| IVOD_ID |
167642 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/167642 |
| 日期 |
2026-03-18 |
| 會議資料.會議代碼 |
委員會-11-5-26-2 |
| 會議資料.會議代碼:str |
第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
2 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2026-03-18T11:37:20+08:00 |
| 結束時間 |
2026-03-18T12:07:12+08:00 |
| 影片長度 |
00:29:52 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4e26a61b53ad605339e4a1d955de643b18cbbd4f69c426c0997b7b3c5b8577b31128cb8e9f3039315ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
林淑芬 |
| 委員發言時間 |
11:37:20 - 12:07:12 |
| 會議時間 |
2026-03-18T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第5會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長、勞動部、原住民族委員會、內政部、教育部、行政院人事行政總處、銓敘部及國家衛生研究院，就「如何精進偏鄉醫療與長照資源落差及落實《原住民族健康法》之困境，並對提升原住民族健康權益及強化原鄉照護量能（含提升機關位階與人力配置）」進行專題報告，並備質詢。
【3月18日及3月19日，二天一次會】） |
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| transcript.whisperx[0].start |
7.332 |
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12.954 |
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好 現在召委 是不是請我們這個部長 石部長好 有請石部長林委員好好 部長 我今天要跟你討論的是這個授受爭 |
| transcript.whisperx[1].start |
22.896 |
| transcript.whisperx[1].end |
26.658 |
| transcript.whisperx[1].text |
那因為你們食藥署在今年的這個2月7號發布了一個新聞稿把這個近期國際新聞報導裡面美國有數千名GLP-1受體促效劑類品藥品使用者因嚴重副作用提起大規模訴訟而英國疾保健 |
| transcript.whisperx[2].start |
44.888 |
| transcript.whisperx[2].end |
71.617 |
| transcript.whisperx[2].text |
產品管理局亦於近期發布安全警訊提醒該類藥品可能引發嚴重的急性胰臟癌的風險包含罕見的壞死性和致死性的胰臟炎的這個案例那大家都知道我們也有許可那我們最近通報的這個不良反應截至到去年年底為止是21件 |
| transcript.whisperx[3].start |
73.277 |
| transcript.whisperx[3].end |
95.803 |
| transcript.whisperx[3].text |
那都還沒有觀測到大概整體性的藥品安全的問題大概21件而已但你們食藥署發布這個新聞大概是要提醒大家說這個東西部分是可以許可用於12歲以上但大多數都能限成人使用而且要符合需符合BMI等使用條件你們是這樣子提醒 |
| transcript.whisperx[4].start |
98.684 |
| transcript.whisperx[4].end |
104.809 |
| transcript.whisperx[4].text |
所以你們這個新聞稿當然也有另外兩個重點 第一個就是說 網路販售違法第二個 這個全國藥物不良反應通報 兩年間21件那請問部長 你覺得目前你們說網路販售違法 那瘦瘦身在網路販售的猖獗的情形 你覺得嚴重嗎 |
| transcript.whisperx[5].start |
123.184 |
| transcript.whisperx[5].end |
125.026 |
| transcript.whisperx[5].text |
主秘在質詢 抱歉我們暫停一下因為他干擾到我的質詢 抱歉 |
| transcript.whisperx[6].start |
135.741 |
| transcript.whisperx[6].end |
158.669 |
| transcript.whisperx[6].text |
好 來你們告訴大家說網路販售違法那網路販售的問題嚴不嚴重我真的跟委員說明我偶爾也會聽到有朋友在講類似像這種他並不是在我們的藥局或者是診所拿到在藥局就沒有藥局管理的問題了嗎對 |
| transcript.whisperx[7].start |
160.995 |
| transcript.whisperx[7].end |
181.445 |
| transcript.whisperx[7].text |
藥局的部分喔就是說你說在網路上拿到的違法但在藥局就沒有藥局管理的問題了嗎也有也有這個藥是屬於醫師的處方藥所以一定要有醫師的這個處方那你覺得兩年間只有接獲21件疑似不良反應的數字你覺得有沒有黑數的可能存在 |
| transcript.whisperx[8].start |
183.972 |
| transcript.whisperx[8].end |
201.707 |
| transcript.whisperx[8].text |
這個所有的report都是underreport啦所有的通報都是都有低估的可能啦那但是呢就是說我們到目前是還沒有看到那個很嚴重的像這個報章所揭露的所以我們也在提醒臨床的同仁所以你有看到這個報章的媒體的報導囉 |
| transcript.whisperx[9].start |
204.69 |
| transcript.whisperx[9].end |
208.093 |
| transcript.whisperx[9].text |
有有有媒體講得很嚴重你認為媒體講得太過嚴重了是不是不是是要提醒我們的臨床的醫療人員去注意媒體的報導是什麼內容我現在跟你講這個媒體的報導 |
| transcript.whisperx[10].start |
220.686 |
| transcript.whisperx[10].end |
228.293 |
| transcript.whisperx[10].text |
就是說記者分別潛入三個社群名字叫說說真的 簡重的 相關的社群記者潛入三個社群 其中一個LINE的社群人數每個月成長的幅度大概增加500人截至他截稿前 那個社群是2000人的規模 |
| transcript.whisperx[11].start |
244.307 |
| transcript.whisperx[11].end |
246.29 |
| transcript.whisperx[11].text |
那網友大概問說大概多少錢5MG的大概多少錢有沒有推薦北部的比較便宜的診所到處在缺貨跟版主拿的話很快就會拿得到大概都是這種問題要回應 |
| transcript.whisperx[12].start |
260.069 |
| transcript.whisperx[12].end |
263.891 |
| transcript.whisperx[12].text |
那其實表面上好像大家在裡面詢問事實上版主也往往為了求真若可的人告訴大家說我這裡很多優惠的價格提供了購買的管道所以很多不肖業者在裡面滲入違法販售的很隱蔽的就在這個裡面 |
| transcript.whisperx[13].start |
279.94 |
| transcript.whisperx[13].end |
288.606 |
| transcript.whisperx[13].text |
這還是眾多地下流通管道之一一個LINE群組就兩千多人顯然就使用者或是搜尋資訊者或是提供管道給徵者兩千多人一個LINE而已這只是其中一個你說記者寫得太過嚴重有沒有太過嚴重我覺得我是持保留啦 |
| transcript.whisperx[14].start |
303.285 |
| transcript.whisperx[14].end |
328.21 |
| transcript.whisperx[14].text |
但是一般人你只要打開IG、FB、Trade、Dcard所有售售真的廣告都無所不在所以裡面都要詢問然後裡面的帳號真假不知道那些有人問問題有人健康諮詢、價格諮詢回答的人到底是誰也不知道身份是不是專家也不知道但是這些匿名的陌生者 |
| transcript.whisperx[15].start |
330.63 |
| transcript.whisperx[15].end |
344.064 |
| transcript.whisperx[15].text |
還真相當起這種醫師啦回覆他人用藥的疑問從如何減輕副作用到真劑保存的方式來源不明的這一些到底是假醫師這些醫主 |
| transcript.whisperx[16].start |
346.167 |
| transcript.whisperx[16].end |
361.801 |
| transcript.whisperx[16].text |
還經常錯誤擺出然後到底說我針劑已經打了我可以放多久打開的已經使用過的針劑可以再放一個月嗎有人就說我的醫師告訴我可以放三四個月在那裡不斷的分享 |
| transcript.whisperx[17].start |
363.047 |
| transcript.whisperx[17].end |
365.088 |
| transcript.whisperx[17].text |
這樣的方法會不會出問題會喔 這是處方藥大家都知道處方藥要醫師評估 學問病史才能夠取得但是在網路社群上 賣家不去醫師資格那沒有見面 毫無門檻 直接流通成交買賣 |
| transcript.whisperx[18].start |
386.997 |
| transcript.whisperx[18].end |
408.674 |
| transcript.whisperx[18].text |
然後賣家的話術也不是專業性 讓消費者使用的風險增加很多啊可是呢 記者還報導 他透過這個社群接觸到其中一名版主 自稱是職業的藥師所以他有管道可以輕易拿得到這個真品 藥品 |
| transcript.whisperx[19].start |
409.915 |
| transcript.whisperx[19].end |
427.785 |
| transcript.whisperx[19].text |
四年間他從在FB上販售瘦瘦針現在轉向LINE的社群賣猛煎了社群人數破千他說有人38公斤也想買他說我是覺得有點病態不建議他打但是我最後還是賣給他 |
| transcript.whisperx[20].start |
429.686 |
| transcript.whisperx[20].end |
439.67 |
| transcript.whisperx[20].text |
王先生表示現在他也知道因為他藥師嘛他知道這樣子在社群上販賣藥品是違法但他還是希望能趁這個機會趕快多賺一點錢欸 這只是網路平台欸一個社群幾千人每個人都有幾千人啦欸 網路平台那還有沒有其他管道還有沒有其他違法的管道在販賣就你所知部長 還有嗎 |
| transcript.whisperx[21].start |
457.483 |
| transcript.whisperx[21].end |
460.065 |
| transcript.whisperx[21].text |
這個我就不清楚不清楚我告訴你還有去年12月有一個獨家新聞華航的空服員從日本私自夾帶大量的猛劍熱入境沒有申報的12盒回台的時候被松山機場海關查獲然後沒收了全部然後也依要事法移送法辦這個東西是日本代購回來還有一種是真的是代購網頁 |
| transcript.whisperx[22].start |
485.541 |
| transcript.whisperx[22].end |
504.521 |
| transcript.whisperx[22].text |
境外我剛剛講的是除了社群在境內購買以外現在是境外回來的很多耶境外回來的所以你們都沒有掌握有沒有特殊的職業或集團違法的從境外攜帶入境為什麼要去境外攜帶入境為什麼 |
| transcript.whisperx[23].start |
508.404 |
| transcript.whisperx[23].end |
510.305 |
| transcript.whisperx[23].text |
比較便宜因為無獨有 每一個國家定價都不一樣而且包裝也不一樣網路上流傳日本代購售售真更便宜所以 |
| transcript.whisperx[24].start |
525.43 |
| transcript.whisperx[24].end |
546.659 |
| transcript.whisperx[24].text |
平行輸入水貨來了然後呢蒙建勒為例連日本是周拋型的獨立分裝的一支單次使用的台灣是一支分四次嘛所以都看得出來看包裝蒸汽多少量就知道是日本的還是台灣的都看得出來 |
| transcript.whisperx[25].start |
547.899 |
| transcript.whisperx[25].end |
565.016 |
| transcript.whisperx[25].text |
那我們現在看到這樣第一個境外輸入不是只有這樣子還有一個是跨境網站購買售售真日本的但是是跨境的網站代購日本的商品 |
| transcript.whisperx[26].start |
565.68 |
| transcript.whisperx[26].end |
587.667 |
| transcript.whisperx[26].text |
的網站所以這個裡面標榜日本進口的代購網站可以看一下嗎不僅有日本實體店鋪的資訊和公司的簡介還附有完整購買說明和注意事項這些網站試圖將代購流程包裝的好像他們是透明的正規的合法的 |
| transcript.whisperx[27].start |
588.647 |
| transcript.whisperx[27].end |
603.115 |
| transcript.whisperx[27].text |
還有代購的網路賣家毫不避諱地提出沒關係我還可以幫你安排在日本代看診讓日本醫師開藥再把藥寄回台灣你看這個代購網站叫什麼KUWA在這裡代購他會幫你買日本直送你看客戶評價 |
| transcript.whisperx[28].start |
614.255 |
| transcript.whisperx[28].end |
637.985 |
| transcript.whisperx[28].text |
下訂三天就送到台灣了啊這個只有日文以外再來就繁體製他的網頁只有兩個版本日文跟繁體製為台灣專門架設的然後點開門見樂的頁面客戶評價都是台灣消費者看一下全部都是台灣的然後呢然後呢部長他這個 |
| transcript.whisperx[29].start |
644.003 |
| transcript.whisperx[29].end |
665.629 |
| transcript.whisperx[29].text |
從日本就直接輸入進來了以這樣的方式購買藥品郵寄到台灣是合法的嗎這個當然違法那食藥署有沒有在處理呢這很廣泛耶普遍耶食藥署有在處理嗎不合法你說不合法當然不合法有在管理嗎你不知道這個我們要檢討好我現在告訴你 |
| transcript.whisperx[30].start |
671.584 |
| transcript.whisperx[30].end |
686.453 |
| transcript.whisperx[30].text |
你們人家記者去採訪了食藥署藥品組組長王淑芬組長表示該網站監察IP是在國外的境外公司政府沒有管轄權跟調查權難以開罰 |
| transcript.whisperx[31].start |
690.575 |
| transcript.whisperx[31].end |
713.868 |
| transcript.whisperx[31].text |
但是如果一旦接獲通報因為藥物可能的安全疑慮還是會有所以會把 不是 他是說如果未來藥物本身有安全的疑慮你們食藥署就會把相關資訊放在食藥署的食藥碰瘋廣告專區所以會善盡提醒國人注意產品的安全和品質欸 寶丁你剛才這個網站很有名 |
| transcript.whisperx[32].start |
718.971 |
| transcript.whisperx[32].end |
726.334 |
| transcript.whisperx[32].text |
它不是那個第一次 這個網站不是第一次2024年在COVID-19的時候 他們販賣莫拉皮拉韋的藥品 販賣過但食藥署的管理方式就說 好 你們這是碰瘋廣告我把你放在專區給大家知道 就沒了 |
| transcript.whisperx[33].start |
743.166 |
| transcript.whisperx[33].end |
745.246 |
| transcript.whisperx[33].text |
然後2025年我在這裡也質詢過這個網站他們在賣什麼史蒂諾斯然後我在這裡質詢說這個是 |
| transcript.whisperx[34].start |
757.276 |
| transcript.whisperx[34].end |
773.707 |
| transcript.whisperx[34].text |
是問題網路上違法販賣這麼嚴重當時食藥署也是說這境外網站無法可管就蓄以為夷的立委這樣子消極怠惰的態度難怪境外網站行李這家好 |
| transcript.whisperx[35].start |
774.708 |
| transcript.whisperx[35].end |
783.536 |
| transcript.whisperx[35].text |
也賣得很好鑽羊藥也賣得很好安眠藥也賣得很好抗COVID-19抗病毒的莫拉皮拉維當時也賣得很好現在授受針也賣得很好我們現在是沒有政府嗎你們只顧著境外網站沒有辦法管理 開發不到 |
| transcript.whisperx[36].start |
801.601 |
| transcript.whisperx[36].end |
817.576 |
| transcript.whisperx[36].text |
阿的雙手一攤嗎跟委員說明我們也已經關注到這個電商平台或者是這個網路上販賣的這個問題所以我們近期就會提出要事法的修法把它納入管理 |
| transcript.whisperx[37].start |
818.177 |
| transcript.whisperx[37].end |
823.979 |
| transcript.whisperx[37].text |
那不管是用強制下架這句話我已經聽了快一年了因為我在2022年諮詢史蒂諾斯的時候2022年我諮詢史蒂諾斯的時候你們就這樣子講了而且你們本來說都沒有境外網站沒有辦法管結果我去年提了預算凍結案你們就馬上找相關單位來屏蔽了那個網站有一個假的史蒂諾斯台灣官方網站你們就馬上給它屏蔽掉了 |
| transcript.whisperx[38].start |
845.326 |
| transcript.whisperx[38].end |
865.624 |
| transcript.whisperx[38].text |
現在是整個其他的不只是賣這個的還有就是什麼都賣的 哭啊的你們就不敢屏蔽掉如果蝦皮你也不敢屏蔽掉所以呢 容許這樣的跨境網站我覺得政府現在是睜一隻眼閉一隻眼然後說要修法也已經講了一年了版本也沒有拿出來 |
| transcript.whisperx[39].start |
866.665 |
| transcript.whisperx[39].end |
885.059 |
| transcript.whisperx[39].text |
食藥署回答我本來說都沒有辦法管後來怎麼網站就屏蔽掉了只要要給他凍結預算馬上就有效率把那個網頁屏蔽掉了這樣的違法只是這樣子嗎只是這樣子嗎這樣違法的行徑延伸的醫療問題有哪些啊 |
| transcript.whisperx[40].start |
886.74 |
| transcript.whisperx[40].end |
912.034 |
| transcript.whisperx[40].text |
網路上亂購代購境外輸入然後我們的藥局沒有處方籤藥局直接可以買得到然後就是這樣子亂很亂啊所以這個台大醫院內分泌新陳代謝科的主治醫師李洪源質疑同樣的藥物能用更便宜的價格取得其中的原因和風險相當不可控台大醫院 |
| transcript.whisperx[41].start |
912.614 |
| transcript.whisperx[41].end |
933.284 |
| transcript.whisperx[41].text |
嘉義部兼任組織醫師年曉欣也強調這種藥品來源不明無法確認真為P號效期成分也沒有經過食藥署檢測不知道有沒有符合台灣的衛生法規所以這個在這種運送的過程有沒有變質保存是不是完整有沒有被稀釋掉 |
| transcript.whisperx[42].start |
934.384 |
| transcript.whisperx[42].end |
950.771 |
| transcript.whisperx[42].text |
如果這麼容易可以跨國帶來帶去世界級的藥廠為什麼還要耗費資金做冷鏈處理這風險很大我現在講這一段是說所有的很多醫生都出來講即使這樣子的跨國境外輸入風險很大風險很大 |
| transcript.whisperx[43].start |
953.976 |
| transcript.whisperx[43].end |
972.321 |
| transcript.whisperx[43].text |
那為什麼還是這麼大量而政府都沒有管那除跨國網路我剛剛講了藥局和診所的無處方籤販售無處方籤販售的問題真的就這一篇媒體的報導其實也是很嚴重 |
| transcript.whisperx[44].start |
974.023 |
| transcript.whisperx[44].end |
981.391 |
| transcript.whisperx[44].text |
三名記者主動提供自己的BMI他們的BMI是16到19分別致電到藥局的實體諮詢結果發現其中幾間藥局並沒有拒絕販售也沒有按照流程索取處方簽 |
| transcript.whisperx[45].start |
990.581 |
| transcript.whisperx[45].end |
1002.495 |
| transcript.whisperx[45].text |
所以這樣子這樣子在民眾眼中大家認為很專業的為健康把關的也有藥局勢直接就賣了像賣OK棒一樣的賣了那我現在要講說保證保證這個問題真的 |
| transcript.whisperx[46].start |
1013.971 |
| transcript.whisperx[46].end |
1033.316 |
| transcript.whisperx[46].text |
所以我們從兩個方向來跟委員報告第一個我們在上半年我們就會提出修法的版本現在已經我看了差不多了所以我們接下來就會開始來做預告所以上半年我們就會提出那個關於這個網路平台的這個管理的修法網路平台以外的呢代購的呢 |
| transcript.whisperx[47].start |
1034.016 |
| transcript.whisperx[47].end |
1040.481 |
| transcript.whisperx[47].text |
日本代購的呢 日本境外輸入人呢然後沒有處方簽的藥局就販售呢我還沒有講一個 還有一個醫美診所 欸有醫師欸欸你看這醫美診所的廣告醫美診所的廣告 欸你感覺直接就無選醫 你到我這個醫美診所來我就免費送你 馬上打蒙健樂體驗一次 |
| transcript.whisperx[48].start |
1060.963 |
| transcript.whisperx[48].end |
1085.48 |
| transcript.whisperx[48].text |
當然醫美診所大家都知道這個已經有違法了這個要請醫師師交代給衛生局去查處這個已經有違法違反我們醫療法的廣告了這個免費促銷這個不行了就已經這樣醫美診所授受針的流通方式比我們想像中的更彈性沒有一整支的藥可以賣那這個體驗醫治可能是一支打四個人 |
| transcript.whisperx[49].start |
1086.741 |
| transcript.whisperx[49].end |
1090.725 |
| transcript.whisperx[49].text |
一支打四個人欸 換個針頭就繼續打四個人欸醫美診所 然後沒有處方簽就可以施打 贈送 免費體驗在這種 我就想說 我們再這樣下去你會覺得要釋法 就等於是擺著好看的啦 |
| transcript.whisperx[50].start |
1109.008 |
| transcript.whisperx[50].end |
1136.065 |
| transcript.whisperx[50].text |
不是只有你剛剛講的網站上販售日本的怎麼辦醫美這些怎麼辦還有另外一個就是通路就是要去掌握這個藥商供應到哪裡去所以我們會把這個流向掌握出來所以如果他的這個流向是藥商供應給藥局是正常的所以藥局就要有一定的處方簽要能夠讓我們查核不然他就是違法販賣 |
| transcript.whisperx[51].start |
1137.306 |
| transcript.whisperx[51].end |
1151.713 |
| transcript.whisperx[51].text |
你們沒有在稽查量跟處方簽對不對得起來不知道啦醫美診所更難啦但我的意思是說欸這樣大家打圈當然都沒有人出事嘛只有21件一年兩年21件看起來好像都沒出事欸 |
| transcript.whisperx[52].start |
1156.231 |
| transcript.whisperx[52].end |
1167.017 |
| transcript.whisperx[52].text |
不良反應件數只有21件然後我們大家在催上面你隨便搜尋猛健樂不舒服划一分鐘的螢幕都比21件還要多部長你們的查處只有21件我剛剛講的在網路上隨便划一分鐘猛健樂不舒服搜尋都比21件還要多 |
| transcript.whisperx[53].start |
1180.572 |
| transcript.whisperx[53].end |
1183.753 |
| transcript.whisperx[53].text |
這個問題是什麼你知道嗎 這個問題是什麼我剛剛講的 代購進來的委託從日本境外輸入的醫美診所免費體驗的藥局沒有廚房間買的然後在賴群組集體購買的這些人打了出事了請問藥害補償救濟可以去通報嗎他可以去通報不良反應嗎 可以嗎 |
| transcript.whisperx[54].start |
1209.175 |
| transcript.whisperx[54].end |
1232.535 |
| transcript.whisperx[54].text |
他們有資格這些違法管道取得的他們可以去通報不良反應嗎可以嗎不良反應的話都可以通報就是說如果你是在醫療端發現的因為我們的通報是從醫療端通報不是民眾的各自通報所以如果你是因為不舒服去就醫醫療端發現說是因為打這個藥產生的後面他就會通報 |
| transcript.whisperx[55].start |
1236.978 |
| transcript.whisperx[55].end |
1256.48 |
| transcript.whisperx[55].text |
通報以後那個當事人是不是有違法這個就要看後面 因為通報只是處理這個那通報了以未來的醫藥害救濟的話他可以試用嗎醫藥害救濟現在目前是兩種一種是按試印證使用的可以救濟第二個是of label use |
| transcript.whisperx[56].start |
1257.52 |
| transcript.whisperx[56].end |
1264.385 |
| transcript.whisperx[56].text |
是醫師認為有使用必要的時候那個最先前提要架構合法使用吧這些都不合法的所以你現在把最前提叫要合法使用像off-label use的或者是他適應症的有符合的都可以申請你沒有講最核心第一句要合法取得合法醫師給你使用的才有 |
| transcript.whisperx[57].start |
1279.816 |
| transcript.whisperx[57].end |
1294.99 |
| transcript.whisperx[57].text |
而我剛剛講的一個君主就兩千了每天代購不曉得幾千的違法在藥局買的一枚免費給你體驗的事實上要害就是通通都不能夠申請不能夠申請他還會給你通報嗎不會通報了搞不好還有法律責任要問責 |
| transcript.whisperx[58].start |
1303.271 |
| transcript.whisperx[58].end |
1315.928 |
| transcript.whisperx[58].text |
但是這個問題你們做了什麼我的意思是說2月食藥署的新聞講了說美國數千名嚴重副作用他連嚴重副作用是什麼都沒講 |
| transcript.whisperx[59].start |
1317.25 |
| transcript.whisperx[59].end |
1332.413 |
| transcript.whisperx[59].text |
然後講英國政府發布了安全警訊嚴重異狀炎壞死和致死性的異狀炎這個東西我們的政府都沒有正宗歧視告訴大家多嚴重 |
| transcript.whisperx[60].start |
1333.374 |
| transcript.whisperx[60].end |
1351.639 |
| transcript.whisperx[60].text |
那如果你打了有什麼症狀要怎麼反應那美國這個幾千人4400名的病患去提告從18歲到87歲你知道你知道多嚴重嗎我們政府都沒有告訴人家多嚴重是新聞報導而已 |
| transcript.whisperx[61].start |
1353.579 |
| transcript.whisperx[61].end |
1371.626 |
| transcript.whisperx[61].text |
你們的食藥署跟他說美國數千人使用者因嚴重副作用提起大規模訴訟你們食藥署連告訴大家警告大家這個問題有多嚴重都不願意做75%的人主張有胃麻痺表現為嚴重延緩胃排空有人被診斷為嚴重或永久性的胃麻痺或胃清癱 |
| transcript.whisperx[62].start |
1378.368 |
| transcript.whisperx[62].end |
1405.098 |
| transcript.whisperx[62].text |
然後腸主色腸梗色有人手術有人結腸破裂嚴重嘔吐就不講還有眼睛與神經發生問題包括突發性的視力喪失心的色盲或眼部血流中斷還有其他不良反應包括腎靜脈血栓或肺栓塞有死亡案例這個是可是一般人不會覺得我肺栓塞我血栓 |
| transcript.whisperx[63].start |
1406.639 |
| transcript.whisperx[63].end |
1416.413 |
| transcript.whisperx[63].text |
是跟達蒙建勒有關啊政府也沒有對外公告啊也沒有實證啊但美國的案子是這樣子你們為什麼連這個資訊都這麼的這麼的保守不願意 |
| transcript.whisperx[64].start |
1421.58 |
| transcript.whisperx[64].end |
1448.67 |
| transcript.whisperx[64].text |
這樣子輕輕的帶過一筆帶過都不願意提醒台灣而且台灣有這麼多違法在使用違規在使用的新聞稿輕描淡寫的嚴重副作用是政府的立場還是藥廠的立場你們這麼多問題就只用一個美國這些使用者有嚴重副作用五個字帶過這是要代表政府的立場還是符合藥廠的利益 |
| transcript.whisperx[65].start |
1452.812 |
| transcript.whisperx[65].end |
1467.504 |
| transcript.whisperx[65].text |
還可以這樣做嗎?不行啦我知道是不行啦有一個加醫科醫師王子允因為他媒體有報導所以我就直接就講出來了他說他這些問題讓他聯想到減重手術這個醫生說我常常 |
| transcript.whisperx[66].start |
1474.87 |
| transcript.whisperx[66].end |
1491.316 |
| transcript.whisperx[66].text |
說應該抱著必死的覺悟去接受手術因為死亡對個人或家屬來講只是0跟1那很多人不管用藥或手術都是心存僥倖覺得手術同意書或是訪單上的副作用不會發生在自己身上所以民眾心存僥倖跟醫師淡化風險跟安全保證就是這些悲劇發生的原因 |
| transcript.whisperx[67].start |
1497.338 |
| transcript.whisperx[67].end |
1503.141 |
| transcript.whisperx[67].text |
對藥廠而言他們的工作只有砸錢研究跟研發還有用研究結果申請藥證只負責把可能的副作用寫出來已經有兩個藥廠並不負責民眾的心態跟醫生的話術所以這個王醫師講到說已經有兩個身心科醫師連有他的朋友不斷的反應他們因為身心科嘛所以會有人問求診嘛 |
| transcript.whisperx[68].start |
1524.71 |
| transcript.whisperx[68].end |
1548.646 |
| transcript.whisperx[68].text |
身心科醫生說 又遇到一位達蒙健那一個月發現沒有性慾 沒有活力 然後新發生憂鬱的患者真心建議開瘦瘦針的醫師 要積極追蹤患者的心理狀態所以不是只有生理上的憂鬱症 沒有活力 然後沒有性慾 |
| transcript.whisperx[69].start |
1550.542 |
| transcript.whisperx[69].end |
1553.003 |
| transcript.whisperx[69].text |
我今天這個問題的質詢不是反對民眾去使用也不是政府要不要反對減重治療而是一個本來應該要嚴格管理的處方藥 |
| transcript.whisperx[70].start |
1568.789 |
| transcript.whisperx[70].end |
1586.631 |
| transcript.whisperx[70].text |
正在被醫美化商品化網路化甚至地下化而主管機關卻還停留在被動的提醒零星的通報還有事後回應的層次這個才是我們憂心的廚房要這樣子在社群這樣子賣然後 |
| transcript.whisperx[71].start |
1589.111 |
| transcript.whisperx[71].end |
1613.96 |
| transcript.whisperx[71].text |
醫事管理 醫療倫理 用藥安全的防線全部全面的在鬆動更嚴重的是這樣泛濫的違法的流通和錯誤的使用風險食藥署公布的不良反應通報卻低的不成比例這到底是真的沒問題還是代表我們的整個監督監測的機制根本就沒有真正的反映出這個社會正在發生的醫療風險 |
| transcript.whisperx[72].start |
1618.582 |
| transcript.whisperx[72].end |
1622.945 |
| transcript.whisperx[72].text |
所以國外這樣的潛力 那我們政府到底要怎麼樣你有沒有盤點 這三年授受針違法販售違法輸入沒有處方給藥診所拆分施打 這些醫美診所免費施打這一些查處有沒有 開罰有沒有 我想是沒啦再來 |
| transcript.whisperx[73].start |
1641.056 |
| transcript.whisperx[73].end |
1658.276 |
| transcript.whisperx[73].text |
社群平台跨境網站地下代購以及診所藥局違規違法亂象你們到底要怎麼管理具體上我想你們也還沒有那在這種已經發生問題了真的有副作用了違法使用他真的有副作用了他要怎麼辦 |
| transcript.whisperx[74].start |
1659.517 |
| transcript.whisperx[74].end |
1680.552 |
| transcript.whisperx[74].text |
他能怎麼辦 那政府該怎麼辦我們應該要怎麼辦我今天是提醒大家啦因為授受真的商品這些藥品藥品商品化跟處方要把關失靈喔不是因為只有民眾有需求也不是因為只有社群平台助長了這個風潮其實背後很明確就是一個商業的結構 |
| transcript.whisperx[75].start |
1685.876 |
| transcript.whisperx[75].end |
1687.437 |
| transcript.whisperx[75].text |
高單價高討論度而且要持續不斷回購的自費藥品當這個收益這麼可觀的時候市場自然就會傾向擴大它的消費傾向淡化它的風險包裝它的便利性 |
| transcript.whisperx[76].start |
1702.521 |
| transcript.whisperx[76].end |
1723.272 |
| transcript.whisperx[76].text |
所以今天最需要被追究的不是業者賣得太過頭而已而是主管機關你在這個過程裡面有沒有扮演了一個消極縱容的角色如果政府沒有及時介入這些高風險的處方藥沒有主動查查 沒有清楚的揭露風險沒有對不當的行銷和灰色的流通 |
| transcript.whisperx[77].start |
1727.334 |
| transcript.whisperx[77].end |
1749.226 |
| transcript.whisperx[77].text |
設下明確的界線那麼這種行政上的消極跟怠惰本身就成為藥品商品化的推手所以換句話說售售真不是自然成為變成商品化的而是在市場強力推動下政府消極怠惰的管理這狀況下一步一步的變成暢銷商品藥品變商品 |
| transcript.whisperx[78].start |
1752.87 |
| transcript.whisperx[78].end |
1755.935 |
| transcript.whisperx[78].text |
這個顯然管理的強度都沒有了 促漲了藥品商品化我今天是要講這個 |
| transcript.whisperx[79].start |
1760.852 |
| transcript.whisperx[79].end |
1787.03 |
| transcript.whisperx[79].text |
這樣你要怎麼做跟委員說明我們一個月會提出整個強化的管理措施出來請您放心措施要有行動要管理藥廠賺得很爽可是他們對風險其實是不在乎的而我們是在乎風險的但我們政府連掌握風險的能力都沒有企圖都沒有這才是大問題謝謝好 謝謝委員我們一個月內會提出強化的措施 |
| transcript.whisperx[80].start |
1791.536 |
| transcript.whisperx[80].end |
1791.979 |
| transcript.whisperx[80].text |
謝謝林斯芬委員 |