| IVOD_ID |
165999 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/165999 |
| 日期 |
2025-11-28 |
| 會議資料.會議代碼 |
院會-11-4-11 |
| 會議資料.會議代碼:str |
第11屆第4會期第11次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
4 |
| 會議資料.會次 |
11 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第4會期第11次會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-11-28T11:44:28+08:00 |
| 結束時間 |
2025-11-28T12:00:09+08:00 |
| 影片長度 |
00:15:41 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/e90c42a9ce79e38a6241197c249808d467ac07857f1cd0c589d9bb1a3670a86b47990b0cb07845b95ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
李彥秀 |
| 委員發言時間 |
11:44:28 - 12:00:09 |
| 會議時間 |
2025-11-28T09:00:00+08:00 |
| 會議名稱 |
第11屆第4會期第11次會議（事由：一、對行政院院長施政報告繼續質詢。（11月28日）二、討論事項：本院財政、內政、經濟、交通、社會福利及衛生環境五委員會報告審查行政院函請審議「中央政府花蓮馬太鞍溪堰塞湖災後重建特別預算案」案等9案。（12月2日）三、11月28日上午9時至10時為國是論壇時間。） |
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謝謝院長 我可不可以請卓院長麻煩再請卓院長備詢以及衛福部部長麻煩請衛福部長備詢立委好 |
| transcript.whisperx[1].start |
19.218 |
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院長好 部長好我今天還是要再一次就台灣人民長期關注的食安問題來跟院長跟部長就教原頭的管理我們大家都知道對食品安全非常的重要除了前一陣子雞蛋的問題在過去幾年不斷的發生狀況之外我今天先就我們開放日本輔導的食品我來跟院長跟部長就教11月21號 |
| transcript.whisperx[2].start |
47.188 |
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我們再次解禁了福島的五個縣市的食品也就是院長你現在看到上面這個表所有的食品它在日本是禁止流通的因為它是有可能它是現在是福島有可能是遭到核污染的食品所以目前這些食品是管制的 |
| transcript.whisperx[3].start |
69.58 |
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那11月21号我们到底开放了什么呢也就是说这些食品现在在日本是不能流通的但是我们的调整过去是因为它禁止那当然它也就不能输入来台湾福岛的食品也不能输入台湾但是我们现在除了这些食品它有机会进来台湾之外我们食药署又做了第二件事情就是我们不需要再做产地的证明 |
| transcript.whisperx[4].start |
98.562 |
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我們過去我們都知道產地的證明很重要你是在東京都你是在北海道你是在日本哪一個地方我們可以看得到但是11月21號那一天我們另外我們取消了產地證明這件事情所以就是說我們現在對日本食品的查核對於全國民眾來說我們就變成說我們只能例行性的邊境查核跟全民的公測 |
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我沒有機會知道他是來自北海道他是來自福島日本流通的本來有可能我剛那個出河的那個表出河支線那一欄表日本禁止流通我不會知道他到底是來自哪裡日本禁止流通的他就有可能進來因為11月21號公告這件事情 |
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151.212 |
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造成很多長期喜歡吃日本食品的很多民眾的恐懼所以我現在就要跟部長講了我們現在對於邊境對日本邊境的管理食品邊境管理真的只剩下台日友好四個字難道台日友好這四個字就有機會就有可能讓我們吃下這些食品這是現在台灣民眾的恐懼 |
| transcript.whisperx[7].start |
176.894 |
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189.117 |
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所以我要再次提醒部長這件事情對於台灣民眾為什麼這件事情引起很多民眾的憤怒院長你聽得懂我的意思嗎不懂 |
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190.623 |
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207.39 |
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你不懂開放福島的食品過去我們就標註它是福島的食品你現在是不用標註生產的地點我們連想要知道生產的地點來自哪裡我們現在都不知道它可以不標示它只要標示日本製就可以了 |
| transcript.whisperx[9].start |
208.9 |
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227.885 |
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這個我當然知道因為我們過去十多年來檢查了二十幾萬件它都沒有超越任何的標準而且現在我們是依據國際共同的標準剛才我第一張表日本流通的這些東西我們現在都有可能見日本禁止流通這些東西日本禁止不可能進來台灣 |
| transcript.whisperx[10].start |
229.249 |
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256.448 |
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你怎麼知道有可能有不肖的進口商如果有不肖的進口商要進來你怎麼去查驗你現在查驗就只剩下邊境管理你邊境的抽檢你到底量可以達到多少第一個我是有問號因為我們海關人力也有限這是我第一個院長我要提醒你第二件事情我不要在這邊跟你糾結因為你的問題在哪裡我剛才已經提出來我說不懂是說很多國人憤怒這一點我不懂哪一些國人在憤怒 |
| transcript.whisperx[11].start |
258.137 |
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277.483 |
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對於有可能吃到來自福島有問題的食品對於有可能吃到有來自福島有問題的食品大家當然有憂慮啊第二點 我要跟你就講來自於日本過去我們三次解禁來自日本公告 |
| transcript.whisperx[12].start |
278.063 |
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299.159 |
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来自日本的食品我都觉得充满了政治算计为什么我这么说呢过去第一次在111年2月11号我们公告日期满了是2月18号那我们不到三天就已经开始公告那第二次是113年在9月25号我们预告期满是9月23号我们公告日期 |
| transcript.whisperx[13].start |
300.22 |
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321.188 |
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公告日期是9月20號不到兩天我們就公告第三次當然就是這一次按照道理說一過去食藥署在處理日本的食品公告期一滿我們馬上公告日不到一個禮拜我們馬上就公告但是這一次我們卻延到一個月之後才公告所以會讓外界會覺得這裡面 |
| transcript.whisperx[14].start |
323.749 |
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352.392 |
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真的是充滿了政治的操作不會啊依照過去你看不到一個禮拜兩天三天就公告我不知道你們是在等什麼啦但是在我看來你們就是充滿了政治算計任何一天委員都可以懷疑啊針對日本的福島的食品的開放也好我覺得充滿了政治算計跟包括對食品安全的部分我覺得國人有很多的憂慮我原心中有算計就會任何一天都可以算得出來啊但是沒有任何算計啊 |
| transcript.whisperx[15].start |
353.872 |
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359.915 |
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我希望沒有算計但是對於食品的安全我都認為應該高度的把關應該跟過去一樣為什麼這一次做了調整開放這件事情 |
| transcript.whisperx[16].start |
367.213 |
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391.213 |
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何時?國人要吃嗎?我覺得如果你問你仔細去問大家大家一定不要吃因為日本都不能流通福島的無限式的食品你們這一次做了採訪我覺得我個人就覺得有問題好這件事情留給國人去評價因為我後面我還有很多其他的問題院長我不是來跟你吵架但是人民自有公斷何時的食品要不要吃 |
| transcript.whisperx[17].start |
392.034 |
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420.15 |
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沒有生產的產地標誌讓人民連選擇的機會都沒有我覺得這就是漏洞好 第二個問題 委員的標題太聳動了院長 院長標題 我沒有設下標題但是如果連生產的產地連生產的產地人民都看不到它到底來自北海道來自福島還是來自哪裡連人民選擇機會都沒有我個人認為就是食安源頭管理的漏洞日本禁止的食品台灣吃不到這個原則一定要先說 |
| transcript.whisperx[18].start |
421.807 |
| transcript.whisperx[18].end |
438.409 |
| transcript.whisperx[18].text |
如果有不肖廠商我覺得連源頭的標誌都沒有的話那就是一個漏洞人民至少會想知道是來自北海道是來自日本國是來自九州是來自青都來自哪裡現在連生產標誌都沒有這就是最大的問題 |
| transcript.whisperx[19].start |
439.19 |
| transcript.whisperx[19].end |
462.672 |
| transcript.whisperx[19].text |
好院長我第二件事情我就是要就現在兒科醫學的問題前兩週我們的總統成立了要求成立兒童兒童跟家庭署這件事情是好事我個人也支持但是最近有幾個新聞包括北榮有四科兒科總醫師都留不下來那他們自己開業那無獨有偶我們現在包括在台大 |
| transcript.whisperx[20].start |
463.413 |
| transcript.whisperx[20].end |
489.341 |
| transcript.whisperx[20].text |
我們的住院醫師在去年也沒有招滿那整個兒科醫師在全台灣留任率只有38%所以最近有幾位我看到網路上都是兒科的醫師他們說他們在求學選擇練兒科的時候是匆匆忙忙留任有餘但是決定在線上決定要離開就是匆匆忙忙連滾帶爬 |
| transcript.whisperx[21].start |
491.762 |
| transcript.whisperx[21].end |
509.942 |
| transcript.whisperx[21].text |
為什麼 我相信部長很清楚我們要把每個孩子值照顧得更好兒科醫師很重要但是兒科醫師在全台灣留任率不到38%會變成一個問題屏東可能沒有如果屏東有個孩子重症他可能要拉到高雄 |
| transcript.whisperx[22].start |
510.919 |
| transcript.whisperx[22].end |
538.444 |
| transcript.whisperx[22].text |
那個車程救護車程可能就需要一段時間成相差距我想部長很清楚因為我們現在兒科醫師留任率不到38%值如何照顧得更好好那我現在就來提怎麼樣去做解決總統既然成立了家庭署兒童家庭署我們就希望孩子生的少是一個國安問題值如何照顧得更好那更重要所以現在人兒科現在面臨的問題就是我們現在人力下降兒童少 |
| transcript.whisperx[23].start |
539.364 |
| transcript.whisperx[23].end |
559.19 |
| transcript.whisperx[23].text |
兒科醫師照護的人少這是相對的部長同不同意因為我們每萬名兒童的醫師是在增加就是因為我們這個分母在下降但是還是有分佈的問題就像您提到的分佈的問題也好現在60幾%都是在基層分佈的也好醫院的部分 |
| transcript.whisperx[24].start |
559.87 |
| transcript.whisperx[24].end |
581.372 |
| transcript.whisperx[24].text |
要再强化医师医师都是问题所以现在解决方案就是我们如何把儿科医师留任率提高是重点所以未来无论是我们值如何调整价如何调整就是我们现在健保的点值我看一个孩子他哭闹看医生我可以看两个成人 |
| transcript.whisperx[25].start |
582.313 |
| transcript.whisperx[25].end |
606.603 |
| transcript.whisperx[25].text |
院長你同意嗎我開一個我幫孩子造一個胃鏡一歲跟四歲的孩子六歲的孩子他胃的長度不一樣他可能需要胃的胃管那個他背的器材就要更多成人他只要一個size就好所以開刀一個孩子的話無論準備的衣材器材成本都相對高看一個孩子跟看一個成人的時間也不一樣 |
| transcript.whisperx[26].start |
607.723 |
| transcript.whisperx[26].end |
623.143 |
| transcript.whisperx[26].text |
所以部長你了解我在講什麼院長我想我這樣簡單的解釋你應該聽得懂所以我們怎麼去解決我們現在兒科醫師留不住所以在值跟量的部分無論是在健保點值的部分跟單價的部分如何提高 |
| transcript.whisperx[27].start |
624.444 |
| transcript.whisperx[27].end |
640.72 |
| transcript.whisperx[27].text |
這才是真正的重點否則我們現在真的發生醫療重症兒童發生醫療重症的時候那就有可能變成醫療人球有些地方我醫生專責任不夠他不敢收他不是不願意收他不敢收比屏東他可能就要拉到高雄去 |
| transcript.whisperx[28].start |
641.809 |
| transcript.whisperx[28].end |
664.071 |
| transcript.whisperx[28].text |
所以這就是現在兒科醫師的症狀然後另外一個就是我們現在有專責醫生制度專責醫生制度現在大概覆蓋率不到六成為什麼我們現在每一個兒科醫師他的單價低我們現在收費的大概每一個收案的只有一千塊但是行政流程非常的複雜他要填一堆單子他就乾脆不要做 |
| transcript.whisperx[29].start |
665.259 |
| transcript.whisperx[29].end |
693.387 |
| transcript.whisperx[29].text |
所以我們無論是兒科醫生專責制度也好或者是我們兒科醫師的照護人力也好現在都呈現相當大的問題所以這個部分院長我們可不可以是在值跟量的部分我覺得應該值的單價也好價也好值的部分應該個案的部分以個案收容量來說應該價不同值也要去做一些調整我們現在就往這個方向在做規劃在前幾位委員也提過類似的問題剛剛我們也答覆過 |
| transcript.whisperx[30].start |
694.887 |
| transcript.whisperx[30].end |
710.568 |
| transcript.whisperx[30].text |
那答覆的過程委員也清楚我請部長在座說明一下跟委員說明我們的方向上大概都跟委員提的是一致的就是不要再free for service因為小孩子照顧得好 健康的反而就一少所以我們現在會朝向第一個 |
| transcript.whisperx[31].start |
711.249 |
| transcript.whisperx[31].end |
731.483 |
| transcript.whisperx[31].text |
就是Primary Care的部分朝向P4P就是潤脂的方式增加他的個案管理的費用讓他照顧好這樣可以拿得到這些收入那第二個呢重症的部分在醫院部分重症的部分調高他的只有重症的部分啊那你還是留不住啊兩個兩個兩個都做一個是剛剛提到的那健保點植的部分呢 |
| transcript.whisperx[32].start |
732.424 |
| transcript.whisperx[32].end |
749.697 |
| transcript.whisperx[32].text |
因為它被保障了它不是算浮動點子因為我們框出一筆預算所以就是在做這個部分所以那個剛剛提到的個案費用的提高我們正在做那至於流程的簡化我們來檢討我覺得檢討現行兒科醫療的支付標準沒有錯就是重點那部長什麼時候一個月之內會有答案嗎 |
| transcript.whisperx[33].start |
756.446 |
| transcript.whisperx[33].end |
776.208 |
| transcript.whisperx[33].text |
支付標準的調整我們一直都在調我們今年就已經調了那你什麼時候會有新的方向出來新的方向在年底我們就會討論好那會不會用值來論籌呢你值跟量都要做調整才對啊一個是專責醫師的部分是論值那重症的部分還是把他的支付標準提高 |
| transcript.whisperx[34].start |
777.129 |
| transcript.whisperx[34].end |
781.133 |
| transcript.whisperx[34].text |
第三個問題就是要跟院長討論各勞工的工會團體其實都是長期我們跟工會在互動了解勞工的需求 |
| transcript.whisperx[35].start |
799.589 |
| transcript.whisperx[35].end |
825.775 |
| transcript.whisperx[35].text |
勞工長期在台灣佔九成在支撐我們中小企業很多重要的整個產業沒有勞工當然完全不行那工會是居中了解勞工現在面臨的問題跟狀況工會這幾年我們已經很久沒有做協助我們了解勞工的問題包括協助吹保勞健保的補助費的部分我們過去已經很多年沒有去做調整包括工會的相關的一些補助費用 |
| transcript.whisperx[36].start |
826.175 |
| transcript.whisperx[36].end |
853.992 |
| transcript.whisperx[36].text |
所以从111年到113年其实我们做了很多物价的调整所以我今天在这边再一次的诉求希望院长针对于工会劳健保的补助费还有他们每一次协助了解劳工的议题我觉得在行政作业费上我觉得应该适时的去做一些调整我希望纳入部长内部去做讨论可以吗不能直接答复好 跟李委员说明其实因为我们之前当然也从第十块调到 |
| transcript.whisperx[37].start |
854.844 |
| transcript.whisperx[37].end |
874.254 |
| transcript.whisperx[37].text |
那個12.5塊12.5塊調到14塊那當然這裡面我們當然也會來試整體政府的財政然後也包括勞健保整體的通盤的來考量通盤去做討論我希望再一次做調整好謝謝然後我接下來一個問題就是我們的產價的延長的部分產價的部分部長我長期關注 |
| transcript.whisperx[38].start |
876.115 |
| transcript.whisperx[38].end |
896.617 |
| transcript.whisperx[38].text |
台灣的產婦其實非常辛苦只有8週的產假其實是低於她身心可以恢復的時間所以院長我每一次質詢我都問同樣的問題到底你們有沒有機會在你任內討論產婦的產假延長包括薪資公共化 |
| transcript.whisperx[39].start |
898.606 |
| transcript.whisperx[39].end |
920.064 |
| transcript.whisperx[39].text |
跟委員說明其實我們非常非常在意這個尤其是懷孕的老公相關的權益我們八州是最很低比日本低比新加坡還低耶是所以其實我們先做了幾件事情第一個我們先做了這個育嬰留庭談刑以日來請休這部分我們已經在進行了第二個我們也針對昨天我們也針對像懷孕歧視的問題其實我們也開了 |
| transcript.whisperx[40].start |
940.189 |
| transcript.whisperx[40].end |
940.209 |
| transcript.whisperx[40].text |
好 謝謝 |