript.whisperx[3].start |
62.392 |
| transcript.whisperx[3].end |
83.754 |
| transcript.whisperx[3].text |
也做一些公益的活動包括那個煎雪的活動做得很好那他們最近剛好要辦一個聯誼希望大家很工作忙碌的一個環境之下能夠有機會來互動那這個部分我們也覺得相當好那其實各個公務機關也都有辦這樣的一個聯誼活動我們台北市議事公會 |
| transcript.whisperx[4].start |
84.595 |
| transcript.whisperx[4].end |
103.61 |
| transcript.whisperx[4].text |
也每年都一定辦這個 而且還促成了好幾對我們都非常高興所以你是把希望放在聯誼活動上不是啦 那只是一個多元化的一個原因少子化的原因有很多 我們一個一個要去負責當然也包括家庭一個制度 文化 |
| transcript.whisperx[5].start |
104.757 |
| transcript.whisperx[5].end |
120.698 |
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還有性別的一個平等的觀念等等的這些因素我們都一個一個要去解決在四大策略以外我希望你多強調這個四大策略我本來就強調四大策略為什麼大家會去注意到 |
| transcript.whisperx[6].start |
122.02 |
| transcript.whisperx[6].end |
148.214 |
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我看你被批評的蠻兇的就是大家都直接講說你的少子化的解方是要鼓勵我想這個是道果為因啦不用再這樣子我用了偏乎九成的偏乎在講四大策略最後才提到說我們剛好最近有一些相關的所以你被斷章取義了我要提醒這個部長事實上我看到我們現在少子化的問題還是非常嚴重 |
| transcript.whisperx[7].start |
150.835 |
| transcript.whisperx[7].end |
173.048 |
| transcript.whisperx[7].text |
今年恐怕出生人口數還要再跌 跌破13萬你看到這個歷年來 這個真的一年比一年低啦我們到目前為止都沒有止跌的訊號南韓已經止跌了 台灣我們完全沒有止跌的訊號那我今天要特別問你的就是 之前其實衛福部一直有在研議要有一個少子化的專責單位 |
| transcript.whisperx[8].start |
174.389 |
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198.34 |
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一度你們說已經快要爭取到了但現在又完全沒有消息了我要問部長是現在這個有關演繹少子化的專責單位你們演繹到哪裡什麼時候會正式這個組織會做一些調整跟改革我覺得這個才是正辦你現在坦白講你衛福部沒有一個單位是專責在做這件事情的大家業務都非常的龐大非常的龐大 |
| transcript.whisperx[9].start |
199.58 |
| transcript.whisperx[9].end |
224.959 |
| transcript.whisperx[9].text |
整個行政院也沒有一個專責的單位好好來思考這個整個少子化危機是國安危機啊但是我覺得現在包括賴總統包括卓院長他們都沒有重視這個問題也沒有一個專責單位也沒有專人都沒有人在好好思考這個問題到底要怎麼解決啊這個問題當然就一直惡化我們看到人數就是一直掉啊 滴滴落啊 |
| transcript.whisperx[10].start |
225.492 |
| transcript.whisperx[10].end |
240.059 |
| transcript.whisperx[10].text |
潘委員 我想少子化的政策在以我在行政團隊裡面我會感受到行政院是非常的重視非常重視也一直參考國際間的經驗但都提不出解方我們的策略 這些策略 |
| transcript.whisperx[11].start |
241.119 |
| transcript.whisperx[11].end |
263.94 |
| transcript.whisperx[11].text |
當然也一直在思考為什麼這樣的策略做下去還是少子化的趨勢還是一直在所以我們真的我行政院也一直在政委或者甚至院長也指示說幾次部長我告訴你我們相較於日本南韓跟新加坡我們就是沒有專責單位而且力道不足 |
| transcript.whisperx[12].start |
264.62 |
| transcript.whisperx[12].end |
279.79 |
| transcript.whisperx[12].text |
新加坡他也他的少子化問題也很嚴重今年年初我訪問新加坡的時候然後就看到他們在這個少子化政策他沒有破例啊第三胎如果女生第三胎他一胎是40萬我們我們台灣多少 |
| transcript.whisperx[13].start |
281.31 |
| transcript.whisperx[13].end |
306.495 |
| transcript.whisperx[13].text |
你差人家差太遠了他的破例是這樣子南韓在住宅政策如果你今天結婚然後你有預備生小孩他在住宅政策他是可以給你非常非常大的優惠台灣有嗎沒有嗎所以我們所有的力道通通都是不足的那我剛講的這個專責單位就你現在知道的進度到底有沒有設立前陣子你們說有喔現在是不是又沒有了 |
| transcript.whisperx[14].start |
307.904 |
| transcript.whisperx[14].end |
309.008 |
| transcript.whisperx[14].text |
專責單位兒少專責單位 |
| transcript.whisperx[15].start |
311.701 |
| transcript.whisperx[15].end |
338.517 |
| transcript.whisperx[15].text |
兒少專者單位這個專者單位我們非常重視什麼時候要成立也在做組織的一個盤整因為這個牽涉到要跟人種爭取那進度呢 今年年底會成立嗎跟委員報告 一直在努力進行當中所以我們現在在人事方面為什麼有些偏頂在那裡就是希望成立一個相關的單位你的目標什麼時候要成立 |
| transcript.whisperx[16].start |
341.701 |
| transcript.whisperx[16].end |
343.844 |
| transcript.whisperx[16].text |
我都沒有看到具體的期程年底會成立嗎我們希望能夠在年底努力來突破所有的困難我想委員很清楚啦過去我擔任立委的時候跟您也常常在參加像兒童相關的一個 |
| transcript.whisperx[17].start |
363.284 |
| transcript.whisperx[17].end |
382.72 |
| transcript.whisperx[17].text |
像李鴻基教授這是我的老師他一生的信念一生的信念就是這個所以你現在握有行政資源你現在擔任部長的角色你就應該要盡全力去爭取好不好這個我希望你剛說的年底的目標可以完成接下來我要問的是今天主題跟藥品有關的這個 |
| transcript.whisperx[18].start |
386.443 |
| transcript.whisperx[18].end |
406.476 |
| transcript.whisperx[18].text |
當時你們在這個特別條例裡面爭取了200億的經費就是來因應這個關稅那我要問的是你們當時所設定的假定的那個條件美國要加我們的關稅是幾%在藥品的部分你們提了200億當時設定的模型是幾%要加幾%的關稅 |
| transcript.whisperx[19].start |
408.447 |
| transcript.whisperx[19].end |
422.493 |
| transcript.whisperx[19].text |
是250%嗎 當時有預知說川普要那麼高的一個關稅嗎跟委員報告我們當時候並不知道他會有多少%沒有辦法預設但是我們盤點 |
| transcript.whisperx[20].start |
426.215 |
| transcript.whisperx[20].end |
453.085 |
| transcript.whisperx[20].text |
因为会被最容易风险最高的是专利期的药因为我们最没有溢价空间它没有其他学名药可以替代所以在专利期内的进口药全部不只只有美国全部进口在专利期内的药是214项健保金额是390亿但是这里面被列为叫做必要药品的绝对不可以缺的大概是75项金额大概是200亿 |
| transcript.whisperx[21].start |
454.065 |
| transcript.whisperx[21].end |
466.684 |
| transcript.whisperx[21].text |
所以我們用這樣就是75項的200億可以維持多久一年對不對那我接下來要問的就是那一年過後呢因為關稅一調漲就是就是在這裡了 |
| transcript.whisperx[22].start |
468.092 |
| transcript.whisperx[22].end |
496.693 |
| transcript.whisperx[22].text |
然後它就是漲了就是在這個水位了所以度過第一年之後你接下來的因應的策略是什麼漲健保費嗎跟委員報告當然這最後會回到總額裡頭那我們會編這個是因為總額都是在前一年度談定所以如果在今年發生這一些費用的變動是總額沒有辦法因應的所以你會調高總額還是漲健保費那未來就會回到總額裡面去檢討看實際上增加了多少對 我是在問你你的因應策略是什麼 |
| transcript.whisperx[23].start |
497.554 |
| transcript.whisperx[23].end |
502.987 |
| transcript.whisperx[23].text |
總而當然就回到我們的健保的機制那麼總而成長多少再回過頭來算費率 |
| transcript.whisperx[24].start |
504.113 |
| transcript.whisperx[24].end |
527.235 |
| transcript.whisperx[24].text |
所以就是有可能會牽動到保費的調整對不對如果說這個川普他硬要做這樣子的一件事情的話那多出來的成本最終就是政府的這個因應措施也只能是一年的措施之後如果變成常態就必須回歸到大家全民共同分擔這個就是你們看到的情況這個要講清楚啊 |
| transcript.whisperx[25].start |
527.455 |
| transcript.whisperx[25].end |
545.263 |
| transcript.whisperx[25].text |
跟委員報告 我們的健保 最近一兩年在大家的幫忙之下 尤其是行政院的支持之下 我們的成長率是達到最高啦所以在無形中 它有比較充分的空間來因應過程變化因為像今年就多了700多億的一個預算因為現在民眾最焦慮的是 他的藥變貴了譬如說那個新聞講的 可能一個癌藥 |
| transcript.whisperx[26].start |
555.527 |
| transcript.whisperx[26].end |
570.009 |
| transcript.whisperx[26].text |
的病患他一年可能要多30萬的成本那對一般小家庭來講可能是負擔不起的所以是需要政府有個很明確的政策是可以來支持他我們不管是健保的或者是智慧剛剛食藥署有提到都是要監控 |
| transcript.whisperx[27].start |
570.35 |
| transcript.whisperx[27].end |
599.29 |
| transcript.whisperx[27].text |
好 最後一個我要幫嘉義的鄉親問的這次我們看到你是有一個政策蠻值得被肯定的就是你首度啟動無人機送藥的這件事情在風災當中我覺得對於一些路已經斷掉然後又有藥品需要的人這個是運用高度科技去達到醫療的效果我覺得是非常棒的一個政策但是我要問的是你現在好像無人機你只有幾台 五台還是三台 |
| transcript.whisperx[28].start |
600.391 |
| transcript.whisperx[28].end |
618.009 |
| transcript.whisperx[28].text |
量不多對不對這個因為還在沙河啦還在沙河所以並沒有大量的一個製造我認為這個事情是現在這個極端氣候是很常見的那像嘉義縣它又是多高山的地方一斷掉 |
| transcript.whisperx[29].start |
618.55 |
| transcript.whisperx[29].end |
639.8 |
| transcript.whisperx[29].text |
真的就是路不通喔那但是病人有用藥的需求我認為你們這個計畫很好然後應該要去爭取就是擴大那如果要擴大的話優先這種山區這個像嘉義這種高山的地方我認為你們也應該要配備好不好你們要優先去研議這個部分我認為這是一個非常棒的 |
| transcript.whisperx[30].start |
640.42 |
| transcript.whisperx[30].end |
660.538 |
| transcript.whisperx[30].text |
謝謝委員的鼓勵這個計畫是我們衛福部去研發出來的那結果有一個總統的總統盃的黑克松比賽得到應該是算第一名所以我們很重視這樣的一個智慧來弄到人民的身上那這當中我們當然現在這階段還在沙盒的階段我們要 |
| transcript.whisperx[31].start |
661.819 |
| transcript.whisperx[31].end |
676.295 |
| transcript.whisperx[31].text |
克服到一些法律上規定的事情還有實際上技術的問題比如說他必須要在10公里裡面然後兩邊都要有4梨5梨這一邊的一個情況之下那這個部分前天 |
| transcript.whisperx[32].start |
677.276 |
| transcript.whisperx[32].end |
704.936 |
| transcript.whisperx[32].text |
卓中泰院長也特別肯定也是支持這樣的說我們要克服困難來達到這樣子也謝謝王委員這樣子我們會陸續來把它在法律的規定之下來把它發展得更好我希望這件事情你們加速我覺得這是一個非常有特色而且非常有前瞻性的計畫那我就是要求這種特別多山的地方像嘉義現在的地方也要優先成為你們的試點來實施好的 我們要再瞭解看嘉義的狀況 |
| transcript.whisperx[33].start |
706.903 |
| transcript.whisperx[33].end |
708.954 |
| transcript.whisperx[33].text |
謝謝王一鳴委員 謝謝部長我補充一下 |