| IVOD_ID |
16737 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/16737 |
| 日期 |
2025-06-05 |
| 會議資料.會議代碼 |
委員會-11-3-20-15 |
| 會議資料.會議代碼:str |
第11屆第3會期財政委員會第15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 |
15 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
20 |
| 會議資料.委員會代碼:str[0] |
財政委員會 |
| 會議資料.標題 |
第11屆第3會期財政委員會第15次全體委員會議 |
| 影片種類 |
Full |
| 開始時間 |
2025-06-05T09:41:20+08:00 |
| 結束時間 |
2025-06-05T13:01:00+08:00 |
| 影片長度 |
03:19:40 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/b41997f390c3528e1c393f606ce94321d659d651327d024bfdab1a38f0d348c0ddc7a81679bb1b0b5ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2025-06-05T10:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期財政委員會第15次全體委員會議（事由：邀請審計部陳審計長瑞敏、衛生福利部就「最近疫情再起，有關衛生福利部過去所準備的快篩試劑、疫苗、各式藥品及相關醫療機構因應措施」進行專題報告，並備質詢。） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
09:41:20 - 13:01:00 |
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| transcript.whisperx[0].start |
1162.588 |
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請主任秘書報告出席委員人數報告委員會出席委員與主法定人數好 我們現在開始開會請議事人員宣讀上次會議的一書 |
| transcript.whisperx[1].start |
1176.618 |
| transcript.whisperx[1].end |
1203.447 |
| transcript.whisperx[1].text |
立法院第十一屆第三會期財政委員會第十五次全體委員會議事錄時間中華民國一百一十四年六月四日星期三九時四分至十四時三十分地點群選樓九樓大禮堂出席委員林德福委員等十四人列席委員黃國昌委員等二十一人列席官員行政院主計總署主計長陳淑芝公務預算處處長徐永毅財政部長莊翠雲內政部長次吳唐安紀其 |
| transcript.whisperx[2].start |
1204.967 |
| transcript.whisperx[2].end |
1222.964 |
| transcript.whisperx[2].text |
單位相關人員 法務部立法院預算中心及法治局及全國各縣市府局處各機關單位代表 主席賴昭吉文事保報告事項依循如常會議事錄決定議事錄確定 散會動議議案委員吳秉瑞等提出散會動議提案人吳秉瑞 郭國文 |
| transcript.whisperx[3].start |
1224.225 |
| transcript.whisperx[3].end |
1243.914 |
| transcript.whisperx[3].text |
代會員李坤誠、鍾嘉斌等委員,表決結果,贊成者5人,反對者7人,贊成者少數本案不通過,而邀請行政院主計總署陳主計長淑芝財政部長崔雲、內政部劉部長世芳及法務部就近10年中央政府依《財政收支劃分法》、《地方制度法》等地方 |
| transcript.whisperx[4].start |
1245.254 |
| transcript.whisperx[4].end |
1274.153 |
| transcript.whisperx[4].text |
政府制補助情形及對均衡地方經濟發展的成效進行專案報告並被質詢報告及討論事項和並詢問臺灣民眾黨黨團黃三三說明提案要旨行政院主計總處主計長陳淑芝財政部莊部長崔雲分別提出報告及回應委員提案後紀委員林德福等二十人提出質詢均經臺北市政府劉副市長台中市政府鄭副市長主計總處陳主計長臺北市政府林副市長財政部莊部長 |
| transcript.whisperx[5].start |
1275.134 |
| transcript.whisperx[5].end |
1292.768 |
| transcript.whisperx[5].text |
台南市政府葉副市長、苗栗縣政府邱副縣長、桃園市政府溫秘書長、連江縣政府張秘書長、新竹市政府張秘書長、內政部吳長志、新竹縣政府黃局長、雲林縣政府曾秘書長、宜蘭縣政府吳秘書長、法務部洪司長及鄉後人員李達富 |
| transcript.whisperx[6].start |
1294.932 |
| transcript.whisperx[6].end |
1322.559 |
| transcript.whisperx[6].text |
及說明報告決定一報告說明及拿完畢二委員質詢及未及答覆或請補充資訊請相互會議周內以書面答覆委員另要求期限者從期鎖定三委員邱正均與施民出侵權王美惠陳冠廷所提書面質詢列入紀錄刊登公報並請相互會議書面答覆討論事項本院台灣民眾黨有建議行政院主席走出行為各縣市政府將召喚便利給地方政府的一般性補助款至一百一十四年度五月 |
| transcript.whisperx[7].start |
1323.959 |
| transcript.whisperx[7].end |
1352.751 |
| transcript.whisperx[7].text |
5至12月份分配及撥付數全數改為分配分配數以嚴重影響立法院通案三檢促進政府資源有效配置之決議新省中央政府預算編列腐爛原編列3兆1千億元立法院通案三檢後仍有2兆9千億元之數為中華民國史上最高制中央政府總預算本月本月職權省業預算以督促中央政府增進財務效能減少不當經濟支出 |
| transcript.whisperx[8].start |
1353.291 |
| transcript.whisperx[8].end |
1374.805 |
| transcript.whisperx[8].text |
甚至浪費之目的,中央政府不思檢討如何有效節用分配資源,卻亦圖抗地方政府之慨。請說一般性補助款補助事項,將指甲式準用指甲式規定之極限式基本財政收支差短與定額設算之教育社會福利及基本設施等未改為未分配數,此舉不但違反 |
| transcript.whisperx[9].start |
1375.625 |
| transcript.whisperx[9].end |
1404.357 |
| transcript.whisperx[9].text |
此舉不僅違反原預算刪減提案之意旨更將嚴重影響地方財政局運作對地方長期建設造成劇烈衝擊原建請院會作成決議行政院主席總書院醫理法院審議中華民國114年入庄政府總預算案通案刪減之決議意旨由中央各機關及所屬編列之預算刪減調整並立即將一般性補助款逐額撥付地方政府請供決案決議令則其繼續審查 宣布完畢 |
| transcript.whisperx[10].start |
1406.127 |
| transcript.whisperx[10].end |
1432.606 |
| transcript.whisperx[10].text |
好向各位報告請問對上一次的議事錄有疑沒有我們議事錄確定那麼請議事錄人員宣讀今日的議程邀請省紀部陳省紀長瑞敏行政院主計總處陳主紀長淑芝衛生福利部就最近疫情再起有關衛生福利部過去所準備的快篩試劑疫苗各式藥品及相關醫療機構因應措施進行專題報告宣讀完畢 |
| transcript.whisperx[11].start |
1437.216 |
| transcript.whisperx[11].end |
1463.632 |
| transcript.whisperx[11].text |
好 我們原例介紹委員跟議會的官員首先介紹吳秉樂委員林德輔委員省紀部的陳省紀長以及第三廳的周廳長衛護部的邱部長疾管署的莊署長食藥署的王滬署長 |
| transcript.whisperx[12].start |
1466.348 |
| transcript.whisperx[12].end |
1468.31 |
| transcript.whisperx[12].text |
健保署的陳副署長中醫藥師的蘇書長護署醫療及社會福利機構管理委員會王副執行長醫術師的郭忠文委員還有現在在場的我們的陳蘇之主席長好 歡迎 |
| transcript.whisperx[13].start |
1492.458 |
| transcript.whisperx[13].end |
1511.504 |
| transcript.whisperx[13].text |
今日議程安排邀請省紀部陳省紀長若明行政院主計總署陳主紀長署之衛生福利部邱太元部長就最近疫苗再起有關衛生福利部過去所準備的快篩 |
| transcript.whisperx[14].start |
1512.944 |
| transcript.whisperx[14].end |
1525.91 |
| transcript.whisperx[14].text |
疫苗各式藥品及相關醫療機構因應措施進行專題報告我想這個順序因為今天衛福部長來我們就先請衛福部長給我們做報告好不好請 |
| transcript.whisperx[15].start |
1534.664 |
| transcript.whisperx[15].end |
1556.076 |
| transcript.whisperx[15].text |
主席、各位委員、理事先生今天大案第11屆第三會期財政委員會召開全體委員會議本部呈邀列席報告深感榮幸持久近期新患疫情再起本部針對快篩試劑、疫苗、貴士藥品的整備與相關醫療機構應用措施提出專欄報告敬請各位委員不吝 |
| transcript.whisperx[16].start |
1557.045 |
| transcript.whisperx[16].end |
1578.914 |
| transcript.whisperx[16].text |
不應指教那我們在114年COVID的第22週COVID的一個門舊診人次的確都有比上禮拜上升的42%住院也上升了18所以我們也會延進持續的來監測後續疫情的發展即時採用策略那我們在本部也持有 |
| transcript.whisperx[17].start |
1580.576 |
| transcript.whisperx[17].end |
1605.471 |
| transcript.whisperx[17].text |
持續透過多元管道來宣導民眾要注意的防疫的一個作為同時也鼓勵大家合乎條件的應該趕快去打疫苗所以大概疫苗的一個施打力的確是有提高那在快篩試劑的供應及通路方面那基本上 |
| transcript.whisperx[18].start |
1607.346 |
| transcript.whisperx[18].end |
1627.207 |
| transcript.whisperx[18].text |
我們已經在出貨量在出貨量未來的兩週會業者的預估生產量家用快篩試劑可以達140萬劑專用快篩試劑可達21萬劑這高於目前預估的需求那也跟那個快篩的通路部件方面 |
| transcript.whisperx[19].start |
1628.188 |
| transcript.whisperx[19].end |
1654.44 |
| transcript.whisperx[19].text |
建立了親族,那也請藥師公會、藝材公會、聯手藥局超商、聯手藥莊每天我們都會來督導他們的一個跟他們互動,這個鋪路的一個匹配性讓我們的民眾能夠就近就買得到快篩那在醫療整備方面,的確是我們每日都監測集中症的一個量能目前來講,顯示集中症的量能尚屬足夠 |
| transcript.whisperx[20].start |
1655.68 |
| transcript.whisperx[20].end |
1665.302 |
| transcript.whisperx[20].text |
我們也為了在5月26號提醒各縣市衛生局注意轄區裡面的呆床狀況跟強化院內調度狀況我們5月29號也發函給全國的醫療機構、醫師公會、診所協會等來把疫情的現況、趨勢跟我們應該注意事項希望衛生局能夠強化我們轄線、轄內的病床調度等等 |
| transcript.whisperx[21].start |
1682.826 |
| transcript.whisperx[21].end |
1700.852 |
| transcript.whisperx[21].text |
那也呼籲民眾如果有就醫需求先到基層診所來就醫那好像到六月底到七月初是高峰可能會急診會用篩所以我們也啟動了六區的應變中心協助轉診分流那以外呢我們六月五號今天也會跟 |
| transcript.whisperx[22].start |
1701.947 |
| transcript.whisperx[22].end |
1717.866 |
| transcript.whisperx[22].text |
地方政府衛生局六區的應變中心還有各個14個集中症的網路召開會議來確認一個分流的一個系統那本部的21家部立醫院因為它分部在前骨所以我們也啟動加開COVID的特別門診醫院診希望能夠 |
| transcript.whisperx[23].start |
1719.087 |
| transcript.whisperx[23].end |
1743.237 |
| transcript.whisperx[23].text |
減輕醫學中心的一個成效這個效果也很好健保署也積極促進基層醫療讓落實分級醫療的一個制度讓民眾能夠在社區就可以得到初步的照顧這樣減緩醫院的一個壓力目前新冠的一個檢驗健保指數是150點如果醫療院所有相關的一個建議 |
| transcript.whisperx[24].start |
1748.579 |
| transcript.whisperx[24].end |
1772.907 |
| transcript.whisperx[24].text |
我們都可以行政的整首項目流程來向健保署來申請那在醫院在藥物方面我們現在目前的藥物瑞德西韋還有庫存20萬劑口服抗病毒藥物庫存有43萬劑其實在每一波上面的經驗每一波大概一波疫情大概18萬劑所以我們40萬個 |
| transcript.whisperx[25].start |
1777.25 |
| transcript.whisperx[25].end |
1790.982 |
| transcript.whisperx[25].text |
那另外我們還有留有10萬人份的開口合約莫拉皮拉維還有庫存8000多那有新進的一個Zocoma這個跟莫拉皮拉維是一樣的 |
| transcript.whisperx[26].start |
1792.664 |
| transcript.whisperx[26].end |
1809.396 |
| transcript.whisperx[26].text |
藥物作用,這個也有5000人份上有1.5萬人合一,僅足以應付目前疫情的狀況那為了妥善的應用此波的疫情,本部也以6月2號邀請相關的醫療醫事團體召開應用策略 |
| transcript.whisperx[27].start |
1810.317 |
| transcript.whisperx[27].end |
1826.66 |
| transcript.whisperx[27].text |
聆聽實務的建言,持續公私協力,結合醫界的力量推動各項防治策略,共同守護國人健康安全本部曾大院各委員指教及監督,在此敬致謝審,並請各位委員繼續予以支持,謝謝 |
| transcript.whisperx[28].start |
1840.93 |
| transcript.whisperx[28].end |
1842.033 |
| transcript.whisperx[28].text |
請站起來 請站一旁邊 |
| transcript.whisperx[29].start |
1850.777 |
| transcript.whisperx[29].end |
1868.963 |
| transcript.whisperx[29].text |
所準備的快篩試劑疫苗各式藥品及相關醫療機構應應措施深感榮幸諸檢要報告之下 正為應應嚴重特殊傳染性肺炎疫情編列肺炎特別預算 預算規模為8,393億結算審核結果 其中房住經費審定實現是2,269億餘元肺炎特別預算結束後 疾管屬於 |
| transcript.whisperx[30].start |
1877.385 |
| transcript.whisperx[30].end |
1900.043 |
| transcript.whisperx[30].text |
各公務預算編列的相關繁殖預算用以補充疫苗基金辦理疫苗採購及接種業務採購及準備抗病毒藥物及防疫預支等及其國內疫情除息升溫及疾管時預估疫情將於6月底至7月初達高峰 |
| transcript.whisperx[31].start |
1900.743 |
| transcript.whisperx[31].end |
1908.727 |
| transcript.whisperx[31].text |
珠江衛福部整備情形說明如處疫苗截至114年5月底至採購聯同受證疫苗合計9,287萬一劑已到後8,873萬一劑剩餘307萬一劑截至114年6月1日至疫苗累計接種 |
| transcript.whisperx[32].start |
1922.093 |
| transcript.whisperx[32].end |
1939.624 |
| transcript.whisperx[32].text |
兩千兩百萬一億人次 全國接種百分之九點一二快篩試劑 機關值前離一百一十四年四月初本土疫情 辦理家用快篩試劑的採購及徵用以前是配花完盡 |
| transcript.whisperx[33].start |
1940.504 |
| transcript.whisperx[33].end |
1961.208 |
| transcript.whisperx[33].text |
近期國內疫情除夕升溫食藥署已請相關業者擴大產能另於食藥署官網公布將快篩機換色通路資訊連結供各界查詢篩看病毒藥物機關署除夕整備抗病毒藥物截至114年5月抵止累計採購口服藥物280萬人份 |
| transcript.whisperx[34].start |
1969.349 |
| transcript.whisperx[34].end |
1987.683 |
| transcript.whisperx[34].text |
自設藥物105萬一劑,上一庫存貝維拉45萬一人次,最多稀有20萬一劑。即集管室說明,藥物均定定開口,合約可交貨補充,並將4個配置點使用情形調度管理。 |
| transcript.whisperx[35].start |
1989.945 |
| transcript.whisperx[35].end |
2001.89 |
| transcript.whisperx[35].text |
4.醫療機構因應措施國內疫情 近期國內疫情疫情激增 病患人數直徑增加 衛福部以免入監測及準就診人數等集中症醫療量能指標將加強醫院內調傳機制及集中 |
| transcript.whisperx[36].start |
2008.432 |
| transcript.whisperx[36].end |
2029.667 |
| transcript.whisperx[36].text |
正轉轉與分流是本部查核情形本部歷年除夕針對政府的房住及私困振興相關施政作為辦理查核並於109-11年度總結算審核報告會員特別結算審核報告分別提出54項及18項的重要審核意見本部當 |
| transcript.whisperx[37].start |
2033.409 |
| transcript.whisperx[37].end |
2048.364 |
| transcript.whisperx[37].text |
梗系治癒衛福部因應疫情相關環促作為自辦理情形以上報告請請主席 各位委員 女士 先生 主教 謝謝好 謝謝陳審計長的報告下一位請請這院主計總書的陳 陳主計長沒有報告沒有好那我們現在就 |
| transcript.whisperx[38].start |
2057.828 |
| transcript.whisperx[38].end |
2084.201 |
| transcript.whisperx[38].text |
開始詢答做一下的宣告每位出席委員發言六分鐘 必要的時候延長兩分鐘因為今天我們前面做了其他議程列席委員四分鐘今天早上十一點十點半好了 十點半來截止登記現在依要登記的順序請登記立委的林德烏委員自選 |
| transcript.whisperx[39].start |
2100.075 |
| transcript.whisperx[39].end |
2106.063 |
| transcript.whisperx[39].text |
謝謝主席是不是來邀請衛福部邱部長還有食藥署王副署長部長你好 |
| transcript.whisperx[40].start |
2117.319 |
| transcript.whisperx[40].end |
2140.078 |
| transcript.whisperx[40].text |
還有食藥署我想今天早上報紙有頭版餐飲人員盡早前在碰食而且整個食安新制從六萬可以滑到兩億小吃攤商怨說政策憑空想像 |
| transcript.whisperx[41].start |
2141.7 |
| transcript.whisperx[41].end |
2157.256 |
| transcript.whisperx[41].text |
那我想我幾個問題要請教第一個我想國人是重視食安的問題民眾在小吃攤、早餐、消費時常發現店家早前食早前後晚沒有洗手就直接接觸食物 |
| transcript.whisperx[42].start |
2158.377 |
| transcript.whisperx[42].end |
2174.631 |
| transcript.whisperx[42].text |
那衛福部食藥署昨天發布修正食品良好衛生規範的準則特別針對夜市小吃攤還有摸前後再摸食物等這些行為做一些處罰 |
| transcript.whisperx[43].start |
2176.172 |
| transcript.whisperx[43].end |
2194.741 |
| transcript.whisperx[43].text |
由於未洗手繼續處理食物容易造成汙染那違法者可處新台幣六萬元到兩億以下的罰款那我要請問高額罰金引起民眾熱議那我請問衛福部新規範有沒有宣導期 |
| transcript.whisperx[44].start |
2199.031 |
| transcript.whisperx[44].end |
2219.268 |
| transcript.whisperx[44].text |
好 謝謝委員的隨行 我想我們希望跟業者一起來維護我們人們的食安有沒有宣討期我們以輔導先行一定以輔導先行 請大家安心法令檢討時有沒有徵詢過相關這些攤販職業工會他們的看法跟意見 |
| transcript.whisperx[45].start |
2224.674 |
| transcript.whisperx[45].end |
2246.356 |
| transcript.whisperx[45].text |
這個部分請王副市長報告委員這個都有經過相關預告程序那你有沒有跟他們溝通過這個我們都有收到意見以後都有做相關的收納意見而已沒有溝通就對了因為很多攤商攤販他是只有一個人你像夜市裡面有很多就是一個人在作業那其實 |
| transcript.whisperx[46].start |
2247.617 |
| transcript.whisperx[46].end |
2275.074 |
| transcript.whisperx[46].text |
我認為事前的溝通很重要不是說我們不是反對問題就是說今天這是現實的問題你很多夜市的攤商甚至於有很多都是一人在處理一人也要找錢那你當然做一些告示讓他知道說要提醒找錢的時候要洗手甚至要把手擦乾淨再做食物等等 |
| transcript.whisperx[47].start |
2275.894 |
| transcript.whisperx[47].end |
2288.898 |
| transcript.whisperx[47].text |
我是不反對問題是你一定要有一個緩衝期而且要經過溝通協調才來實施我認為這才是正道部長你認不認同我認同我認為不是我們講實施就做因為你要有點緩衝而且讓這些業者知道 |
| transcript.whisperx[48].start |
2298.001 |
| transcript.whisperx[48].end |
2323.81 |
| transcript.whisperx[48].text |
而且告訴他們說這是食安問題老百姓大家都重視我們不是反對只不過是你一定要有一個宣導緩衝然後提醒大家就這個東西要注意部長因為媒體報導新冠疫情升溫快篩抗病毒藥物等等這些防疫的物資出現供貨不及的這些問題 |
| transcript.whisperx[49].start |
2325.29 |
| transcript.whisperx[49].end |
2343.38 |
| transcript.whisperx[49].text |
那疾管署副署長羅益君日前也表示說目前的疫苗與藥物供應這個是穩定的但藥事公會理事長黃清順呼籲政府應穩定快篩與藥品的供應那我請問會務部 |
| transcript.whisperx[50].start |
2345.482 |
| transcript.whisperx[50].end |
2363.618 |
| transcript.whisperx[50].text |
這個端午連假後防疫物資抗病毒這些藥劑是否都已經陸續補足順利的撲霍到基層喔有沒有好 是的我們的庫存量是絕對沒有問題庫存量那你有沒有撲到基層嘛因為很多人要是到這些第一線去買買不到 |
| transcript.whisperx[51].start |
2365.954 |
| transcript.whisperx[51].end |
2376.179 |
| transcript.whisperx[51].text |
這個才是問題啊不是你們庫存量的問題啊委員所提到的是快篩啦加用快篩的問題對啊疫苗跟那個藥物是沒有問題比如說我們的藥物它可能還有45萬人次 |
| transcript.whisperx[52].start |
2384.102 |
| transcript.whisperx[52].end |
2390.947 |
| transcript.whisperx[52].text |
一波疫情過去大概用了18萬人次所以這個部藥物是沒有問題疫苗還有300萬劑還一直希望大家能夠趕快來打那自己說快篩這個部因為過去 |
| transcript.whisperx[53].start |
2400.993 |
| transcript.whisperx[53].end |
2424.446 |
| transcript.whisperx[53].text |
說實在廠商都很多我知道啊 到最後囤積很多到最後變廢掉 我知道啊廠商一直趕快生產然後我們一直努力做鋪路這個幾乎每一天都在做所以請委員放心大概在六月中我們就會達到所需求量的兩倍對啦 因為你要到最基層有的人他有 |
| transcript.whisperx[54].start |
2425.526 |
| transcript.whisperx[54].end |
2448.486 |
| transcript.whisperx[54].text |
疑惑到底他有沒有感染到我們建議就到基層診所因為現在的病毒實在是太多種了我們希望能夠到診所去做判斷這個應該是比較安全部長過去因為新冠疫苗接種讓疫苗救濟申請案件暴增連帶也影響到其他疫苗救濟的案件審議 |
| transcript.whisperx[55].start |
2449.867 |
| transcript.whisperx[55].end |
2465.625 |
| transcript.whisperx[55].text |
的進度比如說流感疫苗卡介苗的疫苗等近年來多次在立法院引起立委關心疫苗救濟案件的審議速度那觀察受害救濟申請案件統計 |
| transcript.whisperx[56].start |
2466.986 |
| transcript.whisperx[56].end |
2472.01 |
| transcript.whisperx[56].text |
以111年為例一共有4813件112年降到820件113年降到594案件那我請問衛福部的衛福部預防接種受害救濟審議小組案件塞車的狀況有沒有改善 |
| transcript.whisperx[57].start |
2489.448 |
| transcript.whisperx[57].end |
2516.664 |
| transcript.whisperx[57].text |
那個請莊書長回來報告委員那其實我們現在這個每天就是每個月就是會召開兩次的VICP的委員會那每一次大概就是有大概有三百件一直都在改所以理論上應該是大概六七月左右這個新冠的期間所有的這個案件幾乎都可以都審查啦那目前還在加速當中因為齁是 |
| transcript.whisperx[58].start |
2518.065 |
| transcript.whisperx[58].end |
2535.353 |
| transcript.whisperx[58].text |
過去12年平均每案件審查的時間他高達243.6天喔8個月喔我們現在已經減少了那我請問現在平均專案審查的時間有多少這個我不清楚我可以再回應你這個很重要啊 |
| transcript.whisperx[59].start |
2537.233 |
| transcript.whisperx[59].end |
2552.959 |
| transcript.whisperx[59].text |
因為醫師認為說新冠疫情使嚴格的感染管制措施所留下的免疫負債造成我們對各種傳染疾病的免疫力都下降過去夏天 |
| transcript.whisperx[60].start |
2554.096 |
| transcript.whisperx[60].end |
2571.405 |
| transcript.whisperx[60].text |
流感病病例比較少但有醫師認為現在的病毒流行已經沒有按時序來走使流感不再是只有秋冬的限定而出現這個流感全年化的這種現象是不是這樣子 |
| transcript.whisperx[61].start |
2572.085 |
| transcript.whisperx[61].end |
2591.844 |
| transcript.whisperx[61].text |
台灣因為是說如果是屬於溫帶它比較才會有這個就是秋冬季的一個流行就是有很明顯的流行啦但是我們是屬於熱帶亞熱帶地區所以本來一年到頭就會有流感的流行只是說比較不明顯那我請問對於流感全年化的這種現象請問衛福部 |
| transcript.whisperx[62].start |
2593.746 |
| transcript.whisperx[62].end |
2609.322 |
| transcript.whisperx[62].text |
流感疫苗接種時程是不是會提早到九月啊不一定一定要會在十月以後才開打應該是說我們其實這個是不是九月開打其實都有都有討論過啦你如果太早打那事實上剛剛您說的全年都流行那就會比較 |
| transcript.whisperx[63].start |
2611.304 |
| transcript.whisperx[63].end |
2626.532 |
| transcript.whisperx[63].text |
也會比較容易就是就是你的保護力會趕快會比較快消掉所以我們現在還是希望說還是大概十月開始打至少到隔年的這個六七月之前都還有一定的保護力好啦我希望你們考慮考慮啦謝謝好謝謝林委員的資訊現在請吳秉瑞委員資訊請 |
| transcript.whisperx[64].start |
2639.929 |
| transcript.whisperx[64].end |
2642.851 |
| transcript.whisperx[64].text |
主席麻煩請衛福部邱部長來邱部長請委員好部長早今天講的這個是整備那我要問你相關的問題今年度的這個114年度的預算貴部被山被凍的狀況是怎麼樣 |
| transcript.whisperx[65].start |
2666.049 |
| transcript.whisperx[65].end |
2683.062 |
| transcript.whisperx[65].text |
如果以機關署的預算 防疫這個部分沒有一定要以機關署為限 我是問你衛福部衛福部3減11億 凍結26億3減11億是3減在哪裡 主要3減在哪裡就是在業務費業務費 業務費裡面的宣傳預算 是 有是不是被刪了60% 是 3減多少錢 |
| transcript.whisperx[66].start |
2701.386 |
| transcript.whisperx[66].end |
2723.892 |
| transcript.whisperx[66].text |
四千多萬那你這個費用本來是要跟國人溝通當有重大疫情的時候或是有什麼重大突發事件的時候你需要這筆經費然後趕快把你的這個業務上面希望國人配合去做一個宣傳嘛是的那這個被刪掉之後你要怎麼用呢 |
| transcript.whisperx[67].start |
2726.807 |
| transcript.whisperx[67].end |
2752.359 |
| transcript.whisperx[67].text |
這個業務是不是就被影響啦當然是會影響所以我們為了還是要守護全民健康所以那怎麼辦呢 你沒有錢可以用啊你少了這個宣傳的部分你又不能留用你也不能從其他預算科目來你的宣傳費用少了60%少了幾千萬所以你衛福部要跟國人做這一些意見溝通的時候你要如何處理 |
| transcript.whisperx[68].start |
2754.428 |
| transcript.whisperx[68].end |
2763.846 |
| transcript.whisperx[68].text |
這個都會再再影響到我們每一個國人的權益是不是那你是不是就是你跟社會的溝通就少60%啊 |
| transcript.whisperx[69].start |
2765.339 |
| transcript.whisperx[69].end |
2786.813 |
| transcript.whisperx[69].text |
以後本來應該要宣傳 比如說現在哪一個疾病哪一個流行性疾病 應該要怎麼樣處置這方面的information沒有辦法透過這些各種媒體讓國人能了解難道國人自己每天要去FB排隊問嗎那你到底要如何處理呢 |
| transcript.whisperx[70].start |
2787.95 |
| transcript.whisperx[70].end |
2807.952 |
| transcript.whisperx[70].text |
我想河山這方面的預算的確會影響到我們在做一些可能需要不管是防疫或是健康訊息的傳遞但是我想我們會努力努力來你這個是要跟藍白立委溝通的希望明年不要這樣亂砍 |
| transcript.whisperx[71].start |
2810.763 |
| transcript.whisperx[71].end |
2834.397 |
| transcript.whisperx[71].text |
原因在哪裡他們都誤會說你這個宣傳預算是拿來做政治攻防的啦他們都是做這樣的設想所以一刀就被砍掉60%他不知道部會需要跟國人溝通的事情很多我們衛福部都是以健康跟守護民眾的一個安全這個我相信問題是不相信的人就會拿來亂砍利用多數就隨便亂砍所以今天在這邊談說整備 |
| transcript.whisperx[72].start |
2840.541 |
| transcript.whisperx[72].end |
2851.59 |
| transcript.whisperx[72].text |
各式各樣的東西的整備一方面給你大砍預算一方面光這方面跟國人溝通就有很大的影響第二個你的業務費被凍結了多少錢業務費整個衛福部嘛是啊凍結是26億凍結26億那總共業務費本來總共是多少 |
| transcript.whisperx[73].start |
2869.713 |
| transcript.whisperx[73].end |
2889.099 |
| transcript.whisperx[73].text |
凍結了30%是不是?業務費凍結了30%是不是現在有在提出解凍?報告委員,我們未還的委員會已經在上禮拜前述解凍解凍,那原來叫凍這個是什麼意思?預算的審查一月通過,然後現在凍這麼多讓你的業務費這樣為難你,讓你難用 |
| transcript.whisperx[74].start |
2895.973 |
| transcript.whisperx[74].end |
2913.225 |
| transcript.whisperx[74].text |
不行 不能夠又要馬而跑 又要馬而不吃草好 那現在再來機關署 機關署你的經費這跟今天最直接相關的 你的經費被刪減了多少今天3.1億5千萬主要刪減在哪裡主要還是就是國內外的旅費 教育訓練 水電費還有媒體宣導跟設備費 |
| transcript.whisperx[75].start |
2917.328 |
| transcript.whisperx[75].end |
2940.283 |
| transcript.whisperx[75].text |
這除了是在業務範圍嗎?對對對,業務範圍那這個對你有什麼影響呢?應該是說,我目前大概盡量利用我們署內的預算來挪用來部分,但是不是不能喔,被刪減的不能留用喔有一些像國內旅費沒有辦法留用,這個部分就會比較麻煩就是說如果一旦未來,比如說南部有登革熱,那我們去就沒辦法跨區支援啦,這個會比較傷腦筋一點 |
| transcript.whisperx[76].start |
2941.724 |
| transcript.whisperx[76].end |
2969.02 |
| transcript.whisperx[76].text |
那到底如果真的發生了你要如何處理呢?難道要我們所屬同仁自己掏腰包自己出這個旅運費用自己去處理嗎?當然我相信如果他對這個業務有非常崇高的理想跟奉獻精神的人或許叫他自己要出一點這個交通費用叫他自己去他都還有可能可是這不是一個國家的制度啊 |
| transcript.whisperx[77].start |
2969.902 |
| transcript.whisperx[77].end |
2996.037 |
| transcript.whisperx[77].text |
對 因為我們通常去支援這個登革的防疫通常要待一個禮拜啦如果從外面調去還有住宿費這個餐飲費這個部分都需要一些解決那你這件事情如何處理這都已經 刪減這項業務會影響到你很大的你的業務的這個推動啊對 所以這個部分我們當然就是盡量南部不要有登革疫情這樣發生啦這不是你 這我也希望大家都希望 但是問題是 |
| transcript.whisperx[78].start |
2997.746 |
| transcript.whisperx[78].end |
3021.123 |
| transcript.whisperx[78].text |
這個光靠希望 那乾脆就去拜拜好了這有可能是這樣嗎所以你不能夠寄望於說希望它不要發生那這個到底你要如何解決呢沒有辦法解決 現在看起來是沒有能力我們可能就是再看一下我們的傳染病防治法跟災害防救法這邊看有沒有什麼空間可以在這個預算下去爭取 |
| transcript.whisperx[79].start |
3023.376 |
| transcript.whisperx[79].end |
3043.794 |
| transcript.whisperx[79].text |
那至於今天談到的這些什麼快篩啊 疫苗啊 藥物啊還有跟醫師之間的這些的費用在疾管署這邊有沒有被動到的這部分倒是 主要是那個疫苗的費用一開始有動了一千萬 不過也解動了其他的部分倒還好 倒沒有 |
| transcript.whisperx[80].start |
3047.187 |
| transcript.whisperx[80].end |
3054.16 |
| transcript.whisperx[80].text |
這個鑰匙工會的全國性的理事長所談到的說他是他有一些complain這間部長你知道這個訊息吧 |
| transcript.whisperx[81].start |
3057.789 |
| transcript.whisperx[81].end |
3080.148 |
| transcript.whisperx[81].text |
哪一方 不曉得哪一方 防疫方面嗎剛剛不是前一個委員才剛問你他說黃金順怎麼樣怎麼樣我想任何一個團體他就好像藝界團體 藥界團體能夠超前部署來提醒我覺得我們都但是大家話說在前面你要你準備 要你準備我贊成 |
| transcript.whisperx[82].start |
3081.212 |
| transcript.whisperx[82].end |
3098.777 |
| transcript.whisperx[82].text |
站在我中央政府這個立法我立法院我個人委員的角度我也贊成可是叫你準備如果過剩之後將來會再回過頭來說你為什麼準備這麼多呢以前他們都是用這樣的雙重手法一開始疫苗不夠趕快進疫苗 |
| transcript.whisperx[83].start |
3100.27 |
| transcript.whisperx[83].end |
3127.488 |
| transcript.whisperx[83].text |
再來疫苗 大家施打的意願不高就怪你說怎麼浪費那麼多你記不記得 你以前在我們本院當委員的時候我們同事過嘛 這個是 印象應該是很深刻啊所以我的意思是說 你提早準備 我很贊成但是你要謹防這些人 會浪費這麼多你知道嗎他換了一個時空環境會回過頭來指責說 為什麼你浪費這麼多因為你提早準備 |
| transcript.whisperx[84].start |
3128.942 |
| transcript.whisperx[84].end |
3145.961 |
| transcript.whisperx[84].text |
你當然就是要有一個安全的量那安全的量萬一將來使用不夠有剩餘的時候他會回過頭來指責你喔這一點大家話先說在前面你要有以待之喔加油 全力支持你 希望加油 謝謝好 謝謝吳秉瑞委員接下來請賴世寶委員發言 |
| transcript.whisperx[85].start |
3156.597 |
| transcript.whisperx[85].end |
3168.726 |
| transcript.whisperx[85].text |
謝謝主席 以及各位先進有請我們的外務部的邱部長以及我們的審計部的審計長還有主計總署的陳主計長請邱部長 陳審計長 陳主計長 |
| transcript.whisperx[86].start |
3179.858 |
| transcript.whisperx[86].end |
3194.775 |
| transcript.whisperx[86].text |
我先請教邱部長啦是的是剛才本來不想問這個題目但是有人起個頭我就根據你想請問你啊你剛剛說那個那個凍結都解凍了嘛是是是謝謝請問對於 |
| transcript.whisperx[87].start |
3198.657 |
| transcript.whisperx[87].end |
3211.585 |
| transcript.whisperx[87].text |
長照有沒有這個山長照的預算有沒有長照的部分有的確有山到有一個有山到嗎有山了500萬講清楚講清楚旁邊講清楚長照有沒有山來 |
| transcript.whisperx[88].start |
3216.447 |
| transcript.whisperx[88].end |
3237.274 |
| transcript.whisperx[88].text |
有一個長照社區共生互製計畫這個是針對鼓勵93區原民偏鄉離島長照資源比較不足的長照家庭使用日間照顧那這個呢被原來是3000萬被3減500萬這樣子那個育兒津貼有沒有刪育兒津貼沒有育兒津貼沒有育兒津貼沒有刪 |
| transcript.whisperx[89].start |
3245.29 |
| transcript.whisperx[89].end |
3265.003 |
| transcript.whisperx[89].text |
照顧老的 照顧小的這基本上 都應該盡量照顧啦齁那麼 特別要強調的是今天我就拍這個啦 其實你要感謝我啊你可以跟組計長要錢啦因為我知道你現在你現在不需要錢了我剛剛聽你報告 你不用錢了 |
| transcript.whisperx[90].start |
3268.616 |
| transcript.whisperx[90].end |
3284.994 |
| transcript.whisperx[90].text |
你都不缺錢我沒有那個我們當然在防疫嘛對啊現在因為防疫現在疫情起來了啊防疫的方面如果疫情你錢夠不夠啊我聽你著想的啊現階段我們因為準備的都充分所以很悶 |
| transcript.whisperx[91].start |
3286.363 |
| transcript.whisperx[91].end |
3313.346 |
| transcript.whisperx[91].text |
所以目前是目前都還可以來支應譬如說我們疫苗採購我們會由疫苗基金來支應疫苗採購是疫苗基金不是從預算裡面的喔對不對所以沒有那種什麼三疫苗的事情喔沒有三疫苗的喔當時凍結1000萬那個時候的確有造成一點點困擾啦但是這個已經解決了但是基本上疫苗從疫苗基金出來的 |
| transcript.whisperx[92].start |
3315.155 |
| transcript.whisperx[92].end |
3336.543 |
| transcript.whisperx[92].text |
那我現在就問你就是說如果你錢不夠了跟組織總組要什麼科目的錢我們目前來講的盤點是還夠如果有本部裡面機關署以及我們衛福部來支應不管是疫苗要採購那如果真的有 |
| transcript.whisperx[93].start |
3337.731 |
| transcript.whisperx[93].end |
3346.738 |
| transcript.whisperx[93].text |
有疫情我們會很密切的來看看國際間還有我們國內的變化我們會早做安排那如果有必要的話我們會請行政院來幫忙那那個主計長啊這個他們如果要跟你邀請要從什麼科目 |
| transcript.whisperx[94].start |
3355.508 |
| transcript.whisperx[94].end |
3379.87 |
| transcript.whisperx[94].text |
如果是防疫經費的話這如果疫情起來的時候他可以從他的經費先移緩季節那我們他如果不夠報到行政院來我們也可以從行政院來移緩季節那就是所以各部會都可以做調整那再者也是有災準金第二預備金來做支應可以用第二預備金嗎可以第二預備金也可以啊你不是說可以要用災害準配金 |
| transcript.whisperx[95].start |
3380.49 |
| transcript.whisperx[95].end |
3405.386 |
| transcript.whisperx[95].text |
在原則上先用災害準備金因為防疫經費他是放在那個救災法裡面的一個規範就先用災害準備金請教邱部長啊你有沒有準備要用你的第二倍金現在不需要我們部沒有第二倍金我們部是沒有第二倍金但是我們現在我們一直在盤點除了我們預計這個疫情應該到8月應該這一波是可以 |
| transcript.whisperx[96].start |
3409.025 |
| transcript.whisperx[96].end |
3419.334 |
| transcript.whisperx[96].text |
可以來足夠來應應但是我們一定要很小心我們會去看國際間WHO方面的一個訊息我請教你喔我們還是會超前部署我請教你喔現在美國的衛生部長他不相信疫苗是 |
| transcript.whisperx[97].start |
3428.905 |
| transcript.whisperx[97].end |
3453.441 |
| transcript.whisperx[97].text |
他規定他突然宣布啊這個三個月突然宣布對健康懊悚跟孕婦啊不要打這個新冠病毒的疫苗我們不能這麼看因為那是個人發表的一個意見他是部長欸但是美國的其他專家有意見啦CDC的立場可不可以 |
| transcript.whisperx[98].start |
3459.005 |
| transcript.whisperx[98].end |
3475.941 |
| transcript.whisperx[98].text |
那應該說美國有關疫苗的接種的建議通常都是由CDC的一個就是類似像我們台灣一個ACIP的委員會他們做成專家決議之後再建議啦那這次比較怪異的就是由他們的衛生部長跟FDA就直接說出來然後跳過 |
| transcript.whisperx[99].start |
3477.613 |
| transcript.whisperx[99].end |
3498.376 |
| transcript.whisperx[99].text |
就是美國CDC後來美國CDC他們的發表是說如果說是這個民眾的這個跟醫師共同決定說他們的小孩跟那個健康孕婦跟孕婦是不是還要再施打啦那這個部分在台灣的部分我們還會再徵詢我們台灣的ACIP的委員那還有根據我們我們是不是要強調一下台灣還是要打 |
| transcript.whisperx[100].start |
3500.233 |
| transcript.whisperx[100].end |
3519.649 |
| transcript.whisperx[100].text |
這個部分就是我們目前的部分依照目前是可以打但是未來這個流感未來這個十月的時候這一季的話我們會還會再尊重這個跟ACIP的委員這邊來尋求一個共識好 我再回到邱部長這裡了快篩疫苗藥品都不缺 目前都不缺 |
| transcript.whisperx[101].start |
3521.431 |
| transcript.whisperx[101].end |
3537.647 |
| transcript.whisperx[101].text |
因為有人說高峰啊 高峰可能到七八月會高峰喔我們在六月中以前會備足到我們疾管署所預計的需求量的快篩的需求量已經預計在高峰是什麼時候2.5倍 六月中 |
| transcript.whisperx[102].start |
3539.682 |
| transcript.whisperx[102].end |
3550.916 |
| transcript.whisperx[102].text |
7月初告布到什麼時候?6月底7月初量大概多少?量大概多少?大概前一個禮拜算大概20萬左右20萬?現在我們目前現在是6萬嘛對不對?對對現在是6萬多所以這個通告是不是? |
| transcript.whisperx[103].start |
3556.476 |
| transcript.whisperx[103].end |
3570.063 |
| transcript.whisperx[103].text |
應該是說我們的抗病毒藥物的部分事實上因為它是大概只有兩成的長者跟慢性病的病人才需要所以它並沒有說需要到那麼大的量170萬人就是說如果說整個高峰整個到8月初的時候170萬人那就是多34萬人要吃藥 |
| transcript.whisperx[104].start |
3577.367 |
| transcript.whisperx[104].end |
3603.612 |
| transcript.whisperx[104].text |
要是要找我就不用擺今天那個專案報告啊因為是有醫生跟我反應都不夠基層的醫生跟我講不夠所以我才排這個基層的應該是說就有關這一波那我們也沒有要針對這個有關基層的醫師醫療院所還有這個核心要求的部分我們可以在這個部分來針對給他們的一些獎勵金的部分來做增加好 部長請教你 |
| transcript.whisperx[105].start |
3608.363 |
| transcript.whisperx[105].end |
3628.679 |
| transcript.whisperx[105].text |
這個 民進黨總召柯俊明說啊7月26可能罷免 要在7月26號7月26是有國考咧 跟你有關的啊副理事啦 心理事啦 法醫啊 你們要不要講個話這個 印象中 你相關人員他們的憲法給他的權利喔 |
| transcript.whisperx[106].start |
3635.021 |
| transcript.whisperx[106].end |
3644.746 |
| transcript.whisperx[106].text |
我想這個相關的日期應該相關的單位會做好處理不是不是 這跟你有關係啊因為他如果真的排7號6號就會影響到嗎據我了解那只是易估的啦誰 日期 日期你不跟老闆那日期有有你不跟老闆討論一下啊 跟你的科總要討論一下這樣說你這樣我的人 我的人要怎麼 |
| transcript.whisperx[107].start |
3661.82 |
| transcript.whisperx[107].end |
3689.678 |
| transcript.whisperx[107].text |
我相信這個日期應該是可以達到一個大家都可以安排自己事情的一個時日期這個我覺得你們的考試看起來都沒你關心最後一個還是回到剛才有提到的啦剛才那個林德偉提到錢是病毒傳染的這個媒介可是 |
| transcript.whisperx[108].start |
3691.107 |
| transcript.whisperx[108].end |
3695.399 |
| transcript.whisperx[108].text |
你們有沒有想過 你們知道嗎 我們很多小台灣都是一個人而已啊 這是怎麼辦呢 |
| transcript.whisperx[109].start |
3697.09 |
| transcript.whisperx[109].end |
3713.594 |
| transcript.whisperx[109].text |
這個我覺得還是需要先宣導我們一定先宣導請大家放心我也是來自鄉下基層我們也了解到這個文化但是食安還是要共同一步一步往前走但是這個一定是先胡搗胡搗先行你對於這個一邊做一邊那個制你馬上開法是有意見的法很高欸六萬起跳欸 |
| transcript.whisperx[110].start |
3725.42 |
| transcript.whisperx[110].end |
3738.477 |
| transcript.whisperx[110].text |
我們的各種小吃店都是辛苦經營我們完全了解他們的辛苦我們會輔導 謝謝好 謝謝賴司保委員接下來請郭國文委員發言 |
| transcript.whisperx[111].start |
3749.133 |
| transcript.whisperx[111].end |
3755.154 |
| transcript.whisperx[111].text |
謝謝主席,有請沈記長,還有王副部長沈長,其實我看到今天的這個題目,其實相當的熟悉因為在一百一十年的時候,十月的時候,十一月的時候我們有接連兩次找了審計部來做專案報告主要也是針對這個衛福部的整個採購的流程 |
| transcript.whisperx[112].start |
3776.518 |
| transcript.whisperx[112].end |
3795.664 |
| transcript.whisperx[112].text |
當初你就提出這個採購流程預算執行的建議當中有八個審核意見後來衛福部有一定程度的改善即便是在非常緊急的情況底下衛福部會做這些改善現在相對沒有那麼緊急的情況底下就你所知的部分衛福部其他的問題還沒有進行改善的 |
| transcript.whisperx[113].start |
3797.011 |
| transcript.whisperx[113].end |
3820.693 |
| transcript.whisperx[113].text |
目前我們提出來一件 衛護部都有回應都有嘛 所以今天的主題其實基本上應該審計這邊應該沒有什麼太大的問題嘛那既然如此的話 我覺得不是缺貨的問題可能是缺人打的問題比較多啦那個部長 區部長我去查過JN1的這個疫苗呢 去年交貨是550萬劑你知道目前剩下還有多少劑嗎 |
| transcript.whisperx[114].start |
3821.354 |
| transcript.whisperx[114].end |
3842.501 |
| transcript.whisperx[114].text |
三百萬劑左右我看到是三百零五萬劑之所以會剩下這麼多主要是第一劑的接種的部分只有九點二九點一二第二劑的部分更只有零點二五高危險成員部分六十五歲以上是十八點八五我覺得去年你們有一個口號還不錯左流右心我聽你們口號我還去打 |
| transcript.whisperx[115].start |
3844.002 |
| transcript.whisperx[115].end |
3867.543 |
| transcript.whisperx[115].text |
打完之後我以為你這口號很成功結果想不到這個比例差這麼多流感的部分還有破五成為什麼大家對流感接收這麼高然後呢對這個新冠疫苗的這個部分的接種差這麼多是不是有可能第一個這個有一些這個感冒當然有即時性有壓迫性的問題或第二個聽說要分兩次吃打第二次就沒吃打會不會這樣子 邱部長 |
| transcript.whisperx[116].start |
3868.479 |
| transcript.whisperx[116].end |
3883.863 |
| transcript.whisperx[116].text |
好 我想這個的確是需要先導啦 謝謝委員的關心那因為變異株還是不一樣 可是很多人都覺得他以前已經打過好多劑了啦或者甚至有的有打斬過了 但是其實還是有變異株的問題啦像我大概打了八九次了吧 那10月1號走的右心也是有打的 |
| transcript.whisperx[117].start |
3892.705 |
| transcript.whisperx[117].end |
3902.876 |
| transcript.whisperx[117].text |
對啊 我也都有打咧但是問題不是我們有沒有打問題是很多民眾都沒有打這才是會讓我們緊張的一個原因嘛你305劑我就問嘛你的Daylight到什麼時候保存實現啊到9月底到今年9月底到9月底 對350萬劑價值多少錢 採購金額多少 |
| transcript.whisperx[118].start |
3915.182 |
| transcript.whisperx[118].end |
3936.079 |
| transcript.whisperx[118].text |
阿赫 你居然不曉得大概三四十億 三十億左右三十億左右 三十億左右就打水漂欸 拜託要加緊宣傳 宣傳發言人有被刪掉嗎 有被刪掉嗎沒有沒有被刪掉 你們要加緊宣傳啊 必要的時候找一下院長出來打一下嘛 院長打了沒有部長 |
| transcript.whisperx[119].start |
3938.482 |
| transcript.whisperx[119].end |
3961.91 |
| transcript.whisperx[119].text |
有 前一陣子有聽到院長在安排前一陣子我講你就說前一陣子有安排我沒有講就沒有安排那副總統打了沒有副總統打了沒有這個第一個就是要有一定的條件當時就是65歲或者慢性病部長你不要偏差去了嘛我現在告訴你 我現在想說如何讓你的業務能夠提升嘛你就要把這一種代表性的人物請出來 |
| transcript.whisperx[120].start |
3964.502 |
| transcript.whisperx[120].end |
3985.148 |
| transcript.whisperx[120].text |
拜託說你三百零五萬劑在那邊打水漂三十億耶拜託到時候詐約長就拿人家出來攻擊你這施打率實在是差太多了嘛我們全力在先導用盡各種方法在九月之前目標是多少會不會超過五十自我挑戰一下 |
| transcript.whisperx[121].start |
3986.588 |
| transcript.whisperx[121].end |
4014.345 |
| transcript.whisperx[121].text |
因為這個疫苗它本身就是很多人都感染過跟他會覺得你不要跟我講這個啦你竟然設定這個五百你竟然買了五百五十萬就是代表這個需要施打的數目嘛我們全力以赴我們全力以赴不要跟我講那些例外的嘛這就是你要的目標啊不然就不要買那麼多啊應該是說我們現在除了這個全體的國民的接種另外一個比較順遂是高危險群啦我們希望能夠超過20%以上蛤 20% |
| transcript.whisperx[122].start |
4015.626 |
| transcript.whisperx[122].end |
4032.965 |
| transcript.whisperx[122].text |
高危險群的65歲以上20%20%以上現在是18.85啦因為他剩下只有到六七月只有一個月的時間你下去你下去我不要跟你討論了那個部長那個我再跟你講一下那個癌友的這個復原道路我們現在有健康台灣 |
| transcript.whisperx[123].start |
4035.067 |
| transcript.whisperx[123].end |
4048.195 |
| transcript.whisperx[123].text |
賴總統非常有心 健康台灣深耕計畫100億用多少補多少但是我看了結果我們心要的引進 老實講過去10年平均全球460個只有16%在一年內拖29%納入這個醫療給付第一個 時間拖了很長 |
| transcript.whisperx[124].start |
4052.998 |
| transcript.whisperx[124].end |
4072.405 |
| transcript.whisperx[124].text |
第二個呢 因為價格的問題 進來之後呢你們限縮對象 限縮療程 限縮時間不得替代 不同替用 等等連這個限縮對象的部分來 化療無效才能用化療的無效啊 八個月啊還有晚期的這個患者才能用用這個有什麼意義 這第一個嘛 |
| transcript.whisperx[125].start |
4072.705 |
| transcript.whisperx[125].end |
4092.507 |
| transcript.whisperx[125].text |
那之所以會這樣子就是因為你價格來限制了這個耽誤時間嘛第三個呢到了這個健保署的時候又限縮一次用適應證來做限縮縮縮縮不外乎就是錢錢錢的問題嘛那現在錢錢錢已經拿了一百億用多少可以補多少你這個問題要什麼時候可以改善部長請回答 |
| transcript.whisperx[126].start |
4093.391 |
| transcript.whisperx[126].end |
4120.577 |
| transcript.whisperx[126].text |
報告委員我想我們政府尤其是賴總統非常重視癌症的一個防治除了在預防方面投入很多的經費以外在治療的這個部分也給我們癌症百益基金這個是對癌症的病人非常的有幫助這個我剛剛有講那這當中當然會讓我們現在健保署一直在開放就是希望需要的人癌症需要的人就馬上可以但是感覺上還是慢慢啊對不對你們快快快 |
| transcript.whisperx[127].start |
4122.958 |
| transcript.whisperx[127].end |
4145.343 |
| transcript.whisperx[127].text |
陳副署長要不要說我們現在已經縮短到謝謝委員的推詢我們今年在健康台灣裡面的這個癌症新藥基金如同國員剛剛所說的是100億那我們的總額增加是8.13%712億那關於所謂新藥引進的時間我們在去年新藥引進的時間已經大幅度縮短到一年以內那未來我們會持續一年以內了嗎因為去以前是787天喔 |
| transcript.whisperx[128].start |
4147.223 |
| transcript.whisperx[128].end |
4168.948 |
| transcript.whisperx[128].text |
你說了一年一年就代表你進步了然後再說一個例子好了最近我接到一個什麼寡速塗膠之流兩都已經 主治醫生都幫他申請了兩次都沒有過他說不符合適應症就我剛剛講的嘛就用盡各種方法來限縮嘛明明一種藥可以治六種癌症你就把它說 喔這只有這一種比較好而已 |
| transcript.whisperx[129].start |
4170.392 |
| transcript.whisperx[129].end |
4185.632 |
| transcript.whisperx[129].text |
這 我這個個案你拿回去檢討一下好不好 副書長是是 我們會回去身子檢討民怨一大堆啦 從台南打到台北來啦跟委員報告 我們的新藥引進事實上是有個審議委員會那事實上是在審議委員會沒有通過所以我們會回去再盤點這個流程對啦 你要好好的判讀一下啦 要 |
| transcript.whisperx[130].start |
4187.074 |
| transcript.whisperx[130].end |
4208.726 |
| transcript.whisperx[130].text |
苦民所苦啦那最後問一下那個部長現在到七月的時候高峰嘛要二十萬人嘛那這樣的情況底下你已經啟動了這一個我們的部那個衛福部的所屬的醫院加開門診 夜間門診啦那一般的醫療院所有開始溝通了沒有SOP出來了沒有你剛剛有提到超前部署你會不會稍微講一下 |
| transcript.whisperx[131].start |
4209.502 |
| transcript.whisperx[131].end |
4232.696 |
| transcript.whisperx[131].text |
包委員我們在COVID那幾年當中可以說是做好分級分流的一個體系所以我們要再啟動這樣的一個體系是沒有問題的我相信你這個沒有問題還有包括口罩的部分的宣傳我相信都沒有問題我最後一題問你現在台日之間的水產您也是東大畢業的我們之前花了八年的時間讓石斑魚能夠去日本 |
| transcript.whisperx[132].start |
4233.877 |
| transcript.whisperx[132].end |
4255.019 |
| transcript.whisperx[132].text |
那現在問題對方也花了6年的時間申請讓河豚來到台灣那我問了農業部說卡在衛福部啊那衛福部在去年12月也去實地查核過了那我就問一個簡單的原因到底要等多久有沒有可能年底有沒有可能無毒養殖的先進口 |
| transcript.whisperx[133].start |
4256.757 |
| transcript.whisperx[133].end |
4277.447 |
| transcript.whisperx[133].text |
這個現在就一直在請專家在會議研議沒有沒有目標值嘛如果說沒有讀了沒有讀了就讓他進來大家就知道怕河豚你們一定有進度啦不要講那個啦我們會努力讓他盡快盡快我們年底試看看好不好好我們再努力好謝謝好謝謝郭委員的諮詢下一位請李燕秀委員諮詢 |
| transcript.whisperx[134].start |
4288.095 |
| transcript.whisperx[134].end |
4291.717 |
| transcript.whisperx[134].text |
好 是不是可以請衛福部初部長初部長委員好謝謝部長你今天親自來我蠻驚訝的不過我覺得非常感謝你代表你對我們財務會這個議題的重視當然疫情在一起國人也都非常關心到底我們準備的狀況到底如何但是部長我要先請問你一個問題周一部長跟醫療團體開會討論整個防疫的準備狀況 |
| transcript.whisperx[135].start |
4317.913 |
| transcript.whisperx[135].end |
4327.496 |
| transcript.whisperx[135].text |
會後醫界有一個反應啊疫苗費被砍了我想請問醫界所謂的疫苗費用被砍到底是被誰砍掉部長過去我們疫情期間疫苗接種的費用是有一個儲值費100塊對不對還有一個獎勵的費用100塊對不對那疫情過後衛福部其實就沒有編列 |
| transcript.whisperx[136].start |
4347.465 |
| transcript.whisperx[136].end |
4355.271 |
| transcript.whisperx[136].text |
獎勵費了一百塊 我有沒有講錯對 你自己沒有編嘛所以外界在這一段時間一直有在講說國民黨砍了 |
| transcript.whisperx[137].start |
4358.755 |
| transcript.whisperx[137].end |
4377.005 |
| transcript.whisperx[137].text |
一百塊的這個這個這個疫苗費的預算事實上是沒有是根本沒有編因為我們疫情過後已經沒有所謂的獎勵費因為疫情中心那個已經特別但是不是國民黨砍的啦是你們這獎勵費是疫情過本來就沒有編列我想我的邏輯我沒有講錯你應該懂好來那 |
| transcript.whisperx[138].start |
4379.967 |
| transcript.whisperx[138].end |
4395.686 |
| transcript.whisperx[138].text |
意見還是一直在提我想疫苗儲蓄費的增加你非常清楚我們看一下後面下一張圖部長我在總質詢的時候我就提到我們目前近年我們包括癌症篩檢的費用的調整 |
| transcript.whisperx[139].start |
4397.955 |
| transcript.whisperx[139].end |
4402.037 |
| transcript.whisperx[139].text |
成癌的健檢從520調到880口腔癌的篩檢從130調到250大腸癌的篩檢從200調漲到400塊都成長了69% 92%大腸癌的篩檢更成長了一倍 |
| transcript.whisperx[140].start |
4414.765 |
| transcript.whisperx[140].end |
4419.407 |
| transcript.whisperx[140].text |
所以呢為什麼在這一段時間我們在爭取疫苗的費用的時候醫界就反而就一直搖頭探頭疫情過後呢這個包括疫苗處置費呢是不增反減因為我們沒有那個100塊醫界就最後自嘲說我們的疫苗接種不如一坨大便我説不如一坨大便是大腸癌的篩檢人家還有從200塊增加到400塊 |
| transcript.whisperx[141].start |
4442.657 |
| transcript.whisperx[141].end |
4449.879 |
| transcript.whisperx[141].text |
我想這個聲音你應該跟我在很多場合都有聽到醫界聲音對不對部長我這樣講沒錯了醫界搖頭說他們的處置費用不如一坨大便就是大腸癌篩檢所有的篩檢都成長了50%以上我們兩個共同參加很多次我們再看下一張表格 |
| transcript.whisperx[142].start |
4466.062 |
| transcript.whisperx[142].end |
4491.403 |
| transcript.whisperx[142].text |
日本的疫苗處置費從一千一到一六五零一千六百五十塊韓國的處置費是五百到一千塊我們的疫苗處置費多少呢只有一百塊顯然的為什麼人家會編從一千一到一六五零五百到一千塊因為裡面有行政管理疫苗的保存需要冰箱衛教的宣導這些成本部長你同不同意他都不止一百塊你同不同意 |
| transcript.whisperx[143].start |
4493.965 |
| transcript.whisperx[143].end |
4504.991 |
| transcript.whisperx[143].text |
我同意對啊 沒人日本跟韓國就是亂編啊 對不對人家為什麼編從一百五百到一千我們機關署其實也是非常的努力啦所以第一線 部長也提出方案來提升部長 你是真正醫界出身所以我覺得第一線的醫事人員心灰意冷 |
| transcript.whisperx[144].start |
4514.216 |
| transcript.whisperx[144].end |
4528.526 |
| transcript.whisperx[144].text |
那我們現在為不只能苦要求說不要太世俗啦我們一起做功德心中難道默念的賴總統的這個健康台灣那持續的要一介做功德我覺得這不合理啦這不合理 |
| transcript.whisperx[145].start |
4529.386 |
| transcript.whisperx[145].end |
4552.823 |
| transcript.whisperx[145].text |
所以 部長 我要請問你 我們到底每一季 目前你的想法到底有沒有要調因為總諮詢的時候你也同意 你也認為應該要調在兒科醫學會的時候 很多場合 我們每次在開會的時候每一區 中區 北區 南區 東區 每次去開會的時候醫界都說 你們都說要調到底每一季 你們有沒有準備要調多少錢那什麼時候要準備調整 會不會編列在明年的預算裡面 |
| transcript.whisperx[146].start |
4554.005 |
| transcript.whisperx[146].end |
4574.341 |
| transcript.whisperx[146].text |
報告委員我想我還是要說明因為在推行健康台灣的過程當中其實只要需要什麼經費對人民健康有幫助的我覺得政府都一直在努力那這個部分的疫苗處置費我們的集團署也提出了相對的方案因為他要從疫苗基金 |
| transcript.whisperx[147].start |
4575.402 |
| transcript.whisperx[147].end |
4604.531 |
| transcript.whisperx[147].text |
沒關係 部長你直接回應我到底什麼時候要調會不會編入明年的預算當中你目前的想法應該調到多少你該做多少的Range才是一個合理的Range那我請集團署組長回答一下好 簡答就好了 好不好因為我今天時間不多 後面還有幾個問題五月上旬有跟行政院來爭取預算當中目前還在程序爭取多少錢應該說這個部分我也不方便回答好 那你告訴我Range好不好範圍大概多少 |
| transcript.whisperx[148].start |
4605.936 |
| transcript.whisperx[148].end |
4621.132 |
| transcript.whisperx[148].text |
你覺得多少跟多少你爭取的預算是多少到多少沒關係你告訴我你爭取的預算一季應該是多少到多少才合理如果砍掉就是我們一定盡量爭取啦一定盡量爭取你不跟他說就對了因為這是預算的事情要看看 看 看 |
| transcript.whisperx[149].start |
4622.694 |
| transcript.whisperx[149].end |
4641.126 |
| transcript.whisperx[149].text |
我想當時在我當任立委的時候也是跟委員一樣在爭取我們兩個都一樣都關心醫界都關心病人因為我們覺得基層真的是很辛苦是 部長所以你的意思是說你已經爭取了你希望不要用明年的預算一個小孩在打針有時候真的很難打 |
| transcript.whisperx[150].start |
4642.026 |
| transcript.whisperx[150].end |
4666.044 |
| transcript.whisperx[150].text |
所以好沒關係部長因為我時間有限我後面還有其他快篩完全了解完全了解也會完全來好你有送上去的就對了你有送上去的就對了有爭取的就對了有是不是有齁有有所以不能講不敢講好反正最後你有爭取那我就當作院長部長有爭取砍掉或沒給就是卓院長不肯給好那我聽懂了好來那接下來五月初我們說要 |
| transcript.whisperx[151].start |
4669.662 |
| transcript.whisperx[151].end |
4693.963 |
| transcript.whisperx[151].text |
我希望我們不要玩兩手策略一邊因為健保署上次又說保持開放的心情然後後面又叫醫院要做公德然後又叫醫界寫什麼協議合作跟健保署提案我覺得不要玩兩手策略部長你這樣講我就很清楚你們有上簽了到行政院去了給不給就是行政院給不給我這樣理解沒有錯吧我們在疫苗基金裡面有去 |
| transcript.whisperx[152].start |
4696.665 |
| transcript.whisperx[152].end |
4713.304 |
| transcript.whisperx[152].text |
這個部分就是有關疫苗接種儲施費的部分的確在五月五月上旬有向行政院來爭取擴大公務預算的一個波及到疫苗基金裡面那如果要實施的話也會先實施到這個也會在明年明年的部分希望爭取到明年編列預算進去 |
| transcript.whisperx[153].start |
4714.775 |
| transcript.whisperx[153].end |
4737.966 |
| transcript.whisperx[153].text |
部長署長因為從過去他目前是150點希望增加到300點那我們疫情期間事實上有規劃到300點我們這300塊300塊事實上就早就已經做過成本的評估不然你疫情期間不會亂給到300塊所以這是當時你們預估過在疫情期間衛福部所有當時評估規劃你當時就是規劃300塊 |
| transcript.whisperx[154].start |
4742.188 |
| transcript.whisperx[154].end |
4750.393 |
| transcript.whisperx[154].text |
用第一個有特別預算第二個不管特別預算你沒有規劃到四百五百沒有說掛號費啦所以當時沒有掛號費但是我的意思是說你當時規劃三百塊你一定有算出它的成本是三百塊是符合成本我要提醒你三百塊那個數字當時是這樣訂出來的從一百五十點到三百塊是有理由的你不會亂編嘛你疫情期間就是給三百塊嘛我提醒你所以快篩的這是第一件事情 |
| transcript.whisperx[155].start |
4771.747 |
| transcript.whisperx[155].end |
4785.978 |
| transcript.whisperx[155].text |
那第二件事情就是部長那個我們現在的整個快篩的進度到底是怎麼樣到底夠不夠我們當時的反應現在的從112年快篩當時改靠健保給付從150點到現在300點嘛那現在300塊才能滿足服務成本大家都知道所以快篩給付的調整能不能在這個月之內處理完成 |
| transcript.whisperx[156].start |
4802.659 |
| transcript.whisperx[156].end |
4821.473 |
| transcript.whisperx[156].text |
有沒有打算給有沒有打算實施健保署跟委員報告那這個快篩給付現在是健保給付那健保它有一定的程序包含要過專家執意會還要過公理會我叫你不要跟我講那麼多主席已經站起來了你不要告訴我快篩給付的集體促成我們還是要依照健保的一個程序以上 |
| transcript.whisperx[157].start |
4821.613 |
| transcript.whisperx[157].end |
4844.447 |
| transcript.whisperx[157].text |
我知道程序但是現在六七月已經是高峰了你現在快篩幾副你沒有大家那個量診所的配合意願度都不高因為你只有給150點的話他就不敷成本使用他就不愛用我就不要用快篩我就不要用醫藥快篩我就不幫你篩你進來有可能你就是得到COVID嘛我就不給你篩因為我做一個賠一個嘛 |
| transcript.whisperx[158].start |
4846.008 |
| transcript.whisperx[158].end |
4853.554 |
| transcript.whisperx[158].text |
因為你當時的疫情成本上次疫情成本是300塊嘛他現在醫界診所他就不愛用啊我做一個賠一個啊部長我有沒有講錯你聽懂我在講什麼嗎所以你們不能不食肉迷不食人間煙火你們食藥署竟然告訴人家說我們有撲霍啦什麼體感溫度不同這種話不要說這種話說真的是傷害食藥署部長不是你謝謝 |
| transcript.whisperx[159].start |
4872.915 |
| transcript.whisperx[159].end |
4896.494 |
| transcript.whisperx[159].text |
好 我們會努力 你了解我的話完全了解 我們會努力趕快修正吧 這個月趕快想辦法好 現在為我們請民事委員會主席等一下 我最後一句啦就是快再幾個月要想辦法實施啦好不好部長你了解我的意思 謝謝我們再努力他能比較是說你一直沒有回答你報告寫150點 你不能回到300點啦這樣啦對啊 我要學習來努力 |
| transcript.whisperx[160].start |
4903.714 |
| transcript.whisperx[160].end |
4906.775 |
| transcript.whisperx[160].text |
謝謝主席請衛福部邱部長還有我們審計部陳審計長還有我們這個主計處主計處那個陳淑芝 |
| transcript.whisperx[161].start |
4923.952 |
| transcript.whisperx[161].end |
4950.997 |
| transcript.whisperx[161].text |
陳副主主席長副主席長是嗎OK好OK謝謝那個邱部長好是我想部長疫情再起政府號稱防疫戰備充足啦我想剛才很多委員大家都對不管是快篩試劑啦或者是疫苗你剛才講說疫苗是充足的啦藥品那個沉默中足那個診所協會的理事長講說這個 |
| transcript.whisperx[162].start |
4952.777 |
| transcript.whisperx[162].end |
4971.57 |
| transcript.whisperx[162].text |
防疫抗病毒的藥物也是不足結果我們看到的似乎是口號超前但是部署落後所以部長你剛才講說我們會超前部署但是我們看到現在的情況感覺整個防疫的能量是不夠充裕的 |
| transcript.whisperx[163].start |
4973.593 |
| transcript.whisperx[163].end |
5001.274 |
| transcript.whisperx[163].text |
賴總統講說防疫能量充裕國人無需驚慌當然這個是安慰國人但是我們實際看到的情況在我們這個三個禮拜部長你自己也講你還出來道歉你說又針對這個快篩撲破延遲基層缺藥缺快篩你也道歉了所以我在這邊我要想請問的就是說疾管署你們到底是什麼時候有掌握到疫情升溫的徵兆 |
| transcript.whisperx[164].start |
5003.85 |
| transcript.whisperx[164].end |
5007.173 |
| transcript.whisperx[164].text |
我先回答一下,謝謝委員的隨行上次我在媒體接受訪問的時候,我只是說明說因為快篩,因為你又要工廠做又要鋪貨,你平常沒有用的時候要工廠做 |
| transcript.whisperx[165].start |
5024.369 |
| transcript.whisperx[165].end |
5039.028 |
| transcript.whisperx[165].text |
存貨下來也是很麻煩所以這個過程當中其實我們不管食藥署 機關署是非常努力啦我只是說站在同理心的立場說等幾天 馬上會報所以六月中以後我們所以你有道歉嗎我沒有說道歉啦 |
| transcript.whisperx[166].start |
5041.19 |
| transcript.whisperx[166].end |
5046.251 |
| transcript.whisperx[166].text |
我是很關心國人只要一點點延遲一分一秒我們就覺得需要努力了你這樣的回答是沒有問題我們在緊肯定啦你有在積極的希望趕快的把它補給我補充一下我們的藥物跟疫苗是絕對沒有問題 |
| transcript.whisperx[167].start |
5067.475 |
| transcript.whisperx[167].end |
5090.703 |
| transcript.whisperx[167].text |
那快篩現在在六月底 六月中以後會散亮到預期就會亮的兩倍就會足夠嘛齁應該都 加用快篩一定夠現在重要是讓醫院診所看怎麼樣能夠發揮最大的功能因為會有這種疑慮就是快篩會大家一直會認為說這個快篩的不足不夠因為大家都買不到 |
| transcript.whisperx[168].start |
5095.578 |
| transcript.whisperx[168].end |
5102.144 |
| transcript.whisperx[168].text |
大家都在基層買不到啊所以你預估是在六月中旬就一定有啊大家不會再空跑藥局了是跟委員報告其實快篩我們從 |
| transcript.whisperx[169].start |
5113.153 |
| transcript.whisperx[169].end |
5129.569 |
| transcript.whisperx[169].text |
5月20號統計到昨天為止家用快餐的部分已經工廠都製造超過91萬劑那也鋪貨出去到82萬劑那目前14個通路包含連鎖藥局超商藥妝店等他們目前都是全力在鋪貨那會有一些順序差別是因為 |
| transcript.whisperx[170].start |
5130.87 |
| transcript.whisperx[170].end |
5153.265 |
| transcript.whisperx[170].text |
這些製劑商基本上每天生產完這物流就會帶走但是訂單下的時間不一樣所以這一波事實上是連鎖藥局的訂單下的比較早我的重點是說你大概六月大概什麼時候就缺因為到六月中旬人民去買就不會買不到跟委員報告到六月中旬家用快篩的總共生產量會超過210萬劑那這個已經超過在疾管署預估我們知道生產量這麼多你整個鋪貨的流程你這個SOP都有建議嗎 |
| transcript.whisperx[171].start |
5157.848 |
| transcript.whisperx[171].end |
5174.627 |
| transcript.whisperx[171].text |
現在目前鋪貨大概只會差十萬劑的量左右就是生產的多然後鋪貨大概會晚一天就差十萬劑這樣所以也會有大概兩百萬劑鋪到各市場上那我們今天其實昨天有我們再去抽測目前國內大概這些連鎖藥局跟超商 |
| transcript.whisperx[172].start |
5175.368 |
| transcript.whisperx[172].end |
5196.607 |
| transcript.whisperx[172].text |
超過一半以上其實都有存貨那民眾會去有的時候買不到是因為他可能進了貨那之前的民眾他已經買走了所以他再去的時候他就必須等下一波的進貨所以你預估大概在我還是回到了六月中旬應該就沒有問題了應該全部都會到貨好那接下來請那個我們主席沈記長沈記長請 |
| transcript.whisperx[173].start |
5201.191 |
| transcript.whisperx[173].end |
5211.061 |
| transcript.whisperx[173].text |
對於這一波的整個這個疫情升溫好像有廠商趁機來搭便車造成政策操作的空間與利益的輸送 |
| transcript.whisperx[174].start |
5212.267 |
| transcript.whisperx[174].end |
5240.928 |
| transcript.whisperx[174].text |
你有沒有調查到有沒有有沒有這種情況發生這一波我們還沒有進行調查還沒有調查還沒有集合還沒有開始啟動集合機制對因為這一波是最近起來嘛是那我們的損失有很多事要做所以我們剛查完那個特別結算的一些規定所以這一波因為都剛大家剛查完回來還沒有開啟 |
| transcript.whisperx[175].start |
5242.169 |
| transcript.whisperx[175].end |
5254.178 |
| transcript.whisperx[175].text |
但是我還是要建議你喔我們希望說整個這個防疫的整個這個程序我們不要有人趁機去撈一筆就發這種國難財所以請陳議長就是針對快篩藥物採購的程序啟動專案的集合還是要趕快啟動啦再請那個我們 |
| transcript.whisperx[176].start |
5268.573 |
| transcript.whisperx[176].end |
5295.12 |
| transcript.whisperx[176].text |
主計處我想這一次的地方就是剛才部長也講說我們中央這一次整個防疫的預算是足夠的中央是足夠的但是地方我們現在看到因為這一次行政院統三以列為法律支出的地方性的地方的一般性補助款地方首長昨天也集體到行政院來訴願 |
| transcript.whisperx[177].start |
5296.9 |
| transcript.whisperx[177].end |
5298.266 |
| transcript.whisperx[177].text |
所以我想了解說中央 |
| transcript.whisperx[178].start |
5300.781 |
| transcript.whisperx[178].end |
5326.451 |
| transcript.whisperx[178].text |
這個主席處這一次你統三地方的一般性補助款地方很多都反映說這個防疫的預算地方的防疫的預算會受到影響會受到影響所以主席總處你這一次統三地方的一般性補助款你們是否有事前去了解到說你這個是否會影響地方的一個防疫的一個預算 |
| transcript.whisperx[179].start |
5327.539 |
| transcript.whisperx[179].end |
5351.264 |
| transcript.whisperx[179].text |
我們有做過評估嗎我們中央防疫預算也是先以緩計及那地方基本上往年的模式也是都有障礙防救法以緩計及那這一次所謂刪減一般性補助款概念上對應地方是他的稅路所以對地方來講是影響他的資金調度那這個部分資金調度的部分我們會來協助 |
| transcript.whisperx[180].start |
5352.944 |
| transcript.whisperx[180].end |
5378.021 |
| transcript.whisperx[180].text |
所以你認為這個不會衝擊到地方的防疫的一個防疫的資源都不會 都不會這是你的說法 因為地方確實有挨挨叫喔你講說尤其衛生局整個一個地方衛生局整個一個防疫的一個預算因為這一次的一般性補助管被刪除而影響到他們這個防疫預算的一個準備啦的籌措啦 |
| transcript.whisperx[181].start |
5378.801 |
| transcript.whisperx[181].end |
5407.257 |
| transcript.whisperx[181].text |
這些資金有受影響喔所以你事前完全沒有去跟這些地方政府來做一個溝通一般性補助款的部分我們有先行在3月發函先用控留的方式 發函我知道但是我是說你們在評估的時候根本就沒有評估到說是不是未來可能疫情會起來啊疫情起來你這個地方的這個防疫預算會不會受影響所以你無差別的去這個統三整個一般性補助啊 |
| transcript.whisperx[182].start |
5407.557 |
| transcript.whisperx[182].end |
5414.531 |
| transcript.whisperx[182].text |
跟委員包括我們平均過已經影響到整個這個包含防疫預算有平均過地方政府有資金調度的能力 |
| transcript.whisperx[183].start |
5417.525 |
| transcript.whisperx[183].end |
5432.735 |
| transcript.whisperx[183].text |
我想最後還是要問主席總書因為我想昨天整個六都或者其他縣市我們很多的首長已經到行政院提訴員昨天主席長也講了目前針對114年度的一般性補助款的3.636億會提出辦法解決 |
| transcript.whisperx[184].start |
5439.62 |
| transcript.whisperx[184].end |
5446.314 |
| transcript.whisperx[184].text |
主計總署後續將聽取各方意見來研議相關的方案請問這相關的方案是什麼 |
| transcript.whisperx[185].start |
5448.6 |
| transcript.whisperx[185].end |
5475.179 |
| transcript.whisperx[185].text |
相關方案已經演繹出來沒有現在很緊急不要再拖了目前有提到的是追加預算所以你的方案就是追加預算所以我最後一個問題就是你現在你要用追加預算方式但是你追加預算的方式是你一個相關的方案你是不是在這個追加預算這個方案演繹的過程中你應該盡速的補足我們地方的一般性補助款你不應該去停止執行 |
| transcript.whisperx[186].start |
5476.567 |
| transcript.whisperx[186].end |
5488.664 |
| transcript.whisperx[186].text |
我想這個請主席總書你真的要去好好地思考一下這個類似苗栗這種資金調度困難了我們會來協助不是 現在不是那種資金你現在 你既然要研議相關方案嘛就趕快補足嘛 好不好好 謝謝林委員的資訊現在有請鍾嘉斌委員資訊 |
| transcript.whisperx[187].start |
5504.602 |
| transcript.whisperx[187].end |
5532.769 |
| transcript.whisperx[187].text |
好 主席在場的委員先進列席的政府局長長官員會長公眾夥伴媒體記者女士先生我看到我們部長迫不及待請邱部長邱部長請謝謝委員好部長 讓你先講我們來看一下幾位委員關心的第一個議題就是今天大家看到報紙就跳起來了我的主張是先圈倒再裁罰啦我們當然支持無接觸點餐但是目前我們看到的呢是說 |
| transcript.whisperx[188].start |
5533.891 |
| transcript.whisperx[188].end |
5555.572 |
| transcript.whisperx[188].text |
衛福部說要禁止早前在碰食物感覺到要先裁罰保庭有請教一下你過去有沒有用過這種在日本去拉麵點個拉麵這樣按鍵要前方進去有沒有有沒有用過這種機器有用過這種機器比現在一些大型的速食連鎖店簡單多了也便宜多了你支不支持我們行政院來幫助這些小店家安裝這種 |
| transcript.whisperx[189].start |
5557.133 |
| transcript.whisperx[189].end |
5573.886 |
| transcript.whisperx[189].text |
取代人工點餐找零的這樣的設備 知不支持不是叫你出錢 你知不支持行政院做這個事我支持可以往這方面來 因為現在人力也是一個問題是的 所以我要說的是說過去在疫情期間 我分別諮詢過經濟部也諮詢過財政部我希望財政部應該給予租稅的寬免 |
| transcript.whisperx[190].start |
5578.87 |
| transcript.whisperx[190].end |
5600.504 |
| transcript.whisperx[190].text |
願意採用餐飲店願意採用這種免接觸的點餐設備免找零的不用去手工接觸找零的如果有裝設這樣的機器這樣的小店家應該給予租稅商的快免你會支持嗎就是說如果小店家改用這種設備你會支持嗎還是你不支持這不是符合你的政策嗎 |
| transcript.whisperx[191].start |
5603.267 |
| transcript.whisperx[191].end |
5630.556 |
| transcript.whisperx[191].text |
在國瓊的引起之下當然是支持那如果經濟部說那你們小店家裝這種設備我給你補助你會贊成嗎當然不是衛福部的意見應該是支持對嘛所以如果說經濟部為了配合衛福部的政策我們先宣導鼓勵經濟部給小店家這樣的補助優惠讓他裝設這樣的免接觸的點餐找零的器材 |
| transcript.whisperx[192].start |
5631.229 |
| transcript.whisperx[192].end |
5657.109 |
| transcript.whisperx[192].text |
然後呢財政部也給這樣的店家給他租稅的優勉那這樣做起來是不是衛福部就很省事就不用再寄到最後端的財閥大家都皆大歡喜你同意嗎我同意好謝謝所以呢我們現在進入來現在是疫情新冠疫情大家急診篩報對不對這不用講平常沒有新冠疫情大家都覺得我們民醫代表經常受到民眾的請託關懷我們都做好我們看一下急診室的醫生怎麼講 |
| transcript.whisperx[193].start |
5657.91 |
| transcript.whisperx[193].end |
5673.493 |
| transcript.whisperx[193].text |
最近這位急診醫師投訴告白他說不是教學醫院沒有住院醫類似的急診醫而且第二個這些我們每年訓練的急診醫師呢有兩成沒有去職業另外呢已經有66名已經去離職了 |
| transcript.whisperx[194].start |
5674.639 |
| transcript.whisperx[194].end |
5695.654 |
| transcript.whisperx[194].text |
那現在大醫院還會支援然後呢現在呢小醫院現在也得不到大醫院的支援還有我們的這些其他的隱形工作很多日夜班的轉換有困難縱使我們把急診急護提高但是還是追不上做醫美的收入那麼包括護理師的人員也離開造成第一線醫師更累部長怎麼辦 這些事情怎麼辦 |
| transcript.whisperx[195].start |
5696.434 |
| transcript.whisperx[195].end |
5723.008 |
| transcript.whisperx[195].text |
我們每一樣問題都非常積極在解決包括提高集富尤其重症急診集富我們也盡量追求更好的一個職業環境那調班各方面 盡量讓更加能夠符合我想部長對這些問題都了然於胸但是有句話說 原水救不了進火原水還是要準備對不對 但是進火在哪裡往下看這是去年的高峰啊 |
| transcript.whisperx[196].start |
5724.246 |
| transcript.whisperx[196].end |
5737.692 |
| transcript.whisperx[196].text |
今年呢到現在這是週別去年的25週到達高峰今年的25週就快來了喔快來了喔所以還剩兩三週就要面對這個高峰了根據去年的經驗我們今年有辦法應對嗎 |
| transcript.whisperx[197].start |
5738.855 |
| transcript.whisperx[197].end |
5758.408 |
| transcript.whisperx[197].text |
報告委員我們過去COVID-19的三年的防疫當中我們建立了分流分集的體系很好分流分集所以才不要讓那個急診當時台北市一天一萬個infected但是如果只要其中一小部分到急診急診一定老所以急診醫療發揮社區醫療發揮對社區醫療社區醫療就像是洪水來的滯洪池 |
| transcript.whisperx[198].start |
5764.952 |
| transcript.whisperx[198].end |
5790.641 |
| transcript.whisperx[198].text |
不要讓洪峰一下子衝破我們的醫院的急診是不是這樣子所以我們現在一直宣導說有任何問題到不是只有宣導到急診不是只有宣導到診所啦我們在疫情之前怎麼做往下看在疫情期間我們診所是不是有特別預算支持是是不是所以呢他們診所多收治輕症不會影響到他的點子不會稀釋對不對現在我們傳染病降級了有沒有這個特別預算沒有嘛 |
| transcript.whisperx[199].start |
5791.84 |
| transcript.whisperx[199].end |
5819.66 |
| transcript.whisperx[199].text |
所以診所如果說多收一些把這些洪峰吸收在診所不要讓他進入醫院但是沒有後面的支持啊怎麼辦我們有一些風險健保總額裡面有一些風險基金你還是要用健保總額嗎沒有其他的錢可以用嗎我問你我們這次下一個我們過去我們今年的中央政府總預算被藍白亂刪這些有沒有包含刪到我們這些做我們救命前的這些預算有沒有 |
| transcript.whisperx[200].start |
5821.792 |
| transcript.whisperx[200].end |
5849.921 |
| transcript.whisperx[200].text |
是不是被刪了之後還有辦法挹注我們健保來幫助我們度過疫情的難關嗎有沒有健保是自己他本身的總部是嗎那我們刪了預算刪了什麼大概是在業務會26億主要是業務會部長現在行政院已經釋出善意未來如果朝野有這樣共識我們事實上可以透過追加預算的方式解決從中央到地方遇到因為藍白亂三預算的困境你知不知此 |
| transcript.whisperx[201].start |
5851.055 |
| transcript.whisperx[201].end |
5876.206 |
| transcript.whisperx[201].text |
如果有這個機會你支不支持如果有這個機會我們站在人品的健康的立場當然是希望能夠補充那如果有機會追加預算要不要把過去疫情期間透過這樣的方式讓診所來幫忙吸納洪峰的這樣的作為也考慮進去會不會考慮這是一個很好的方向你說很好就可以了 往下看所以接下來我們談一個健康台灣深耕計畫這是不是賴總統的政策 |
| transcript.whisperx[202].start |
5877.239 |
| transcript.whisperx[202].end |
5897.049 |
| transcript.whisperx[202].text |
是會不會是權力推動這個會很重要的一個政策第一年變成60億嘛對不對是的好往下看但是我們看申請模式你們分成ABCD是的對不對有醫療機構有社區醫療群有專科醫師學會還有工會對不對是的這裡面呢大概是以A12 A3這樣為主來提供是不是這樣 |
| transcript.whisperx[203].start |
5897.95 |
| transcript.whisperx[203].end |
5911.533 |
| transcript.whisperx[203].text |
以這個前A向為大中嘛A向比較大中對好那我們來看一下A向的情況怎麼樣來我們屏東啊在A向的醫療機構當中我們地區有15家區域院4家沒有準醫學中心也沒有醫中 |
| transcript.whisperx[204].start |
5912.182 |
| transcript.whisperx[204].end |
5929.991 |
| transcript.whisperx[204].text |
但是台北市有八個醫中一個準醫中十家區醫院跟地區醫院如果按照我們現在要做健康台灣的計畫我們這個資源顯然的對於我們偏鄉治療機構照少的比較不足因為你們的審查原則標準有沒有辦法確保在不同級數的 |
| transcript.whisperx[205].start |
5931.328 |
| transcript.whisperx[205].end |
5953.147 |
| transcript.whisperx[205].text |
地區跟類型都可以得到總經會當中適當比例的補助當然可以因為我們ABC就是都考慮到當時的狀況其實醫學中心要接這個他必須要去做好一個垂直整合也是非常非常重要 辛苦那我們很多 如果以屏東來講這四家區醫院都可以 |
| transcript.whisperx[206].start |
5954.228 |
| transcript.whisperx[206].end |
5980.361 |
| transcript.whisperx[206].text |
都可以主情來申請我往上跳來世家學院怎麼做我們看非醫學中心可以獨立申請或者用工會來整合該縣市的醫療機構其他A2嘛A2就是其他醫療政策我看過你們的資料往下跳其實我要說的是說這是一個不同的六都跟非都各地方的一個差別就算是醫師工會我們屏東醫師工會的量能也不能跟高雄跟其他六都來比你了解嗎所以才需要申請計畫 |
| transcript.whisperx[207].start |
5982.542 |
| transcript.whisperx[207].end |
5994.132 |
| transcript.whisperx[207].text |
對 那深耕計畫說你們是不是在更弱勢的縣市應該更需要這些來挹注是的 所以我這邊就要跟您如果要確保我們看下一頁所以你看看我們撰寫計畫檢報陳顯審查機制 |
| transcript.whisperx[208].start |
5997.138 |
| transcript.whisperx[208].end |
6024.093 |
| transcript.whisperx[208].text |
這些其實規模越大的醫療機構它越有能力去因應它的分工系但是我們醫療機構缺乏說我們人力無法負荷有沒有辦法可以額外的協助分量級可以額外的支持可不可以好 我們有分區啦所以大概不會忽視到弱勢的區那如果需要額外的協助在公平的審查之下我們當然是樂於協助我意思說不是只有公平的審查在 |
| transcript.whisperx[209].start |
6024.973 |
| transcript.whisperx[209].end |
6052.964 |
| transcript.whisperx[209].text |
撰寫計畫的這個過程那麼額外的給一些人力或一些能量的協助其實我在這邊要跟全國的醫療院所講不要覺得自己沒有能力寫你只要寫出你的特色我們這個不是在申請國科會計畫啦OK 了解不然就要寫到整堆了是我做了三十年的國科會計畫每次都要寫很多這個你只要提出你的idea你的重點你的當地的重要性其實就會受到重視 |
| transcript.whisperx[210].start |
6053.464 |
| transcript.whisperx[210].end |
6067.615 |
| transcript.whisperx[210].text |
好 我們屏東的醫師公會 我們屏東的醫療機構給部長拍拍手希望你要說到做到 我們要把序列提出來你要給我們公平的機會 讓我們有適當的我們一向很重視屏東的醫療機構好 謝謝謝謝周委員的諮詢 現在有請賴慧如委員諮詢請好 謝謝主席 有請我們的衛福部部長還有我們莊仁祥署長莊署長 |
| transcript.whisperx[211].start |
6081.277 |
| transcript.whisperx[211].end |
6107.134 |
| transcript.whisperx[211].text |
委員好是 部長 署長好部長 署長還有所有我們衛福部的同仁謝謝你們從2019年COVID-19開始到現在其實之前我在衛環委員會其實都很深刻的感受到大家其實在這個疫情發生的期間你們所付出的一個辛勞真的要非常謝謝你們 |
| transcript.whisperx[212].start |
6107.754 |
| transcript.whisperx[212].end |
6137.094 |
| transcript.whisperx[212].text |
那在這一段時間就是說我們很多防疫的一個措施那雖然目前我們防疫已經降級了那這個COVID也轉為第四類的傳染病可是在近期我們好像看到又不斷的有這個疫情的一個上升為什麼因為病毒不斷的這個演化可是我們的疫苗有沒有持續的就是說在進進那甚至就是說在 |
| transcript.whisperx[213].start |
6139.035 |
| transcript.whisperx[213].end |
6162.687 |
| transcript.whisperx[213].text |
這個本土的一個死亡的病例我們可以看這個資料裡頭看看就是說在最近這幾個幾週裡頭很明顯很明顯就是說他們一直上來那在這裡要請教部長部長 是有沒有特別比較好的一個防疫的一個措施現在其實一定在進行中那你的總預算你的總預算是3700億 |
| transcript.whisperx[214].start |
6166.01 |
| transcript.whisperx[214].end |
6166.812 |
| transcript.whisperx[214].text |
維護部的總預算是3700億那就是我們機關署呢 |
| transcript.whisperx[215].start |
6173.36 |
| transcript.whisperx[215].end |
6201.182 |
| transcript.whisperx[215].text |
機關署你的預算多少?120億來 那個機關署你是不是那個?今年應該好像500億左右啦那明年是100 爭取120億明年爭取120億那好 在這個機關署裡頭這個120億有95億是用來做防疫的一個計畫可是你這個防疫的計畫其實你還防艾滋啊 防很多流感那你放在COVID裡頭 你放了多少錢? |
| transcript.whisperx[216].start |
6203.524 |
| transcript.whisperx[216].end |
6224.119 |
| transcript.whisperx[216].text |
38億左右肺炎的一個防疫95億裡頭你放了38億39億那這39億在執行的情況之下現在已經進到6月了那你覺得在未來如果有這個疫情的一個增加你有沒有辦法去應付 |
| transcript.whisperx[217].start |
6224.619 |
| transcript.whisperx[217].end |
6248.59 |
| transcript.whisperx[217].text |
應該是說面對這一波的疫情應該是比較大雖然我們這個抗病毒藥物大概還有43萬人份但是我們可能要到8月的時候看一下它使用的狀況那如果因為秋冬可能還有一波啦所以我們雖然還有大概10萬人份的那個貝拉維的部分也會考慮進去應該是不是還需要再增加這個抗病毒藥物 |
| transcript.whisperx[218].start |
6249.19 |
| transcript.whisperx[218].end |
6260.662 |
| transcript.whisperx[218].text |
所以你隨時準備要增加嗎就是說我們的公會疫苗一直傳說就是在大S那一波已經用掉了 |
| transcript.whisperx[219].start |
6260.99 |
| transcript.whisperx[219].end |
6283.593 |
| transcript.whisperx[219].text |
那是流感疫苗的部分這個是新冠疫苗不一樣那你的公會疫苗現在還有多少目前大概還有300萬劑新冠疫苗的部分300萬劑那我們在上個禮拜看到的你的庫存是308萬7千那你幾乎是一個星期打掉了3萬劑我們現在看到的是上個禮拜大概6萬7 |
| transcript.whisperx[220].start |
6285.054 |
| transcript.whisperx[220].end |
6299.035 |
| transcript.whisperx[220].text |
六萬七千劑左右那目前每一天大概都一萬多劑是啊那這樣子的話你顯然你有沒有辦法去應付就是就是後續的這些大爆發的狀況 |
| transcript.whisperx[221].start |
6300.457 |
| transcript.whisperx[221].end |
6320.185 |
| transcript.whisperx[221].text |
應該是說目前因為它整個疫情其實很快啦就是大概只有一個月之內大概就到高峰了所以我們現在也在鼓勵民眾在打疫苗但是就是說目前其實我們在各個縣市的一個診所其實都只要民眾願意打我們都可以提供沒有問題 |
| transcript.whisperx[222].start |
6322.786 |
| transcript.whisperx[222].end |
6337.211 |
| transcript.whisperx[222].text |
那在這裡我再特別請教部長怎麼樣改善公會疫苗的採購跟庫存的一個評估那我們從衛福部裡頭那個的資料我們認為就是說你寫得很清楚喔這個2024年是550萬劑的COVID的一個採購那使用的情況 |
| transcript.whisperx[223].start |
6341.873 |
| transcript.whisperx[223].end |
6360.806 |
| transcript.whisperx[223].text |
我們看不到比較明確的一個公開的一個數據可是在流感疫苗的採購裡頭就寫得非常的清楚反而是流感寫得很清楚COVID寫得不是那麼的一個清楚那相較於過去你在最近這一期你做了多少的一個調整 |
| transcript.whisperx[224].start |
6363.372 |
| transcript.whisperx[224].end |
6380.825 |
| transcript.whisperx[224].text |
你說使用量嗎使用量沒有關係你就講使用量我們當然是希望那個宣導該施打的對象要趕快來盡量施打盡量把這個採購的用盡量把它使用 |
| transcript.whisperx[225].start |
6382.182 |
| transcript.whisperx[225].end |
6399.208 |
| transcript.whisperx[225].text |
所以就顯然就是說這些都是在你的準備當中都是在你的掌握裡頭所以你不至於說我們會隨著疫情說實在那個先導的強度會更需要啦可是你的預算被砍了那個就是先導會被砍了六成啊那你現在到底夠不夠錢啊 |
| transcript.whisperx[226].start |
6400.936 |
| transcript.whisperx[226].end |
6412.868 |
| transcript.whisperx[226].text |
那當然做需要花錢的先導就可能會影響但是我們所以你看羅一金副書長整天在寫臉書 整天在開記者會寫臉書開記者會 那錢啊 錢怎麼辦啊 |
| transcript.whisperx[227].start |
6419.895 |
| transcript.whisperx[227].end |
6443.026 |
| transcript.whisperx[227].text |
所以說主計處在這個地方你要哀啊你要講啊今天其實就是換了一個場景到這個地方來在九樓就是財政委員會的地方我覺得你應該就是也有所準備真的很謝謝財政委員會的關心這個要謝謝我們耐斯堡召委他特別排了一個這個案子讓我們大家都說過因為耐斯堡召委也是醫療中人是很了解醫界的狀況 |
| transcript.whisperx[228].start |
6446.408 |
| transcript.whisperx[228].end |
6453.793 |
| transcript.whisperx[228].text |
是啊所以就是說非常清楚因為經過討論嘛大家會看到就是說整個衛福部的一個困境那如何如何來補上來這個也是要跟部長就是也鼓勵也請你那個提出來就是說是不是有趕快那個提出最佳預算來補強防疫的一個宣導的一個需求你光是這個宣傳費用就被捅三個六成這個多嚴重啊 |
| transcript.whisperx[229].start |
6476.028 |
| transcript.whisperx[229].end |
6494.846 |
| transcript.whisperx[229].text |
這個是非常嚴重的謝謝委員 我已經請那個機關署在超前部署來估算那我相信政府一定會來支持我們防疫所有的預算跟資源好 那部長跟你提到的基層醫療院所目前的這個疫苗處置費用100塊 |
| transcript.whisperx[230].start |
6496.508 |
| transcript.whisperx[230].end |
6517.085 |
| transcript.whisperx[230].text |
那這個100塊當然是不夠的我們從那個兒科醫學會裡頭他有特別講到了就是說光是基層的醫療院所他們要儲存一個疫苗他們需要相關的專業冷藏的冰箱還要需要不斷電的系統還有溫度的一個監控這施打的經過還要經過 |
| transcript.whisperx[231].start |
6519.107 |
| transcript.whisperx[231].end |
6539.183 |
| transcript.whisperx[231].text |
就是我們醫護人員的三讀五對一定要打得很正確人要施打也都是要校對的很清楚光是這些冷鏈的設備人力的一個行政還有就是物流的一個運輸那如果像他們這樣換算一個疫苗一支就要410塊 |
| transcript.whisperx[232].start |
6541.164 |
| transcript.whisperx[232].end |
6562.103 |
| transcript.whisperx[232].text |
那在醫學中心平均要到592塊那有沒有機會我們重新再來就是說考慮提高這個疫苗處置費用的補助的金額呢那個是不是請那個我先補充一下我還是在這邊謝謝賴委員在過去幾年尤其在防疫COVID防疫當中對於疫苗處置費的爭取 |
| transcript.whisperx[233].start |
6565.445 |
| transcript.whisperx[233].end |
6592.533 |
| transcript.whisperx[233].text |
讓基層醫療院所謂的打疫苗所以鎖住了疫情是幫助非常大那有關於這個要提升這個部分我們已經有在可能的話來爭取明年有更多的預算那能爭取多少我們會再繼續努力所以說部長就是我們會提升那我們提升這個補貼我們一定往這方面來努力對那就是說這阿舊娘是不是這樣說可以這樣講 |
| transcript.whisperx[234].start |
6596.089 |
| transcript.whisperx[234].end |
6602.356 |
| transcript.whisperx[234].text |
應該是這樣子,可以這樣講好,謝謝部長,也謝謝周圍的資訊好,謝謝下一位請李坤成委員資訊請謝謝主席,我們請邱部長邱部長請 |
| transcript.whisperx[235].start |
6619.454 |
| transcript.whisperx[235].end |
6647.091 |
| transcript.whisperx[235].text |
委員好部長好這個難得可以在我們財政委員會可以有時間留那麼久我第一屆進來的時候就到財政委會當委員所以這裡很熟悉很熟悉那請教一下部長因為今天我看到有報紙的頭版有提到是說我們食藥署昨天有發布食品良好衛生規範準則那明定的攤販不能碰完前再處理食物那同時也把外送納管在內 |
| transcript.whisperx[236].start |
6648.112 |
| transcript.whisperx[236].end |
6671.056 |
| transcript.whisperx[236].text |
然後呢 這個當然有一些正反的意見當然民眾對民眾來講如果那個食品安全衛生是最重要的但是對於這些小吃業者來講會覺得說這個規範似乎有點老民尤其現在很多是一個人的或是兩個人的像遇到這種情況之下我想先請問一下這個規範準則預告多久了我請王副市長是113年預告的 |
| transcript.whisperx[237].start |
6677.278 |
| transcript.whisperx[237].end |
6681.442 |
| transcript.whisperx[237].text |
那預告時間有沒有什麼樣的反應大家有不同的意見有關於這個小吃攤洗手這個部分其實在我們預告期間並沒有收到任何回應 |
| transcript.whisperx[238].start |
6693.41 |
| transcript.whisperx[238].end |
6717.807 |
| transcript.whisperx[238].text |
蛤?真的?是大家不知道有這個預告嗎?因為這個一定會有人反映嘛我就說大家不知道有這個預告是不是?但怎麼會沒有人反映呢?針對這一點報告委員我們剛剛有確實在回顧一下確實在這個部分上是沒有收到回應沒有收到回應所以你們這個預告是公告告你的網站就對了?是我們是從中心隊員的預告中心去做預告所以所謂什麼攤商協會什麼他們知道這個預告嗎?我們會同時會通知工協會 |
| transcript.whisperx[239].start |
6721.766 |
| transcript.whisperx[239].end |
6744.519 |
| transcript.whisperx[239].text |
通知哪裡通知相關的工協會都會通知都有通知就對了所以理論上各個類似這一種什麼攤販攤商協會的他們都知道這一個規定報告委員攤商協會是不是確實知道這個可能我們要查詢一下再跟委員回覆但是跟委員報告就是有關這個部分的GHP我們現在雖然昨天正式公告實施但是在執行面就像剛剛部長所提的一定是先輔導優先 |
| transcript.whisperx[240].start |
6745.66 |
| transcript.whisperx[240].end |
6765.991 |
| transcript.whisperx[240].text |
那另外跟委員補充即便是輔導期過了之後在正式實施衛生局如果查到攤商有相關違反的部分因為他是GHP的規定所以他是要優先讓他改正他只要能夠改正並不會受罰好那我先問一下輔導期有多久報委員這個應該是輔導到大家都有辦法能夠配合辦理 |
| transcript.whisperx[241].start |
6767.089 |
| transcript.whisperx[241].end |
6784.026 |
| transcript.whisperx[241].text |
輔導到大家都有能夠配合辦理對就是因為目前各攤商的回應是說就像剛剛委員所提的藝人的攤商可能在同時又要做這個料理食材又要收錢這方面很困難那事實上我們也會去推廣說當然這個手部保持清潔很重要 |
| transcript.whisperx[242].start |
6784.406 |
| transcript.whisperx[242].end |
6807.221 |
| transcript.whisperx[242].text |
那也會建議攤商是不是嘗試使用這個用食物的食夾來夾取食物這樣他的手就不會直接接觸食材或者是戴手套脫手套或者是像其實目前也有一些小的攤商他在找零的部分他是讓客人自請找零這個都有所以我們會再去找相關的工協會來討論看怎麼樣來有一個好的一個做法來讓各個攤商都能夠去能夠達成我們的這個目標 |
| transcript.whisperx[243].start |
6808.066 |
| transcript.whisperx[243].end |
6837.168 |
| transcript.whisperx[243].text |
我覺得你們真的要去做一個宣導啦因為這個是對於這一個攤商來講很多是一人或兩個人的那你可以跟我示範講解一下如果一個人的攤商他要怎麼去做處理咧剛剛跟委員報告就是說比如說一個是處理食材的時候比如說他準備好這一個手搖飲好了是然後咧然後他要收錢的時候他就脫掉手套然後收錢所以這是一種方式 |
| transcript.whisperx[244].start |
6837.728 |
| transcript.whisperx[244].end |
6853.708 |
| transcript.whisperx[244].text |
或者是像比如說我今天要油炸甜甜圈啊這些東西我在炸的時候我是可以用這個夾子去做相關的處置就是不會讓我的手跟這個食材直接接觸或者有些我們也看過有些技術蠻厲害的這些攤商的師傅他可以一手處理食材一手收錢 |
| transcript.whisperx[245].start |
6854.861 |
| transcript.whisperx[245].end |
6874.64 |
| transcript.whisperx[245].text |
可以這樣子嗎只要那隻手不要同時碰到食物跟錢就可以了就是手部要保持清潔衛生不要直接接觸錢所以接觸後如果大家能夠這個出發點是好的啦對於這個消費者來講他當然希望說這個我們拿到的食物是乾淨的那對於這個攤商來講我就是說因為現在就是很多是一個人兩個人的 |
| transcript.whisperx[246].start |
6875.561 |
| transcript.whisperx[246].end |
6889.283 |
| transcript.whisperx[246].text |
它很難啊就是說會同時這一個你說這一個接觸到食材之後呢然後比如說除了一個手套或是說間隔多久然後才能碰到食物那這樣才是符合規定的 |
| transcript.whisperx[247].start |
6890.246 |
| transcript.whisperx[247].end |
6912.336 |
| transcript.whisperx[247].text |
包委員就是不要摸了錢以後再摸起來不要連續性的動作嗎他中間如果有經過一個清潔的程序洗過手以後那這個程序怎麼走我們會再找這些相關協會或者直接找我們攤商的夥伴一起來我覺得要加強宣導啦真的要加強宣導那就像是副署長嘛就是說宣導期有多久 |
| transcript.whisperx[248].start |
6914.025 |
| transcript.whisperx[248].end |
6934.171 |
| transcript.whisperx[248].text |
報告委員我們目前沒有去強調這個宣導期就是目標當然就是希望所有的業者都能配合一起共同維護食安好那就是我請教一下部長我們的宣導期就是到大家都能夠來適應這樣的作法因為你們這個也不是說而且這是一個應該是一個比較保持食安的一個方向 |
| transcript.whisperx[249].start |
6935.191 |
| transcript.whisperx[249].end |
6958.382 |
| transcript.whisperx[249].text |
有一個方向在那邊 大家一起來努力 就會讓國家也許在食安方面可以更進步這其實方向我支持 但我也希望說所以不是輔導到大家都可以來試驗 來做對啊 因為你說這個預告人時間超過一年 結果沒有任何的反應我是覺得說 那一定是大家不知道這件事情你看今天如果報紙寫出來的時候 大家一定知道這件事情一定會有不同的反應出來啦 |
| transcript.whisperx[250].start |
6958.982 |
| transcript.whisperx[250].end |
6966.956 |
| transcript.whisperx[250].text |
至少我們自己有覺得說那這樣子這個政策方向是好的但是這個手段可能在這個過程當中會有點擾民 |
| transcript.whisperx[251].start |
6969.776 |
| transcript.whisperx[251].end |
6992.118 |
| transcript.whisperx[251].text |
我們會輔導 往這個方向那所以也不是說這個抓到 就是輔導期輔導期就是說你抓到之後也不會馬上發言就對了建議跟他宣導教育這樣子的 先做這樣子那你們有沒有一些相關的一些文宣物資出來啊好 我們會來研議 跟相關的工協會來研議那現在還沒有吧一起努力現在還沒有 |
| transcript.whisperx[252].start |
6993.187 |
| transcript.whisperx[252].end |
7009.63 |
| transcript.whisperx[252].text |
那多久的時間可以報告委員 這個我們會後回覆因為我不是負責食品的這個部分所以我會去確認以後跟委員報告好 那問一下這個部長現在COVID-19疫情有上升的這個情況那我請問一下這個變化連假的這幾天這個疫情還有在上升嗎 |
| transcript.whisperx[253].start |
7015.523 |
| transcript.whisperx[253].end |
7036.679 |
| transcript.whisperx[253].text |
有關重症的部分目前因為它屬於落後指標所以目前還在上升至於急診的部分目前上升的幅度有比較緩一點還是在上升但是我們會密切監視那你們預期的高峰期是到哪時候原來預期大概是在6月底、7月初 |
| transcript.whisperx[254].start |
7037.6 |
| transcript.whisperx[254].end |
7039.061 |
| transcript.whisperx[254].text |
疫苗接種率太低了? |
| transcript.whisperx[255].start |
7056.062 |
| transcript.whisperx[255].end |
7081.857 |
| transcript.whisperx[255].text |
對就是說有關新冠疫苗因為它是一個在疫情期間大家很多人接種很多劑那也有很多人感染過所以導致一些民眾甚至醫師他們都不認為說還需要再打啦但事實上就是說這個疫苗事實上對於一些比較屬於65歲以上或是高危險族群還是需要的這個部分那一般的民眾如果你有接種的話也是會對於預防重症還是有重要性 |
| transcript.whisperx[256].start |
7082.83 |
| transcript.whisperx[256].end |
7093.663 |
| transcript.whisperx[256].text |
那現在這一個有關於這一個疫苗還是免費的嗎目前還是公費沒有問題還是公費沒有問題供應上還是沒有問題就對了好 那我要請教一下現在之前有人在說這個快篩試劑不夠的問題有這個問題嗎 |
| transcript.whisperx[257].start |
7099.909 |
| transcript.whisperx[257].end |
7123.095 |
| transcript.whisperx[257].text |
快餐四季如果是家用的話的確我們疫情起來我們會要求我們就要求廠商趕快來做然後一直跟通路包括連鎖藥局四大超商通路一直在鋪貨那到六月半開始的確會可能沒有辦法百分之百買得到那目前我相信是大概一半那到六月中我們 |
| transcript.whisperx[258].start |
7125.416 |
| transcript.whisperx[258].end |
7150.843 |
| transcript.whisperx[258].text |
產貨會比集管署一級的需求量的兩倍以上所以那個時候在 我想每一天都在努力鋪路所以是六月中六月中量一定超過需求的兩倍所以那個是應該大家都在就近就可以來得到那我想請問一下現在使用快篩的這一個時間點因為一定是跟高峰期的那時候不一樣嘛所以大概什麼樣的時間點上會需要一般人也需要使用到快篩 |
| transcript.whisperx[259].start |
7152.304 |
| transcript.whisperx[259].end |
7170.967 |
| transcript.whisperx[259].text |
因為我們以前使用快餐有可能是說因為我醫療我用醫療來講我也帶過醫師公會前面會開過一百次的全國防疫會議所以大概知道現在的專家也有提議說真的是比較可能會重症的才塞 |
| transcript.whisperx[260].start |
7172.088 |
| transcript.whisperx[260].end |
7194.51 |
| transcript.whisperx[260].text |
那我覺得這個各種專家都有他不同的意見那我認為民眾如果覺得不要去囤貨但是如果覺得需要篩還是可以篩這樣子以前篩是有比如說他可以請假啦或是說怎麼樣的現在沒有了嘛就是說一般人現在因為有一個好處啦因為篩了以後他把 |
| transcript.whisperx[261].start |
7195.41 |
| transcript.whisperx[261].end |
7205.114 |
| transcript.whisperx[261].text |
這個數據弄好也許給醫師去看醫師可以做一個當時就更快的判斷也有幫助啦OK謝謝李委員好謝謝好謝謝李委員我們現在會請游國文諮詢幫我們游國文諮詢完畢以後休息十分鐘 |
| transcript.whisperx[262].start |
7214.761 |
| transcript.whisperx[262].end |
7230.563 |
| transcript.whisperx[262].text |
好 謝謝主席各位烈士官 大家早我在這邊先聲明有關疫情需求的部分 預算的部分我們請衛福部儘早送到立法院來我們會全力來協助主席 謝謝有請衛福部邱部長 |
| transcript.whisperx[263].start |
7236.055 |
| transcript.whisperx[263].end |
7261.584 |
| transcript.whisperx[263].text |
林委員好部長早部長現在疫情升溫的現在在升溫是那很多人都在網路上面謠傳說是因為藍白的立委刪了疫苗的預算那我想要在這邊跟部長請你做一下說明就是說疫苗採購的預算是編列在基金目前根本就沒有所謂的刪減跟凍結那會不會要趁這個機會來告訴民眾不要誤信謠言是不是這樣子 部長 |
| transcript.whisperx[264].start |
7269.671 |
| transcript.whisperx[264].end |
7283.74 |
| transcript.whisperx[264].text |
當然基金的財產也是公務預算補助啦其實都有互動但是這一次的基金的購買是沒有刪除的對 就是疫苗防疫的部分但是在凍結剛剛你有提到1000萬的那個那個是業務費 |
| transcript.whisperx[265].start |
7284.68 |
| transcript.whisperx[265].end |
7300.227 |
| transcript.whisperx[265].text |
那個部分有影響到我們對 你剛剛說的是另外一部分我現在問的部長已經解凍了啦我們要很明確不是解凍歸解凍那是另外一件事我們要說的就是疫苗採購這些部分不管是這個包括我們 |
| transcript.whisperx[266].start |
7301.848 |
| transcript.whisperx[266].end |
7318.704 |
| transcript.whisperx[266].text |
審計部的這個部分也是在1213114年的也都是這個都是在這個疫苗基金裡面所以這個部分也都沒有所謂的刪減或凍結所以要在這個機會讓衛福部來說明就是說疫苗的基金 |
| transcript.whisperx[267].start |
7319.845 |
| transcript.whisperx[267].end |
7347.951 |
| transcript.whisperx[267].text |
預算完全沒有凍結跟刪減對不對部長是不是那個署長要不要先回答一下我再報告一下就是有關那個公務基金公務預算補這個疫苗基金的部分原來有凍結1000萬疫苗的部分有凍結不過已經解凍了不是你剛剛提到凍結就是剛剛業務費的部分對業務費那除了之外所以應該這麼講就是說目前這個也還沒有二三讀所以根本就沒有凍結買疫苗的錢一文未減這是很明確的 |
| transcript.whisperx[268].start |
7348.351 |
| transcript.whisperx[268].end |
7370.844 |
| transcript.whisperx[268].text |
那第二個就是2021年6月7號到2023年的5月1號期間因為為了要鼓勵醫療院所協助執行大規模的新冠疫苗接種作業所以政府提供每人這個公費疫苗100元的處置費另外100元額外加碼的這個獎勵金這個獎勵就是要作為醫療院所不收掛號費的一個補貼這是明確的這是對的嘛 |
| transcript.whisperx[269].start |
7375.387 |
| transcript.whisperx[269].end |
7389.734 |
| transcript.whisperx[269].text |
所以現在短少的100元獎勵金的部分是因為我們衛福部這邊沒有編列這100元的獎勵金對不對那個是用特別預算 現在沒有特別預算對 所以是因為我們衛福部這邊沒有編列這100元的獎勵金對不對 |
| transcript.whisperx[270].start |
7395.084 |
| transcript.whisperx[270].end |
7406.077 |
| transcript.whisperx[270].text |
因為那個要有特別預算才有啦沒有這個預算所以沒有編嘛所以不是因為預算刪減的問題是因為沒有這個預算沒有這個特別預算所以沒有編所以這樣很明確我們是在這邊要澄清這些謠言謝謝部長這部分我想還回歸正題因為 |
| transcript.whisperx[271].start |
7415.677 |
| transcript.whisperx[271].end |
7442.441 |
| transcript.whisperx[271].text |
都有廉價我們的急診數你剛剛有報告上升了許多像這個是急診就診人數45.9%然後這個住院人數較前一週上漲了18.6%那所以我想在這麼高的一個就診人數的一個情況趨勢這往上升那我們外部會不會再一次把新冠升級為法定傳染病會不會有沒有這個 |
| transcript.whisperx[272].start |
7443.301 |
| transcript.whisperx[272].end |
7468.409 |
| transcript.whisperx[272].text |
因為他本來就第四類傳染病 新委員的執行那傳染病其實是依照致死率 發生率還有傳播速度等危害程度來分類那現在因為整個國際間包括WHO也把這樣的新冠變成一個常規監測的方面所以目前來講還沒有到達需要去升級的地步就是說如果有這個必要我們就會來做這樣子的一個判定 |
| transcript.whisperx[273].start |
7469.929 |
| transcript.whisperx[273].end |
7495.917 |
| transcript.whisperx[273].text |
那另外我再請教就是說我還是要提醒衛福部就快篩用藥還有邊境的檢疫事後後續的這些醫療處理這個部分我們因為你們推估從6月到7月初是疫情的高峰嘛對不對從5月底到8月初整體染疫人數將會上達高達170萬人次170萬人所以現在民眾都很關注我們的所有的防疫作為尤其像快篩試劑現在不足嘛 |
| transcript.whisperx[274].start |
7496.437 |
| transcript.whisperx[274].end |
7511.082 |
| transcript.whisperx[274].text |
現在不足 馬上會補對 你有提到 我知道剛剛我聽到你的報告那包括這個抗毒 抗病毒的藥物等等這些要讓它盡快的充足那另外我們警官署最近也跟這些我們醫界的團體舉行過會議 |
| transcript.whisperx[275].start |
7512.942 |
| transcript.whisperx[275].end |
7537.274 |
| transcript.whisperx[275].text |
整個研疫的研疫新冠病情的這些防疫作為都聚焦在這個快篩試劑還有抗病毒的藥物那你剛剛都說了很多也說得很完整那我是要提醒就是說我們還是要告訴民眾要告訴民眾說如果出現了新冠疫情的病狀我們還是要如果是比較輕的病狀還是要在診所就醫診所就醫是的那如果像 |
| transcript.whisperx[276].start |
7538.594 |
| transcript.whisperx[276].end |
7566.152 |
| transcript.whisperx[276].text |
這種症狀嚴重的還有長者跟小孩的部分才建議到醫院那確實是因為說我們現在目前Common Lighting的施打情形你剛剛有報告了所以你現在也是鼓勵民眾要盡速的來施打Common Lighting對不對是這樣子的我們10月1號還沒有打的現在6個月以上就會打最好是大家有一個問題就是美國的CDC |
| transcript.whisperx[277].start |
7567.193 |
| transcript.whisperx[277].end |
7581.007 |
| transcript.whisperx[277].text |
他說如果家長和醫生同意有必要新冠疫苗仍是健康兒童的接種選項但是他這個觀點跟美國的衛生部長他日前的宣布不同調 |
| transcript.whisperx[278].start |
7582.148 |
| transcript.whisperx[278].end |
7606.303 |
| transcript.whisperx[278].text |
美國的這個衛福部長在社群媒體上面發布影片說他非常高興的宣布從今天起針對健康兒童健康孕婦的新冠疫苗已從疾病管制預防中心CDC預防接種建議時程中移除所以我要請教部長說那現在我們國內在施打的疫苗都是美國的莫德納 |
| transcript.whisperx[279].start |
7608.206 |
| transcript.whisperx[279].end |
7619.869 |
| transcript.whisperx[279].text |
他是一家美國的部長跟他們的CDC有不同的看法那他們連美國衛福部部長都對於他們的疫苗都有疑慮那我們衛福部 |
| transcript.whisperx[280].start |
7620.683 |
| transcript.whisperx[280].end |
7635.13 |
| transcript.whisperx[280].text |
要的指引是什麼我們有堅強的防疫專家我們的任何怎麼施打包括騎乘換尾其實都有經過ACIP請教說為什麼他們的衛福部長會要求 |
| transcript.whisperx[281].start |
7640.293 |
| transcript.whisperx[281].end |
7656.809 |
| transcript.whisperx[281].text |
等於是說跟他們的CDC不同調然後認為說健康的兒童跟健康的孕婦不適合施打他們的疫苗主要是因為本身美國的部長他本身也是一個反疫苗的一個人士 |
| transcript.whisperx[282].start |
7657.429 |
| transcript.whisperx[282].end |
7681.265 |
| transcript.whisperx[282].text |
那再加上說他是希望說FDA美國FDA在今年10月的時候的那個就是有關健康有關兒童跟孕婦的這一塊能有更多的證據來提供所以他是希望說可以進行一些臨床試驗主要是因為他是認為過去的這個很多人感染很多人這個也打了疫苗那這個評估很難做一個建議不過這個部分我們事實上 |
| transcript.whisperx[283].start |
7685.567 |
| transcript.whisperx[283].end |
7710.372 |
| transcript.whisperx[283].text |
會 其實各國有各有不同的意見那我們會在收集之後在ACIP的一個我們國內ACIP的委員在做一個討論來做一個建議 以上好 謝謝署長那我再請教病床的問題部長你是醫界出身那我非常尊敬你但是像急診擁塞沒有病床這個部分我看到你們的報告書裡面是寫是 |
| transcript.whisperx[284].start |
7711.252 |
| transcript.whisperx[284].end |
7737.799 |
| transcript.whisperx[284].text |
告訴我們說病床是充裕的但是我們實際知道的情況這個從這個健保署重度急救責任醫院急診及時查詢結果到6月2日子林口長庚有147人台大醫院有119人等待住院那隨著這次疫情的升溫我們醫師職業工會也都跳出來講說一切的窘境都往這個 |
| transcript.whisperx[285].start |
7739.919 |
| transcript.whisperx[285].end |
7758.393 |
| transcript.whisperx[285].text |
惡化的方向演進那家屋病房人力不足人力流失而縮緊人手關閉病床那不同的醫院之間也依靠電話逐床逐院問床總是問不到願意接手的醫院那急診醫師只能感嘆的說不要生重病不要生重病那外部在這邊 |
| transcript.whisperx[286].start |
7760.414 |
| transcript.whisperx[286].end |
7789.108 |
| transcript.whisperx[286].text |
有什麼不就措施我們在過年那一波其實已經建立好有三大策略兩大方向第一個就是分級分流要做好院內的病房的病床的調控要配合急診的需求還有當然提高提高相關的給付這個其實都有幫忙我相信都有幫忙那剛剛您提的這個是大概是禮拜一的狀況台大醫院大概禮拜一都會大概一百二十個 |
| transcript.whisperx[287].start |
7789.848 |
| transcript.whisperx[287].end |
7793.932 |
| transcript.whisperx[287].text |
我們在講重症病床是比較充裕那當然就職的人士是比較多一點是有這樣子我們不要讓第一線的醫護人員我們一定會努力醫護人員的諮詢我們休息十分鐘 |
| transcript.whisperx[288].start |
7819.892 |
| transcript.whisperx[288].end |
7823.468 |
| transcript.whisperx[288].text |
那麼現在可以發變動的各位如果需要可以用站的 |
| transcript.whisperx[289].start |
8418.51 |
| transcript.whisperx[289].end |
8424.835 |
| transcript.whisperx[289].text |
好 向委員會報告我們繼續質詢我們請陳立軍委員質詢謝謝主席 我們請這個沈記長沈記長 陳沈記長請 洗手間那邊請部長那我們先請那個衛福部好了好 請 請部長 請 |
| transcript.whisperx[290].start |
8447.829 |
| transcript.whisperx[290].end |
8470.789 |
| transcript.whisperx[290].text |
委員好部長好 辛苦了我知道你也相當關心我們金門的醫療可是我們金門醫療有三大問題想跟你在這邊探究一下第一個就是醫事人員不足還有第二個就是癌症治療中心我們一直希望可以做這個癌症的治療中心也反映很多次第三個就是住宿型長照機構的問題各個署如果聽到 自己上來協助一下 |
| transcript.whisperx[291].start |
8471.69 |
| transcript.whisperx[291].end |
8479.673 |
| transcript.whisperx[291].text |
第一個醫事人員不足的部分您看一下這個表格平均每萬人的職業醫師數112年的時候我們就比金馬鵬離島我們的每萬人是6.1個醫生鵬戶跟我們人口差不多他們是11.42快要我們的兩倍牙醫師也快我們的兩倍藥師我們1.18他們3.06我們說護理師15.47他們30.44幾乎都是他們的一半護士也是那尤其最近一陣子以來 |
| transcript.whisperx[292].start |
8500.582 |
| transcript.whisperx[292].end |
8515.005 |
| transcript.whisperx[292].text |
前一陣子有一段的離職潮在金門醫院金門醫院以前很少遇到病床很缺但是最近我們接到相當多的民眾反映就是沒有病床沒有病床的原因並不是沒有床而是開不了床 |
| transcript.whisperx[293].start |
8515.646 |
| transcript.whisperx[293].end |
8531.088 |
| transcript.whisperx[293].text |
因為沒有足夠的護理師包括還有一些專業的比如說麻醉的這個還有民眾跟我反映喔就麻醉的這個麻糊也沒有造成想要生產都沒辦法晚上沒辦法只要等白天那這樣生小孩是沒有辦法等嘛所以真的是這樣子 |
| transcript.whisperx[294].start |
8531.568 |
| transcript.whisperx[294].end |
8547.248 |
| transcript.whisperx[294].text |
這是實際發生的情形所以這個醫事人員不足的部分我想我們在之前我在衛環委員會的時候那時候還是陳時中那個部長擔任部長的時候那時候我就有跟他提過他提過這個醫事人員不足的時候我們衛福部是有一個健康台灣生根計畫嗎有一個這個 |
| transcript.whisperx[295].start |
8549.491 |
| transcript.whisperx[295].end |
8578.561 |
| transcript.whisperx[295].text |
深耕計畫那四大範疇裡頭其中有的是優化醫療工作條件那就是說對金門這個我想請求您對金門醫事人員及護理人員每月加發一萬元津貼還有外來對金門服務的護理師提供交通和住宿補助這個部分你們這個金門醫院事實上也提出來了也有選這個衛福這個系統在開會的時候提出來那現在您的看法怎麼樣 |
| transcript.whisperx[296].start |
8579.641 |
| transcript.whisperx[296].end |
8601.013 |
| transcript.whisperx[296].text |
謝謝委員對金門醫療的支持跟關心那對金門醫療的資源或人力的一個津貼的補助我相信是衛福部非常重要的一個考慮點所以以現在目前來講我們金門在籍的公會醫師其實我們培育的 |
| transcript.whisperx[297].start |
8603.934 |
| transcript.whisperx[297].end |
8622.304 |
| transcript.whisperx[297].text |
回不去 公會醫師培育蠻多的 沒錯那護理人員當然我們也努力在鼓勵回不去的原因是因為我們的這個職缺不足所以相對的 前一陣子已經去年已經增加一些職缺 但是還是不夠你看我們萬能人口的職業醫師數還是遠遠低於澎湖 |
| transcript.whisperx[298].start |
8625.286 |
| transcript.whisperx[298].end |
8638.113 |
| transcript.whisperx[298].text |
就是說他們回不去是因為沒有這個缺欸不是說我們醫生夠這是兩件事可能是不是說要用那個他生活在金門的你是要用生活在金門的人來講金門福利不錯嘛可能 |
| transcript.whisperx[299].start |
8641.499 |
| transcript.whisperx[299].end |
8668.88 |
| transcript.whisperx[299].text |
有些長期住台灣他還是使用台灣的資源但是長期住台灣的金門鄉親也是來來回回的現在因為這個房屋稅的關係很多人事實上把戶籍都遷回去了最近就遷了幾千個人走了所以有房屋稅嘛要自住嘛所以很多人遷走所以事實上我們的人員還是不夠你剛剛說回不去就是因為沒有缺嘛 |
| transcript.whisperx[300].start |
8669.76 |
| transcript.whisperx[300].end |
8695.829 |
| transcript.whisperx[300].text |
衛福部的醫院 金門醫院它的缺不足嘛並不是說我們醫生夠 而是缺不足讓公費培養的醫生回不去好 反正不管是醫師也好 護士 護士也是不足嘛這個問題 護理師也是不夠這個問題 當然待遇啦離島也比較遠 可能離鄉背井不容易我知道剛剛有一個 你們的副市長有在講就是說 好像說待遇還可以對不對 但是其中你看看你們那個 我們金門當地的這個金門醫院的 |
| transcript.whisperx[301].start |
8696.829 |
| transcript.whisperx[301].end |
8707.477 |
| transcript.whisperx[301].text |
人員組成的就是醫師啊護理師醫事人員的這些組成的待遇裡頭其中有一個是金門縣政府出的錢耶有沒有看到是不是那個旁邊的那個請副市長那個 |
| transcript.whisperx[302].start |
8712.071 |
| transcript.whisperx[302].end |
8729.796 |
| transcript.whisperx[302].text |
報告委員我們這個金門就像剛剛部長講的在籍的人口的確是有14萬但是其實實際住在金門本島到深一點聽不到實際住在金門本島是不到涉及14萬的一半這樣子差不多一半對我們目前那個金門醫院是光是自己聘的醫師就有59位 |
| transcript.whisperx[303].start |
8730.776 |
| transcript.whisperx[303].end |
8752.903 |
| transcript.whisperx[303].text |
我知道我都知道醫師人數我的意思就是說我的意思就是說現在的確面臨的跟以前不一樣的就是說最近一陣子以來這個床都開不出來民眾反應很多那就是護理人員留不住護理師留不住留不住的原因床開不起來就因為醫護比嘛1比15那開不起來嘛開不起來開不起來結果就造成民眾的這個不方便跟困擾嘛 |
| transcript.whisperx[304].start |
8753.843 |
| transcript.whisperx[304].end |
8782.989 |
| transcript.whisperx[304].text |
那造成大家還要有的還要往台灣就醫事實上非常的不便利所以這個部分請你們回去看怎麼做像照說你看說當帶一根差不多的時候還是因為金門縣政府貼錢金門衛生局貼錢進去留任獎金給他們金門縣地方政府出錢所以這個部分你們回去想看怎麼做應該這個東西應該中央來做回去那個還有癌症治療中心也一樣現在只有化療嘛很多患者都要來回這中央要機票住宿陪病很多開銷事實上很多 |
| transcript.whisperx[305].start |
8783.729 |
| transcript.whisperx[305].end |
8812.291 |
| transcript.whisperx[305].text |
我們政府也要做一些補貼嘛 對不對那這樣子事實上這個已經文明直覺很多次金門縣政府也反映很多次啊所以設置金門的放射治療中心還有這個還沒有這個事實上反映很多你們這個也去研究一下具體告訴我們說是不是可行怎麼做你整個數字統計一下好多人過來中間政府也是要花錢啊那這還沒有放射治療前研議是不是給他一些補助方案是不是再提高還是怎麼樣你們算一下做一個報告給我 |
| transcript.whisperx[306].start |
8813.232 |
| transcript.whisperx[306].end |
8825.646 |
| transcript.whisperx[306].text |
好的好的然後還有長照的這個部分住宿室長照您看一下這個表金門的住宿室長照是零比起澎湖6家8家8家我們是零那這個你看全國這個比例的這個表格裡頭你看金門縣的這個 |
| transcript.whisperx[307].start |
8828.129 |
| transcript.whisperx[307].end |
8829.09 |
| transcript.whisperx[307].text |
我們現在其實整體社區的 |
| transcript.whisperx[308].start |
8846.559 |
| transcript.whisperx[308].end |
8874.327 |
| transcript.whisperx[308].text |
整體照顧體系已經佈建58次兩個A 35個B 21個C我知道我知道我的意思是說我是在跟澎湖比啦因為澎湖跟我們的人口各方面相當又是離島那這個部分就我剛提的這三點醫事人員對醫事人員癌症中心就是這個放療的這個癌症中心還有這個長照的住宿場的這個部分是你們回去把這個相關的這個整理一下然後大概一個月內可以給我吧 |
| transcript.whisperx[309].start |
8874.747 |
| transcript.whisperx[309].end |
8879.451 |
| transcript.whisperx[309].text |
好的好的 一個月給我這三項的報告那我們要請一下那個審計部審計長 謝謝審計長 這個有吹哨者向我舉發說有協會領補助款但是在偷渡是在罵在野黨在高中辦這個228活動但是是在罵在野黨領的還是文化部的補助 |
| transcript.whisperx[310].start |
8899.85 |
| transcript.whisperx[310].end |
8903.433 |
| transcript.whisperx[310].text |
媒體也有相關的報導而且除了這個以外財務上還不尋常經費上比如說媒體有做相關報導有人調查桌長時薪高達一千元海報設計四萬攝影師六萬這樣的這些都是來自文化部來自納稅人的錢就是說有一些協會 |
| transcript.whisperx[311].start |
8922.11 |
| transcript.whisperx[311].end |
8939.049 |
| transcript.whisperx[311].text |
有文化部給一些協會做相關的這個補助但他補助的這個核銷這個過程中有一些費用相當的這個不合理我們有提了相關的這個表格那我提供給您看就參考就是其中有兩個我看過這個有一個您看一下在這個表格裡頭有一個 |
| transcript.whisperx[312].start |
8939.91 |
| transcript.whisperx[312].end |
8953.098 |
| transcript.whisperx[312].text |
台中文化行動協會之前媒體還報導他們出錢出高鐵票錢這是政府的補助活動讓民眾上台北來清涼就是在立法院前面抗議他們來出錢那這補助的錢來自文化部媒體有報導我也有相關的截圖還有這個剛剛說的熊中是哪一個協會 |
| transcript.whisperx[313].start |
8964.164 |
| transcript.whisperx[313].end |
8989.882 |
| transcript.whisperx[313].text |
高雄市228關懷協會歷來抵抗外來入侵故事的這個在這個過程中都在批評如果你講的是一個很正常的如果你要都要批評國民黨你讓民進黨去補助你拿文化部的錢就要很公平的來做事情而且主要是經費的核銷也有問題所以我請你們依法進行專案查核這兩個多久可以給我報告 |
| transcript.whisperx[314].start |
8991.328 |
| transcript.whisperx[314].end |
8993.59 |
| transcript.whisperx[314].text |
謝謝陳委員的諮詢 下一位請王世堅委員 |
| transcript.whisperx[315].start |
9024.74 |
| transcript.whisperx[315].end |
9051.147 |
| transcript.whisperx[315].text |
謝謝主席 我請衛福部邱部長邱部長請委員好邱部長 我今天三個問題第一個大的問題 波波牙醫就是說 我認為台灣價值最重要的就是我們 尤其是對待我們的下一代 |
| transcript.whisperx[316].start |
9052.355 |
| transcript.whisperx[316].end |
9081.232 |
| transcript.whisperx[316].text |
我們要對下一代 要讓他們有平等的教育權平等的受教權 平等的工作權這才對嘛那波波牙醫就是幫很多家庭富裕的小孩那他們在國內考不上牙醫學系所以幫他們開了一條中南捷徑到波蘭西班牙去 |
| transcript.whisperx[317].start |
9082.338 |
| transcript.whisperx[317].end |
9096.892 |
| transcript.whisperx[317].text |
那麼這不但造成對我們國內的學子們不公平而且現在還嚴重的會影響到我們國內的醫療品質我簡單列這幾項 第一點波波牙醫他們的學歷審核我們在國內要經過 你要 |
| transcript.whisperx[318].start |
9107.438 |
| transcript.whisperx[318].end |
9129.548 |
| transcript.whisperx[318].text |
大學考試那通過那麼窄的窄門都是最優秀的才會到醫學系啊醫學系去啊這你身為台大醫學系畢業你是大學長你非常清楚這非常嚴格的一道窄門那麼進去了以後還要接受嚴格的教學跟訓練實習等等 |
| transcript.whisperx[319].start |
9132.895 |
| transcript.whisperx[319].end |
9153.564 |
| transcript.whisperx[319].text |
他們波波牙伊只要對方國外的這個政府或他們的團體他們承認的就可以天啊現在我們所知道的波蘭西班牙這些地方波波牙伊來自的國家們他們都還為了我們台灣要去 |
| transcript.whisperx[320].start |
9155.702 |
| transcript.whisperx[320].end |
9173.674 |
| transcript.whisperx[320].text |
當波波牙醫畢業的學生他們為了我們台灣的這些學子還開了專班你看這樣的專班會是什麼樣的品質那我們國內還有這樣特定在辦這個禁 |
| transcript.whisperx[321].start |
9176.924 |
| transcript.whisperx[321].end |
9201.405 |
| transcript.whisperx[321].text |
國外 波蘭西班牙醫學系 牙醫學系的這樣子的仲介天啊 這已經形成一道新的產業鏈其實波波牙醫他們還可以遠距教學本來是因為COVID-19遠距教學 現在他們不是他們繼續 他們說重大變故就可以繼續遠距教學我請問啊 在台灣我們可以這樣嗎 |
| transcript.whisperx[322].start |
9202.966 |
| transcript.whisperx[322].end |
9216.351 |
| transcript.whisperx[322].text |
然後我們新的醫師法還規定表面上說我們國內所有學生見習實習啊都可以啦混在一起其實我們國內的醫學系啊醫學系學生人家不必 |
| transcript.whisperx[323].start |
9217.833 |
| transcript.whisperx[323].end |
9244.942 |
| transcript.whisperx[323].text |
人家實習就是實習見習只是在旁邊看欸實習才是動手做啊結果這個也是為波波牙醫大開方便之門然後另外最扯的是OSCE啦臨床技能測驗在這一個部分我們本土的牙醫系醫學系都必須要考欸只有波波不用考天啊 |
| transcript.whisperx[324].start |
9246.513 |
| transcript.whisperx[324].end |
9255.64 |
| transcript.whisperx[324].text |
那另外你們還開了有幾道啦你們有說有啦116年以後以後要全面實施這個Qualified的考試資格考那也就是說117年之前 |
| transcript.whisperx[325].start |
9261.708 |
| transcript.whisperx[325].end |
9279.401 |
| transcript.whisperx[325].text |
總共推估會有1600位1600位波波牙醫是沒有經過我們台灣國內的這個資格考天啊 這對我們國內的學子們公平嗎對我們全體國人他們的健康 |
| transcript.whisperx[326].start |
9280.563 |
| transcript.whisperx[326].end |
9299.841 |
| transcript.whisperx[326].text |
有保障嗎你看國外人家美國 加拿大 英國 日本你看他們如何嚴格我想我想你非常清楚嘛邱部長你非常清楚啊美國他們還要通過他們有特定的機關ESMFD證書喔 他們除了住院醫師培訓醫師執照考試以外還這麼嚴格喔所以在國外的評定學習認證的這個 |
| transcript.whisperx[327].start |
9307.127 |
| transcript.whisperx[327].end |
9332.025 |
| transcript.whisperx[327].text |
難度美國加拿大英國都列為五星企業五星企業加拿大他們要通過MCCOE英國他們也有很多這一方面的測驗臨床實習的要求那日本更不用講日本這個我們太知道日本人他們的規模他們的要求更嚴那更直接的啦 |
| transcript.whisperx[328].start |
9333.154 |
| transcript.whisperx[328].end |
9361.936 |
| transcript.whisperx[328].text |
我講更直接的我們鄰國 韓國跟新加坡人家他們直接就認定波蘭 西班牙 這不行他直接名列天啊 我們台灣不是我們台灣為他們大開方便之門所以我請問你啦現在我們已經退回了這一個部分你們另外幫他開了一條路說啊 這個叫做偏鄉醫療計畫要讓波波來加入 可以漂白 |
| transcript.whisperx[329].start |
9362.697 |
| transcript.whisperx[329].end |
9391.725 |
| transcript.whisperx[329].text |
好啊 現在這個民意大反彈 退回你們再重修我請問 現在修了以後是不是這個臨床 欸不是臨床喔 你氣到說不下去這個偏鄉的計畫 是不是要修正 要取消 你的看法好 謝謝委員的關心第一個 我就做回應第一個 偏鄉這個計畫 絕對沒有一定要本土醫學系畢業 |
| transcript.whisperx[330].start |
9393.19 |
| transcript.whisperx[330].end |
9418.465 |
| transcript.whisperx[330].text |
才能到片鄉 而且是他這個計劃裡面是要補足還是要開方便之門就對了你就是還是要開方便之門沒有沒有沒有 完全一定要台灣的牙醫學系畢業所以波波是沒有機會的好難得 你說的喔就是這樣做的就這麼樣做的喔而且都已經在行政院那個都已經處理了 好 就是取消波波 |
| transcript.whisperx[331].start |
9419.005 |
| transcript.whisperx[331].end |
9423.789 |
| transcript.whisperx[331].text |
因為那個偏鄉那個計畫沒有破破的任何機會都是本土醫學就是國內台灣牙醫系畢業的才有資格當然要考過醫師執照第二個就是說還是跟委員報告一下這個問題其實是長久以來的問題我們現在是怎麼樣去把它好好的解決但是至少有一個鎖住點就是每年不會超過50名 |
| transcript.whisperx[332].start |
9445.825 |
| transcript.whisperx[332].end |
9464.739 |
| transcript.whisperx[332].text |
我跟你講喔 50名都太多 我們照說欸 你知道嗎 台大牙醫學系跟成大牙醫學系就是包括全世界各國啦對 成大 台大 20名 加起來49名也不到你說的50名啊等於我們啊 外包了一個醫學院在 |
| transcript.whisperx[333].start |
9466.155 |
| transcript.whisperx[333].end |
9477.319 |
| transcript.whisperx[333].text |
在波蘭 在西班牙一樣可以這樣子做嗎我認為這個名額 我有提案當然這個提案我拖了一年成門大家不支持我認為應該要根據我們國內牙醫學系一年畢業的學生的一成 |
| transcript.whisperx[334].start |
9482.821 |
| transcript.whisperx[334].end |
9495.169 |
| transcript.whisperx[334].text |
我們全一年畢業才入局才350位那一層35位我認為以一層為限啦我因為時間有限我另外請教你兩個問題就是說在5月30號上個禮拜那麼醫用快篩庫存食藥署盤點也就是說剩15000劑但是我們全國光是基層診所就12200家啦 |
| transcript.whisperx[335].start |
9506.576 |
| transcript.whisperx[335].end |
9513.922 |
| transcript.whisperx[335].text |
請問啊 就一家只有一劑嗎然後其他的大型醫院那怎麼辦呢那診所一家一劑這夠嗎 你的看法 |
| transcript.whisperx[336].start |
9516.311 |
| transcript.whisperx[336].end |
9539.516 |
| transcript.whisperx[336].text |
包委員我想一萬多所診所其實也不是每一家都是看感冒的啦當然有復健診所各種診所包括起來是一萬多家那其實有在看的的確像基層醫療協會林立南理事長有表達說要注意到醫用快篩的一個量能那這個部分不管是家用或者是醫用 |
| transcript.whisperx[337].start |
9540.456 |
| transcript.whisperx[337].end |
9555.784 |
| transcript.whisperx[337].text |
我們因為過去如果不用那麼多的時候你也很難要廠商去做那麼多啦我們現在一個禮拜才四萬五千元才四萬五千元而已啊跟六月 保證 跟委員保證六月中的時候六月中我們家用 醫用都會超過都會超過需求 |
| transcript.whisperx[338].start |
9559.405 |
| transcript.whisperx[338].end |
9566.81 |
| transcript.whisperx[338].text |
主席抱歉我一分鐘問這句很重要的一件事情我們這次4100億的特別預算裡面有1670億是社會支持這裡面社會支持的這個部分有170億是剝交衛福部來針對弱勢以及獨居老人他們做照顧那我盤算了這個總金額以後我認為170億還會有剩所以我希望把這一 |
| transcript.whisperx[339].start |
9587.462 |
| transcript.whisperx[339].end |
9601.959 |
| transcript.whisperx[339].text |
這個部份加入就是加入我們對於殘障朋友身障朋友他們的自立生活這個部份做幫忙為什麼因為自立生活讓身障朋友們他們可以去就學 |
| transcript.whisperx[340].start |
9603.24 |
| transcript.whisperx[340].end |
9630.238 |
| transcript.whisperx[340].text |
就業可以去參與藝文活動甚至去參與娛樂活動這些都是需要謝謝委員的支持可不可以把這170億剩餘的部分我們來演繹我們來演繹成長朋友們讓他們去自立生活我們來演繹好不好好 謝謝委員的支持謝謝委員 謝謝現在麥玉珍麥玉珍 麥玉珍委員不在王玉民委員請 |
| transcript.whisperx[341].start |
9640.373 |
| transcript.whisperx[341].end |
9644.554 |
| transcript.whisperx[341].text |
好 謝謝主席 我們是不是有請部長有請部長 邱部長委員好部長好 部長我先請教你就是今天新聞報得蠻大的就是食藥署它修正了衛生規範準則那就是這些小吃攤如果它先碰了錢再去碰食物的話那你們現在是要罰六萬到兩億 |
| transcript.whisperx[342].start |
9668.2 |
| transcript.whisperx[342].end |
9680.33 |
| transcript.whisperx[342].text |
坦白講這個金額聽起來是蠻高的就是說一般人的印象就會覺得小吃店這個有沒有不符合比例原則那第一個我想要問你的就是說事實上這個我們相關的衛生規範 |
| transcript.whisperx[343].start |
9683.573 |
| transcript.whisperx[343].end |
9698.129 |
| transcript.whisperx[343].text |
就是往前進然後保障消費者食的安心我覺得這個方向性是對的但是你們在公告之前我想問你們說你們有沒有仔細去了解這些小攤商他的樣態 |
| transcript.whisperx[344].start |
9699.29 |
| transcript.whisperx[344].end |
9721.631 |
| transcript.whisperx[344].text |
還有就是說他是不是能達到有沒有辦法透過輔導機制先行去協助大家譬如說他一人作業的時候也是可以怎麼樣不接觸食物但是又可以達到服務的功能因為事實上我也看過有些小吃攤他是一人他還是可以這樣做譬如說他就是用刀具跟夾子 |
| transcript.whisperx[345].start |
9722.532 |
| transcript.whisperx[345].end |
9751.011 |
| transcript.whisperx[345].text |
然後加上手套就他還是可以完成這個工作但是可能有的人他是過去已經習慣用手接觸但是他不知道怎麼樣有個更好的方法其實可以來落實那我第一個我想請教就是說在政策實施之前規範實施之前你們有沒有先行輔導先去宣導或是找這一些夜市攤商小吃攤大家來開個會議演繹一下說我們打算怎麼做聽聽大家的想法有沒有 |
| transcript.whisperx[346].start |
9751.977 |
| transcript.whisperx[346].end |
9771.545 |
| transcript.whisperx[346].text |
報告委員剛剛16時有回應這個是有預告期一段時間沒有沒有 也有跟攤商協會溝通這個請那個王副市長來來負責的承辦人講一下有跟攤商溝通嗎因為今天媒體報出來是攤商大反彈 |
| transcript.whisperx[347].start |
9772.485 |
| transcript.whisperx[347].end |
9789.418 |
| transcript.whisperx[347].text |
跟委員報告我們在去年預告之後是有跟攤商協會有進行過溝通也有發文那目前也有在準備宣導文獻那如剛剛部長所提示我們這個之後還是會以輔導優先那另外跟委員報告有關死案法的規定如果違反GHP的話其實不會立即開法 |
| transcript.whisperx[348].start |
9791.5 |
| transcript.whisperx[348].end |
9803.054 |
| transcript.whisperx[348].text |
我們衛生局會先給予限期輔導限期改善所以通常是在限期改善之後預期沒改才會考慮是不是要採取行政裁罰所以並不會馬上就有罰則這個事情 |
| transcript.whisperx[349].start |
9804.673 |
| transcript.whisperx[349].end |
9827.652 |
| transcript.whisperx[349].text |
我覺得這件事情就是你們在執行的過程不夠細膩啦雖然你說你有預告期然後也找了攤商協會但你要知道我們台灣的這個小吃攤何其多我們號稱美食王國我們的夜市的攤商非常多那你現在找了一個代表來他不見得把所有的資訊真的都讓他們了解要不然就不會有今天一上報之後 |
| transcript.whisperx[350].start |
9828.512 |
| transcript.whisperx[350].end |
9846.437 |
| transcript.whisperx[350].text |
可能這個攤商的情緒反應是感覺好像從來沒有被溝通然後一知道之後他甚至不知道說是先行輔導然後不改善連續多次不改善再開罰他一聽到六萬到兩億元真的是嚇壞了所以我覺得這個好的政策也要有好的配套這個 |
| transcript.whisperx[351].start |
9848.057 |
| transcript.whisperx[351].end |
9864.531 |
| transcript.whisperx[351].text |
執行的過程當中一定是要很細膩所以我要求你們這個部分應該是要先去溝通然後先去輔導那開法的部分我覺得這個部分你們在行政財兩方面這個部分不應該先行就是你自己應該在增訂有一個輔導期 |
| transcript.whisperx[352].start |
9866.112 |
| transcript.whisperx[352].end |
9888.798 |
| transcript.whisperx[352].text |
就是輔導多久然後讓大家適應然後也接受新的方法因為這件事情要多重配套嘛一個就是說你們怎麼樣去輔導另外一個就是說我們的這個電子化的交易別的部會也有相對責任就是說盡快去達成那的確就可以讓我們這個消費者時的更安心但是同樣也沒有造成這一些要做生意者的困擾這個才是雙贏啊 |
| transcript.whisperx[353].start |
9889.818 |
| transcript.whisperx[353].end |
9896.541 |
| transcript.whisperx[353].text |
我們一定是全力去溝通跟福島那特別是福島先行福島旗就是要到福島到他們都可以做到為大概一個目標我覺得這樣子才是真正的雙贏我們並不是要懲罰攤商我們並不是要懲罰他只是希望說他有更好的貴賓習慣共同邁向食安的更進一步這樣子所以這是 |
| transcript.whisperx[354].start |
9912.749 |
| transcript.whisperx[354].end |
9924.254 |
| transcript.whisperx[354].text |
大家往正面的來想,也許是對國家是好那我們絕對是用輔導到大家都可以做到為止好,就是一定要先輔導,好不好好,謝謝榮委員的執行現在要請黃珊珊委員執行,請謝謝主席,我請邱部長邱部長還有是有莊署長莊署長 |
| transcript.whisperx[355].start |
9944.522 |
| transcript.whisperx[355].end |
9969.584 |
| transcript.whisperx[355].text |
委員長是 部長好我想很難得在財政委員會看到你但是今天的題目很重要就是最近的疫情的確讓國人都很憂心尤其在COVID-19當那幾年的過程中也謝謝部長我們當時打了一場美好的仗雖然我們政黨不同或者是有不同的立場但是當時的台北市政府跟中央的確是完成了艱困的工作 |
| transcript.whisperx[356].start |
9971.286 |
| transcript.whisperx[356].end |
9985.745 |
| transcript.whisperx[356].text |
謝謝委員當時的支持您那時候是醫事公會理事長那署長也都非常努力但是這個新冠肺炎特別條例在112年已經廢止了那新的 |
| transcript.whisperx[357].start |
9987.006 |
| transcript.whisperx[357].end |
10001.814 |
| transcript.whisperx[357].text |
疫情起來不管它發生什麼事那當時在去年的3月11號其實賴政府上任之前薛瑞元部長任內其實曾經預告過傳染病防治法的部分條文修正案 |
| transcript.whisperx[358].start |
10002.674 |
| transcript.whisperx[358].end |
10030.175 |
| transcript.whisperx[358].text |
也就是說因為COVID-19的關係所以我們發現了非常多以前傳染病防治法裡面缺漏的東西第一個要怎麼樣做防疫隔離侵害人民權利當時都是靠著指揮中心的行政命令但事實上有很多東西是應該要入法的是部長同意嗎是的是的署長你當時也在把這個傳染病防治法是要把所有的防疫期間的經驗都入法不是嗎應該是說會 |
| transcript.whisperx[359].start |
10032.756 |
| transcript.whisperx[359].end |
10053.458 |
| transcript.whisperx[359].text |
當時我們有這個修法的部分是有針對在疫情期間有碰到一些問題因為所有的疫情發生的時候都沒有人知道要怎麼辦所以做了很多很多的行政調整但是疫情過後這個法為什麼公告以後到現在沒有送到立法院來 |
| transcript.whisperx[360].start |
10055.189 |
| transcript.whisperx[360].end |
10067.955 |
| transcript.whisperx[360].text |
應該是說我們有送到行政院行政院沒有通過應該說還在審查當中部長你知道這個事嗎你也不知道你接任以後你什麼時候要送來呢還是你什麼時候要跟行政院溝通這件事呢你覺得重不重要 |
| transcript.whisperx[361].start |
10071.636 |
| transcript.whisperx[361].end |
10097.344 |
| transcript.whisperx[361].text |
當然很重要 我也覺得很重要我們在COVID的時候我們不知道什麼叫做強制隔離我要把人搬走的時候民眾會跟你抗議第二個侵害人民權利 這個電藥官 那個電藥官這些東西都是用行政命令它的確是疫情期間不得已的做法但是必須要有法律的授權這個大家同意嗎 |
| transcript.whisperx[362].start |
10098.544 |
| transcript.whisperx[362].end |
10122.012 |
| transcript.whisperx[362].text |
是第二個我們當時甚至不知道要關到哪裡去所以搞了一個叫做防疫旅館防疫旅館給他什麼權利義務也不知道也沒有SOP這都是一個一個摸索過來的所以部長今天你難得在裁委會我希望傳染病防治法正式已經公告部分調整修正案行政院快一年了上任一年多了到今天沒有下文 |
| transcript.whisperx[363].start |
10123.012 |
| transcript.whisperx[363].end |
10144.426 |
| transcript.whisperx[363].text |
您身為部長尤其是經過這麼重要的COVID我覺得這個修正案有必要盡速的快速的進到立法院來討論因為這裡面還有牽涉到各個部會必須配合當時我們就發現了一個問題因為是衛福部在主導整個防疫過程所以教育部國防部都是 |
| transcript.whisperx[364].start |
10145.307 |
| transcript.whisperx[364].end |
10164.892 |
| transcript.whisperx[364].text |
不知道自己要幹嘛如果指揮中心沒有教他幹嘛他也不知道自己要幹嘛所以整個過程非常非常的凌亂這不能怪任何人但是因為我們的法治不夠完備部長那你能不能答應我你要什麼時候把這個案子至少在行政院有個初步的方向送到立法院來呢 |
| transcript.whisperx[365].start |
10166.015 |
| transcript.whisperx[365].end |
10180.06 |
| transcript.whisperx[365].text |
好 我想我們立即來立即來處理 這個修正案都在 不是不在您上任後 這個應該成為我們應該說中華民國最重要一件事不是等現在疫情再起的時候 又來兵荒馬亂又來再開始討論各部會要幹什麼 |
| transcript.whisperx[366].start |
10183.661 |
| transcript.whisperx[366].end |
10211.34 |
| transcript.whisperx[366].text |
是當時的確是混亂的但是當時有非常多的經驗我想署長在這邊您也在這裡好 我們要直接以過去的經驗趕快把這個是這裡面包括各司的揭露到底這個能不能公佈那個人在哪裡能不能公佈我要去那邊傾銷還被人家罵說為什麼告訴人家我的傳染病在這邊都是問題第二個 名利怎麼調度民眾跟相關的機關怎麼參與這些都需要法源依據 |
| transcript.whisperx[367].start |
10211.82 |
| transcript.whisperx[367].end |
10230.888 |
| transcript.whisperx[367].text |
好的 好不好 部長你可以一個月給我一個初步的書面回覆 好的 好的時程表 然後行政院你要怎麼去努力然後爭取行政院盡快的通過 好的 好的 好不好這個我覺得是比什麼都重要啦 這個很重要比你現在買疫苗什麼那是眼前的事 但是這個是長治久安的事 是的 |
| transcript.whisperx[368].start |
10232.509 |
| transcript.whisperx[368].end |
10249.016 |
| transcript.whisperx[368].text |
5月20號WHA它其實有決意通過一個大流行病協定我們不在WHO所以WHA通過了這個它將來會各會員國建立病原體的共享機制加速疫苗藥物的開發還要提供20%的產量給開發中國家我們會不會因為不是相關的會員國而被拋棄在這個機制之外 |
| transcript.whisperx[369].start |
10258.211 |
| transcript.whisperx[369].end |
10275.759 |
| transcript.whisperx[369].text |
好 謝謝委員隨行這一個重要的問題其實我們過去也不是在WA WHO的會議裡面也沒有在大流行性的草擬當中但是我們台灣真的是我們很認真的履行我們的義務但是我們享受不到權利這才是我們的問題嘛 |
| transcript.whisperx[370].start |
10276.559 |
| transcript.whisperx[370].end |
10280.722 |
| transcript.whisperx[370].text |
其實那個權利現在目前在WHO這些國家也是非常爭議啦有的也不願意按照裡面的嫌疑去做連美國都不想去了嘛所以我的意思是說國際上有這樣的創新我們不希望台灣是孤兒 |
| transcript.whisperx[371].start |
10292.11 |
| transcript.whisperx[371].end |
10311.937 |
| transcript.whisperx[371].text |
但是台灣絕對不會是孤兒因為我們的醫療很強各個專業組織我們都有國際的交流這個是我們要做到的啦不要成為孤兒弄到我們還要自己研發疫苗一定要讓我們台灣的人民絕對不會因為政治的因素受到影響我們會努力時間暫停我請一下沈機長兩位請回沈機長請 |
| transcript.whisperx[372].start |
10325.649 |
| transcript.whisperx[372].end |
10342.307 |
| transcript.whisperx[372].text |
我們審計部是要針對行政相關的政府預算要提出審計這是中華民國憲法的規定但是審計部因為我們憲法的依據是挾在所謂的監察院底下現在我就有一個比較好奇的地方 |
| transcript.whisperx[373].start |
10343.408 |
| transcript.whisperx[373].end |
10372.118 |
| transcript.whisperx[373].text |
立法委員是用選舉產生所以他有每四年做一次檢驗那很多的行政機關由監察院來做糾正跟彈劾那現在發生的好像是監察院自己發生了監察委員行為不當或者是在預算上面使用有瑕疵可是我查了一下沈議長我們從頭到尾這幾年對於行政機關違反法令的不當支出其實你們是可以剔除的對吧 |
| transcript.whisperx[374].start |
10374.404 |
| transcript.whisperx[374].end |
10375.168 |
| transcript.whisperx[374].text |
對那你們有剔除過嗎有 |
| transcript.whisperx[375].start |
10378.366 |
| transcript.whisperx[375].end |
10407.566 |
| transcript.whisperx[375].text |
這三年有嗎有這三年有剔除嗎可是我查了這三年的中央政府總決算被剔除的數字是零大概地方政府還有因為地方政府有 中央政府沒有中央政府沒有你有沒有剔除過監察院的預算沒有沒有 為什麼是不敢剔除還是他們都沒有問題他現在是這樣每個中央機關每個都有那個內部審核人員是有的意思是說我們就以現在這個案例來好了現在這個案例 |
| transcript.whisperx[376].start |
10408.986 |
| transcript.whisperx[376].end |
10429.678 |
| transcript.whisperx[376].text |
審計部是監察院的下屬機關第二個你們要跟監察院跟審計部跟業務協調匯報你們要去討論相關審計的業務但是監察委員也是你們討論的對象但是他們發生問題的時候請問審計部要做什麼事情因為監察委員沒有人可以彈劾他 |
| transcript.whisperx[377].start |
10432.493 |
| transcript.whisperx[377].end |
10447.165 |
| transcript.whisperx[377].text |
檢查機關他有一個自律委員會自律而已 只能自律但是你審計可以做相關的查核報告不是嗎這個我們會了解所以就這個部分我希望你做專案查核 |
| transcript.whisperx[378].start |
10448.387 |
| transcript.whisperx[378].end |
10461.007 |
| transcript.whisperx[378].text |
專案審計監察院的預算刮別人的鬍子之前先把自己的鬍子刮乾淨不要讓監察院背負這樣的惡名如果只是幾個人的行為不當就把它檢查清楚 |
| transcript.whisperx[379].start |
10462.076 |
| transcript.whisperx[379].end |
10484.354 |
| transcript.whisperx[379].text |
我們會了解 審計部可以給我一個這樣的報告嗎好一個月之內至少就這個預算的執行至少在審計方面你們可以做一個初步的討論初步的結果可以嗎可以好謝謝好謝謝黃委員的質詢下一位何欣淳何欣淳何欣淳委員不在王振興委員請質詢 |
| transcript.whisperx[380].start |
10495.65 |
| transcript.whisperx[380].end |
10502.642 |
| transcript.whisperx[380].text |
謝謝主席 賴昭偉有請邱部長還有莊署長兩位總統請是 |
| transcript.whisperx[381].start |
10505.239 |
| transcript.whisperx[381].end |
10527.207 |
| transcript.whisperx[381].text |
委員好部長好還有署長好今天的主題就是最近疫情再起有關於相關的因應措施不過我先針對剛剛黃珊珊委員的意見我非常的同意傳染病防治法的修正應該要儘速處理所以我在未完委員會也會持續的針對這個案子的修正的部分持續來請部長這邊來加油 |
| transcript.whisperx[382].start |
10530.348 |
| transcript.whisperx[382].end |
10548.849 |
| transcript.whisperx[382].text |
那今天要有三個問題來直接請教部長那我就把所有的問題都處理好以後再麻煩部長跟署長來做回應包括這個快篩鋪貨還有抗病毒的儲備跟用量的預估還有強化疫苗施打跟落實長照機構防疫的部分我們也知道 |
| transcript.whisperx[383].start |
10550.09 |
| transcript.whisperx[383].end |
10576.906 |
| transcript.whisperx[383].text |
預判這個最近的疫情會到六月底七月初才會達到高峰就是距離現在還有一個月那現在這個速度已經讓大家都非常非常的擔心了所以有關於快篩的撲霍還是有一些民眾認為這個要取得不太容易所以在這部分目前到底它的現況如何等一下請部長來回答第二個就是有關於最近的這個重症新冠合併重症的部分 |
| transcript.whisperx[384].start |
10578.007 |
| transcript.whisperx[384].end |
10592.331 |
| transcript.whisperx[384].text |
去上個禮拜就132例這麼樣的多那這些個案裡面大部分都是65歲以上的長者還有他可能都會合併一些多種慢性疾病最重要的就是他們沒有打過這個沒有接種過J1 |
| transcript.whisperx[385].start |
10594.292 |
| transcript.whisperx[385].end |
10618.841 |
| transcript.whisperx[385].text |
Zen.1就是Zen.1的這個疫苗所以很顯見我們這個疫苗的施打尤其在這些高風險族群是有所不足的所以針對這部分我們如何能夠強化疫苗的施打有沒有機會去outreach到相關的這個單位比如說長照或者是有比較高風險的地方怎麼去強化這個施打疫苗的這個處理措施 |
| transcript.whisperx[386].start |
10619.321 |
| transcript.whisperx[386].end |
10647.895 |
| transcript.whisperx[386].text |
那最後一項就是到底我們抗病毒的藥物夠不夠因為這些高風險族群如果能夠提早用藥物減少通常變成重症的話相信對整個醫療體系尤其在急診跟這個加護單位的這個壓力是可以減輕很多那以上三個問題麻煩部長好 有關於快篩的鋪後部分我想我們都很清楚在去年還加用快篩 |
| transcript.whisperx[387].start |
10649.042 |
| transcript.whisperx[387].end |
10677.37 |
| transcript.whisperx[387].text |
剩一堆然後都一直在送表示說的確是有時候要廠商來生產是必須要有隨著疫情來來變動那他可能有需要生產的時間還有鋪貨的時間所以不能在很快馬上我們覺得疫情已經起來的時候就馬上鋪得很均勻但是到現在為止我們相信我們經過了產量的提升還有鋪路的努力 |
| transcript.whisperx[388].start |
10680.292 |
| transcript.whisperx[388].end |
10698.611 |
| transcript.whisperx[388].text |
應該有一半以上的通路都是藥局都會處理都會買得到然後另外就是在六月中以後我們就再跟家用跟醫用的快篩它的產量就會超過我們預期需要量兩倍 |
| transcript.whisperx[389].start |
10699.597 |
| transcript.whisperx[389].end |
10718.283 |
| transcript.whisperx[389].text |
所以那個時候更加的充裕這部分我想跟委員做報告那至於強化疫苗的施打疫苗現在還有300萬劑那我們也希望65歲以上剛剛委員有關心到這其中很多都是沒有打疫苗的 |
| transcript.whisperx[390].start |
10719.023 |
| transcript.whisperx[390].end |
10748.063 |
| transcript.whisperx[390].text |
所以怎麼樣讓65歲以及多重慢性病的優先來打這是我們真的要拜託我們除了先導以外政府的先導以外我們幾乎每天都是在先導然後也希望所有的醫療院所能夠配合來施打我們知道基層醫療院所來打疫苗的確是辛苦的一件事情但是也希望我們一樣發揮COVID |
| transcript.whisperx[391].start |
10748.903 |
| transcript.whisperx[391].end |
10769.725 |
| transcript.whisperx[391].text |
那幾年奮鬥的精神我們醫院跟基層一起合作那至於說長照機構這個防疫那更是我們過去的很好的經驗我相信我們只要啟動過去的一個COVID防疫的經驗應該在長照方面包括譬如說台北市我們當時所有的長照機構我們都去跟他打疫苗 |
| transcript.whisperx[392].start |
10770.285 |
| transcript.whisperx[392].end |
10787.42 |
| transcript.whisperx[392].text |
都可以做相關的一個診療甚至到疫情比較嚴重的時候我們也用視訊對長照機構來處理這個部分大概沒有問題那病毒藥物因為我們還有45萬人次所以一個波動的時候大概頂多是18萬人次所以應該是足夠 請放心以上報告 |
| transcript.whisperx[393].start |
10791.809 |
| transcript.whisperx[393].end |
10796.731 |
| transcript.whisperx[393].text |
謝謝謝謝蘇清泉蘇清泉蘇清泉我們不在有號有號有號我們不在黃國昌委員請質詢謝謝主席麻煩有請沈機長沈機長請 |
| transcript.whisperx[394].start |
10816.024 |
| transcript.whisperx[394].end |
10843.207 |
| transcript.whisperx[394].text |
委員好沈記長好針對有關我們公務機關錢亂花不依照規定亂花這件事情沈記長應該很清楚是我長期追蹤的一個議題而且我只要開始追沒有一個結果出來以前我一定會問下去在整個監察院如此頹敗 |
| transcript.whisperx[395].start |
10845.224 |
| transcript.whisperx[395].end |
10865.931 |
| transcript.whisperx[395].text |
監察院如此頹敗的現狀下審計部可以說是從過去到現在國人相對而言比較肯定的一個單位我希望審計部能夠繼續努力繼續加油下去因為當初您上任審計長的時候我是第一次擔任立委 |
| transcript.whisperx[396].start |
10867.281 |
| transcript.whisperx[396].end |
10882.031 |
| transcript.whisperx[396].text |
你那次審計長的投票我投了贊成票我也一直在觀察你當了審計長以後的表現希望審計部的同仁繼續加油開場做了這樣子的勉勵以後我們接下來進入實質的問題針對有關於我們的圓明會竟然一個計畫早就結束了 |
| transcript.whisperx[397].start |
10895.329 |
| transcript.whisperx[397].end |
10922.847 |
| transcript.whisperx[397].text |
結果騙立法院計畫結束了還繼續編預算膽大妄為騙立法院說還有這個計畫這個計畫早就game over了繼續編預算編預算拿來幹嘛出原民會主委的個人專刊一本專刊裡面一半以上全部都是他個人的寫真集我看了那本專刊我是痛心疾首 |
| transcript.whisperx[398].start |
10925.035 |
| transcript.whisperx[398].end |
10946.643 |
| transcript.whisperx[398].text |
我們這些器官首長是把納稅人當什麼 當盤子喔用已經停止的計畫騙立法院騙到預算以後拿去出主委的個人專刊莫名其妙不要以為他下台這件事情就結束我的原則很簡單 錢要追回來這件事情我之前也請 |
| transcript.whisperx[399].start |
10948.24 |
| transcript.whisperx[399].end |
10975.266 |
| transcript.whisperx[399].text |
我們的審計部去做處理最後原民會新任的主委也終於承認了說他們這個有問題再接著下來原民會承認有錯了他用疏失啦好啦沒關係啦給他面子就用疏失啦你如果要我一個比較精準的描述啊根本是違法濫權胡搞瞎搞膽大妄為啊他要說疏失也沒有關係啦 |
| transcript.whisperx[400].start |
10977.699 |
| transcript.whisperx[400].end |
10996.693 |
| transcript.whisperx[400].text |
疏失歸疏失啊 錢要回來啊然後他表示說他要跟審計部請求免檢列 你同意嗎謝謝委員提出這個案子那我們這個案子已經在113年把它檢列100萬 |
| transcript.whisperx[401].start |
10998.447 |
| transcript.whisperx[401].end |
11025.34 |
| transcript.whisperx[401].text |
所以檢列了嗎?對,我們沒有同意園民會的要求他們錢弄回來沒有?因為我一檢列,他們就會處理什麼時候要處理完?一檢列的話,我們會一直追他的把這個錢最新啦,園民會處理的狀況怎麼樣?您會後回去跟同仁了解一下書面回覆給我好不好?可以任何一塊錢 |
| transcript.whisperx[402].start |
11026.821 |
| transcript.whisperx[402].end |
11055.109 |
| transcript.whisperx[402].text |
更何況是上百萬拿去出主委的個人專刊啊莫名其妙啊這種事情我們立法委員沒有盯到底啊我們對不起納稅人啊等於是跟所有的機關首長講什麼大家胡搞瞎搞沒關係啊書做出來的拍拍屁股走人就好啦第二個救安基金你們審出來的結果是七千兩百二十四萬 |
| transcript.whisperx[403].start |
11057.988 |
| transcript.whisperx[403].end |
11082.321 |
| transcript.whisperx[403].text |
6254元沒有符合基金用途的規模接下來的問題結果我們的勞動部竟然說好啦我濫用救安基金的錢我編預算把它補回來沈記長可以這樣幹嗎我們這個案子我們在沈記的立場已經把它檢列作為應收款要勞動部收回 |
| transcript.whisperx[404].start |
11085.65 |
| transcript.whisperx[404].end |
11107.917 |
| transcript.whisperx[404].text |
他什麼時候該收回他現在在盤 整個在盤他整個在談嘛一樣 會後的時候把他們最新處理的狀況你回去跟同仁了解一下書面回覆給我我再一次表明我的立場喔浪花就業安定基金辦演唱會啊擺個人沙龍照啊 |
| transcript.whisperx[405].start |
11110.269 |
| transcript.whisperx[405].end |
11136.527 |
| transcript.whisperx[405].text |
這個錢我一定追回來審計部做到審計部該做的該檢列的你們也檢列了接下來我們就一起把這個該還給納稅人的錢追回來最後一件事情因為主席站起來最後一件事情我不在乎大家的時間等一下我提一個書面檢舉給審計長那審計長看了我的書面檢舉就知道我檢舉什麼事情再麻煩審計部的同仁好好下去查可以嗎可以好 謝謝 |
| transcript.whisperx[406].start |
11137.808 |
| transcript.whisperx[406].end |
11144.834 |
| transcript.whisperx[406].text |
好 謝謝黃國昌委員的執行下一位葉元芝 葉元芝 葉元芝委員不在下一位羅明財委員請執行好 謝謝主席 二位人出列習慣人大家好 |
| transcript.whisperx[407].start |
11165.765 |
| transcript.whisperx[407].end |
11175.512 |
| transcript.whisperx[407].text |
主席可不可以請陳審計長審計長請待會麻煩一下也請衛福部的邱部長邱部長請委員好兩位好辛苦喔我想審計長這幾年來應該也做了不少事情那因為 |
| transcript.whisperx[408].start |
11194.502 |
| transcript.whisperx[408].end |
11220.894 |
| transcript.whisperx[408].text |
中華民國相關的有一些推動的預算應該是要花在刀口上那請問一下沈議長你這幾年的努力啊有因為你的努力然後覺得發現比如說有什麼蚊子管啊有什麼浪費的啊你追回來的大概有多少 |
| transcript.whisperx[409].start |
11222.076 |
| transcript.whisperx[409].end |
11250.845 |
| transcript.whisperx[409].text |
我們文書館像這種文書館剛剛講的我們插了五百多件五百多件文字館那五百多件文字館現在慢慢都活化好了還有一兩件還在活化這個部分我們也會繼續的在做第二次明年今年會做在做在整個盤整一下這種還有沒有這種文書館那五百個文字館大概是多少金額三百多億 |
| transcript.whisperx[410].start |
11251.69 |
| transcript.whisperx[410].end |
11278.939 |
| transcript.whisperx[410].text |
三百多億三百多億的閒置在那邊現在已經都要工程會專案整個都活化的差不多了那現在中華民國到底有錢還是沒有錢應該現在的財政狀況應該會逐步中央也逐步轉好地方也逐步轉好因為去年稅收是超徵五千兩百八十億所以其實我覺得 |
| transcript.whisperx[411].start |
11279.926 |
| transcript.whisperx[411].end |
11301.741 |
| transcript.whisperx[411].text |
大概我從政三十年來,國庫是很充裕的錢很多啊,每年稅收也都超徵啊所以現在中央在刪減地方的一般性的補助 |
| transcript.whisperx[412].start |
11303.12 |
| transcript.whisperx[412].end |
11330.149 |
| transcript.whisperx[412].text |
大概是多少錢六百多億因為大院結議中間有一個不明確的地方有六百多億在我的了解他們就做一個刪減可是再怎麼苦也不能苦這些老弱成長啊就給民眾最基本的社會福利不過你剛剛講的幾億嘛 |
| transcript.whisperx[413].start |
11336.291 |
| transcript.whisperx[413].end |
11354.095 |
| transcript.whisperx[413].text |
600多億你蚊子館省下來就有300億了還有很多很多公器私用的很多可以省的所以麻煩沈記長你再盤點一下 |
| transcript.whisperx[414].start |
11356.257 |
| transcript.whisperx[414].end |
11377.615 |
| transcript.whisperx[414].text |
因為匪夷所思,明明中華民國有錢,這挨那挨,然後沒有衛生紙然後,主席啊,說什麼沒衛生紙,還有什麼,啊拜拜沒有乖乖是不是就說好像很可憐這樣子,也不至於那麼可憐嘛 |
| transcript.whisperx[415].start |
11378.888 |
| transcript.whisperx[415].end |
11399.585 |
| transcript.whisperx[415].text |
然後講了說 哇 好像三個幾億會痛 痛得不得了可是我們發現中華民國其他地方可以省得更多啊剛剛文資館就講了就三百億啊還有很多啦你比如說光電好了太陽光電從頭到現在多花了幾兆 |
| transcript.whisperx[416].start |
11404.421 |
| transcript.whisperx[416].end |
11431.827 |
| transcript.whisperx[416].text |
有沒有資料我們這一方面沒有我們知道我們有查過一些光電的案子都移送解掉有什麼案子就台南那幾個案子啊台南有一個斜甲那邊有一些光電的案子那個彰化那個彰冰的地方啊也有一些台南那個案子是多少億這些都牽涉到不少的錢都不少錢齁還有彰化也很多吧幾億 |
| transcript.whisperx[417].start |
11434.702 |
| transcript.whisperx[417].end |
11459.899 |
| transcript.whisperx[417].text |
對 差不多這樣的一個情況都是好幾億嘛 豬麵都是好幾億好幾億所以我覺得開源節流啦那開源的部分歷年來這十年稅收超徵多少這十年來差不多有一兆多有一兆九千億這十幾年來 不然下面那個資料你可以補充一下 |
| transcript.whisperx[418].start |
11461.127 |
| transcript.whisperx[418].end |
11480.899 |
| transcript.whisperx[418].text |
所以在國庫充裕的時候,要去刪減地方的一般性的補助最重要的是補助的這些都是最辛苦的一群小朋友要營養午餐,我們國家未來的主人翁 |
| transcript.whisperx[419].start |
11482.765 |
| transcript.whisperx[419].end |
11495.926 |
| transcript.whisperx[419].text |
所以,沈教麻煩你整理一下然後給我們相關單位了解一下我們的情況該省的省,該花的預算不能砍嘛好不好,謝謝那接著請教一下 |
| transcript.whisperx[420].start |
11497.079 |
| transcript.whisperx[420].end |
11512.312 |
| transcript.whisperx[420].text |
邱部長 也是我們立法院的老同事我請教一下部長最近現在疫情飆升我搞不懂不是已經過去了嗎怎麼又重新再來一次 |
| transcript.whisperx[421].start |
11514.242 |
| transcript.whisperx[421].end |
11532.455 |
| transcript.whisperx[421].text |
這個新冠那個新冠永遠存在永遠會在就是說一直存在一直存在變異株變異株可能會有的比較強所以疫情就會比較嚴重那現在的疫情大概什麼時候會進入高峰期大概六月底到七月 |
| transcript.whisperx[422].start |
11533.84 |
| transcript.whisperx[422].end |
11561.097 |
| transcript.whisperx[422].text |
中這樣子 七月初那你這段時間有一些什麼考試啊 國考很多啊你們就要加強圈導一下一定一定一定我們希望大家都盡量做好預防的動作要多預防啦然後你看看現在還搞一個大罷免大罷免要花多少錢我不太清楚沈記長知道啊大罷免要花12億 |
| transcript.whisperx[423].start |
11563.371 |
| transcript.whisperx[423].end |
11590.589 |
| transcript.whisperx[423].text |
對不對 沈紀長來 沈紀長你又跌個頭就好了 你還要站著說這個因為中選會還沒有整個盤出來它這個部分還要凍住第一二一我還要解開十二億你說罷免 那罷免應該少數才是罷免嘛它變成說普遍的每一個都罷免那勞民傷財啊 |
| transcript.whisperx[424].start |
11593.094 |
| transcript.whisperx[424].end |
11613.602 |
| transcript.whisperx[424].text |
一次花要花我收到的是12億你再算一下看要花多少錢這個錢都亂花剛剛就講這個到了高峰期你要鼓勵大家如果去罷免這個會不會又造成一些防疫上的漏洞 |
| transcript.whisperx[425].start |
11615.973 |
| transcript.whisperx[425].end |
11642.598 |
| transcript.whisperx[425].text |
我們希望所有的活動包括社會活動、教育活動各種活動都要盡量要保護好自己這樣子自主戴口罩那譬如說在比較擁擠的地方到醫院盡量能夠戴口罩那部長現在的這次的疫情會不會比上次那個新冠還要來得兇狠然後更強大 |
| transcript.whisperx[426].start |
11643.649 |
| transcript.whisperx[426].end |
11672.91 |
| transcript.whisperx[426].text |
我是不是請我們專家莊書長回應一下好 謝謝跟羅委員報告那這次的這個新的變異株叫NB.1.8.1是最近這幾個月才剛出現的那它的傳染力比較高一點不過它的致重症的率並沒有特別高就是說跟其他的這個先前的變異株都差不多跟上次比起來比較弱是不是對 看起來是差不多或是比較弱一點對 但是它傳染力比較強 |
| transcript.whisperx[427].start |
11673.55 |
| transcript.whisperx[427].end |
11686.646 |
| transcript.whisperx[427].text |
再加上我們有一年沒有感染了那你們現在那個食藥署推出說攤販找錢就是要可能再摸食物就要被罰六萬到兩億啊 |
| transcript.whisperx[428].start |
11689.036 |
| transcript.whisperx[428].end |
11702.784 |
| transcript.whisperx[428].text |
這個有沒有宣導期還是已經馬上要開始實施今天早上已經在這邊宣布幾次了這需要再更多的溝通然後輔導期我們是有按照法定的程序做啦但是我們體諒到這個 |
| transcript.whisperx[429].start |
11704.985 |
| transcript.whisperx[429].end |
11716.509 |
| transcript.whisperx[429].text |
攤販一定要 我們都來自基層嘛 知道說實際上的狀況很需要大家來調適但是方向是對的啦 對食安比較乾淨啦其實他也做得到啦 還是說沒有習慣我們就輔導 輔導期是直到他們都能做到為止輔導期要多久沒有 他們沒辦法做 |
| transcript.whisperx[430].start |
11729.574 |
| transcript.whisperx[430].end |
11729.914 |
| transcript.whisperx[430].text |
免費的快篩要到哪邊 |
| transcript.whisperx[431].start |
11745.586 |
| transcript.whisperx[431].end |
11768.455 |
| transcript.whisperx[431].text |
那是醫用的快篩啦 現在沒辦法 現在是家用都要去賣一雞八粒你現在去藥局賣都要一雞八粒藥局藥局喔藥局要賣喔超商也有多加強宣導啦 不要變成集體的又感染又散播開不會不會 我們會多元化來防止這是人民的健康 |
| transcript.whisperx[432].start |
11771.596 |
| transcript.whisperx[432].end |
11791.887 |
| transcript.whisperx[432].text |
那個邱部長啊 你話講清楚 你今天這件事情整天下來 我聽你的感覺是那個數鈔票的事情好像一直要輔導下去不發是不是這個意思你剛才也是這樣講喔你剛才意思就是一直輔導下去喔跟委員補充 那一定是輔導先行啦 |
| transcript.whisperx[433].start |
11792.307 |
| transcript.whisperx[433].end |
11815.838 |
| transcript.whisperx[433].text |
那後我們在執法的階段剛剛也跟委員報告事實上在違反GHP的部分它是限期改正所以我們輔導先行那之後如果被發現還有違規的時候那也是先要求他能夠修正修正到正軌就好那如果說多次的這樣的違反他都不配合的話才會開罰這個就很重要你前面說了半天前面的委員聽聽都覺得好像要開罰了 |
| transcript.whisperx[434].start |
11817.139 |
| transcript.whisperx[434].end |
11820.54 |
| transcript.whisperx[434].text |
結果你們到後來才要昏迴所以現在是輔導期所以大家不用怕我們這個邱部長永遠都笑嘻嘻的不會向你口袋要錢朝著食安的方向大家努力但是輔導期可以輔導到 |
| transcript.whisperx[435].start |
11839.468 |
| transcript.whisperx[435].end |
11848.317 |
| transcript.whisperx[435].text |
六萬很多錢耶 六萬到兩億的怕死人我想胡道奇是不會到參法的地方胡道奇就是Forever一直胡道Endless你講好的時間好 你講清楚 |
| transcript.whisperx[436].start |
11856.38 |
| transcript.whisperx[436].end |
11882.841 |
| transcript.whisperx[436].text |
一定要到前立福島跟郭峰你現在當部長的部門跟你前立委一樣啊你跟郭委員都這樣跳舞不能這樣子啊 清楚嗎我剛才就跳舞 我就聽到感覺是福島區就Endless了永遠沒有停止一直福島下去就是這樣我想很快大家都會適應啦不是 你講說一直福島下去直到大家通通結束為止才開始開發這樣這股天要爽 |
| transcript.whisperx[437].start |
11885.163 |
| transcript.whisperx[437].end |
11885.383 |
| transcript.whisperx[437].text |
好,謝謝,謝謝所有人 |
| transcript.whisperx[438].start |
11895.671 |
| transcript.whisperx[438].end |
11920.062 |
| transcript.whisperx[438].text |
報告委員會今日登記發言的委員經已詢答完畢本次會議作為如下是決定一 也報告及詢答完畢二 委員質詢未及答覆或請補充資訊請相關部會在一週內以書面答覆委員另要求期限者從其所定 |
| transcript.whisperx[439].start |
11920.882 |
| transcript.whisperx[439].end |
11944.255 |
| transcript.whisperx[439].text |
委員麥議員所提的書面資料列入紀錄刊登公報並請相關部會以書面討伐第四 最後一點本次會議議程已進行完畢假如有不在場的委員不提書面質詢一併列入紀錄刊登公報並且請議事人員協助處理三位 謝謝 |