| IVOD_ID |
165448 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/165448 |
| 日期 |
2025-11-13 |
| 會議資料.會議代碼 |
委員會-11-4-26-10 |
| 會議資料.會議代碼:str |
第11屆第4會期社會福利及衛生環境委員會第10次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
4 |
| 會議資料.會次 |
10 |
| 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4會期社會福利及衛生環境委員會第10次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-11-13T13:34:43+08:00 |
| 結束時間 |
2025-11-13T13:46:11+08:00 |
| 影片長度 |
00:11:28 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/fffa2c65c610face98aaf85fd3496b2e8ff38efa2589ba0871572932e1d9cfea95396898a9710f355ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
楊曜 |
| 委員發言時間 |
13:34:43 - 13:46:11 |
| 會議時間 |
2025-11-13T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第4會期社會福利及衛生環境委員會第10次全體委員會議（事由：邀請衛生福利部部長及行政院主計總處就「癌症新藥暫時性支付及罕見疾病藥物專款預算運用成效及政策檢討」進行專題報告，並備質詢。
(討論事項)
審查
一、委員羅廷瑋等16人擬具「癌症防治法第十三條及第十六條條文修正草案」案。
二、委員陳菁徽等16人擬具「癌症防治法第十六條條文修正草案」案。
三、委員邱鎮軍等19人擬具「癌症防治法第五條及第十六條條文修正草案」案。
四、委員劉建國等17人擬具「癌症防治法第十六條條文修正草案」案。
五、委員王正旭等17人擬具「癌症防治法第十六條條文修正草案」案。
六、委員顏寬恒等21人擬具「癌症防治法第十三條條文修正草案」案。
七、委員林淑芬等20人擬具「癌症防治法第十六條條文修正草案」案。
八、委員盧縣一等17人擬具「癌症防治法第八條及第十六條條文修正草案」案。
九、委員顏寬恒等24人擬具「癌症防治法第十六條條文修正草案」案。
十、委員蘇巧慧等30人擬具「癌症防治法修正草案」案。
十一、委員林月琴等16人擬具「癌症防治法第十六條條文修正草案」案。
十二、委員邱議瑩等16人擬具「癌症防治法第十六條條文修正草案」案。
十三、委員羅智強等18人擬具「癌症防治法第十六條條文修正草案」案。
十四、台灣民眾黨黨團擬具「癌症防治法第一條、第十三條及第十六條條文修正草案」案。
十五、委員陳亭妃等17人擬具「癌症防治法第十六條條文修正草案」案。
十六、委員黃秀芳等21人擬具「癌症防治法第十六條條文修正草案」案。
十七、委員馬文君等16人擬具「癌症防治法第十六條條文修正草案」案。
【專題報告及討論事項綜合詢答；討論事項僅詢答】） |
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| transcript.whisperx[0].start |
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謝謝主席主席我先請一下江署長請江署長署長署長在台灣呢就是有的時候不能太專業發言 |
| transcript.whisperx[1].start |
21.725 |
| transcript.whisperx[1].end |
44.013 |
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太專業的發言有時候會引起很大的風波我其實是還蠻支持專業的就是讓很多事情讓社會大眾知道而台灣就是一個很奇怪的社會就是你把真實的事情說出去以後 |
| transcript.whisperx[2].start |
45.878 |
| transcript.whisperx[2].end |
70.315 |
| transcript.whisperx[2].text |
你就會變成劍靶所以有關分埔泥的殘留的部分我還是還是有幾個問題想要請教一下署長就按照過往的標準作業流程假如抽抽檢發現市售的食品不符實案規定的時候第一時間你們應變措施是什麼委員說明因為 |
| transcript.whisperx[3].start |
75.219 |
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101.717 |
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我們抽檢是常態抽檢常態抽檢其實樣態非常非常多從我們的食品從我們的飲食的餐廳 場所 市場等等GHP或者是我們所謂的工廠的節點符合的以及保健食品保健相關食品 健康食品的這些廠的茶廠所以它的茶茶其實非常多元而且是連續性的 |
| transcript.whisperx[4].start |
103.157 |
| transcript.whisperx[4].end |
130.808 |
| transcript.whisperx[4].text |
那對於多元連續性下呢我們其實會有常態的監測監測裡面呢如果沒有什麼特別的大的明顯的變動我們其實是每個禮拜固定在禮拜二的時候比如說邊境進來的我們其實會公告讓國人能夠知道因為這個訊息是透明的那這樣子的透明其實是要讓他的風險讓國人知道那持續的對於邊境的來去做查查 |
| transcript.whisperx[5].start |
131.488 |
| transcript.whisperx[5].end |
156.794 |
| transcript.whisperx[5].text |
那国内的话针对这一次的我们提到的这个鸡蛋的计划其实它计划的全名称呢其实叫做114年度禽畜水产品药物残留监测计划那这个计划也不是今年才开始这个计划在107年就开始那就是执行好几年了对 已经持续有每年大概平均是500例到800例 |
| transcript.whisperx[6].start |
159.555 |
| transcript.whisperx[6].end |
165.76 |
| transcript.whisperx[6].text |
執行到目前為止是有4282例那這4282例裡面所以包含了農藥的監測裡面其實一個檢體其實委託出去要4000多塊來檢驗所以檢驗的持續為了去監測裡面的含量 |
| transcript.whisperx[7].start |
177.228 |
| transcript.whisperx[7].end |
197.997 |
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那中間過程中其實就包含分譜尼的監測因為分譜尼的雞蛋其實過去在106年的時候2017年的時候有特別有這樣子事件之後去家鄉查查也把它列管之後所以對於蛋的部分其實是在環安 農安之後的食安食安的部分是在最後的 |
| transcript.whisperx[8].start |
199.497 |
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223.97 |
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其實蛋的話是進入席選場之後就歸食藥署做監測之前其實是農業部在協助做一些監測最這樣子的一個前提之下我們在4282次之後我們看到的這一次其實在這一次的檢查過程中非常感謝彰化縣衛生局尤其葉彥博業局長非常機敏的針對這個高度敏感的一個議題 |
| transcript.whisperx[9].start |
225.131 |
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238.048 |
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在10月27號常態的檢驗送出去他其實要寄去寄到屏東的中央續產所去驗那驗的時候呢剛好遇到假日所以驗的時間排成就到驗出來所以當 |
| transcript.whisperx[10].start |
240.447 |
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267.165 |
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接受檢驗接到檢體的時候其實也簽合約所以之前委員有特別提到檢驗時間需要多少時間的確是我們有檢驗時間在兩天內要把它驗出來那他們也的確是在這樣兩天只是剛好寄出去假日等等呢剛好是11月27號採11月4號其實驗到了那驗到之後呢4號驗到中央續產所因為我們長期是中央的計畫請他們驗驗來其實是到時要數來 |
| transcript.whisperx[11].start |
270.467 |
| transcript.whisperx[11].end |
277.124 |
| transcript.whisperx[11].text |
所以食藥署10月4號看到這個報告之後也就是我旁邊的我們續陽的主任 中區的主任 |
| transcript.whisperx[12].start |
278.604 |
| transcript.whisperx[12].end |
303.502 |
| transcript.whisperx[12].text |
馬上同仁把這樣的訊息告訴了我們的彰化縣衛生局彰化縣衛生局其實用最快速的速度當天就要求我們14號要求他們做所謂的下架能夠回收那5號的上午的時候我們就通報了三部會的剛剛有跟委員號這邊提到三部會裡面包含我們的環境部農業部跟 |
| transcript.whisperx[13].start |
305.523 |
| transcript.whisperx[13].end |
324.872 |
| transcript.whisperx[13].text |
衛福部所謂的環境保護與食品安全通報及應變的流程通報的農業部 跨部會農業部 環境部跟食安辦這一次會那麼快的去後續的其實是在食安辦整個中央部會 跨部會 明察案房請所謂的檢調系統 |
| transcript.whisperx[14].start |
327.313 |
| transcript.whisperx[14].end |
340.068 |
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介入之後才去進去把機場看了一遍把蛋也取了把裡面的羽毛也取了所以環境也取了所以才能夠確立在我們的11月的11號 |
| transcript.whisperx[15].start |
343.635 |
| transcript.whisperx[15].end |
362.606 |
| transcript.whisperx[15].text |
的傍晚就確立了診斷診斷是來自於雞的羽毛上游雞的羽毛上游其實跟環境跟飼料就沒有關係的其實就是來自於那是噴灑在身上的所以這是個人的行為那我們剛才提到的因為這麼大量的長期的監測之下只有這個案例我們比較高度 |
| transcript.whisperx[16].start |
363.266 |
| transcript.whisperx[16].end |
387.662 |
| transcript.whisperx[16].text |
的確之前委員有特別提醒我們要注意也很難去把它說是百分之百說一定是沒有問題但是從監測的一個角度來講的確是這樣那我們消暑這邊針對的監測的計畫等等我們也會增加我們的監測的量能持續來去做高度的監測 以上辛苦啊 那剛剛署長大概做了很詳細的 |
| transcript.whisperx[17].start |
388.963 |
| transcript.whisperx[17].end |
400.107 |
| transcript.whisperx[17].text |
的一個說明食品安全的把關確實是跟國人是最相近的因為食品每天都在用所以我剛剛開頭也講了怎麼 |
| transcript.whisperx[18].start |
404.784 |
| transcript.whisperx[18].end |
423.477 |
| transcript.whisperx[18].text |
署長的專業是絕對沒有問題那我也覺得像我個人的立場我也覺得把真實的情況告知國人這個你沒有責任只是說台灣現在就是有的時候資訊太發達了所以很多東西會 |
| transcript.whisperx[19].start |
425.259 |
| transcript.whisperx[19].end |
436.938 |
| transcript.whisperx[19].text |
會比較容易被做大這個部分可能以後可能我也不知道要建議你小心一點還是怎麼樣我也不知道好 謝謝署長請一下部長 |
| transcript.whisperx[20].start |
442.952 |
| transcript.whisperx[20].end |
456.289 |
| transcript.whisperx[20].text |
梁委員好部長我看來今天是沒有辦法討論到新藥了因為新藥的部分就是新藥的部分就是 |
| transcript.whisperx[21].start |
458.159 |
| transcript.whisperx[21].end |
487.119 |
| transcript.whisperx[21].text |
癌症新藥的基金你們為什麼那麼抗拒不想設置啊我們不是抗拒跟委員報告我們很想所以才會很快的去爭取到那個專款放在這個健保基金裡面的專款專用只不過是因為財政基金法我們要新成立一個基金法治上有一些問題要新成立一個基金一定要有因為我手頭上其實是有去年你們回覆郭建國委員 |
| transcript.whisperx[22].start |
488.4 |
| transcript.whisperx[22].end |
509.401 |
| transcript.whisperx[22].text |
的書面資料可能後來總統就宣誓了那所以希望你們還是要去克服法治上的困難因為現在的癌症的死亡率確實是太高了還有一點就是 |
| transcript.whisperx[23].start |
510.694 |
| transcript.whisperx[23].end |
535.768 |
| transcript.whisperx[23].text |
還有一點就是我們現在每年都是用公務預算公務預算撥補癌症的新藥用公務預算撥補醫生的點子保障公務預算撥補然後保費的增加連討論都不准討論是不是這樣子 |
| transcript.whisperx[24].start |
541.529 |
| transcript.whisperx[24].end |
569.296 |
| transcript.whisperx[24].text |
這個跟我們健保的原始設計的精神並非如此完全跟已經完全脫離了保險的概念就是說我不知道為什麼就是很為什麼大家會願意再讓健保的坑越來越大然後產生另外一個像勞保這樣子沒有辦法解決的問題 |
| transcript.whisperx[25].start |
570.856 |
| transcript.whisperx[25].end |
594.775 |
| transcript.whisperx[25].text |
像我個人我向來是主張就是在保險的理論架構裡面來處理健保的問題就是所以我也在這邊講過嘛就是典值保障我也是反對的公務撥補我也是反對的我覺得應該是要先窮盡所有的收支 |
| transcript.whisperx[26].start |
597.978 |
| transcript.whisperx[26].end |
621.895 |
| transcript.whisperx[26].text |
所有的收支可以解決的方法以後才來動用其他脫離保險以外的問題那現在我們不是我們就明明保險費率一般保險費率也還沒有到法定上限然後也不討論然後補充保費不准討論然後新藥預算要增加 |
| transcript.whisperx[27].start |
623.052 |
| transcript.whisperx[27].end |
650.665 |
| transcript.whisperx[27].text |
公務預算撥補那醫生的點子要保障公務預算撥補我覺得過不了幾年啦過不了幾年我覺得健保的洞就會跟勞保一樣那麼大我們找其他的時間再做討論謝謝委員 我完全認同委員的看法應該要重啟我們的現有機制去檢討盡量的讓財務健全 |
| transcript.whisperx[28].start |
652.606 |
| transcript.whisperx[28].end |
673.078 |
| transcript.whisperx[28].text |
那這個政府的撥補不是長遠但是呢 政府的責任也應該隨著我們人口的結構的改變兼顧到世代之間的公平來做這個挹注的調整政府責任的調整應該也是要有啦我們會多努力從各方面各種的財源來思考還是有順序的問題啦還是有順序的問題好 謝謝部長 謝謝主席 |
| transcript.whisperx[29].start |
681.348 |
| transcript.whisperx[29].end |
688.913 |
| transcript.whisperx[29].text |
好 接下來請林憲熙委員來做詢問啊 對不起 徐靖遠委員徐靖遠不在 請林委員來做詢問 |