| IVOD_ID |
17466 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Full/1M/17466 |
| 日期 |
2026-05-26 |
| 會議資料.會議代碼 |
院會-11-5-11 |
| 會議資料.會議代碼:str |
第11屆第5會期第11次會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
5 |
| 會議資料.會次 |
11 |
| 會議資料.種類 |
院會 |
| 會議資料.標題 |
第11屆第5會期第11次會議 |
| 影片種類 |
Full |
| 開始時間 |
2026-05-26T08:31:24+08:00 |
| 結束時間 |
2026-05-26T11:59:00+08:00 |
| 影片長度 |
03:27:36 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://h264media01.ly.gov.tw:443/vod_1/_definst_/mp4:1M/8398b1826590a609e72e627bf03b4b344182d8c913e7f3e3601341028818003df430b5118f7716b35ea18f28b6918d91.mp4/playlist.m3u8 |
| 會議時間 |
2026-05-26T09:00:00+08:00 |
| 會議名稱 |
第11屆第5會期第11次會議（事由：一、討論事項：本院國民黨黨團、台灣民眾黨黨團，建請院會作成決議：「邀請行政院院長應即率同大陸委員會、國防部、外交部及經濟部等相關部會首長就『川習會後台美與兩岸局勢變局、國安戰略、外交困境、經貿衝擊等之因應對策』進行專案報告並備質詢。」是否有當？請公決案等2案。二、對行政院院長提出施政方針及施政報告繼續質詢。三、5月22日上午9時至10時為國是論壇時間。） |
| 委員名稱 |
完整會議 |
| 委員發言時間 |
08:31:24 - 11:59:00 |
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| transcript.whisperx[0].start |
1727.068 |
| transcript.whisperx[0].end |
1740.293 |
| transcript.whisperx[0].text |
我們繼續開會對行政院院長施政方針及施政報告繼續質詢今天我們繼續質詢社會福利及衛生環境組質詢首先請陳玉珍委員質詢王振旭委員請準備謝謝主席我們先請這個衛福部 |
| transcript.whisperx[1].start |
1752.779 |
| transcript.whisperx[1].end |
1752.94 |
| transcript.whisperx[1].text |
請衛福部長備詢 |
| transcript.whisperx[2].start |
1769.512 |
| transcript.whisperx[2].end |
1793.166 |
| transcript.whisperx[2].text |
副院長我想請教您醫師法第28條第1項第6款寫道外國醫事人員與教學院接受臨床醫療訓練或是從事短期臨床醫療教學且符合第11條之7這項所定辦法中有關需求地點期間及執行醫療業務遵循的規定還有第41條之7的第1項第2項寫道教學院接受 |
| transcript.whisperx[3].start |
1793.786 |
| transcript.whisperx[3].end |
1814.925 |
| transcript.whisperx[3].text |
外國醫事人員接受臨床診斷點點取得醫生同意這個取得病人同意點點點教學人員邀請外國醫事人員從事這個短期醫療教學等等請問在這些條文這個在你們醫事法這些條文外國醫事人員有沒有包含中國大陸的醫事人員好 跟委員說明這個過去呢 |
| transcript.whisperx[4].start |
1816.252 |
| transcript.whisperx[4].end |
1844.399 |
| transcript.whisperx[4].text |
對於醫師法這兩條的外國醫師人員的解釋都還要對應到醫師法第四條的應考資格那麼所稱的國外醫學大學或獨立學院的應考資格這裡所謂的國外大學或獨立學院是不包含中國大陸地區所以回珠這兩條的立法意旨合併起來看那麼在二十八條的第一項第六款的外國醫師人員 |
| transcript.whisperx[5].start |
1845.777 |
| transcript.whisperx[5].end |
1871.364 |
| transcript.whisperx[5].text |
指我們可承認學歷能夠符合應考資格的外國醫事人員是不包含大陸地區的醫事人員嘛沒錯嘛那所以我在修這個離島建設條例當我提案裡頭寫到國際醫療特區啊這個外國醫事人員的時候我們指的並不是我的本意當然也知道因為中國法律就這樣規定並不是這個中國大陸的醫事人員嘛 |
| transcript.whisperx[6].start |
1871.544 |
| transcript.whisperx[6].end |
1892.5 |
| transcript.whisperx[6].text |
可是網路上有相當多的謠言就在說我們要開放大陸的醫師啊護士啊等等啊醫師等等啊什麼這個做這樣子以而傳的這個謠言謝謝謝謝部長把這個法律講得很清楚好謝謝您請回座好謝謝接著對不起部長還有一個這個離島的這個看護工的這個部分這個 |
| transcript.whisperx[7].start |
1894.682 |
| transcript.whisperx[7].end |
1924.182 |
| transcript.whisperx[7].text |
我們這個離島康復工因為你知道我們這個離島這個不管工程或是工人都不容易找那你知道像你那個長照大樓已經標了12次標不出去因為這個本島的這個公司也比較不願意來離島做那以後如果即便長照大樓81床的長照大樓做好我們的康復工也會不足啦所以我們希望針對這個我這次在離島經濟條例修正中針對離島這個機構的康復工這個申請聘僱外國移工的總共我們希望可以提高 |
| transcript.whisperx[8].start |
1924.842 |
| transcript.whisperx[8].end |
1944.75 |
| transcript.whisperx[8].text |
這跟百姓是有相關的希望這個衛護未來也可以支持可以嗎可以可以 我們來看這個需求的部分做彈性的調整對嘛 你有感受到嘛你們看你們這次的這個金門一個長照道飆了一兩年飆不出去那不管是工人也好或是這個各方面的醫療的需求金門 |
| transcript.whisperx[9].start |
1946.13 |
| transcript.whisperx[9].end |
1959.636 |
| transcript.whisperx[9].text |
外島的確是比台灣這個辛苦很多所以部分希望我們這個衛部要多支持好沒問題謝謝好謝謝委員對不起還有一題這個醫護宿舍的這個部分 |
| transcript.whisperx[10].start |
1962.018 |
| transcript.whisperx[10].end |
1989.258 |
| transcript.whisperx[10].text |
醫護人員要到金門來服務也是相當的這個比較少啦現在到處都缺護士嘛那當然我們金門縣政府也自己也提供了一些資源對不對加了那個留任獎金不過我覺得有一點就是就是有關這個宿舍的部分那他們現在住的宿舍有點像大學生的這個宿舍這個部分這個外部有沒有什麼想法可以來幫我們留住這個在金門地區服務的這個醫事人員嗎不管是醫生護士方設施各方面的治療師 |
| transcript.whisperx[11].start |
1990.399 |
| transcript.whisperx[11].end |
2009.988 |
| transcript.whisperx[11].text |
跟委員說明在對於這個金門地區特別是金門醫院我們在健保的給付上有很多的我知道我們有爭取一些加給付但是因為金門的這個人口很少所以醫院不可能也不容易賺錢嘛那時候當然需要政府投資更好還有資源嘛 |
| transcript.whisperx[12].start |
2011.989 |
| transcript.whisperx[12].end |
2036.033 |
| transcript.whisperx[12].text |
醫中治療計畫、IDS計畫等等我們都很清楚那至於留住優秀人才的部分我們也有公費生計畫像近期就有這個公費生已經回去醫療業做這個也沒問題就提升了在地的照護量能至於宿舍的部分我們很重視所以目前大概我們有100床的宿舍那麼使用大概80床左右還有20床的規模 |
| transcript.whisperx[13].start |
2036.593 |
| transcript.whisperx[13].end |
2052.544 |
| transcript.whisperx[13].text |
那至於說你們那個宿舍我跟你說實話很像大學生宿舍現在這個去當醫生當護士的人都是成年人你們都像大學上幾個人一間幾個人一間這樣事實上連一點隱私都沒有怎麼樣吸引人家到這個金門去嘛 |
| transcript.whisperx[14].start |
2053.686 |
| transcript.whisperx[14].end |
2072.136 |
| transcript.whisperx[14].text |
所以我是說是不是蓋一棟比較好的醫護的醫事人員的宿舍讓遠道從台灣過來幫我們服務的醫事人員比較有一個自己獨立的空間這個部分是不是我也不可以在這方面琢磨我們來評估一下 改善醫護人員的住宿條件 |
| transcript.whisperx[15].start |
2076.598 |
| transcript.whisperx[15].end |
2101.88 |
| transcript.whisperx[15].text |
不然金門一樣面臨到沒有護士這個床開不起來很大已經越來越大的這個問題了那當然這個部分如果衛護願意協助我想我們金門縣政府也願意協助我們金門縣政府也是很願意出金門每年也是花了一億的錢我們也補助金門醫院部立金門醫院一億多的錢八千一億的錢給計畫給留任獎金這個大家可以中央地方一起來協助好嗎好謝謝謝謝部長好謝謝先請那個環境部 |
| transcript.whisperx[16].start |
2105.512 |
| transcript.whisperx[16].end |
2106.238 |
| transcript.whisperx[16].text |
他還請環境部長備詢 |
| transcript.whisperx[17].start |
2115.663 |
| transcript.whisperx[17].end |
2143.475 |
| transcript.whisperx[17].text |
委員好部長喔 我要請教齁這個環境部以前齁在金門做了一個宣誓齁這個也是我們院長 左院長有宣誓齁就是說要把金門建設成低碳熱活的一個離島嘛這個上回我在提這個院長雖然沒上來 上回在我們這邊提到這個這個人員發電的時候說這個金門的都是用柴油發電嘛那希望是不是低碳熱活用柴油發電事實上是非常的不節能減碳對吧 部長是 |
| transcript.whisperx[18].start |
2144.435 |
| transcript.whisperx[18].end |
2166.669 |
| transcript.whisperx[18].text |
對不對,有提到所以我上回在這裡,院長有在,但您可能沒有聽到水源的配合計畫我們有了但是我們現在,你知道金門最大的一個碳排大會是哪些地方嗎?就是電力發電,發電業電力發電,它是用什麼發電?就是傳統的柴油柴油嘛,那這個碳排量是相當高金門的電力公司,台電的話一年在金門碳排有多高,你知道嗎? |
| transcript.whisperx[19].start |
2167.962 |
| transcript.whisperx[19].end |
2180.59 |
| transcript.whisperx[19].text |
我沒有特別,現在沒有數據,但是我知道他的比例是16萬公噸你們現在是不是有規定超過2.5萬公噸的話就會列入這個碳排大戶要徵收碳費?對那基本上這個台電塔山電廠會被列入嗎? |
| transcript.whisperx[20].start |
2183.511 |
| transcript.whisperx[20].end |
2203.588 |
| transcript.whisperx[20].text |
台電是整個來算所以基本上那個我所知道的是因為台電他本身他減碳也很努力啦所以他的碳費是沒有很高大概是一噸20塊左右一噸20塊嘛那金門的這個部分因為金門是一個獨立的這個就是獨立一個發電的電網你們那時候說地攤熱火導噴這個智慧電網噴是已經做起來了 |
| transcript.whisperx[21].start |
2208.253 |
| transcript.whisperx[21].end |
2215.588 |
| transcript.whisperx[21].text |
智慧電網這個是值得期許的那你們那時候說了幾點你們要做四點你們說要做綠色運輸要做智慧電網你們說要這個這個 |
| transcript.whisperx[22].start |
2219.094 |
| transcript.whisperx[22].end |
2243.556 |
| transcript.whisperx[22].text |
這個地方做好了啊節能減碳的部分有關這個太陽能的這個部分的已經達到百分之一百二十二這個也是做好了但是現在對這個綠色運輸部分你知道你們在一百環境部在一百零基本在一百零二零零上面所買的大概十幾台十二台啊十二台花了七千兩百萬買了十二台的電動公車您知道這件事嗎知道知道後來發生什麼事情 |
| transcript.whisperx[23].start |
2244.717 |
| transcript.whisperx[23].end |
2262.971 |
| transcript.whisperx[23].text |
報告委員因為現在就是說財化法過後其實這個都是屬於地方的我不在講財化我在講這些工作化發生什麼事情基本上因為全台灣現在我們2030的電動化是一個目標但是其實這個預算弄起來是非常可觀的我不要再說預算了因為這些工作化發生什麼事情你知道嗎 |
| transcript.whisperx[24].start |
2263.692 |
| transcript.whisperx[24].end |
2293.212 |
| transcript.whisperx[24].text |
因為你們打算把金門變成一個低碳島有時候三二零願景希望在一百零九年人均碳排量降到兩公尺一百一十九年達到碳中和在金門一百零三年後來過去了過了十年了太陽光電有達成了手作智慧電網也有達成但是在綠色運輸跟碳排大會轉型沒有達成什麼叫沒有達成第一個 你知道後來那些公車去年一百一三年廢棄不用了嗎 |
| transcript.whisperx[25].start |
2294.773 |
| transcript.whisperx[25].end |
2317.472 |
| transcript.whisperx[25].text |
為什麼?費用的問題不是費用問題因為沒有廠商願意過去維修當然費用是因為廠商覺得費用高那這也不是費用問題這是廠商不願意過去維修他們維修成本太高那金門到底要怎麼推動地碳島?你的目標到底要怎麼推動?包委員因為這個我知道說金門大概十幾年前十幾年前其實有規劃真的是地碳島 |
| transcript.whisperx[26].start |
2318.132 |
| transcript.whisperx[26].end |
2332.748 |
| transcript.whisperx[26].text |
但是當時設計的這個樣態跟現在科技是不一樣啦那我們會再找時間再來評估一下因為我上任之後這兩年其實並沒有針對金門有特別的有一些很好的規劃那是十幾年前有定的一些目標我知道所以 |
| transcript.whisperx[27].start |
2333.248 |
| transcript.whisperx[27].end |
2349.838 |
| transcript.whisperx[27].text |
如果廠商不管像剛剛說衛福部的施工工程廠照的人員或電動公車沒有人願意去維修這種問題這個問題都是相當嚴重的因為離島等於是資源比較缺乏即便有時候用比較高的動力資源 |
| transcript.whisperx[28].start |
2352.219 |
| transcript.whisperx[28].end |
2372.671 |
| transcript.whisperx[28].text |
最後費用人家也不願意過去這個你們環境部要真的好好想想那還有有關減低碳排的部分不管是最大的兩個碳排大戶一個是台電公司一個是金酒公司都沒有做到半點事情你們沒有花任何一點力氣讓金門去減低碳排老百姓因為這樣實際上吸到比較不好的空氣 |
| transcript.whisperx[29].start |
2373.672 |
| transcript.whisperx[29].end |
2388.092 |
| transcript.whisperx[29].text |
然後你們現在 我請你們研究這個天然氣 你們也覺得不可行這個台電那天講說不可行啊 接收站怎麼太貴啊點點的 那你到底要怎麼樣讓金門可以拿到低碳島包委員 金門酒廠是有努力要減碳啦我有看過他們的規劃 |
| transcript.whisperx[30].start |
2390.835 |
| transcript.whisperx[30].end |
2404.971 |
| transcript.whisperx[30].text |
他們自己要自己做啦企業當然是會做他是一個政府的單位我有看過他的一個做法金門這個未來也廢棄掉啊原來要改成天然氣也廢棄掉啊台北也不願意做天然氣接收站啊什麼都沒有啊 |
| transcript.whisperx[31].start |
2405.612 |
| transcript.whisperx[31].end |
2428.258 |
| transcript.whisperx[31].text |
對 我們會鼓勵他有一些更好的一個做法因為久常的轉移好 請針對金門這個你想要做這個低碳導也是院長宣示這個什麼低碳熱火部你們再提出相關的計畫給金門好不好是是 我們現在重新因為現在當時想的都是十幾年前的那樣的一個做法但是現在我是覺得因為時空的環境調整 科技的調整有必要再有一個新的規劃出來再給我們一些 |
| transcript.whisperx[32].start |
2429.358 |
| transcript.whisperx[32].end |
2448.987 |
| transcript.whisperx[32].text |
幫助我們來改進真的是這個整個碳排是很嚴重還是要用柴油燒發電啦在金九用柴油都是很嚴重的事情啦那以後再不要講以後碳費徵收以後整個所有東西都會變貴嘛那這個碳費徵收針對金門島的部分特別的是不是如果在金門徵收的部分可以讓留在當地給我們使用啊 |
| transcript.whisperx[33].start |
2449.287 |
| transcript.whisperx[33].end |
2472.915 |
| transcript.whisperx[33].text |
他們如果努力減碳的話其實他繳的費用很低那基本上我們現在就是沒有減嘛沒有在做任何事情嘛他一定就是要收柴油嘛他就不願意做天然氣嘛其實金門酒廠他盈餘是很好的他如果他知道他的淨零是酒的一個發展的方向的話他可以來做因為像我們金酒會做啦請你們那個環境部要支持另外一個垃圾處理問題 |
| transcript.whisperx[34].start |
2474.355 |
| transcript.whisperx[34].end |
2502.361 |
| transcript.whisperx[34].text |
對不對 垃圾處理現在趨勢也是留在當地處理比較多嘛對不對 趨勢應該是要這樣子嘛但金門垃圾現在都怎麼處理你知道嗎報告委員因為金門齁 這個垃圾減量做得很好所以台灣的我們做得很好 但是我們還是有垃圾嘛那我們怎麼做目前是我們環境部有出一點錢然後來協助來轉運到台灣來對 要轉運到台灣嘛那轉運到台灣事實上也是不是一個很好的方法嘛對不對 如果能在地處理都是一個好的方法嘛 |
| transcript.whisperx[35].start |
2503.061 |
| transcript.whisperx[35].end |
2530.868 |
| transcript.whisperx[35].text |
但是因為而且轉運到華人現在費用越來越貴對不對對台灣地區有的地方台灣有的縣市也不收是還要我們處理那些殘渣什麼我們根本就沒有人力你到底要我們怎麼做然後第二個費用的部分原來轉運的費用這些費用是你們在出嘛對不對你們現在又說你們也不出了對不對因為財化法的關係你們現在也不出了所以你們就是把這些垃圾讓我們自生自滅決定我們自己自己決定怎麼做嘛對不對 |
| transcript.whisperx[36].start |
2531.708 |
| transcript.whisperx[36].end |
2556.234 |
| transcript.whisperx[36].text |
其實如果說金門努力在減量,它本身如果還有一些好的技術的話其實應該可以在地再處理的,但是要有些新的做法新的做法有什麼做法呢?你們有協助金門縣政府做了什麼事呢?未來的話,例如說它可以做一些小型的氣化爐因為金門的這個量,本身的垃圾量沒有很多它基本上要蓋一個大型的焚化爐也不划算所以基本上應該是小的氣化爐來做處理那有業者願意過去嗎? |
| transcript.whisperx[37].start |
2558.615 |
| transcript.whisperx[37].end |
2568.65 |
| transcript.whisperx[37].text |
我們現在遇到的問題是所有的事情我們要做的時候基本上沒有業者願意過去因為他的量很小嘛我也知道他的量 但還是要解決嘛對 就是說用小型的氣化爐可能有一些機會啦至少 |
| transcript.whisperx[38].start |
2571.671 |
| transcript.whisperx[38].end |
2591.678 |
| transcript.whisperx[38].text |
機器分選的制度然後一些你說不管是小型氣化爐或什麼固體什麼台灣用的比較進步的這個技術SRF什麼這些東西嘛是不是衛福部呢是不是可以也跟我們做一點協助啊好 這個我們環境部會來規劃一下你們這幾天到底有幫我們做了什麼事呢沒有啊 你看我們的垃圾全部都要自己處理啊 |
| transcript.whisperx[39].start |
2592.358 |
| transcript.whisperx[39].end |
2613.765 |
| transcript.whisperx[39].text |
那我跟你說不然的話我們把他運到中國大陸去啊對 幫委員不能送到中國大陸因為巴塞爾公約巴塞爾公約我剛剛跟你提過巴塞爾公約是指國與國之間的關係嘛這一國不能遇到另外一國嘛在中華民國憲法就不是這樣子嘛是不是你就運用這個模糊的空間中國大陸也不會這樣認為是國與國關係我們就把他送到大陸去他也願意收 |
| transcript.whisperx[40].start |
2615 |
| transcript.whisperx[40].end |
2635.961 |
| transcript.whisperx[40].text |
是不是?你認識我的意思嗎?你知道我的意思嗎?我知道,但是他們的海盜垃圾也蠻多的那現在在兩岸這種模糊的一中憲法情況,不管你們承不承認,憲法是這樣規定有兩岸裡面關於條例,在這個情況下,我們垃圾就很多它飄過來的,我們用歸還回去,我們還給它,這樣可不可行? |
| transcript.whisperx[41].start |
2639.806 |
| transcript.whisperx[41].end |
2664.536 |
| transcript.whisperx[41].text |
這個要討論啦 畢竟這個垃圾如果處理以前做過他如果以前做過測試一次 但是十幾年前做過一次真的沒有成功是嗎 我們現在就他票怪都我們還給他嘛 歸還物對 包圍我們可以討論十幾年前曾經做過但是沒有成功的原因在什麼 我們會再來討論對不對 你就不要 就是利用那個模糊地帶把他的東西還給他是不是我們也減少我們還要處理這個費用 對不對 |
| transcript.whisperx[42].start |
2666.82 |
| transcript.whisperx[42].end |
2675.487 |
| transcript.whisperx[42].text |
好,委員這個東西要討論的啦,我是必須要公眾來討論這件事情啦好,謝謝好,謝謝陳怡珍委員質詢,謝謝各部會閣員的備詢,謝謝接下來我們請王振旭委員質詢,謝龍介委員請準備 |
| transcript.whisperx[43].start |
2705.322 |
| transcript.whisperx[43].end |
2712.347 |
| transcript.whisperx[43].text |
好謝謝主席有請行政院主任院長還有衛福部時部長麻煩請主任院長衛福部長備詢委員好 院長早委員早 部長早 |
| transcript.whisperx[44].start |
2730.12 |
| transcript.whisperx[44].end |
2759.115 |
| transcript.whisperx[44].text |
今天環衛組總質詢有一個非常重要的議題就是有關於這個癌症防治法修法的可行性我先感謝我們卓院長親自主持了中央癌症的防治會報並且在這個會議當中要求相關的部會能夠積極的推動相關這個癌症防治的政策非常感謝卓院長的幫忙那目前我們也知道整體的醫療科技的進步還有用藥跟照顧各方面的進展 |
| transcript.whisperx[45].start |
2760.075 |
| transcript.whisperx[45].end |
2776.053 |
| transcript.whisperx[45].text |
癌症其實慢慢的已經變成是一個慢性病是可控制的一個狀況那特別是我國在賴總統以及行政院團隊積極推動早篩早療還有癌症防治三支箭的這些政策之後呢 |
| transcript.whisperx[46].start |
2777.413 |
| transcript.whisperx[46].end |
2791 |
| transcript.whisperx[46].text |
明確的訂出了2030年我們希望癌症標準化的死亡率要降低三分之一這樣的一個政策目標未來一定會有越來越多算是我們經過處理以後的癌症的存活者 |
| transcript.whisperx[47].start |
2791.9 |
| transcript.whisperx[47].end |
2818.836 |
| transcript.whisperx[47].text |
但這些癌症存活者不管是在預後復歸社會或者是回歸職場還有可能治療過程當中處在亞健康的狀態之下這個都需要政府的協助而且未來趨勢會有越來越多這樣的需求所以我們希望有沒有機會來修改癌症防治法來給這些癌症存活者提供更多更明確的協助那我們可以看一個數據 |
| transcript.whisperx[48].start |
2820.939 |
| transcript.whisperx[48].end |
2849.138 |
| transcript.whisperx[48].text |
我國這個癌症的全年齡全癌別的五年的相對存活率已經從最早有統計1987年到1991年區間的45.4%提高到目前最近2017到2021年區間的62.3%我們可以看得出來這個進步是非常的明顯所以就是說目前癌症五年存活率已經超過了六成而未來的存活率應該會持續的升高我們看到的數據裡面特別2003年 |
| transcript.whisperx[49].start |
2851.3 |
| transcript.whisperx[49].end |
2867.619 |
| transcript.whisperx[49].text |
癌症防治法通過以後最近這幾次的這個存活率的進步非常的穩定而且非常的明顯那如果我們再參考健保排名前十大癌別的這個醫療費用的支出統計資料我們會發現合理的推估目前的癌症存活者 |
| transcript.whisperx[50].start |
2868.973 |
| transcript.whisperx[50].end |
2882.359 |
| transcript.whisperx[50].text |
大約落在100萬名左右100萬名是一個很大的數據也就是說針對癌症存活者的照顧跟協助直接就會幫助到我國超過100萬名以上的這些國民那這個等同就是100萬 |
| transcript.whisperx[51].start |
2885.19 |
| transcript.whisperx[51].end |
2903.678 |
| transcript.whisperx[51].text |
可以透過大家的協助讓癌症的存活讓社會有更大的動能以目前最新的癌症資料統計我們發現2023年癌症新發的人數有13萬8千人左右如果以目前最新的五年存活率來推估的話其中會超過8萬6千人有機會 |
| transcript.whisperx[52].start |
2904.537 |
| transcript.whisperx[52].end |
2930.742 |
| transcript.whisperx[52].text |
活超過五年以上這個就是我們希望能夠這樣的存活率讓對於這些罹癌者有很大很大的一個進步的這個可能性而癌症從絕症轉變成為慢性病的現象就是目前醫界也開始重視這樣的問題像我們成大的這個教授他也是健康台灣推動委員會的癌症防治組的委員成大的這個沈延勝院長 |
| transcript.whisperx[53].start |
2931.722 |
| transcript.whisperx[53].end |
2959.245 |
| transcript.whisperx[53].text |
他在最近四月的這個癌症論壇裡面就明確的指出來說癌症慢性病化以後呢抗癌更會變成是一場長跑因此也需要更加加強這個生理經濟跟心理等層面相關的這些風險管理跟協助也提出在未來抗癌的長跑的過程裡面呢不管是生活管理心理支持還有社區照護體系跟智慧醫療都會扮演越來越重要的一個角色 |
| transcript.whisperx[54].start |
2960.406 |
| transcript.whisperx[54].end |
2977.693 |
| transcript.whisperx[54].text |
這個不只是台灣而已我們也發現在國際上也開始強調對癌症生存者的協助跟照顧像美國NCCN就是美國國家的癌症資訊網就有針對癌症存活者提供明確的指引內容包括明確涉及到預防復發生育 |
| transcript.whisperx[55].start |
2980.214 |
| transcript.whisperx[55].end |
2998.933 |
| transcript.whisperx[55].text |
倦怠 心理健康跟工作等等的面向除了美國以外我們從比較法制上可以把東亞國家包括日本跟韓國為例這個字比較小請麻煩院長再幫忙了解一下像日本的癌症對策基本法在社會協助 |
| transcript.whisperx[56].start |
3000.134 |
| transcript.whisperx[56].end |
3016.975 |
| transcript.whisperx[56].text |
心理支持跟就業支持等層面都有明確的明文規定那在韓國的這個癌症管理法針對癌症存活者的社會復歸職業復歸也有明文規定那相較之下目前我國的這個癌症防治法主要還是在 |
| transcript.whisperx[57].start |
3017.816 |
| transcript.whisperx[57].end |
3037.256 |
| transcript.whisperx[57].text |
著重前端的醫療跟預防防治上面我們可以看得出來其實不同的國家針對這些需求都有做不同的一些處理模式那我們再回頭看一下我們這個癌症防治法是在2003年就立法到現在整體框架為止在當年的18條 |
| transcript.whisperx[58].start |
3038.337 |
| transcript.whisperx[58].end |
3067.355 |
| transcript.whisperx[58].text |
以治療跟預防為主這個框架一直都沒有改變那其實這期間一共有修法過兩次那其中一次2023年那一次只是把科技部改到國科會沒有實質上的修法真正有修法的是在2018年那一次那一次的修正的部分就是在調整這個癌症防治委員會的成員還有增加主管機關可以用菸捐跟團體捐贈來作為經費的來源所以他的修正 |
| transcript.whisperx[59].start |
3068.917 |
| transcript.whisperx[59].end |
3086.124 |
| transcript.whisperx[59].text |
這個範圍其實也相對不是那麼多那我們了解當時候的時代背景癌症防治法的立法主要是要面對問題而且是要先把病人 罹癌者能夠救活然後盡量的去避免癌症罹癌所以當然會著重在預防跟治療的部分非常的清楚 |
| transcript.whisperx[60].start |
3086.824 |
| transcript.whisperx[60].end |
3112.506 |
| transcript.whisperx[60].text |
但隨著這些年大家的努力存活率的提高癌症越來越變成是一個可控跟慢性病化我們剛剛已經有說明那以癌症存活者越來越多我國法治上也好像也應該要配合增加對於罹癌者以後長照還有復歸社會跟職場的協助所以從螢幕上紅色的字裡面我們很期待這次的修法內容包括針對這個罹癌的勞工 |
| transcript.whisperx[61].start |
3115.348 |
| transcript.whisperx[61].end |
3143.133 |
| transcript.whisperx[61].text |
做適性配工植物來設計再設計來鼓勵支持方案等等那在長照的資源也需要加以整合那第三點就是避免這些罹癌治療導致財務毒性相關的措施還有相關的這些統計的分析那第四點就是強化生活模式的改善避免復發跟心理還有社區方面的這些加強的支持那比方說我們來看一下第三條第三條目前 |
| transcript.whisperx[62].start |
3144.033 |
| transcript.whisperx[62].end |
3163.318 |
| transcript.whisperx[62].text |
癌症防治法定義還是只限在癌症跟癌症篩檢這兩個基本的內容其實我們還是需要針對有需要政府協助的這些癌症存活者做出定義重新來釐清如果實務上碰到問題的話那這些罹癌者他們接受治療以後 |
| transcript.whisperx[63].start |
3164.218 |
| transcript.whisperx[63].end |
3188.477 |
| transcript.whisperx[63].text |
如果還是有一些問題需要政府幫忙的話那我們如何把這一群民眾能夠把它匡列出來的確我們也了解有些罹癌者他很早期篩以後他可以把這個早期癌症做非常完整的治療他就跟正常健康者一樣可以完整的回歸到社會可是還是有一部分的民眾他可能需要 |
| transcript.whisperx[64].start |
3189.378 |
| transcript.whisperx[64].end |
3214.359 |
| transcript.whisperx[64].text |
透過大家更好的協助因為他可能持續的長期存在一個亞健康的狀態所以當初的立法核心是在醫療端但是你以來這個癌症的衝擊除了醫療端以外其實現在希望能夠越來越強調生活社區跟工作等經濟還有社會面的協助那第四條的部分癌症防治的範圍要不要更明確的擴大避免復發甚至 |
| transcript.whisperx[65].start |
3215.3 |
| transcript.whisperx[65].end |
3230.258 |
| transcript.whisperx[65].text |
歸到社會也是可以討論的部分所以總而言之我們認為這是癌防法的修法的訴求的方向主要就是讓這個癌症防治在這些年的成果上在賴總統健康台灣政策的成果上面進一步去處理吧 |
| transcript.whisperx[66].start |
3230.978 |
| transcript.whisperx[66].end |
3244.867 |
| transcript.whisperx[66].text |
這個癌症病人救活以後怎麼來協助避免復發怎麼能夠協助他們回歸到正常生活跟工作也繼續要讓這個病如果變成慢性變化的話那目前整體 |
| transcript.whisperx[67].start |
3246.28 |
| transcript.whisperx[67].end |
3272.681 |
| transcript.whisperx[67].text |
我們把醫界、學界還有病友團體等相關領域的意見針對癌症防治法跟國家癌症防治計畫強化後端整體癌症存活者協助的建議期待我們有下列這六個方向的支持就業、經濟、照顧、心理、社區跟家庭六個方面的支持就業支持就包括請假、續聘、求職跟工作調整等 |
| transcript.whisperx[68].start |
3273.482 |
| transcript.whisperx[68].end |
3284.252 |
| transcript.whisperx[68].text |
經濟部分是希望能夠針對家庭經濟的衝擊來追蹤還有協助照顧部分希望能夠有長照需求方面的協助心裡的話就包括不管是 |
| transcript.whisperx[69].start |
3284.912 |
| transcript.whisperx[69].end |
3311.165 |
| transcript.whisperx[69].text |
癌症患者還有他家屬整體的心理健康的支持社區的部分希望能夠系統性的來強化癌症防治的醫設工作家庭支持就包括生育協助還有生活型態等等的改善的部分那針對這些有需求的癌症存活者的政策協助以及在癌症防治法修法還有納入國家癌症計畫的部分請院長還有部長 |
| transcript.whisperx[70].start |
3312.125 |
| transcript.whisperx[70].end |
3337.853 |
| transcript.whisperx[70].text |
相關的回應不曉得有沒有相關的規劃或者是想法院長請細部的回應我請部長來跟委員來報告不過我很感謝國人隊委員長期以來對於癌症防止的工作尤其希望基金會投入了很多的社會貢獻那在健康台灣當中在癌症的早篩早療以及他的癌症新藥以及降低癌症的死亡率都是健康台灣當中重要的幾個目標的指向 |
| transcript.whisperx[71].start |
3338.553 |
| transcript.whisperx[71].end |
3362.174 |
| transcript.whisperx[71].text |
那我們也在研究的過程當中針對各種不同的癌症的太陽從他的發現的早晚 早期或晚期發現以及他的治療的難易程度做了交叉的比對來尋找出一個最有效的方式或者尋找出如何來解決能夠早期發現進行有效治療這個途徑那剛剛委員提到我們過去所做的大概在前端的防治工作做得比較多那因為隨著醫療醫學的進步 |
| transcript.whisperx[72].start |
3363.695 |
| transcript.whisperx[72].end |
3386.415 |
| transcript.whisperx[72].text |
對於癌症病患的能夠從醫療的行為當中讓他得到新的一個機會這個可能性是越來越高的所以往後的復歸無論是在剛剛您說的植物的再設計或者生活形態的模式的改變乃至於跟長照的銜接都是未來必須加重的工作那我們在癌症的防治過程當中關於癌症防治法的修正我們非常的重視請部長來做進一步的說明 |
| transcript.whisperx[73].start |
3388.377 |
| transcript.whisperx[73].end |
3410.134 |
| transcript.whisperx[73].text |
跟委員說明這個癌症防治法正是當年我們賴總統在時任立法委員的時候極力推動所促成那在這個因為有這個癌症防治法所以我們就依法必須要編列國家的癌症防治計畫所以今年已經是第五期的國家癌症防治計畫而這個癌症防治計畫的內容也除了從 |
| transcript.whisperx[74].start |
3412.022 |
| transcript.whisperx[74].end |
3433.528 |
| transcript.whisperx[74].text |
癌篩的擴大像總統上任之後一年的癌篩費用就從28億成長到68億那麼另外在治療的部分有癌症基金癌症新藥基金來支持這也都是我們總統的政見來協助在經濟的部分對癌友的支持那麼至於除了這樣之外對於家庭 |
| transcript.whisperx[75].start |
3434.648 |
| transcript.whisperx[75].end |
3450.144 |
| transcript.whisperx[75].text |
還有這個癌友的生活品質的支持我們也納在這一期的這個國家癌症防治計畫裡頭另外在就業支持的部分勞動部其實也有推動癌友復歸職場的支持方案 |
| transcript.whisperx[76].start |
3450.805 |
| transcript.whisperx[76].end |
3476.506 |
| transcript.whisperx[76].text |
那另外心理支持的部分我們下半年那麼也會有一個心理諮商的支持癌友這個是關於心理支持所以剛剛委員所提到的這一些建議我們都會把它納入到我們這個癌症防治計畫的滾動式修正來推動那至於說是不是因為雖然那個辦理的內容上那個是當年的立法確實跟我們現在做的 |
| transcript.whisperx[77].start |
3477.022 |
| transcript.whisperx[77].end |
3504.789 |
| transcript.whisperx[77].text |
不完全一致不過呢我們的國家癌症防治計畫是與時俱進的在往前在推進所以委員的建議我們會來評估除了針對這些政策持續推動以外在法條的修正方面也希望能夠透過院長還有部長共同來努力希望能夠把我們剛剛所提到的這些修法內容有機會盡快的來做一些了解進一步來推動 |
| transcript.whisperx[78].start |
3505.749 |
| transcript.whisperx[78].end |
3521.623 |
| transcript.whisperx[78].text |
好那下一個部分就是希望能夠了解提高這個健保補充費的上限我們也知道如果要強化對罹癌病友以及癌症存活者的協助支持的話相關的費用來源是政策考量中必要處理的問題那因此我們是希望 |
| transcript.whisperx[79].start |
3522.323 |
| transcript.whisperx[79].end |
3548.174 |
| transcript.whisperx[79].text |
之前曾經提過多次的健保補充費上限是否有提高空間或者是可能以我們健保署所提供的資料最近三年個人補充保費超過一千萬的比數大約落在八千到九千筆之間對於超過一千萬的收入無論多高最後它只會以一千萬為上限計算它的2.1%的補充保費 |
| transcript.whisperx[80].start |
3548.934 |
| transcript.whisperx[80].end |
3571.535 |
| transcript.whisperx[80].text |
那另外一方面如果每一年不超過1萬筆衝擊面應該就沒那麼廣這些應該都是實際上超過1000萬收入的這些民眾或許有打開到5000萬到1億以上的空間另外我們也請這個健保署提供五年捐款的收入統計平均每年有4000多筆每年有4000多萬元COVID疫情以後這個 |
| transcript.whisperx[81].start |
3572.856 |
| transcript.whisperx[81].end |
3594.273 |
| transcript.whisperx[81].text |
捐款的數量跟金額是有明顯的上升但是主要其中在健保愛心專戶裡面那以台灣的社會的愛心跟能力來講其實是應該有提升的空間所以針對於不管是補充保費的上限還有提高民間的捐款協助整個健保的部分請問院長還有部長的想法能不能有效的 |
| transcript.whisperx[82].start |
3594.893 |
| transcript.whisperx[82].end |
3619.154 |
| transcript.whisperx[82].text |
善用這個台灣人的愛心來讓我們整體的健保制度可以更為完整健保是一種自助也是互助的一個社會保險制度那麼我們希望從健保財務的健全能夠讓它長期穩定的發展衛福部行政院我們會用多元化的方式來尋求健保財務的穩定那會多方的思考當然委員的建議我們也認為是相當可以值得去考慮的一部分 |
| transcript.whisperx[83].start |
3619.995 |
| transcript.whisperx[83].end |
3625.478 |
| transcript.whisperx[83].text |
另外一個委員補充其實我們健保現在有兩筆這個愛心專務好 謝謝王振旭委員質詢謝謝主委長 相關部會首長貝勤 謝謝接下來我們要請介隆介委員質詢林淑芬委員請準備 |
| transcript.whisperx[84].start |
3675.492 |
| transcript.whisperx[84].end |
3679.314 |
| transcript.whisperx[84].text |
主席我請到議長 麻煩請再請主任長備詢謝偉豪議長早 你好 跟你恭喜恭喜 大家恭喜是啊 恭喜啊你做議長 |
| transcript.whisperx[85].start |
3707.262 |
| transcript.whisperx[85].end |
3729.415 |
| transcript.whisperx[85].text |
兩年過五天遇到八年我們一見的台灣經濟新奇蹟啦可以說雖然有一些工作做得比較不及格太陽能的必然差異比較慢但是 |
| transcript.whisperx[86].start |
3731.325 |
| transcript.whisperx[86].end |
3745.416 |
| transcript.whisperx[86].text |
霸凌我們的意見,我們坦白說尤其民間世界要大部分的如果當機時,當然你的幸運給你供應也有勞力,也給你傾聽也當機時,如果沒有很勤國新生,加上孫文璇議長就要當運動員,你確定一定有這個優適之處 |
| transcript.whisperx[87].start |
3759.453 |
| transcript.whisperx[87].end |
3780.606 |
| transcript.whisperx[87].text |
不惜中蘇、勤國、自力和中東無神心對地球儀器往前回來建立了台灣這個護國新三軍所以啊,如果沒有這樣,我們今天什麼AI大埔發,我們會失敗了你看三千,六千要八千 |
| transcript.whisperx[88].start |
3783.686 |
| transcript.whisperx[88].end |
3808.92 |
| transcript.whisperx[88].text |
你有看到這個消息嗎?有第一時間,你覺得他們老闆說什麼拜託不要八天回去做工作每一個人發多少,你知道嗎?三十四萬的美金老闆說不來,我們要你拿十五%出來搬所以你剛才這個事情好那麼,你有說到軍公教要調薪 |
| transcript.whisperx[89].start |
3811.431 |
| transcript.whisperx[89].end |
3816.992 |
| transcript.whisperx[89].text |
我記得 第一次我們的經濟大撥翻是在民國70幾年所以那時候的77年 公共高的調薪是10%你也說到下減每年 今年可能到每年差不多要破3萬嘛這都合理啊 以我們現在的經濟修律跟稅收這都合理 當然資本 要面對挑戰 |
| transcript.whisperx[90].start |
3840.629 |
| transcript.whisperx[90].end |
3850.375 |
| transcript.whisperx[90].text |
沒有辦法面對困難啊所以民國七十七年我們的公共高調薪是十趴民國七十九年是調十二趴民國八十年內公共高調薪是十三趴那麼你這一半的經濟技術會大爆發經濟的生長比過去更好 更漂亮 |
| transcript.whisperx[91].start |
3867.591 |
| transcript.whisperx[91].end |
3884.526 |
| transcript.whisperx[91].text |
更加漂亮 所以總統有錢你也很想做 原意我提出零到十五歲一個月要補貼五千你整棟一棟不敢說的 那我別說了不像你跟總統這樣 不敢說我說十六 十七 十八 要給中央來幫忙因為國管事業財政不定嘛結果你零到十八歲 |
| transcript.whisperx[92].start |
3893.274 |
| transcript.whisperx[92].end |
3914.861 |
| transcript.whisperx[92].text |
我是真的跟你傾斷,但是我等一下會跟你說要怎麼像南韓那樣,真正把性慾弄到回來不用五年,三年來你就可以看到很好的效果你第一天就好了,這下去了,這不是百貨湯,這是油印所以你這個年到十八歲,這五千塊要趕緊實行,當然 |
| transcript.whisperx[93].start |
3919.281 |
| transcript.whisperx[93].end |
3932.152 |
| transcript.whisperx[93].text |
但我的政策不無理由,我是很開心的這叫做英勇、索儉、略懂所以第一,請你聽77年10%、79年12%、80年13%如果這樣,我請問你,你每年公共高調薪,可以超過8%嗎? |
| transcript.whisperx[94].start |
3940.307 |
| transcript.whisperx[94].end |
3954.397 |
| transcript.whisperx[94].text |
首先感謝委員一開始那個簽訂是針對全國人民和商業的努力和努力沒有啦 你在這個位置就是你的功勞就是你的功勞這沒人有辦法把你掛在那裡如果人民和商業在那裡團結合作但是我也有跟你說我不會去討債 獎金國民債的就是這個創業維艱 守成不易買了這幾十年來我們修這個結構這塊有辦法沒人 |
| transcript.whisperx[95].start |
3969.248 |
| transcript.whisperx[95].end |
3973.953 |
| transcript.whisperx[95].text |
現在我們要看國家的財政、經濟發展、未來社會的投資、家庭的投資、選民的選擇 |
| transcript.whisperx[96].start |
3987.495 |
| transcript.whisperx[96].end |
3998.641 |
| transcript.whisperx[96].text |
所以我覺得一個公共政策不是在逼說誰會主張錢多錢少,是說這個全土的戰略跟完全的配套有完整的...你給我一個論述,4%到6%有可能嘛 |
| transcript.whisperx[97].start |
4006.451 |
| transcript.whisperx[97].end |
4016.254 |
| transcript.whisperx[97].text |
所以想借4%我們過去對蔡總統跟羅總統四邊的調薪都中14%這平均起來我們一半就13%啊你再對蔡總統跟羅總統你不就過去對中經國開始說有啊你剛才也有說過啊我們對中經國總統開始說過你也有說過沒關係啦因為這個我四邊的調薪14%平均是什麼我在這裡跟你說表達這樣叫你表達幾%屬性對你的危難 |
| transcript.whisperx[98].start |
4035.121 |
| transcript.whisperx[98].end |
4054.64 |
| transcript.whisperx[98].text |
因為這會心靈挽回來,所以什麼時候會決定?你很重要嘛,因為你的主觀意志四趴趴去,你會當廳頭嗎?四趴趴四趴趴去,就是想叫四趴我剛才要跟議員說一句話,過去蔡總統跟賴總統四邊條件十四趴,平均起來是超過三趴 |
| transcript.whisperx[99].start |
4059.682 |
| transcript.whisperx[99].end |
4065.806 |
| transcript.whisperx[99].text |
這個基礎我認為是現在這個社會大家要收拾你這次再加六百多 二十百倒徑手比較好看沒關係啦 我跟你講六百八百啦 一定 甚至四百以上這樣就好 |
| transcript.whisperx[100].start |
4081.894 |
| transcript.whisperx[100].end |
4108.295 |
| transcript.whisperx[100].text |
我可以跟委員和全國人民說,我們一定給勞工朋友和所有公共人員在生活安穩的過程當中因為有更多社會支持跟經濟發展,我們要全民討論但是你這個期待,我相信是多少人個人的期待所以你會符合我們的期待就對了我盡量拚命會符合我們的期待好,感謝你人家說炒火鍋沒有熟 |
| transcript.whisperx[101].start |
4110.066 |
| transcript.whisperx[101].end |
4127.036 |
| transcript.whisperx[101].text |
其實AI大步伐 經濟大步伐 大進步也很困難尤其傳統生育 是 製造育我現在要跟你心中 很多生育跟我說我本來上禮拜一直演 演到他們說你不是說日日要這頓飯沒看他們今天現在都在看電視他們拜託我來跟你斷情就是說AI大步伐這麼高科技的頭頂這10% |
| transcript.whisperx[102].start |
4138.922 |
| transcript.whisperx[102].end |
4146.069 |
| transcript.whisperx[102].text |
大家賺到少少,所以我跟你們說炒肥大愛,不捨得也跟傳統生意,現在一星期做三、四天很多甚至有的名人沒辦法出賣這樣就影響到勞工的失業所以這些人,我現在跟你們說想直接針對他們,一群人裡面有一群是出靠美國的 |
| transcript.whisperx[103].start |
4165.266 |
| transcript.whisperx[103].end |
4170.009 |
| transcript.whisperx[103].text |
他們幾年讓他缺20% 你知道現在美國開始在退水了就是我們同期是把我們靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜靜� |
| transcript.whisperx[104].start |
4195.08 |
| transcript.whisperx[104].end |
4209.404 |
| transcript.whisperx[104].text |
那是建高雄的名義去叫的要聽到沒有所以他們真困難那麼未來剩回到我們賺盤的15%尤其你經濟生長稅率超出大家當然請剛才加到幾幾天嘛都是你的錢嘛那麼他們是期待說未來在這個出口稅裡面 |
| transcript.whisperx[105].start |
4221.044 |
| transcript.whisperx[105].end |
4224.833 |
| transcript.whisperx[105].text |
政府是不是會幫他補貼5至8%就是說這個針對出口秘告給他藉口15%的補貼你有辦法幫他嗎 |
| transcript.whisperx[106].start |
4231.523 |
| transcript.whisperx[106].end |
4243.285 |
| transcript.whisperx[106].text |
委員報告,我們現在剛才提出這個領口對策的新政表以後,我們有一個中小微企業轉型升級條例的條例中小微轉型升級條例的草案現在正在擬這個規定裡面,就是要針對剛才委員所說的,大多數這個一千萬的領口,中共一千萬的那些職業領口這個一百七十萬間的中小微企業,讓他們做實績的步驟 |
| transcript.whisperx[107].start |
4259.648 |
| transcript.whisperx[107].end |
4272.178 |
| transcript.whisperx[107].text |
沒有啦 你在說的是通案嘛 全世界有給我們撬稅金的撬稅就是大美國嘛美國就是說這段有做美國出口的這三頁價 它沒台沒市 它要給負擔之前那一波是給負擔 譬如說20 它本來4.4就變24.4嘛 |
| transcript.whisperx[108].start |
4282.21 |
| transcript.whisperx[108].end |
4290.477 |
| transcript.whisperx[108].text |
現在我們去講到15% 未來這個15% 未來這個15%我們有多少本的負擔 現在針對出口米國家 他們是最困難的 你知道其他歐洲 日本 東南亞 他們是最嚴重的 |
| transcript.whisperx[109].start |
4298.126 |
| transcript.whisperx[109].end |
4311.135 |
| transcript.whisperx[109].text |
所以這塊你有辦法去今天跟他們說你要怎麼幫他們我們在中小委轉型升級條例裡面就是要針對各種的手法都要做到包括租稅但是我們一定要符合國際經濟貿易的規範我們不可以去對我們 |
| transcript.whisperx[110].start |
4315.538 |
| transcript.whisperx[110].end |
4329.084 |
| transcript.whisperx[110].text |
你不是補助嘛 你有很多教授我跟你說的是對世界所有人去處理政府會專烈支持中小企業但是要用什麼方式一定要符合國際規範這樣我們在法律裡面我們要做的這個草案裡面大家最小規範說如何幫助大家我跟你說 你的零到十八歲 |
| transcript.whisperx[111].start |
4345.018 |
| transcript.whisperx[111].end |
4359.186 |
| transcript.whisperx[111].text |
各位國情國 雖然我本無離合 但是我有配套 你們沒有配套我們有配套啊 你有配套安心生養 夠加碼教育 夠強化托育 夠友善職場 夠自主健養因為我講給你聽 好的政績 大家公家營也沒關係是是 難道你們的好選人說什麼 食糧界都亂講 結果給總統和選區配對不對 不需要嘛 |
| transcript.whisperx[112].start |
4370.373 |
| transcript.whisperx[112].end |
4378.937 |
| transcript.whisperx[112].text |
你的政策跟我不一樣,我可以跟你說對英台都不會說,我們不會這樣嘛政策不一樣就是大家互相研究嘛,對不對我是說這樣,我讀了一個月五千口語,就是父母少辛苦 |
| transcript.whisperx[113].start |
4392.188 |
| transcript.whisperx[113].end |
4418.953 |
| transcript.whisperx[113].text |
成長會更幸福嘛但是這是怎樣 低標不低標 因為年輕人不敢生有兩個原因第一 我怕死不去第二就是怎樣 我要買房子嘛我如果沒買房子 房地產一直去所以那時候的心情我們大家說我種車 好家財都在那裡 我如果沒種車 再五年我就買不去我現在一個配套是怎樣你說社會住宅裡面 婚育宅要有20% |
| transcript.whisperx[114].start |
4420.563 |
| transcript.whisperx[114].end |
4434.43 |
| transcript.whisperx[114].text |
我在第三次我是提高到40%啦我們坦白說,他要針對生育率,要娶男朋友,我們拉起來我是對20%跟承擔到40%,再來就是你如果是生第三胎啦,你有沒有,你生幾個?抱歉,一顆而已這樣,我兩顆啦,我說我跟他說,你如果是生第三胎 |
| transcript.whisperx[115].start |
4447.81 |
| transcript.whisperx[115].end |
4473.546 |
| transcript.whisperx[115].text |
我的社會住宅優先入住因為我們有40% 我把婚姻宅優先40%社會住宅優先入住然後將來你買的時候就是我們的社會住宅買你的時候租金抵價金這就是經濟部內冬季時冬季時在台南安南區科技工業區 |
| transcript.whisperx[116].start |
4475.84 |
| transcript.whisperx[116].end |
4497.369 |
| transcript.whisperx[116].text |
有一個租金底價,我們現在先注意我們政府是不以盈利為目的,我們去社會主席本錢八百萬我們就賣他八百萬,這樣政府就OK但是一般的健康便宜八百萬的房子,要賣他錢一萬他有盈利的問題,這樣他就不用煩惱他生三個,他就不用煩惱他房子賣不去 |
| transcript.whisperx[117].start |
4502.483 |
| transcript.whisperx[117].end |
4509.408 |
| transcript.whisperx[117].text |
八天後 九天後 政府把這間房子賣掉這樣就是說 以這八天所繳的租金比我們要買它的基金票八百 它繳七十萬我們就把它扣起來 變成這間房子只賣七百三十萬我告訴你 |
| transcript.whisperx[118].start |
4521.798 |
| transcript.whisperx[118].end |
4529.926 |
| transcript.whisperx[118].text |
很多年輕人都說,你為什麼這樣,我來拚第三個生兩個說他要拚第三個,生一個說他要拚第三個藏一個主持人,五十幾位跟我說,他還要拚一個我說拜託,你來拚一個,我輸人又貼你兩萬 |
| transcript.whisperx[119].start |
4539.314 |
| transcript.whisperx[119].end |
4566.499 |
| transcript.whisperx[119].text |
這就是怎樣 已經讓大家覺得如果這種政策 公共政策這個特定高齡人來選擇因為我把我真實在這個基站在照顧著我告訴你 你可以請你的無聊 無非去訴求說 社會主席裡面我們是不是可以把一些出來讓這些人加薪第三天的人 給他們特別的高齡優先進去大 連累這家廚美藝 |
| transcript.whisperx[120].start |
4569.06 |
| transcript.whisperx[120].end |
4591.199 |
| transcript.whisperx[120].text |
因為你社會主席有的是沒要買,只有做沒要買有的,我們可以一部分開放來給他們擁有自己的主席,你看如何優先入住,只租不售還有延長租期和延長,這都是現在的進展我們也要注意到這個社會主宰的輪盤你要注意這個社會主席賣他就說他要收我們的限制我們可以計算,只有那個 |
| transcript.whisperx[121].start |
4610.207 |
| transcript.whisperx[121].end |
4615.73 |
| transcript.whisperx[121].text |
好 謝謝好 謝謝謝龍介委員質詢 謝謝卓院長備詢 謝謝 |
| transcript.whisperx[122].start |
4624.482 |
| transcript.whisperx[122].end |
4625.563 |
| transcript.whisperx[122].text |
現在院長,是不是我們請卓院長麻煩再請卓院長備詢 |
| transcript.whisperx[123].start |
4662.383 |
| transcript.whisperx[123].end |
4688.257 |
| transcript.whisperx[123].text |
林委員好院長早我今天要跟你討論就是說我們這個從醫美診所爆發的偷拍事件這個事件現在已經擴大到不是只有醫美診所甚至是還有一般的中醫診所一般診所這樣子也都包含在內所以這個不是單一的業別也不是單一的診所的問題而是整個醫療管理 |
| transcript.whisperx[124].start |
4690.198 |
| transcript.whisperx[124].end |
4706.786 |
| transcript.whisperx[124].text |
醫療制度的管理上可能在制度上已經有一個缺口存在那我們衛福部在這一波的稽查裡面好像稽查了720家的醫美診所那就已經查到三四十家涉及到偷拍 |
| transcript.whisperx[125].start |
4707.546 |
| transcript.whisperx[125].end |
4733.883 |
| transcript.whisperx[125].text |
所以這個是一個非常嚴重的個案那非常大的一個警訊在告訴我們說這一些不肖的業者啦那我們其實大家人心惶惶所以我們很想知道就是說這一種不肖的業者的名稱你都查到了除了看到的艾爾利、光澤啦那還有什麼樣的診所那請問所在地在哪裡要不要公布 |
| transcript.whisperx[126].start |
4735.211 |
| transcript.whisperx[126].end |
4760.82 |
| transcript.whisperx[126].text |
跟委員說明 我們陸陸續續都有衛生局採訪採訪之後我們最後會把採訪的結果公布給大家了解你們要多長的時間啊因為對大家來講 我很多人是繳廢制我還要不要進去啊 還是我要退費啊那你查到的都已經是違法的真空的密錄了那為什麼不用最快的速度來公告呢 |
| transcript.whisperx[127].start |
4761.656 |
| transcript.whisperx[127].end |
4784.959 |
| transcript.whisperx[127].text |
我們會要求衛生局盡快完成所有的裁罰程序裁罰以後我們是不是直接裁罰就可以公告應該是理論上他就是公開他這就是公開的裁罰到現在已經查到了35家了那理論上這35家應該全部都公告給大家知道啊可以可以那對到底是要到什麼時候才主動的告訴我們盡快我們回去就盡快是多快 |
| transcript.whisperx[128].start |
4786.937 |
| transcript.whisperx[128].end |
4809.387 |
| transcript.whisperx[128].text |
從第一個診所到現在也已經很久了所以這已經不是盡快了大概是還要多久如果他確定裁罰這個名單很準很精確那麼他已經行為被確認了我們衛福部會要求各地方政府對準這個名單之後應該要立即公告讓國人有知道的權利 |
| transcript.whisperx[129].start |
4809.827 |
| transcript.whisperx[129].end |
4833.485 |
| transcript.whisperx[129].text |
好 部長你聽到了 院長說只要罰單一開出來 立即公告可不可以可以那我現在再跟院長 部長請教違法的拍攝我們當然要查但是更大的問題是存在於說取得同意的錄影的這些影像被拍下來以後怎麼管理 |
| transcript.whisperx[130].start |
4834.665 |
| transcript.whisperx[130].end |
4862.112 |
| transcript.whisperx[130].text |
誰可以調閱會不會連上網路要存取多久流向會在哪裡會不會外流所以這個不是說經過病患同意取得錄影的問題而已在這裡我們很清楚的要跟院長分享說醫療影像的管理的最核心其實是資安是不是院長你可不可以同意 |
| transcript.whisperx[131].start |
4862.712 |
| transcript.whisperx[131].end |
4886.653 |
| transcript.whisperx[131].text |
而且我們在各自法上面也有相關的規定要保護到個人的隱私你就讓他同意讓你拍怎麼使用也要嚴格的管制對啊 所以資訊安全才是最重要的而不是只是同意拍攝嘛那韓國也曾經發生過這種外流的事件它還涉及到可以遠端即時觀看的IP Camera |
| transcript.whisperx[132].start |
4887.293 |
| transcript.whisperx[132].end |
4904.87 |
| transcript.whisperx[132].text |
所以顯示說真正的風險不只是他有沒有安裝拍攝的鏡頭他還必須涉及到這個設備有沒有聯網能不能遠端的登錄是否有預設的密碼有沒有開放外部存取 |
| transcript.whisperx[133].start |
4905.55 |
| transcript.whisperx[133].end |
4917.188 |
| transcript.whisperx[133].text |
是不是會上傳到第三方平台是否會留下完整的調閱記錄所以我們現在就是認為說要克責醫療機關 醫療機構 |
| transcript.whisperx[134].start |
4921.315 |
| transcript.whisperx[134].end |
4936.972 |
| transcript.whisperx[134].text |
要認為有錄影這個必要的時候就應該要採取不聯網限制權限加密儲存最小授權還有完整的調閱記錄的這一些措施這個院長請問你同不同意 |
| transcript.whisperx[135].start |
4937.732 |
| transcript.whisperx[135].end |
4958.28 |
| transcript.whisperx[135].text |
當然同意 而且行政院的作為跟委員簡單報告案發之後我們就請詹根懷秘書長召開一次緊急的會議就個案要加強偵辦的速度就場域要確定哪些場域可以拍 哪些場域不可以拍就行為要加重他的罰則就設備也要分析哪一些設備應該做比較嚴密的管控 |
| transcript.whisperx[136].start |
4958.86 |
| transcript.whisperx[136].end |
4978.205 |
| transcript.whisperx[136].text |
那這個禮拜我們還會請林明星政委召開相關的後續的會議就這個細項再往更細的這個方向去做規劃剛剛委員所提到的這個流程的記錄時間多長如何使用這個都必須在強化規劃當中好現在我就是要提醒你因為在委員會我也質詢過了 |
| transcript.whisperx[137].start |
4979.565 |
| transcript.whisperx[137].end |
4997.962 |
| transcript.whisperx[137].text |
在這裡 影像 醫療的影像在台灣不是一般個資在我們的法律的架構它是特種的高度敏感的個資所以不能夠像衛福部現在做的衛福部只做一件事啊他們為醫事師召集了各個診所協會通通來全台灣診所協會通通來 |
| transcript.whisperx[138].start |
4998.843 |
| transcript.whisperx[138].end |
5021.4 |
| transcript.whisperx[138].text |
然後只去處理了對空間管理的規範醫療機構全面禁止使用密錄設備公共空間的錄影需要公告低度隱私需要同意低度隱私空間設置要主動告知手術跟內診嚴禁錄影僅教學目的以例外他就只做空間管理的這個規範 |
| transcript.whisperx[139].start |
5022.981 |
| transcript.whisperx[139].end |
5032.692 |
| transcript.whisperx[139].text |
但是我剛剛一開始就強調了這整個醫療影像的最核心其實是他的資訊安全是他的管理而且我們要克責於診所醫療機構的經營者要有責任 |
| transcript.whisperx[140].start |
5037.918 |
| transcript.whisperx[140].end |
5058.193 |
| transcript.whisperx[140].text |
所以政府不能夠把問題理解成說只是同意然後要求空間規範管理哪些可以拍哪些不能拍不能夠只是這樣子而必須要建立一套完整的錄音錄影管理規範包括錄影必要性的審查近拍區的區域清單設備聯網的管理 |
| transcript.whisperx[141].start |
5061.936 |
| transcript.whisperx[141].end |
5090.835 |
| transcript.whisperx[141].text |
調閱的權限保存的期限刪除的機制外包維護的責任以及外流後的通報和下架程序而且我們要進一步的要把它法制化明確的納入法律裡面的規範而不是只是一個醫療上的行政指引而衛福部到現在都沒有做這些相關的事情而且都沒有承諾我們它要法制化 |
| transcript.whisperx[142].start |
5091.215 |
| transcript.whisperx[142].end |
5114.763 |
| transcript.whisperx[142].text |
因為苛責於醫療機構你要求人家有義務你必須採取法律保留原則必須以法律定制而衛福部之前面對我的諮詢通通都還沒有辦法具體承諾院長你可不可以承諾我們這個必須要法制化規範必須採取法律保留原則 |
| transcript.whisperx[143].start |
5115.643 |
| transcript.whisperx[143].end |
5135.244 |
| transcript.whisperx[143].text |
而且不是只有空間管理上哪些可以攝影哪些不能攝影最核心的地方其實就是資訊安全就是資安可不可以承諾一下好 謝謝委員提醒因為這個是一個跨部會很多的作業衛福部是依照它的業管範圍就資通安全上資訊的保護場域的保護協定那我們另外還有經濟部財政部 |
| transcript.whisperx[144].start |
5138.727 |
| transcript.whisperx[144].end |
5144.376 |
| transcript.whisperx[144].text |
就這個設備進口如何管制還有工廠會 還有內政部都有做月管的議案 |
| transcript.whisperx[145].start |
5150.544 |
| transcript.whisperx[145].end |
5168.778 |
| transcript.whisperx[145].text |
跟委員說明確實剛剛您提到的我們是先做這個所謂的設路的空間管理的規範按照它是低度低隱私高隱私還有公共空間那另外一個是根據自動安全法的授權各目的事業主管機關可以要求 |
| transcript.whisperx[146].start |
5169.438 |
| transcript.whisperx[146].end |
5188.625 |
| transcript.whisperx[146].text |
那麼我們過去只要求到醫院等級他要有一個資通安全的管理計畫要被 要核准的啦所以這裡面就包含剛剛提到的這些資料的保存 銷毀的機制等等沒有啦 你醫療法裡面壓納入對 要對醫療機構特別是診所要克責啦法律責任要克責要放到醫療法裡面來不要用一般的 |
| transcript.whisperx[147].start |
5198.189 |
| transcript.whisperx[147].end |
5220.488 |
| transcript.whisperx[147].text |
各司法去處理他醫療法一定要特別法一定要特別克責啊醫院部當然說醫院要適用醫療法這個是他的場地的管理對好抱歉各位時間可以暫停一下嗎因為我的鞋子卡住了時間暫停奇怪慢慢來抱歉因為他卡在那個縫裡面沒問題沒問題好謝謝可以繼續了好時間繼續 |
| transcript.whisperx[148].start |
5224.448 |
| transcript.whisperx[148].end |
5245.112 |
| transcript.whisperx[148].text |
好 院長那我現在就叫你這個關於勞動部門的事情因為在台北發生了密室逃脫的這個員工在扮演吊掛的時候這個不幸意外死亡那其實這個不幸其實是可以避免的而且也應該是要避免的 |
| transcript.whisperx[149].start |
5246.812 |
| transcript.whisperx[149].end |
5271.659 |
| transcript.whisperx[149].text |
現場發現沒有採取任何的預防措施然後沒有辦理職業安全的教育訓練沒有業者沒有做任何的風險評估的問題雖然已經勒令停業但是我們要在這裡講這是一種新興的娛樂產業雖然看起來是娛樂服務業但是我們在乎公安消防的安全 |
| transcript.whisperx[150].start |
5272.599 |
| transcript.whisperx[150].end |
5282.389 |
| transcript.whisperx[150].text |
這些消費者的安全之外我們還要看到在這裡面從業的人員的職業安全所以這種新興的娛樂產業它是一種情緒勞動在這個密室逃脫裡面 |
| transcript.whisperx[151].start |
5289.935 |
| transcript.whisperx[151].end |
5317.524 |
| transcript.whisperx[151].text |
它不是像一般的遊樂園、電影院勞工只是接待、售票、現場引導它不是像密室逃脫它很明顯它是一個沉浸式的遊戲工作的內容可能包括吊掛、追逐在低照明的狀況裡面移動在小小的空間裡面執勤、角色扮演而你通通沒有植栽預防的任何的準備 |
| transcript.whisperx[152].start |
5318.444 |
| transcript.whisperx[152].end |
5344.218 |
| transcript.whisperx[152].text |
沒有風險評估所以這個問題就不是這一個職災的勞工的個人的問題他是整個制度對這類工作風險的辨識跟管理都沒有跟得上時代所以這個風險在國外也有當然大家看到很多都是像火災大家要密室逃脫他可能會噴煙在波蘭就曾經發生說他沒有 |
| transcript.whisperx[153].start |
5345.318 |
| transcript.whisperx[153].end |
5374.251 |
| transcript.whisperx[153].text |
做到這個火災的預防消防的這個安全曾經啊在波蘭一個密室逃脫裡面有5個5個15歲的少女死亡而當時他們被鎖起來而那個職工呢他出去外面買個東西回來發現大火熊熊都根本來不及救這是一個公安安全以外這個很重要這個很重要但我們今天要講的是說不只是公共安全很重要 |
| transcript.whisperx[154].start |
5375.332 |
| transcript.whisperx[154].end |
5388.367 |
| transcript.whisperx[154].text |
大家就開始覺得說這一種這個具有封閉空間低照度迷宮式的動線還有機關設計還有延遲逃生它就不是一般的娛樂場所有時候還有 |
| transcript.whisperx[155].start |
5389.548 |
| transcript.whisperx[155].end |
5410.455 |
| transcript.whisperx[155].text |
做這個效果有這個噴煙其實你很難分辨是真正的消防安全火災了還是只是特效的噴煙一開始所以這是一個非常嚴重而且嚴肅的問題在這裡呢遊客的體驗的安全以外我一直講說現場工作人員的生命安全 |
| transcript.whisperx[156].start |
5411.555 |
| transcript.whisperx[156].end |
5438.277 |
| transcript.whisperx[156].text |
所以重點我們看到消防和公安但是我們要看到勞安在這個裡面我們希望說除了火災發生的時候是不是能夠逃生我們更在意的是如果在黑暗封閉機關密集情緒高漲還要扮演角色嚇人的這種工作環境裡面要怎麼樣去做勞動規範要怎麼克責雇主你要職業 |
| transcript.whisperx[157].start |
5440.998 |
| transcript.whisperx[157].end |
5458.762 |
| transcript.whisperx[157].text |
這個職業災害的預防的責任那這個在很多地方都有這種討論在勞動部的勞保局2016年有一個很有趣的徵文他說最有梗的打工的事你最有梗寫下來我們來徵文徵選 |
| transcript.whisperx[158].start |
5461.683 |
| transcript.whisperx[158].end |
5485.033 |
| transcript.whisperx[158].text |
結果呢一個這個得獎的作品叫半鬼嚇人可是遊客比鬼更恐怖這一篇得獎了這個學生寫到說他暑假的時候去賺外快打工報名了鬼屋的工作人員但是遇到穿高跟鞋來體驗的女生女生嚇到拿高跟鞋狂砸他的臉 |
| transcript.whisperx[159].start |
5486.813 |
| transcript.whisperx[159].end |
5501.198 |
| transcript.whisperx[159].text |
讓他直覺說客人比鬼更恐怖其實大家聽了以後都會覺得蠻好笑的老實說其實這個好笑當中我們是看到這個真的是對這個從業的勞工完全沒有保障 |
| transcript.whisperx[160].start |
5501.698 |
| transcript.whisperx[160].end |
5517.125 |
| transcript.whisperx[160].text |
所以把顧客的暴力跟情緒勞動的可能遇到的風險都要納入職業安全裡面去規範那我們現在就看到出事了大家去勞檢可是我們更想要看到的是應該要法制化制度化 |
| transcript.whisperx[161].start |
5518.165 |
| transcript.whisperx[161].end |
5546.641 |
| transcript.whisperx[161].text |
我們要問說需不需要檢查繩索有沒有固定檢查吊掛橋段有沒有做風險評估員工在低照明度的空間移動追逐扮演有沒有需要兩個人協同機制有沒有緊急停止緊急解除和脫困的程序有沒有做這個職安教育訓練和實作研練有沒有建立譬如說需經事故的通報和改善機制 |
| transcript.whisperx[162].start |
5547.321 |
| transcript.whisperx[162].end |
5560.852 |
| transcript.whisperx[162].text |
在這種顧客高度緊張受驚嚇或情緒失控的下會被攻擊的狀況裡面你要怎麼樣去做勞檢怎麼規範中央應該要訂出一套勞檢的重點規範的制度出來吧 |
| transcript.whisperx[163].start |
5563.499 |
| transcript.whisperx[163].end |
5576.996 |
| transcript.whisperx[163].text |
跟委員說明其實現在這個治安法裡面其實是有相關的條文來做包括他機械設備器具等等等所造成的危害 |
| transcript.whisperx[164].start |
5581.523 |
| transcript.whisperx[164].end |
5604.15 |
| transcript.whisperx[164].text |
機械設備他今天要死的那個人是什麼機具他哪裡有機械設備機具所以我跟你講我們都是在法治面相當不足因為整個服務整個產業這種勤勞勞動的產業不斷的會新興的越來越多 |
| transcript.whisperx[165].start |
5608.756 |
| transcript.whisperx[165].end |
5629.825 |
| transcript.whisperx[165].text |
所以隨時我們這個小孩子在玩的我們根本無從想像他的從業環境會是什麼所以你們隨時都應該要去檢討這個新興的產業裡面我們該給出來的職業安全的指引要求部主要做到怎樣去把應該是更具體的而不是僅就現有的法律 |
| transcript.whisperx[166].start |
5630.865 |
| transcript.whisperx[166].end |
5657.7 |
| transcript.whisperx[166].text |
老實說啦現有的法律工具你去挑一挑很難挑得到符合真的可以對他完整規範的條文出來而你們該有的指引該有的制度其實是刻不容緩應該要立即馬上建立對事實上這一個無辜的性命犧牲之後我們要看到 |
| transcript.whisperx[167].start |
5660.713 |
| transcript.whisperx[167].end |
5668.178 |
| transcript.whisperx[167].text |
好 謝謝林淑芬委員質詢 謝謝卓院長 相關部會收場備詢 謝謝接下來我們請林月琴委員質詢 廖偉強委員請準備謝謝 |
| transcript.whisperx[168].start |
5687.74 |
| transcript.whisperx[168].end |
5693.468 |
| transcript.whisperx[168].text |
主席麻煩我們的卓院長跟我們的衛福部部長麻煩再請卓院長衛福部長備詢林委員好 |
| transcript.whisperx[169].start |
5706.397 |
| transcript.whisperx[169].end |
5730.824 |
| transcript.whisperx[169].text |
院長還要部長找院長少子女化事實上是國家戰略問題那我覺得政府提高到0到18歲對孩子跟家庭的支持提出了18項的一個具體的措施尤其事實上是0到18歲的成長今天受到社會大眾高度的肯定可是我覺得不只是事實上是補助家庭 |
| transcript.whisperx[170].start |
5731.304 |
| transcript.whisperx[170].end |
5757.501 |
| transcript.whisperx[170].text |
更是國家對於孩子成長的一個支持承諾而我這幾天當然又收到很多的家庭對我們表示說這麼好的為什麼還要去透過很多修法程序來去做這些他們很迫不其待真正事實上能夠想用到這一項政策所以我想問院長說不必修法是不是就可以先用預算或行政措施來推動來讓這個支持更有彈性的方式讓家庭趕快受用 |
| transcript.whisperx[171].start |
5758.536 |
| transcript.whisperx[171].end |
5773.47 |
| transcript.whisperx[171].text |
是的我們針對整個少子女化的問題以及整個整體的人口對策我們從大概大半年前就在研立一個如何來看到去年整個出生率下降的一個結果所以這個這套 |
| transcript.whisperx[172].start |
5775.427 |
| transcript.whisperx[172].end |
5804.499 |
| transcript.whisperx[172].text |
整個台灣人口對策新戰略研歷是超過半年以上的時間那現在我們已經稍微有一些具體的成果向國人做報告這一兩天當中我們還會持續就一些執行面的問題讓各部會更充分的去做銜接那就是說我們過去啊比方在育兒津貼還有種種各方面的行政措施上面我們都有相關的類似的一個處理的方式我們可以用提出一個我們的策略方針 |
| transcript.whisperx[173].start |
5805.459 |
| transcript.whisperx[173].end |
5828.991 |
| transcript.whisperx[173].text |
形成一個公共政策透過預算審議的過程讓它形成一個有預算可以支持的一個政策那我們就可以來支應那後續也許有一些配套需要去做一些法的修正那一部分再來做我們想目前是朝向這個方式來進行我覺得世衛大眾都已經給予高度肯定我認為行政院應該儘速提出明確的施程跟執行方案不是要等去修法 |
| transcript.whisperx[174].start |
5829.691 |
| transcript.whisperx[174].end |
5854.02 |
| transcript.whisperx[174].text |
所以這一項如果事實上是對兒少未來的承諾的話我覺得不是只有政策宣示要趕快去做所以我希望盡快那另外一個跟這個有關係的也就是說今天我還是很關心弱勢因為我們畢竟事實上有一個兒童及少年未來教育跟發展的帳戶那未來這一部分剛剛提的這一塊大家都很肯認可是弱勢的這一塊是不是可以有更加碼的做法 |
| transcript.whisperx[175].start |
5854.622 |
| transcript.whisperx[175].end |
5865.019 |
| transcript.whisperx[175].text |
來 部長說明一下跟委員說明 當然目前我們在這個所謂的這個教育及未來發展帳戶的部分呢 |
| transcript.whisperx[176].start |
5865.489 |
| transcript.whisperx[176].end |
5884.796 |
| transcript.whisperx[176].text |
那麼是有這個對撥就是它自存有一個開戶金政府會有開戶金另外它有一對一的這個對撥部長你應該也知道幾乎很多家庭事實上大概三到四成事實上最後是沒有開戶的即便那個六成開戶的只有七成有存款 |
| transcript.whisperx[177].start |
5885.276 |
| transcript.whisperx[177].end |
5907.091 |
| transcript.whisperx[177].text |
可是也不見得會存到18歲因為他們就是有經濟困難所以我認為如果今天政府大波大力在處理我們0到18歲有一般家庭的可是弱勢畢竟是弱勢我認為這個要拜託院長可以承諾說可不可以去再做研議跟委員說明那因為未來有這個五千元的成長津貼的時候他就可以拿一部分 |
| transcript.whisperx[178].start |
5907.711 |
| transcript.whisperx[178].end |
5928.429 |
| transcript.whisperx[178].text |
放入這個未來帳戶這些弱勢那政府就會再對撥進去所以未來這個開戶率也好或者是提撥率一定會提高那第二個呢這一些津貼呢都會排除在我們在社救法裡面的其他收入的部分所以也不會影響到它的這個社福條件這個都會把它保障 |
| transcript.whisperx[179].start |
5928.809 |
| transcript.whisperx[179].end |
5941.145 |
| transcript.whisperx[179].text |
那剛部長就已經提到社救法我們就來談一下因為這個月事實上院長也出席了我們第四度的國際審查兩公約的第四度國際審查 |
| transcript.whisperx[180].start |
5942.199 |
| transcript.whisperx[180].end |
5969.045 |
| transcript.whisperx[180].text |
那這次的結論性意見國際委員就再一次明確表示說我們的社會救助法必須修而且不是小修小補而過去我們社會救助法門檻非常高申請的程序事實上過於複雜所以不知道院長你對國際委員的建議你準備如何回應他希望要修那什麼時候這個社會救助法的時程是什麼行政院的版本預計什麼時候送出來還是目前考量的關鍵因素在哪裡 |
| transcript.whisperx[181].start |
5970.242 |
| transcript.whisperx[181].end |
5988.511 |
| transcript.whisperx[181].text |
是我是還沒有看到整個具體的全貌但是剛剛部長之前跟陳時中政委我們都有接受到這些國際委員提供的意見比方說他對我們申請的流程比如說該個人的一些條件限制是不是要跟居住 |
| transcript.whisperx[182].start |
5989.751 |
| transcript.whisperx[182].end |
6018.44 |
| transcript.whisperx[182].text |
一致這個部分我們都有談到這個重點那希望衛福部跟政委能夠持續將國際委員的意見適合我們在此時我們社會情勢需要的部分我們一一來做檢討院長有沒有一些時程讓我們知道跟委員說明目前這個草案已經在行政院審查當中已經完成三分之二了所以應該會在這個會期這個會期可以送出來嗎可以應該是這個會期我今天要的就是這個答案 |
| transcript.whisperx[183].start |
6020.218 |
| transcript.whisperx[183].end |
6040.063 |
| transcript.whisperx[183].text |
這幾年國內的情勢變化很多端 戰爭衝擊到經濟 人際疏離居住環境 甚至科技帶來人際疏離所以社工面對到的 不管是兒少老富障 貧窮暴力災害都要由社工來承擔 |
| transcript.whisperx[184].start |
6043.263 |
| transcript.whisperx[184].end |
6059.723 |
| transcript.whisperx[184].text |
社工我一直認為事實上是穩定社會的重要力量包含從總統到副總統到院長您本人都強調社工事實上是建構社會安全網的人也是全社會防衛任性安全體系的重要的人 |
| transcript.whisperx[185].start |
6060.627 |
| transcript.whisperx[185].end |
6083.16 |
| transcript.whisperx[185].text |
可是我們要問的是 也就是社工的工作內容有特殊性他們常常在處理的事實上是社會各式各樣的複雜的問題面對到暴力 自殺 甚至經濟困頓 失業者失去依靠 性侵可是他們也需要被支撐 可是看起來這十幾年來各項的調查都知道說社工長期承受了各方的壓力 |
| transcript.whisperx[186].start |
6084.1 |
| transcript.whisperx[186].end |
6110.318 |
| transcript.whisperx[186].text |
劳动的结构跟情绪劳动的一个负荷今年初事实上工会职业工会也调查说超过四分之一的社工半年内因为工作因素接受心理智商跟身心科的就诊因为四分之三处于过劳近一半出现忧郁的状况所以院长社工既然是我们很重要国家重要的伙伴可是这十几年来都只是靠个别的调查去了解他的状态 |
| transcript.whisperx[187].start |
6110.953 |
| transcript.whisperx[187].end |
6138.344 |
| transcript.whisperx[187].text |
院長你怎麼看你有掌握到這樣子的一個狀況嗎你覺得這樣子的一個個別調查甚至是公會來做的你覺得這樣子足夠嗎到底我們政府有哪些東西事實上對於社工的掌握程度事實上是弱的社工夥伴通常對他的這個照顧的個案對象會付很大的愛心但是他也經常把自己放在一個可能有危險威脅的狀態當中所以 |
| transcript.whisperx[188].start |
6140.945 |
| transcript.whisperx[188].end |
6167.766 |
| transcript.whisperx[188].text |
我們對他關心除了讓他有更專業的智能以及更相對的待遇跟福利來照顧他本身之外他如果遇到有些重大的危險的時候我們應該給他一些心理上的支持甚至他需要的時候在治療醫療上也應該有經濟上的協助另外萬一進入到一個真的需要訴訟的時候我們也要有法律的諮詢法律的協助這是我們現在想到的一些相關的作為 |
| transcript.whisperx[189].start |
6169.025 |
| transcript.whisperx[189].end |
6184.411 |
| transcript.whisperx[189].text |
院長 事實上在政策支持上行政院對社工職業安全到現在還是停留在10年來未修的社工人員的一個職業安全方案另外還有社工人員的職業安全重大危害事件處理機 |
| transcript.whisperx[190].start |
6185.371 |
| transcript.whisperx[190].end |
6198.491 |
| transcript.whisperx[190].text |
策進的一個實施計畫重點是這個這兩個都是把它放在事後的一個處理跟通報跟輔導改善可是我們更需要的是前端的一個機制所以我不知道院長這邊有 |
| transcript.whisperx[191].start |
6200.12 |
| transcript.whisperx[191].end |
6215.334 |
| transcript.whisperx[191].text |
能承諾因為之前103年行政院就已經有討論過社會工作人員的職業安全條例有沒有辦法重新拿出來研議然後去修這個法 |
| transcript.whisperx[192].start |
6216.075 |
| transcript.whisperx[192].end |
6235.65 |
| transcript.whisperx[192].text |
就請部長說明一下現在具體的一些計畫跟委員說明在我們社安網裡頭我們新的一期社安網裡面也特別去強化這個職業安全的專案支持那過去就是如委員講的我們過去就是有一個叫職業安全計畫對於社工人員特別裡面包含團保的部分 |
| transcript.whisperx[193].start |
6236.491 |
| transcript.whisperx[193].end |
6262.17 |
| transcript.whisperx[193].text |
那麼現在也還包含了一些心理諮商的支持減壓的這個做法那我們再來檢視一下這一個職業安全計畫與時俱進我們再來做一些滾動式的按照需求來做一些調整我們看國外甚至就是有些家訪有必要的時候會有訓練有素的人或者是員警去陪同因為我們現在常面對到的有可能是人身安全的一些問題所以才會 |
| transcript.whisperx[194].start |
6264.235 |
| transcript.whisperx[194].end |
6280.604 |
| transcript.whisperx[194].text |
迫使他最後離開是什麼因為身心的一些因素我覺得政府應該要考量所以我也希望說這邊事實上可以考慮再度的把這個法提出來討論然後去修這個法另外一個就是我們政府 |
| transcript.whisperx[195].start |
6281.516 |
| transcript.whisperx[195].end |
6308.424 |
| transcript.whisperx[195].text |
服務的社服服務的採購長期存在事實上是費用編列不清契約的設計的矛盾跟履約管理不合理的這樣子的一個問題那為服務呢長期沒有建立所謂符合社服專業的一個採購跟經費編列之意這也是過去我自己在社服機構常會面對到的一個很深的一個困擾那所以院長政府把法定服務去委託民間辦理後 |
| transcript.whisperx[196].start |
6309.676 |
| transcript.whisperx[196].end |
6336.605 |
| transcript.whisperx[196].text |
結果把加班費人事成本跟督導支持跟偏鄉招募的成本都加重在機構的身上常常有時候如果要加班結果最後事實上是會認為你機構你自己管理不當你為什麼有要加班可是今天個案晚上發生事情的時候要不要處理要處理甚至上非上班時間要不要去處理當然要處理所以院長這樣子的加班費難道要壓在機構跟第一線的社工的身上嗎 |
| transcript.whisperx[197].start |
6338.785 |
| transcript.whisperx[197].end |
6357.245 |
| transcript.whisperx[197].text |
跟委員說明剛剛提到這個社福的採購的指引我們現在草案差不多完成了什麼時候可以完成盡快我們看看是不是在六月底之前可以把它發布因為還要跟地方主管機關大家一起協商我們真的等很久了 |
| transcript.whisperx[198].start |
6357.785 |
| transcript.whisperx[198].end |
6383.262 |
| transcript.whisperx[198].text |
我們應該在六月底之前我會來push趕快讓這個採購指引讓大家可以有一致性的認定因為這已經是超過十年的問題了所以我們希望能夠盡速也謝謝今天能得到這樣的一個答案院長今天也要請教社工勞動權益跟職業安全衛生的問題這件事事實上我在去年就要求衛福部勞動部合作 |
| transcript.whisperx[199].start |
6384.147 |
| transcript.whisperx[199].end |
6413.047 |
| transcript.whisperx[199].text |
那不是用我們的勞檢的強度而是用法尊訪視跟職安衛的監督輔導來協助社服機構改善所以可是現在不是沒有訪視那也不是勞動部沒有量能所以我今天為什麼沒有請我們的勞動部部長上來就是因為我覺得關鍵是衛福部不能只有提供機構的名單社工面對到兒少保護家暴長照身障的高壓的高風險的工作那衛福部作為主管機關是不是應該要去設計 |
| transcript.whisperx[200].start |
6413.988 |
| transcript.whisperx[200].end |
6440.875 |
| transcript.whisperx[200].text |
我們的所謂的社工專屬的法尊訪視的項目這勞動部做不了所以就要衛福部來做部長你是否認同好我們來跟勞動部當然這個法規的主管機關是勞動部不過涉及到專業領域剛剛您提到的這個社工工作的特殊性所以他的訪查的重點的一些建議呢那我們來提供給勞動部 |
| transcript.whisperx[201].start |
6441.991 |
| transcript.whisperx[201].end |
6454.395 |
| transcript.whisperx[201].text |
那院長我也希望你能支持三件事情第一又衛福部主責然後勞動部來協同啟動我們的勞工就社工勞全的法尊法師及職安衛的監督輔導的專案 |
| transcript.whisperx[202].start |
6456.721 |
| transcript.whisperx[202].end |
6476.156 |
| transcript.whisperx[202].text |
第二事實上是邀集各地社工師工會跟職業工會來共同研擬因為他們最知道第一線到底需求是什麼問題是什麼並規劃他們來陪同訪視第三把身心健康我們的職場霸凌跟人身安全跟創傷曝露跟社福契約管理納入輔導內容院長可否支持這三項 |
| transcript.whisperx[203].start |
6477.677 |
| transcript.whisperx[203].end |
6492.036 |
| transcript.whisperx[203].text |
謝謝委員很具體的提出三點那我會請衛福部勞動部就這些訪視的過程當中所得到的這些數據跟分析的結果能夠進行各種的進一步的綜合的一個評估考量 |
| transcript.whisperx[204].start |
6492.617 |
| transcript.whisperx[204].end |
6519.013 |
| transcript.whisperx[204].text |
那我也知道中央跟地方政府也經常有相關的會議在開各種會議推動地方政府成立社工人員工會的這個研議希望還沒有成立的也能夠加速來成立一個工會來保障整個社工夥伴的工作權跟本身的權益謝謝院長對我們社工的支持那院長成熟國家的政策應對通常不是社工壓力大我們就提供資商而已 |
| transcript.whisperx[205].start |
6519.292 |
| transcript.whisperx[205].end |
6548.23 |
| transcript.whisperx[205].text |
他需要更完整的制度所以我覺得是不是可以針對公部門跟民間受助單位跟委辦單位的社工一方面能夠結合我們剛才講的法尊法師跟職安衛的輔導另外一方面是不是由衛福建立社工專屬的年度或雙年度的調查去了解他們的身心狀況甚至勞動權益跟自治體系我也要問院長能不能在你主持的社委會定期去 |
| transcript.whisperx[206].start |
6548.91 |
| transcript.whisperx[206].end |
6562.843 |
| transcript.whisperx[206].text |
納管這樣子的一個議題好謝謝委員的提醒有這樣的調查我們才能確實掌握他的資訊做各種精密的分析那衛福部應該會可以往這個方向來進行部長來做什麼我們來委託專業團體來做這個調查院長4月22號將近2000名社工走上街頭 |
| transcript.whisperx[207].start |
6570.322 |
| transcript.whisperx[207].end |
6594.643 |
| transcript.whisperx[207].text |
然後這不只是衛福部的問題也是國家社會安全網的重大議題啦個案責任留給司法判斷可是司法之外政府還是要去面對制度的問題院長我相信你非常願意跟社工夥伴一起來站在一起檢視制度來看那所以我希望說院長是不是能夠比照護理人員的政策那個整備提出行政院級的社工人力的整備計畫 |
| transcript.whisperx[208].start |
6596.658 |
| transcript.whisperx[208].end |
6597.339 |
| transcript.whisperx[208].text |
社工人力準備計畫好 謝謝 |
| transcript.whisperx[209].start |
6624.278 |
| transcript.whisperx[209].end |
6649.791 |
| transcript.whisperx[209].text |
好 謝謝林業勤委員質詢 謝謝卓院長 衛福部部長貝勳 謝謝抱歉 現在一場二樓旁聽的來自我們新北康橋國際學校的同學還有老師 我們掌聲歡迎大家接下來委員質詢完畢之後我們將會休息十分鐘十分鐘之後再請武力華委員準備質詢接下來我們請亮偉鄉委員請質詢 |
| transcript.whisperx[210].start |
6665.314 |
| transcript.whisperx[210].end |
6688.67 |
| transcript.whisperx[210].text |
謝謝主席有請卓院長麻煩再請卓院長備詢廖文豪卓院長你好想要先請教你一個數字你知道全台灣有多少人買了商業健康險嗎 |
| transcript.whisperx[211].start |
6691.068 |
| transcript.whisperx[211].end |
6713.359 |
| transcript.whisperx[211].text |
數字我手上沒有這個數字我們可以再查查跟委員報告好大概是超過1600萬超過7成商業健康保險再問你一個是非題健保的在宅急症照護是衛福部推的那現在也有許多的大醫院規劃把原本要住院的手術改成一日手術 |
| transcript.whisperx[212].start |
6714.139 |
| transcript.whisperx[212].end |
6736.612 |
| transcript.whisperx[212].text |
那我想要請教一下院長,是不是整個醫療科技在進步,越來越多原本要住院的病呢,現在不用住院就能治了,是不是?這個要看醫組,這個要看醫組,以及我們醫學的進步,跟醫生的照顧,跟醫院的整個需求部長在點頭啦,是不是覺得醫療環境在改變,醫療科技在進步,所以醫治手術變多了,不用住院的變多了 |
| transcript.whisperx[213].start |
6737.492 |
| transcript.whisperx[213].end |
6762.117 |
| transcript.whisperx[213].text |
確實是這樣,因為現在的手術長相微創手術所以他的傷口...我講謝謝,因為我只是問是非題喔,所以謝謝喔所以你也同意啊,那現在問題就來了齁問題來了,衛福部一手在推所謂的在宅急症照護鼓勵病人在家治療,不要佔病床可是呢,民眾剛剛一千多、六百多萬人的手上的商業健康保險條款寫的是叫做要住院才理賠 |
| transcript.whisperx[214].start |
6762.737 |
| transcript.whisperx[214].end |
6777.913 |
| transcript.whisperx[214].text |
那這些人呢繳了一二十年的保費結果現在因為醫療型態改變政策改變不用住院了那保險公司就用你沒有住院這幾個字用技術性的拒絕那當初你在保險的時候這些人錢也都繳了當初的風險基數的狀況也都改變了 |
| transcript.whisperx[215].start |
6781.477 |
| transcript.whisperx[215].end |
6799.062 |
| transcript.whisperx[215].text |
所以我這裡要講的事情是我們不是說要保險公司違約不是不看條款立陪但是問題是現在政府改變了遊戲規則有沒有責任讓規則要跟上不要讓保護被住院這兩個字的技術性卡死可不可以 |
| transcript.whisperx[216].start |
6801.082 |
| transcript.whisperx[216].end |
6809.646 |
| transcript.whisperx[216].text |
剛剛有人說明確實可以請院長回答因為這可能需要跨部會的剛剛有一句話我以為說政府改變遊戲規則並不是政策改變了因為政策改變了嘛所以這個東西的確會改變的所以我想請問一下我剛剛說 |
| transcript.whisperx[217].start |
6817.394 |
| transcript.whisperx[217].end |
6838.248 |
| transcript.whisperx[217].text |
患者在醫院裡面的時間應該要照醫師的主託所以你知道這件事情嗎我知道 比如說我們以前到急診一定要幾個鐘頭以後才能去勤領所以也許現在根本就沒有辦法你不會去檢討這件事情是嗎因為本席要講的事情是這不是新問題儘管會前年有改過所謂的時知時復的理賠規則 |
| transcript.whisperx[218].start |
6839.489 |
| transcript.whisperx[218].end |
6859.557 |
| transcript.whisperx[218].text |
那他當初改的是正本理賠損害填補只處理拿副本卻好幾家這個重複領錢的問題住院這幾個字跟事實現實嚴重脫節碰都沒有碰那拖到前幾天有委員在裁委會問金管會說要三個月的時間盤點所以請問院長你的意思是什麼 |
| transcript.whisperx[219].start |
6860.168 |
| transcript.whisperx[219].end |
6879.743 |
| transcript.whisperx[219].text |
我知道社會一直有在討論最近討論這樣的話題整個醫療的行為改變之後過去的保險給付但內容沒有辦法成就所以金管會會去處理這個事情那委員如果認為三個月太慢我會請金管會跟業者跟業者趕快來談一下跟工會談一下再不會影響到 |
| transcript.whisperx[220].start |
6881.524 |
| transcript.whisperx[220].end |
6905.346 |
| transcript.whisperx[220].text |
這個保險人的權利底下要兼顧到這個保險給付業者各種的平衡點我們來討論我跟你說其實金管會手上也有現成的工具剛剛有提到是不必等到修法那示範條款它核定的它可以直接修這個示範條款那也可以訂出所謂一日手術或是門診手術或是在宅急診照顧的給付認定標準那也引導整個市場 |
| transcript.whisperx[221].start |
6906.147 |
| transcript.whisperx[221].end |
6925.727 |
| transcript.whisperx[221].text |
所以我也希望院長回去你剛剛說要請金管會進訴嘛那就是第一個檢討現行的只有住院才賠是不是有相關的調整機制以及他有沒有違反所謂金融消費者保護法第七條的公平合理原則好這個部分要請您回去指示金管會那金管會要推新的這個在宅 |
| transcript.whisperx[222].start |
6927.428 |
| transcript.whisperx[222].end |
6950.514 |
| transcript.whisperx[222].text |
醫療險在宅醫療險那現在全台也有1600多萬張的救保單所以這部分你們是不是也要邀請要求我們希望請院長回去說一方面在示範條款裡面明訂在宅醫療還有一日手術的對應認定對應的認定一方面也希望說可以鼓勵讓救保單也能批注讓新救保單都有路徑可不可以 |
| transcript.whisperx[223].start |
6951.515 |
| transcript.whisperx[223].end |
6973.318 |
| transcript.whisperx[223].text |
我覺得要請金管會跟公會跟保險業者也要請衛福部介入什麼樣的醫療行為跟過去可以做什麼樣的比擬那你是不是要指定一個因為過去衛福部會說是金管會管的金管會說要等衛福部這個球會踢來踢去所以院長你是行政院長所以我才問今天誰是部會的主責可不可以有辭呈給本席 |
| transcript.whisperx[224].start |
6974.038 |
| transcript.whisperx[224].end |
7002.731 |
| transcript.whisperx[224].text |
當然有跨部會的業務啦那如果雙方的意見一致沒有問題如果雙方有不同的意見至少我們還有政委跟秘書長都可以來協助協調院長那請問誰是主責的單位如果是保險那應該是金管會啊但是醫療行為是那請問可不可以給本市一個時程表因為你們這樣子要拖不知道檢討要多久啊金管會跟委員說三個月我覺得他們一個月內應該要有個具體的方向能夠出現 |
| transcript.whisperx[225].start |
7003.131 |
| transcript.whisperx[225].end |
7025.469 |
| transcript.whisperx[225].text |
好一個月內好謝謝謝謝院長具體承諾一個月內我們要來看成果醫療一直在進步我想這是好事我想部長也頻頻點頭但是我覺得不能夠讓醫療技術進步人民的保障反而是倒退政府政策跑在前面可是1600萬的保護的保障不能丟在後面那這個環境一改他就被架空了不行這樣子 |
| transcript.whisperx[226].start |
7026.229 |
| transcript.whisperx[226].end |
7046.975 |
| transcript.whisperx[226].text |
那再來我要問一下其實我們提供具體的數字可以呈現的到當他改成在家住院急症照護的時候他的費用比到醫院住院要便宜所以對保險院長來講不應該會有損失好 院長剛剛院長有說一個月你再跟各位談老實說一個大的方向出現可能要做其他的修動我們再來處理我們要進入下一題了謝謝院長 |
| transcript.whisperx[227].start |
7049.716 |
| transcript.whisperx[227].end |
7071.342 |
| transcript.whisperx[227].text |
院長我想要請問一下針對這個少子化今年一月份的時候在野黨提所謂的台灣未來帳戶要照顧0到12歲的孩子一路到18歲當時衛福部反對院會當時部長說親口說會排擠健保長照那衛福部的書面評估也說要舉債近3000億財政雪上加霜 |
| transcript.whisperx[228].start |
7072.262 |
| transcript.whisperx[228].end |
7089.227 |
| transcript.whisperx[228].text |
然後當時也有民進黨的委員直接反對然後就說是錢坑法案破壞財政紀律甚至有委員說這叫透支國家未來甚至有委員說恐怕沒有排富恐怕是成了窮人家的麵包變成富二代的金幣的反向補貼所以 |
| transcript.whisperx[229].start |
7091.287 |
| transcript.whisperx[229].end |
7106.921 |
| transcript.whisperx[229].text |
這些事情發生了之後可是呢結果520的時候賴總統自己端出每年好幾千億0到18歲每個月5000元還說台灣有能力負擔不會排擠其他預算所以這部分我就想要請教同樣 |
| transcript.whisperx[230].start |
7108.334 |
| transcript.whisperx[230].end |
7131.336 |
| transcript.whisperx[230].text |
是照顧孩子的大錢在野黨提的時候叫做沒錢破壞財政紀律叫做排擠長照健保那總統提的時候就說有能力負擔所以本席要問院長究竟財政有沒有問題能不能負擔還是這從來不是錢的問題是看誰提的問題只要在野黨提就是NO就是不行只要總統提你們就趕快調整方向 |
| transcript.whisperx[231].start |
7132.177 |
| transcript.whisperx[231].end |
7141.132 |
| transcript.whisperx[231].text |
那請問錢到底夠不夠三人問題跟委員報告去年我們看到台灣的出生率是明顯的下降所以去年底下開始我們就開始研立台灣人口新的對策 |
| transcript.whisperx[232].start |
7141.789 |
| transcript.whisperx[232].end |
7146.99 |
| transcript.whisperx[232].text |
第二個,國家的財政是在轉好的過程當中所以我們認為現在有能力來支應第三個問題是如果把一大筆錢只放在一個項目那並不能解決問題你放再多的錢 |
| transcript.whisperx[233].start |
7164.215 |
| transcript.whisperx[233].end |
7181.933 |
| transcript.whisperx[233].text |
放在所有整套的過程當中不是 財政 國家的財政是在變好的狀態當中我們是把錢放在所有的狀態當中我們不是放在一個洞裡面每個月五千塊對不對賴總統有提這個底氣嘛但是你要知道這個是好幾倍喔 |
| transcript.whisperx[234].start |
7182.694 |
| transcript.whisperx[234].end |
7209.114 |
| transcript.whisperx[234].text |
所以你說現在等於是賴總統提了錢沒問題了好那我本席有三個具體的要求要跟院長講一下其實本席支持而且本席認為應該0到6歲其實是敢不敢生的關鍵第一胎生出來0到6歲如果照顧得很辛苦那基本上他也不太敢生第二胎這個跟你們本意是一樣所以我們希望的事情是問一下院長現在0到2歲0到2歲其實 |
| transcript.whisperx[235].start |
7212.176 |
| transcript.whisperx[235].end |
7224.392 |
| transcript.whisperx[235].text |
公托沒有一個選項真的是完全免費的因為公托一味難求那自己在家帶或送私立的家長呢每個月目前是育兒津貼5000塊而且是裡面最少的齁您可以看一下這個 |
| transcript.whisperx[236].start |
7227.403 |
| transcript.whisperx[236].end |
7248.61 |
| transcript.whisperx[236].text |
每個月最少的那二到六歲呢也只有第二胎以後這個公幼才真正免費第一胎每個月家長要拿出部分的錢所以目前為止他其實是不平等然後自己帶小孩的投入也最少所以這根本是在懲罰選擇自己帶小孩的爸媽所以我主張啊 |
| transcript.whisperx[237].start |
7249.17 |
| transcript.whisperx[237].end |
7262.443 |
| transcript.whisperx[237].text |
是不是應該要把所謂的公托公用准公非營利全部免費然後預額津貼呢加對齊加碼最近很紅啊對齊喔對齊加碼是不是可以來規劃這件事情院長 |
| transcript.whisperx[238].start |
7263.948 |
| transcript.whisperx[238].end |
7279.715 |
| transcript.whisperx[238].text |
兩個問題第一個就是在公托的這個部分我們現在經過補助之後把每個兒童托育的費用控制在家庭可支出的百分之五到百分之十往這個目標來看這個是負擔不起的這是第一個再來公共政最重要的是公共政策不是 |
| transcript.whisperx[239].start |
7279.915 |
| transcript.whisperx[239].end |
7304.605 |
| transcript.whisperx[239].text |
比錢誰花的多不要一直加碼我們一方面衡量財政狀況剛剛我提的那些政策你們都加碼但是沒關係院長我們要好好講完我要跟你討論這件事情啦我們不要一直加碼要整套我們有沒有分配好所有的資源把全部的錢放在0到18歲嗎不是的我們還有其他的院長那你可不可以直接回答我這個訴求你願不願意回去研議一下就是文獲公用 |
| transcript.whisperx[240].start |
7305.485 |
| transcript.whisperx[240].end |
7325.382 |
| transcript.whisperx[240].text |
准公非營利全部免費但是育兒津貼要加碼對期加碼我們現在公托准公托非營利的這個托育從7萬到1萬3的補助是現在現行的我剛說過補助之後家庭的負擔支出是限定在5%到10%在這個部分已經是一個合理的狀態 |
| transcript.whisperx[241].start |
7326.263 |
| transcript.whisperx[241].end |
7351.683 |
| transcript.whisperx[241].text |
那另外我們又加上現在零到六歲也有五千元每個月的一個成長津貼所以我們認為應該可以參與院長或者是這個院長和部長回去研擬一下育兒津貼應該要加碼而且要對齊加碼不要讓家長還要被迫選擇要把選擇權還給家長我最後一句話這個全套的新戰略是衡量到現在的財政能力做合理的規劃所以 |
| transcript.whisperx[242].start |
7353.144 |
| transcript.whisperx[242].end |
7363.207 |
| transcript.whisperx[242].text |
再任何的加碼都是財政上另外一種新的考量所以我才說其實0到6歲很關鍵您仔細聽我講他們現在沒有辦法完全之真的要落實0到6歲國家養好不好所以育兒津貼這個件事情本席在這裡要求請你們回去慎重嚴厲育兒津貼加碼補貼第二個部分也要跟你們報告 |
| transcript.whisperx[243].start |
7381.192 |
| transcript.whisperx[243].end |
7404.144 |
| transcript.whisperx[243].text |
一個馬上做馬上能夠做而且它又不算這個成本上面這個費用預算上面照你們剛剛講是很OK的第一個減痛分娩其實生產是醫學上十級的劇痛那法國在1994年就百分之百的給付英國也全免瑞典免費日本東京也去年10月開始補助最高是10萬日圓 |
| transcript.whisperx[244].start |
7405.245 |
| transcript.whisperx[244].end |
7429.736 |
| transcript.whisperx[244].text |
那台灣呢這些在生產的媽媽要自費五千到八千那我們一年假設以上一年是用十萬來算好了因為接下來應該是更少十萬來算每個補助六千其實全年全國一年大概就是六點五億等於是賴總統開的這個支票每一年兩千多億的零頭中的零頭這部分可不可以給台灣的媽媽願意生育的媽媽這樣子的補助 |
| transcript.whisperx[245].start |
7431.967 |
| transcript.whisperx[245].end |
7458.704 |
| transcript.whisperx[245].text |
跟委員說明這個就是無痛分娩那這個分娩其實都是健保有給付的那這個案子過去曾經提案過那在健保的這個專家會議裡面因為有不同的聲音因為還是有一些專家認為這個並不是絕對的必要而且無痛分娩那部長你願不願意回去再重新檢討一下這個部分我們再收集更多的意見因為之前在專家會議裡頭那麼一個具體的方向 |
| transcript.whisperx[246].start |
7461.366 |
| transcript.whisperx[246].end |
7468.49 |
| transcript.whisperx[246].text |
因為他的專家會議跟這個共理會有一定的程序大概需要三個月的時間因為這個是去年討論過去年討論的時候專家會議並不同沒有共識說這個要納入在給付裡面你覺得這個未來三個月會再重新檢討一次嗎我們看看有沒有新的這個 |
| transcript.whisperx[247].start |
7485.34 |
| transcript.whisperx[247].end |
7507.919 |
| transcript.whisperx[247].text |
證據跟意見進來如果委員提到這個因為過去曾經討論過其實其他的國家已經有在實行這個這個制度而且補助的部分所以請部長您回去是不是可以給本席在專家共理會三個月內給本席一個我們先把上次討論的這個專家的意見先給委員辦公室參考然後我們再來評估看看是不是再重啟這個 |
| transcript.whisperx[248].start |
7509.02 |
| transcript.whisperx[248].end |
7522.754 |
| transcript.whisperx[248].text |
再多徵詢一些專家的意見好 剛剛已經說了其實好幾個國家已經做了我相信台灣的醫療台灣的福利不會比其他人差所以請部長回去慎重的研擬然後給本席辦公室一個具體的報告回應 |
| transcript.whisperx[249].start |
7523.564 |
| transcript.whisperx[249].end |
7539.345 |
| transcript.whisperx[249].text |
再來是育兒減少工時的部分最後2024年的10月30我當時也在勞動部我們的未還委員會質詢的時候其實就有要求過要休那現在中央也說要跟進是不是528有說院會要拍板嗎 |
| transcript.whisperx[250].start |
7542.089 |
| transcript.whisperx[250].end |
7569.037 |
| transcript.whisperx[250].text |
跟文說明喔其實這個減工時的議題其實討論很久我想最重要的事情是配套所以如果我們要提出方案的話重點是我們要拿出配套配套的完備與否才是這個政策能不能夠擴大或擴大適用最關鍵要做和不做啦 對不對現在到底是會做或不做重點是配套的設計那我們就會盡量往更完備的配套的方向來去做設計 |
| transcript.whisperx[251].start |
7570.057 |
| transcript.whisperx[251].end |
7583.891 |
| transcript.whisperx[251].text |
那更完備的配套什麼時候會有更完備的配套可不可以給本席如果我們要提出這個方案的話我們就會把配套一併的那是什麼時候啊什麼時候你沒有回答問題是什麼時候我想現在這一次的這個整體0到18歲的整體的策略我們會跟著行 |
| transcript.whisperx[252].start |
7590.964 |
| transcript.whisperx[252].end |
7601.526 |
| transcript.whisperx[252].text |
因為檢控室的預約會有這個關係嗎?會有,那什麼時候會出來了?什麼時候會成熟?快成熟,會不會給腿心一個時間吧?一個月就快看到一個月還是兩年?一個月到兩年之前嗎?對,就快看到 |
| transcript.whisperx[253].start |
7618.459 |
| transcript.whisperx[253].end |
7633.742 |
| transcript.whisperx[253].text |
好 謝謝梁偉強委員質詢謝謝卓院長 各相關部會所長備詢 謝謝報告委員 我們休息十分鐘之後再繼續進行質詢謝謝油耗委員謝謝吳立華委員 陳昭之委員 陳穎委員陪同我們一起上班長的質詢 下來休息 |
| transcript.whisperx[254].start |
8220.943 |
| transcript.whisperx[254].end |
8230.213 |
| transcript.whisperx[254].text |
我們熱情歡迎來自新加坡新加坡管理大學法學院的同學們的老師熱情掌聲歡迎歡迎接下來我們請武力華委員質詢陳英委員請準備 |
| transcript.whisperx[255].start |
8256.502 |
| transcript.whisperx[255].end |
8271.941 |
| transcript.whisperx[255].text |
謝謝主席有請卓院長麻煩再請卓院長備選務委好院長早 |
| transcript.whisperx[256].start |
8273.328 |
| transcript.whisperx[256].end |
8290.017 |
| transcript.whisperx[256].text |
我今天特地來針對原住民族人的健康問題以及健康政策就叫來關心特別現在剛好是原住民族健康法立法通過滿三年 |
| transcript.whisperx[257].start |
8291.818 |
| transcript.whisperx[257].end |
8318.546 |
| transcript.whisperx[257].text |
所以在這裡呢要讓院長了解一下當時在立法的時候其實最主要的三支箭三個訴求第一個就是希望能夠成立一個委員會那最後呢雖然叫做原住民族健康政策委員會但是當時我們訴求的實質功能希望是可以審議那最後其實還是退而求其次 |
| transcript.whisperx[258].start |
8319.286 |
| transcript.whisperx[258].end |
8347.412 |
| transcript.whisperx[258].text |
最後落板的文字是諮詢所以這個呢我們是帶有遺憾那另外呢就是希望成立援助民族健康研究中心那為什麼呢因為我們是為了要能夠去做正確的好的有效的健康政策那當時呢其實我們更希望的是能夠框定法定的經費預算編列可是因為 |
| transcript.whisperx[259].start |
8349.112 |
| transcript.whisperx[259].end |
8369.463 |
| transcript.whisperx[259].text |
當時呢我們有財政紀律法的問題所以也退而求其次最後文字是寫寬列經費好那都沒有關係我們可以逐年逐步的來檢討那第一個部分呢我在這裡呢也要特別的感謝因為衛福部的組織法在前些日子 |
| transcript.whisperx[260].start |
8370.023 |
| transcript.whisperx[260].end |
8391.393 |
| transcript.whisperx[260].text |
有在做排審有在做修正那雖然還沒有完成但是我在這邊要謝謝衛福部長因為當時他有特別的來承諾會把這個現在的這個照護師改為護理及援助民族健康照護師而且呢會增加一顆並且 |
| transcript.whisperx[261].start |
8393.294 |
| transcript.whisperx[261].end |
8408.493 |
| transcript.whisperx[261].text |
他提到增加這一顆是為了要實質增加人力經費編制所以呢我們覺得非常的期待可是我們來看一下在原住民族健康中心 |
| transcript.whisperx[262].start |
8409.514 |
| transcript.whisperx[262].end |
8437.229 |
| transcript.whisperx[262].text |
我們現在看到的就是它是一個虛擬的中心因為它掛在國衛院底下那在國衛院底下也沒有關係我們原本是希望去落實原建法裡面很重要的四個文字叫做文化安全可是呢我們看到目前為止只能夠國衛院的院長來兼任主任那研究員來兼任 |
| transcript.whisperx[263].start |
8437.889 |
| transcript.whisperx[263].end |
8453.677 |
| transcript.whisperx[263].text |
執行秘書那其他呢是有增加人力但是目前是有五個研究助理他們呢都是屬於計劃型的人力但是這樣子做還是有一個困境為什麼因為他們人為言輕啊 |
| transcript.whisperx[264].start |
8454.744 |
| transcript.whisperx[264].end |
8469.372 |
| transcript.whisperx[264].text |
我們為了要去處理原建法最重要的目標就是改善原住民族健康不平等的現象我們光是看平均餘命壽命目前最新的資料差距是8.17歲其實這是一個很驚人的數字 |
| transcript.whisperx[265].start |
8473.314 |
| transcript.whisperx[265].end |
8490.752 |
| transcript.whisperx[265].text |
那我們要特別講的就是這一些原建中心的這一些計劃人力呢他可能要資料很困難因為我們知道像教育部這些學童資料可能也拿不到那你說園民會過去他們都會有所謂的健康年報 |
| transcript.whisperx[266].start |
8491.653 |
| transcript.whisperx[266].end |
8515.463 |
| transcript.whisperx[266].text |
但是他們的健康年報可能也都是撈健保的資料而且都只做描述性的統計缺乏這種交叉的分析所以在這個部分就沒有辦法去精準分析讓這個健康政策沒有辦法落實所以在院長這邊我第一個就是希望說因為我有去質詢過中研院 |
| transcript.whisperx[267].start |
8517.364 |
| transcript.whisperx[267].end |
8532.712 |
| transcript.whisperx[267].text |
他們有一個令我們非常驕傲的就是台灣精準醫療計畫成功的招募50萬名的參與者建構了全球最大的漢人族群的一個基因庫 |
| transcript.whisperx[268].start |
8533.692 |
| transcript.whisperx[268].end |
8552.358 |
| transcript.whisperx[268].text |
那麼也榮登全球國際最頂尖的期刊Nature這個是台灣的驕傲我有跟他們說原住民的部分可不可以做他們說有困難因為現在要諮商同意資料取得很困難所以為什麼我重整講這些 |
| transcript.whisperx[269].start |
8553.678 |
| transcript.whisperx[269].end |
8569.052 |
| transcript.whisperx[269].text |
做原住民健康政策資料很重要分析很重要但是呢我們必須要有一個數據共享的機制所以我特別到院會這邊來質詢就是希望院長您能不能夠去責成 |
| transcript.whisperx[270].start |
8569.953 |
| transcript.whisperx[270].end |
8587.759 |
| transcript.whisperx[270].text |
要求我們相關的各部會在這個部分能夠去找出一個處理的方法去重新調整需要的倫理規範那在保障族人的同意跟促進醫學政策的這個方面能夠取得一個平衡院長您的意見如何 |
| transcript.whisperx[271].start |
8588.987 |
| transcript.whisperx[271].end |
8613.509 |
| transcript.whisperx[271].text |
謝謝委員你提出這樣的一個要求保障族人同意權跟促進醫學進展這個提議我會讓原民會衛福部的部會去了解不過剛剛除了謝謝委員長期對原住民族健康的關注之外剛剛有一個數字我們應該要對一下因為依照我們現在手上的資料113年全國平均壽命均率是80.77歲 |
| transcript.whisperx[272].start |
8615.37 |
| transcript.whisperx[272].end |
8622.314 |
| transcript.whisperx[272].text |
原住民的平均壽命是73.23相差是113年是7.54那103年的時候是8.24就是這10年來103到113我們是從差距從8.24縮短到7.54我的數字應該沒有錯可以再補充一下院長我跟您補充確實因為您可能不知道 |
| transcript.whisperx[273].start |
8641.465 |
| transcript.whisperx[273].end |
8660.553 |
| transcript.whisperx[273].text |
在原建法之前在文化健康戰這個政策上路之前三十年只縮短一歲但是很奇妙蔡英文總統的文化健康戰的政策上路之後在短短的五年間縮短了將近兩歲 |
| transcript.whisperx[274].start |
8661.974 |
| transcript.whisperx[274].end |
8684.81 |
| transcript.whisperx[274].text |
但是這個只是一個普通的數據沒有一個嚴謹的研究分析所以我們才會覺得說對原住民族健康促進來講取得資料做政策的一個規劃分析其實是非常重要的所以特別希望院長就是可以同意這個部分我們是不是來跨部會的來成立一個平台 |
| transcript.whisperx[275].start |
8687.558 |
| transcript.whisperx[275].end |
8712.112 |
| transcript.whisperx[275].text |
這個我來跟委員說明這個其實原建法通過之後我們也完成了幾件事情這個雖然我們這個原住民政策這個政策會啊那麼雖然是智商性質但是我們很重視我們最近要提出這個原住民族健康的照護中長城計畫就是由這一些這個我們原住民族這個政策會的委員先分組審查 |
| transcript.whisperx[276].start |
8713.052 |
| transcript.whisperx[276].end |
8742.038 |
| transcript.whisperx[276].text |
然後最後我們才彙整起來之後按照委員的意見修正再提送到行政院所以發揮了非常重要的政策制定功能第二個呢那麼這個國衛院的這個原民健康研究中心他也不斷的在增加計畫就是把這些資料的收集或分析做更精確所以我們未來的人力也會隨著計畫的增加來充實擴充那第三個呢剛剛提到的是這個資料庫的運用的部分 |
| transcript.whisperx[277].start |
8742.498 |
| transcript.whisperx[277].end |
8757.207 |
| transcript.whisperx[277].text |
那麼確實是因為在人體研究法裡面有特別提到如果你這個人體研究涉及到原住民族為研究目的或對象的時候那必須要有這個部落或者是原住民族會議的同意 |
| transcript.whisperx[278].start |
8757.907 |
| transcript.whisperx[278].end |
8776.054 |
| transcript.whisperx[278].text |
有別於一般的人體研究但是在BioBank就是人體這個生物資料庫管理條例裡面就沒有這個規定了所以現在的問題就是在於說如果你是人體生物資料庫裡面的資料那麼能不能夠區分出它是不是 |
| transcript.whisperx[279].start |
8777.594 |
| transcript.whisperx[279].end |
8798.003 |
| transcript.whisperx[279].text |
進資料庫的時候有沒有辦法區分他的這個是不是漢民族或者是原住民族有沒有這樣的資料那未來怎麼樣去提供比較精準的研究這個我們我會來這個因為這個在上次我親自主持這個原住民族政策會的時候也有委員提出這個問題我也會來召集這個 |
| transcript.whisperx[280].start |
8802.236 |
| transcript.whisperx[280].end |
8819.845 |
| transcript.whisperx[280].text |
跨部會的這個讓大家這個法規上清楚是可行的是可行的部長其實您提到這個我也是蠻疑惑的因為在中研院的台灣精準醫療計畫其實它是可以正確的撈取漢人的資料所以我就不懂那為什麼 |
| transcript.whisperx[281].start |
8820.885 |
| transcript.whisperx[281].end |
8836.636 |
| transcript.whisperx[281].text |
非漢人的資料就無法來抓取沒有關係這個我希望各位可以在平台上討論剛剛您提到這個39個生物資料庫中研院那個他的蒐集的時候他的那個變相裡面有這個這個民族和民族 |
| transcript.whisperx[282].start |
8837.556 |
| transcript.whisperx[282].end |
8839.898 |
| transcript.whisperx[282].text |
延續的一個問題就是說我們的長照我剛剛有提到 |
| transcript.whisperx[283].start |
8854.851 |
| transcript.whisperx[283].end |
8870.057 |
| transcript.whisperx[283].text |
過去九年來的文化健康戰真的是帶給原鄉尤其是長者非常大的改變除了促進在地就業之外真的對原住民長者的健康照護真的非常的好但是有一塊做得比較不好 |
| transcript.whisperx[284].start |
8870.757 |
| transcript.whisperx[284].end |
8887.586 |
| transcript.whisperx[284].text |
就是住宿型的機構而是用所謂的日間照顧這種或者家托站來取代所以我們一直希望這個長照的部分住宿型機構是很重要那麼來看一下長照資源發展講注辦法有提到 |
| transcript.whisperx[285].start |
8889.227 |
| transcript.whisperx[285].end |
8907.663 |
| transcript.whisperx[285].text |
這個獎勵補助要對離島偏鄉原住民族及其他長照資源服務不足地區要優先予以獎助但是在113年發布的這個辦法裡面呢我們發現不見區域並沒有原鄉那我在這裡有去提出質疑 |
| transcript.whisperx[286].start |
8908.484 |
| transcript.whisperx[286].end |
8931.087 |
| transcript.whisperx[286].text |
得到的回應是告訴我說其實現在我們過去前瞻計畫做的這些長照機構空床率很高所以覺得不需要但是實際的情形是什麼我們原住民在都會區他們可以說要去長照住宿型機構幾乎我沒有聽過有幾個人有能力去 |
| transcript.whisperx[287].start |
8932.011 |
| transcript.whisperx[287].end |
8947.364 |
| transcript.whisperx[287].text |
那麼在一般縣市當然我們講原鄉沒有但是在一般縣市我們也發現他們也住不起所以我要講的是說這個不是有床沒床的問題而是條件跟經濟的排除 |
| transcript.whisperx[288].start |
8948.004 |
| transcript.whisperx[288].end |
8967.833 |
| transcript.whisperx[288].text |
因為他們如果未達失能四級或者不具中低收入戶身份他們其實是進不去的所以我就希望說是不是能夠有在園鄉設置一個文化安全特色的住宿型機構非常感謝也有允諾我了 |
| transcript.whisperx[289].start |
8968.933 |
| transcript.whisperx[289].end |
8993.748 |
| transcript.whisperx[289].text |
有很多的族人在都會區他們真的住不起我說能不能夠提供那些住宿型機構休散費或者是原住民專屬的長照床位讓他們有機會進去那我也非常高興已經有允諾我了所以這個部分我只是要請教院長跟部長是不是能夠在一年內啊能夠就這兩件事我們可以看到開花結果 |
| transcript.whisperx[290].start |
8994.848 |
| transcript.whisperx[290].end |
9016.107 |
| transcript.whisperx[290].text |
會 我們在長照3.0裡面會去特別著重在原鄉特別是原住民的兼顧他的安全文化的這個服務機構所以我們會來努力謝謝 因為我們必須要盡速的完成這件事情我在原鄉或者都會區看到太多 |
| transcript.whisperx[291].start |
9016.687 |
| transcript.whisperx[291].end |
9035.676 |
| transcript.whisperx[291].text |
需要住宿型機構的老人家他其實是很辛苦的安置在自己的家裡那家裡人呢也負擔不起變成是他們家庭很重的一個負擔那希望這個部分能夠在一年內可以看到成果那再來就是都會區文件站我也很關心為什麼呢 |
| transcript.whisperx[292].start |
9037.037 |
| transcript.whisperx[292].end |
9047.835 |
| transcript.whisperx[292].text |
現在原鄉有430在但是在都會區只有95在可是實際住在都會區的有70%的原住民 |
| transcript.whisperx[293].start |
9049.12 |
| transcript.whisperx[293].end |
9076.863 |
| transcript.whisperx[293].text |
落極的50%實際居住的高達七成所以我們現在遇到一個路障就是有一個一村裡一巷弄的原則就變成在都會地區只要那個地方有據點就變成申請文件站的時候過不了因為長照基金比較不願意去支付這樣的金額所以在這個部分我不曉得院長或部長針對這個部分能不能去做改善 |
| transcript.whisperx[294].start |
9078.246 |
| transcript.whisperx[294].end |
9092.96 |
| transcript.whisperx[294].text |
跟委員說明確實因為我們為了這個資源部件的均衡性會有設定一定的範圍那不過剛剛您特別去著重到文化敏感度這個的問題那我們來評估看看對於這個 |
| transcript.whisperx[295].start |
9094.054 |
| transcript.whisperx[295].end |
9110.059 |
| transcript.whisperx[295].text |
你這指的就是都會原住民所以如果在都會區的原住民的人數比較高我們跟這個原民會會來討論那麼看看是不是以比較具原住民特色的這個據點對 我們是希望依實際需求 |
| transcript.whisperx[296].start |
9111.879 |
| transcript.whisperx[296].end |
9138.72 |
| transcript.whisperx[296].text |
去做一個增設然後專案的核定那我想這個部分文建站目前其實依照人口比例來講的話他還是有增設的一個需要所以希望這個部分來處理那最後因為時間的關係我再問一題就是關於疫苗公費疫苗 帶狀砲診疫苗我們都知道疫苗是最佳的健康投資那文建站是最貼近族人的照護模式 |
| transcript.whisperx[297].start |
9139.44 |
| transcript.whisperx[297].end |
9165.854 |
| transcript.whisperx[297].text |
所以我想說的是很多的縣市其實現在都有這個帶狀皰疹的公費疫苗可是有些縣市沒有可是我想說的是原住民的人口啊這些需要的人啊他不能夠淪為戶籍抽獎啊所以我算了一下如果這些沒有的55歲以上的原住民老人14萬人有沒有辦法加入政府的公費疫苗 |
| transcript.whisperx[298].start |
9167.219 |
| transcript.whisperx[298].end |
9192.212 |
| transcript.whisperx[298].text |
跟委員說明有關於這個帶狀皰疹的疫苗公費疫苗政策我們現在正由這個疾管署好 謝謝 |
| transcript.whisperx[299].start |
9197.253 |
| transcript.whisperx[299].end |
9223.666 |
| transcript.whisperx[299].text |
好 謝謝吳麗華委員的諮詢謝謝 左院長 衛福部長備詢 謝謝我們一廠二樓來自高雄鹿竹鄉蔬菜生產合作社非常多的長輩我們掌聲歡迎各位接下來我們要請陳盈委員諮詢陳昭之委員請準備 |
| transcript.whisperx[300].start |
9249.639 |
| transcript.whisperx[300].end |
9255.487 |
| transcript.whisperx[300].text |
好 謝謝主席 麻煩請院長跟衛福部長麻煩再請左院長衛福部長備詢 |
| transcript.whisperx[301].start |
9270.507 |
| transcript.whisperx[301].end |
9288.446 |
| transcript.whisperx[301].text |
我想今天接下來的前三個問題大概都跟台東地形狹長有關係台東大概全長176公里南北距離這麼長而且人口居住的型態都是比較分散的所以台東需要有更精緻化的公共服務 |
| transcript.whisperx[302].start |
9290.988 |
| transcript.whisperx[302].end |
9309.782 |
| transcript.whisperx[302].text |
就今天我想就拖音跟長照的部分我們先來討論那行政院在這禮拜二有宣布了0到18歲全程支持計畫面對少子化的問題希望透過各項政策減輕來協助減輕家庭育兒的負擔提高生育率 |
| transcript.whisperx[303].start |
9310.242 |
| transcript.whisperx[303].end |
9325.187 |
| transcript.whisperx[303].text |
那這個部分其實這幾天我連甚至聽到這個國民黨的議員們在地方也都是大力的戰下那依照這個統計呢我們台東0到20歲的這個嬰幼兒每個鄉鎮都有數十個甚至上百個 |
| transcript.whisperx[304].start |
9326.047 |
| transcript.whisperx[304].end |
9345.472 |
| transcript.whisperx[304].text |
那但是台東的托嬰中心公司力共有10家那9間全部集中在台東市南回的話呢則是有一間洛興托嬰中心在京豐是在去年4月份的時候開始啟用的那其他的鄉鎮呢則是完全都沒有托嬰中心所以如果我們以長濱來看 |
| transcript.whisperx[305].start |
9347.312 |
| transcript.whisperx[305].end |
9370.609 |
| transcript.whisperx[305].text |
他們如果要把嬰幼兒送託的話從長濱到台東市的托嬰中心最遠的距離有95公里這麼遠而正谷縣的鄉鎮未來可能慈善、鹿野今年或明年應該會成立因為經費也協助他們爭取到了但是目前的話是完全沒有的 |
| transcript.whisperx[306].start |
9372.286 |
| transcript.whisperx[306].end |
9395.107 |
| transcript.whisperx[306].text |
所以這些鄉鎮的這個家庭當中如果有嬰幼兒除了自己帶以外呢再當然就是要找保母了那麼我們政府在解決少子化的問題建立友善的這個托育環境是最基本的支持跟協助如果每個鄉鎮呢都來建置這個托嬰中心的話每個鄉鎮的需求量它多寡是不一的 |
| transcript.whisperx[307].start |
9395.808 |
| transcript.whisperx[307].end |
9415.075 |
| transcript.whisperx[307].text |
所以我們是不是可以來在台東我們來發展這個公共家園小型托嬰的服務這個公共家園的小型托嬰服務它需要的規模沒有很大那經費呢就是說或許也相對比較少 |
| transcript.whisperx[308].start |
9415.495 |
| transcript.whisperx[308].end |
9435.35 |
| transcript.whisperx[308].text |
因為不需要再去蓋建築物我們可以透過閒置的公共空間由公辦民營的方式以四位托育人員照顧12名嬰幼兒差不多這樣的規模我有請衛福部來盤點資料台東目前附設幼兒園的國小總共有37間 |
| transcript.whisperx[309].start |
9440.474 |
| transcript.whisperx[309].end |
9458.703 |
| transcript.whisperx[309].text |
只要學校有閒置空間我們就可以來規劃讓幼兒園照顧的學齡向下衍生增加零到二歲的托嬰中心我想要請教院長中央是不是可以來積極協助我們台東推辦公共家園的小型托嬰服務 |
| transcript.whisperx[310].start |
9459.98 |
| transcript.whisperx[310].end |
9486.477 |
| transcript.whisperx[310].text |
好 謝謝委員我們在行政院即將要完成的台灣人口對策新戰略的向下我們除了大家關心的0到18歲每月5000元這是在安心生養這個面向底下我們另外還有一個面向是強化托育強化托育有幾個目前包括我們已經在做的各種托嬰托育的機構我們會希望能夠廣設目前我們這個機構還是量能不足另外我們希望 |
| transcript.whisperx[311].start |
9487.638 |
| transcript.whisperx[311].end |
9513.755 |
| transcript.whisperx[311].text |
補助協助企業能夠廣設另外也希望政府的公部門單位能夠設但這些對台東來講都不見得適用得到所以我們另外對偏鄉還應該有更加強的一個設備因為企業不可能在那邊設很多公部門也有限再來除了不足之外更嚴重的還有一個是不均地理上的不均衡所以我們應該對偏鄉要重新還有一個細部的規劃謝謝委員的提醒 |
| transcript.whisperx[312].start |
9514.275 |
| transcript.whisperx[312].end |
9541.938 |
| transcript.whisperx[312].text |
是 所以這個部分因為特別是院長點出一個很重要的問題我們台東其實企業也沒有那麼多然後相對比較小型一點所以這個部分是不是本席剛剛前面建議的那是不是可以由這個中央權而來補助開辦費提供給我們台東人人力的協助那幫忙台東推動這個公共家園小型托嬰服務這個部分馬上可以想像就是把一個國小 |
| transcript.whisperx[313].start |
9542.939 |
| transcript.whisperx[313].end |
9561.617 |
| transcript.whisperx[313].text |
還有他的幼兒園 拓荫中心把它合起來為一利用現有的國小的設備或現有的教育資源能夠補充一些師資 增加一些設備那麼也從經費上來著以相當的考量是不是能夠就這樣子把每個地區至少基本的量能給它建構起來 |
| transcript.whisperx[314].start |
9562.714 |
| transcript.whisperx[314].end |
9585.855 |
| transcript.whisperx[314].text |
對我們有相當迫切的需求這就是說公共的家園的概念也許這樣也能完成謝謝院長的大力支持那其實我在三月的時候這個議題當然我在未還委員會也有質詢這個題目那部長也非常的支持那麼也希望衛福部能夠盡速來協助台東盤點各鄉市的托嬰需求 |
| transcript.whisperx[315].start |
9587.256 |
| transcript.whisperx[315].end |
9604.404 |
| transcript.whisperx[315].text |
因為我的理解衛福部應該已經是就是說他仍然在很積極的盤點當中那因為大概我算了一下三月到現在應該今天下午就可以回報我們辦公室了那也希望衛福部可以積極的來溝通協調 |
| transcript.whisperx[316].start |
9606.505 |
| transcript.whisperx[316].end |
9620.143 |
| transcript.whisperx[316].text |
那確定可以就是說這37所學校釋出閒置教室的意願以及這個各鄉鎮托嬰的需求那我們盡快來促成開辦第一間在台東的小型托嬰服務的這個公共家園的部分 |
| transcript.whisperx[317].start |
9620.592 |
| transcript.whisperx[317].end |
9643.491 |
| transcript.whisperx[317].text |
好 沒有問題 我們會儘速來推動就是以現有的這一些已經有複設幼兒園的優先因為他師資已經在了 只是把年齡再往下延伸這個部分我們會優先來處理那盤點的部分 應該下午再請同仁跟我們回報我們會請教育部來協助這個事情跟地方政府都要來共同協助 |
| transcript.whisperx[318].start |
9643.902 |
| transcript.whisperx[318].end |
9662.491 |
| transcript.whisperx[318].text |
好謝謝那另外提到小子化的議題在這個提升生育率的問題那現在這個年輕人其實真的很可憐就像一塊三明治被夾在中間這個焦頭爛額因為要照顧孩子還要照顧老人照顧父母那 |
| transcript.whisperx[319].start |
9663.411 |
| transcript.whisperx[319].end |
9686.94 |
| transcript.whisperx[319].text |
我們要讓年輕人趕婚趕生趕養以外我們就是要協助小朋友的托育問題之外還有一個非常重要一環就是長輩的照顧我們來看一下這是我們歷年長照的經費2016年之前長照10年的時候長照的年度預算只有45億在2016年我回到立法院的時候當時小英總統 |
| transcript.whisperx[320].start |
9688.381 |
| transcript.whisperx[320].end |
9694.527 |
| transcript.whisperx[320].text |
我們也跟著很多的立委同仁一起努力推動長照2.0在這8年當中長照預算成長了20倍那2026年進入長照3.0之後我們年度預算 |
| transcript.whisperx[321].start |
9703.997 |
| transcript.whisperx[321].end |
9723.216 |
| transcript.whisperx[321].text |
已經破了千億元一千一百多億台東的關懷據點還有文建站從2016年從原本的44站在這10年當中我們現在台東已經總共有217站了這個是政府對於老人照顧的用心跟重視 |
| transcript.whisperx[322].start |
9724.878 |
| transcript.whisperx[322].end |
9747.12 |
| transcript.whisperx[322].text |
但是我們進入這個長照3.0之後呢我覺得這個長輩照顧的政策一定還要再有所精進跟調整尤其在我們地形狹長的台東這是目前台灣大多數長照住宿式機構的樣子明亮乾淨這是一個比較大型集體式的生活 |
| transcript.whisperx[323].start |
9747.5 |
| transcript.whisperx[323].end |
9764.591 |
| transcript.whisperx[323].text |
那就是很多住宿式機構的老人他們休閒活動時的情形是一個大型團體式的形態那麼在這個制式化的生活當中這樣的住宿式機構規劃大部分都是七八十床甚至上百床 |
| transcript.whisperx[324].start |
9765.111 |
| transcript.whisperx[324].end |
9786.548 |
| transcript.whisperx[324].text |
那如果床數沒有那麼多的話這個機構可能就會虧損甚至就倒閉關起來那這個也就是台東為什麼這個長濱一直都沒有辦法有這個住宿是長道機構的問題那另外台東總共有16個鄉鎮除了台東市關山大武以外呢其他的這個住宿是資源不足的地區也就是說 |
| transcript.whisperx[325].start |
9787.829 |
| transcript.whisperx[325].end |
9815.406 |
| transcript.whisperx[325].text |
其他13個鄉鎮的長者如果他有住宿式的這個需求照顧的需求的話呢就要離鄉背井離開自己的這個長年居住的地方那我想在這邊跟院長分享一個老人照顧的模式叫做這個共生之家那麼這個共生之家在日本呢已經推行多年的照顧模式他們需要的建築物呢就像一般民宅一樣透過政府公辦民意的方式將一般民宅規劃成 |
| transcript.whisperx[326].start |
9817.148 |
| transcript.whisperx[326].end |
9833.085 |
| transcript.whisperx[326].text |
大概規模四到五人的這個老人居住的空間我們看一下這是日本共生之家長者居住的房間就像住在家裡一樣的那這個是他們在屋內互動的情形 |
| transcript.whisperx[327].start |
9834.506 |
| transcript.whisperx[327].end |
9852.175 |
| transcript.whisperx[327].text |
可以在互相陪伴的空間生活當中自然互動的照顧之下提升長者的生活品質跟身心健康尤其他們可以在自己熟悉的環境熟悉的社區甚至熟悉的部落裡面可以相當有尊嚴的 |
| transcript.whisperx[328].start |
9853.696 |
| transcript.whisperx[328].end |
9873.972 |
| transcript.whisperx[328].text |
来被照顾这才是一个真正在地老化在地照顾的一个长照服务的模式那而不是说还要离自己原本很熟悉就是住了很久的地方还要移到这么远的这个住宿式机构里面在一个很制式的被安排被照顾的 |
| transcript.whisperx[329].start |
9875.053 |
| transcript.whisperx[329].end |
9903.591 |
| transcript.whisperx[329].text |
方式來生活那我不曉得就是說院長對於這樣子的建議讓這樣的模式看法如何好謝謝委員 委員剛剛有提到一百一十五年度我們的長照計畫一千一百五十三億不比以前的光比去年就增加了將近百分之二十五所以一年當中我們增加很多因為政府看到這個方面的需求但是如果讓它更廣泛的涵蓋更多的地方不是 |
| transcript.whisperx[330].start |
9904.531 |
| transcript.whisperx[330].end |
9918.676 |
| transcript.whisperx[330].text |
用多少的錢就馬上可以做到的必須想出一個方法委員我知道一直在提供這個所謂共生的家庭就是政府來協助地方上能夠租一個房子租一個適當的建物那聘僱一些專業的造福員進來照顧這些長者 |
| transcript.whisperx[331].start |
9921.597 |
| transcript.whisperx[331].end |
9949.188 |
| transcript.whisperx[331].text |
讓它成為一個居家醫療居家服務的延伸我認為這個策略這個想法會讓我們在這麼大的長照的預算當中更快去把做地方做更多的均衡我覺得這個創意是很好的我也希望能夠衛部從這個方向講在偏鄉能夠採取這樣的方式可以增加我們涵蓋率的速度因為還是提到回到這個我們台東地形狹長的問題所以是不是我們我在這裡爭取啦可以從我們台東先優先來試辦 |
| transcript.whisperx[332].start |
9951.034 |
| transcript.whisperx[332].end |
9976.593 |
| transcript.whisperx[332].text |
跟委員說明其實我們從這個三四月的時候就一直在跟之前有民間在試做了只是一直沒有納入我們的長照體系那共生宅確實在資源比較不足它不足以形成一定的經濟規模所以住宿式的機構不足的地方我們會優先來試辦所以我們在討論裡面大概有兩個優先試辦的地方一個是原鄉原住民族地區 |
| transcript.whisperx[333].start |
9977.335 |
| transcript.whisperx[333].end |
9994.93 |
| transcript.whisperx[333].text |
那麼因為我們的族人也比較有這種從以前就有比較互助的精神第二個就是缺乏的誘因這個地方的規模不夠經濟規模不夠不足以有這個住宿司機構建立的地方我們會優先來試辦應該今年就會有試辦的計畫出來現在已經開了幾次會議了 |
| transcript.whisperx[334].start |
10000.034 |
| transcript.whisperx[334].end |
10027.357 |
| transcript.whisperx[334].text |
有一個條件必須找到一個適合的地點委員對台東的地區非常的了解最近就請走於這個基層如果委員有發現適當的地點我們來做充分的合作將台東來作為一個示範的地區請委員來幫忙好 謝謝那另外就是說要提到因為許多的衛生所肩負偏鄉離島醫療的重責大任特別台東也是這樣的情形 |
| transcript.whisperx[335].start |
10028.658 |
| transcript.whisperx[335].end |
10053.171 |
| transcript.whisperx[335].text |
雖然我們一般鋼筋混凝土建築的使用年限大概有五、六十年其實很多的建築特別是靠海的超過四十年之後很多可能都出現耐震不足、牆面均裂還有管線老舊的問題早期的建築工法跟現在技術有相當的落差特別甚至早期還有很多海砂屋的情況 |
| transcript.whisperx[336].start |
10055.092 |
| transcript.whisperx[336].end |
10081.968 |
| transcript.whisperx[336].text |
加上就是說台東很多靠海的衛生所像泰瑪里、蘭嶼受到海風沿海的影響建物老化的情況很嚴重台東的衛生所跟渡惠區的衛生所有很大的差異因為偏鄉衛生所同時都要肩負醫療的服務項目所以我們衛生所在偏鄉扮演的角色是相當重要台東有16個衛生所 |
| transcript.whisperx[337].start |
10083.989 |
| transcript.whisperx[337].end |
10098.875 |
| transcript.whisperx[337].text |
很多的衛生所建築都相當老舊將近有一半這個屋齡其實都是像30到39年關山海端碑南東河那再來就是超過40年以上的這個鹿野太麻里鹽坪 |
| transcript.whisperx[338].start |
10099.955 |
| transcript.whisperx[338].end |
10127.622 |
| transcript.whisperx[338].text |
衛生所這個都很需要來重建或者是耐震補強甚至這個空間整修裝潢所以我在這裡希望中央可以支持就是我們這些老舊的衛生所重建以及整修那這個部分我們是不是在特別是從這個屋齡40年以上我們可以優先來處理這樣子好 |
| transcript.whisperx[339].start |
10129.233 |
| transcript.whisperx[339].end |
10148.434 |
| transcript.whisperx[339].text |
跟委員說明我們也有跟衛生局去溝通所以由衛生局先去盤點那麼當然這個屋齡是一個考量另外屋況也很重要就是當時候它的建築到目前為止那麼它的老舊程度跟安全程度這個都會一併要入考慮那目前看起來 |
| transcript.whisperx[340].start |
10148.994 |
| transcript.whisperx[340].end |
10173.562 |
| transcript.whisperx[340].text |
盤點之後大概有五家啦會優先自列為這個優先要改建或者是重建的我們會來這個優先支持好 謝謝那我在這裡快速給院長一個數字就是我們勞動部根據這個勞工健康保護規則事業單位大概要300人300人呢 |
| transcript.whisperx[341].start |
10176.607 |
| transcript.whisperx[341].end |
10193.888 |
| transcript.whisperx[341].text |
五到五十到三百元 中間大概就是五千元的戶口那目前呢 至少有五千三百萬位甚至到五萬九千個戶口轉變職場 業務大幅上升從這個中間的經濟不斷的下降 |
| transcript.whisperx[342].start |
10209.896 |
| transcript.whisperx[342].end |
10210.196 |
| transcript.whisperx[342].text |
好 謝謝好 謝謝 |
| transcript.whisperx[343].start |
10224.448 |
| transcript.whisperx[343].end |
10241.951 |
| transcript.whisperx[343].text |
好 謝謝請行政部門書面答覆陳一委員所提的資料需求 謝謝謝謝陳一委員質詢 謝謝主委長 相關部會首長貝勳 謝謝接下來我們今天口頭質詢最後一位委員我們請陳昭之委 請質詢 |
| transcript.whisperx[344].start |
10252.935 |
| transcript.whisperx[344].end |
10255.822 |
| transcript.whisperx[344].text |
謝謝主席 有請卓院長再請卓院長備詢 |
| transcript.whisperx[345].start |
10265.744 |
| transcript.whisperx[345].end |
10282.649 |
| transcript.whisperx[345].text |
陳偉豪院長好 我們這場質詢 詢答之後您就可以好好休息一下辛苦院長了不會 謝謝院長我們過去都在擔心酒駕的問題那現在我們多了一項煩惱跟焦慮獨駕就是獨駕的問題那院長您知道為什麼獨駕越來越多了呢 |
| transcript.whisperx[346].start |
10284.568 |
| transcript.whisperx[346].end |
10311.929 |
| transcript.whisperx[346].text |
毒價的問題它隨著整個毒品的新興毒品越來越多會氾濫而且年齡層下降但重點是我們現在有用唾液來篩檢所以我們發現更多的毒價我直接告訴您因為它的吸食太方便了過去的這個毒品你可能要注射要鼻吸就是可能要躲在房間裡坐等等等等但是它現在太方便了因為這是涉及我的專業伊托米子它是醫療上的短效麻醉劑然後它的藥效很強 |
| transcript.whisperx[347].start |
10312.349 |
| transcript.whisperx[347].end |
10335.17 |
| transcript.whisperx[347].text |
一點點量就可以發揮作用然後它很容易融入那個煙油裡面很容易吸收你知道嗎甚至不要幾分鐘幾十秒它就可以讓人得到快感然後現在氾濫成災又很容易取得所以請院長看一下這張圖你看這個是國建署提供的這個電子物化器他們用來吸食這個新興毒品像伊托米子就是 |
| transcript.whisperx[348].start |
10336.652 |
| transcript.whisperx[348].end |
10353.563 |
| transcript.whisperx[348].text |
這個吸食者可以任意加入任何東西在這個物化器裡面那剛剛我提到因為現在伊脫米子基於他剛剛那個特性然後他又很容易取得所以現在很多人把這個伊脫米子放在這個電子煙的物化器裡面然後他開車的時候 |
| transcript.whisperx[349].start |
10355.044 |
| transcript.whisperx[349].end |
10369.534 |
| transcript.whisperx[349].text |
隨口方便想要就一口就吸了吸了一口這簡直非常的方便所以現在你可以看到酒駕獨駕的這個肇事案件只要警察一搜車上都搜出了依託米紙 |
| transcript.whisperx[350].start |
10370.514 |
| transcript.whisperx[350].end |
10392.205 |
| transcript.whisperx[350].text |
所以這個院長非常的這個事情是非常的嚴重因為他吸食太方便了那現在有人在公共政策平台上有人在發起連署他寫說希望政府把這個電子煙的物化劑列為列在毒品妨礙條例當中的一個這個毒品吸食工具來列管你有支持這樣的做法嗎 |
| transcript.whisperx[351].start |
10392.805 |
| transcript.whisperx[351].end |
10408.975 |
| transcript.whisperx[351].text |
電子菸本來就是一個劣管的違禁品他現在是指那個載器就是載具就是放這個那個載具也要劣管因為過去它只是一個菸品的劣管現在要到毒品的劣管不知道您的想法是否支持或同意因為有人在連署了 |
| transcript.whisperx[352].start |
10409.355 |
| transcript.whisperx[352].end |
10432.797 |
| transcript.whisperx[352].text |
我們現在已經是電子間它載具是一個違法的違禁品但是任何有助於這種吸毒的行為讓它減緩下來遏止下來的任何的措施我們都會努力研究院長我一說放在毒品的條例是不一樣任何有助於防毒的這個工作我們都會全力來研究怎麼樣讓它有效成為一個處罰上可行的政策 |
| transcript.whisperx[353].start |
10433.557 |
| transcript.whisperx[353].end |
10455.591 |
| transcript.whisperx[353].text |
我今年也代表了立法院的市長團去WHA就是市長團今年大概有幾個突破但是其中最重要的一個突破大概應該是雙部長的出現文金交融部長也能夠出席一些重要的交流活動我還看到大概超過200個人從海內外從國內外就是不同地方到日內瓦為台灣加油打氣 |
| transcript.whisperx[354].start |
10456.471 |
| transcript.whisperx[354].end |
10481.037 |
| transcript.whisperx[354].text |
但是院長我想請教你的是請問你有掌握資訊就是在WHA會中因為我們進不去到底有多少邦交國跟非邦交國幫我們講話呢你有講過這個資訊嗎我不一定要知道是誰或多少每年五月下旬這個WHA的盛會都是我們國家在展現我們主體主權的一個非常重要的場合今年非常感謝 |
| transcript.whisperx[355].start |
10482.017 |
| transcript.whisperx[355].end |
10510.234 |
| transcript.whisperx[355].text |
有11個邦交國就是他的正式的組織的成員國11個在會中幫我們說話了另外還有15個理念相近的國家雖然跟我們沒有講也幫我們在裡面講出台灣的重要性我們非常感謝謝謝院長 院長你有掌握但是我要請教你從倡議加入WHA到今天29年那您覺得我們台灣距離WHA是越來越近 |
| transcript.whisperx[356].start |
10511.375 |
| transcript.whisperx[356].end |
10533.901 |
| transcript.whisperx[356].text |
還是越來越遠 請問現在距離有多遠我們每次都到門口到門口 但是進不去還要再努力 國際政治的現實 以及中國刻意的打壓他不發邀請等等 都是在這個過程當中盡量的要打壓台灣但是我們的距離 至少我們可做的 我們做到極致就是29年來還是站在門口啦 |
| transcript.whisperx[357].start |
10534.661 |
| transcript.whisperx[357].end |
10561.495 |
| transcript.whisperx[357].text |
這個是一個事實我本來要問你說到底越來越近還越來越遠因為川習會當中他有提到說兩個大國美中提到說最重要問題竟然是台灣問題我沒有想到我們三位立委在跟瑞士的國會議員交流的時候他們就竟然提出了這個問題問我們結果兩個大黨推我先講後來我們三個都發言了我的一開口當然我講了不少我一開口就說非常遺憾兩個國家在討論台灣但是台灣不在場 |
| transcript.whisperx[358].start |
10563.976 |
| transcript.whisperx[358].end |
10581.686 |
| transcript.whisperx[358].text |
所以我們似乎沒有權利去掌握我們自己的命運我現在要請問院長您認為台灣跟中國的最適當的距離是什麼在維護國家主權的同時能不能避免被國際組織排除尤其是我們的強項健康醫療照護 |
| transcript.whisperx[359].start |
10583.628 |
| transcript.whisperx[359].end |
10598.881 |
| transcript.whisperx[359].text |
公衛這個都是我們強項我們面對WHA WHO的時候您認為我們的最適距離是什麼可以簡單回答嗎分兩種第一個我覺得台灣跟中國的交流我們願意在健康永續平等而且尊嚴的狀況之下直接的跟他交流 |
| transcript.whisperx[360].start |
10599.702 |
| transcript.whisperx[360].end |
10614.544 |
| transcript.whisperx[360].text |
第二個如果要防制中國武力的各種威脅台灣應該結合跟我們理念相近國家一起形成一個民主防禦的堅強的一道夥伴就是在維持印太地區的整個安全跟穩定這兩個部分要分開 |
| transcript.whisperx[361].start |
10615.184 |
| transcript.whisperx[361].end |
10633.937 |
| transcript.whisperx[361].text |
能夠聽到更具體的答案不過這是您大概一向的標準答案也是用了很多年了不過就是我就把我們遇到的狀況就讓院長知道他們是直接對我們提問想大家了解我們身為民意代表我們的想法是什麼院長面對少子女化的問題總統賴總統在擔任副總統所以2022年跟2023年他接見那個誘奪獎的這個得獎的時候他講了一句話 |
| transcript.whisperx[362].start |
10640.501 |
| transcript.whisperx[362].end |
10660.619 |
| transcript.whisperx[362].text |
年輕夫妻家庭如果因為生理因素而沒辦法生政府應該要優先解決那麼他在執政兩週年的演講中他也再度提到年輕人想生但卻因為生理因素沒有辦法生等等也就是說總統一直以來他都把這個問題很清楚放在心上台灣社會一直存在一群人 |
| transcript.whisperx[363].start |
10661.3 |
| transcript.whisperx[363].end |
10689.645 |
| transcript.whisperx[363].text |
他想生養但是因為身體跟生理的因素而沒有辦法如願他認為政府是有責任要協助解決的請問院長民進黨的少子女化的政策對於生理因素無法生育的解決方案是什麼政府的政策不僅希望大家能夠多生育對這種因為生理狀態無法生育的人我們也願意從人工生殖各方面來進行所必要的一些補助我知道你們就是一直談補助 |
| transcript.whisperx[364].start |
10690.825 |
| transcript.whisperx[364].end |
10719.663 |
| transcript.whisperx[364].text |
你們一直談普渡但是卻無視一群先天後天子宮或其他重大疾病直接相關疾病子宮有病變的人你們就是放任代理孕母制度被醜化黑化而且讓人工生殖法就年久失修了一直就是不願意去面對因為我必須跟你報告我擔任立委以來我兩回遇到賴總統是很靠近的這個地方我問總統說您是否還支持代理孕母法案為什麼呢 |
| transcript.whisperx[365].start |
10719.983 |
| transcript.whisperx[365].end |
10748.505 |
| transcript.whisperx[365].text |
因為他是台灣第一個提出代孕法案的立法委員在2002年賴總統兩次都回答我說我當然支持啊甚至說他要找執政黨立委來跟我溝通這代表說賴總統強調正是他所謂的想生但是因為生理或是身體有困難是需要解決的問題那卓院長您在意此事嗎?您要推動嗎?還是幾位部長都異性南山呢?根本無法去體察民意呢? |
| transcript.whisperx[366].start |
10749.161 |
| transcript.whisperx[366].end |
10778.168 |
| transcript.whisperx[366].text |
我很清楚委員對於代理這個制度常年來推動我也很願意你願意推動嗎你很機會賴總統這樣回答我你也可以跟他求證啊我們很願意往前跨一步衛福部經過多次的這個相關座談會跟相關的這個攤單位現在正反兩邊的意見還是有點懸殊我們必須做更多的社會沒有懸殊 院長你用的取樣是不對在平台上不能取樣你沒有用民意調查衛福部曾經把代孕放在行政院 |
| transcript.whisperx[367].start |
10779.549 |
| transcript.whisperx[367].end |
10799.685 |
| transcript.whisperx[367].text |
但被姓平會否決掉了因為你根本出不了衛福部大門啊2024年其實衛福部公告的裡面內容是含著大運法案結果引來執政黨一群立委他就開記者會用這個失真的論述等一下我會談這個部分就是失真的論述逼迫衛福部 |
| transcript.whisperx[368].start |
10800.225 |
| transcript.whisperx[368].end |
10814.011 |
| transcript.whisperx[368].text |
退縮然後說改口就說要脫鉤處理先處理所謂的什麼女女的同志跟單身女性的部分然後再來用專法處理脫鉤處理專法的這個代孕的部分請問拖多久了 |
| transcript.whisperx[369].start |
10815.043 |
| transcript.whisperx[369].end |
10834.05 |
| transcript.whisperx[369].text |
根本就零進度嘛我就了解根本就零進度啊所以事實上你們就是用專法脫鉤為名啊兩句話跟我們報告那你也看得出來行政院是有在努力各方的嘗試再來至少這個問題漸漸會收斂到現在我們局限在幾大面向來做更多的社會溝通 |
| transcript.whisperx[370].start |
10834.81 |
| transcript.whisperx[370].end |
10857.894 |
| transcript.whisperx[370].text |
我再跟您報告因為他們一直以用施針的論述一直以來有部分人是故意說代理母是違反國際聯合國人權精神甚至說CEDAW直接禁止代孕但是聯合國從來沒有明文禁止代孕CEDAW的核心的問題是要消除對女性的歧視要保障女性自主要保障女性的生育自主權從來不是全面否定代孕制度 |
| transcript.whisperx[371].start |
10858.875 |
| transcript.whisperx[371].end |
10883.656 |
| transcript.whisperx[371].text |
臺灣的反對代孕者錯誤的引用聯合國的報告他根本不是聯合國的正式報告他是一位聯合國的特別報告者叫 Reem Elsalam他曾經對商業代孕商業代孕的女性剝削風險提出批評跟離略但是特別報告員的意見不代表聯合國的意見聯合國正式公約的義務所以院長簡報上這位律師澳洲律師Steven Page他就指出 |
| transcript.whisperx[372].start |
10884.457 |
| transcript.whisperx[372].end |
10908.257 |
| transcript.whisperx[372].text |
特別報告員沒有引用很重要的美中人權法案墨西哥最高法案哥倫比亞憲法法院的人權裁決這些裁決都提到訴求單元是人權問題他就直接講human rights of assessing surrogacy也就是前述的特別報告員他刻意忽略了一些重要的因素所以這樣的 |
| transcript.whisperx[373].start |
10909.378 |
| transcript.whisperx[373].end |
10933.72 |
| transcript.whisperx[373].text |
意見會公正嗎那部分執政黨立委就拿這個錯誤的論述那簡化成說聯合國禁止代孕那拒絕理性的討論拒絕理性的討論我們怎麼樣建立一個周全的自主在這個醫療安全在知情同意在保障女性自主的前提下我們來避免商業剝削跟這個權利不對等啊就是用錯誤的論述啊院長就是今天我談的你都是可以去查證的 |
| transcript.whisperx[374].start |
10934.781 |
| transcript.whisperx[374].end |
10953.967 |
| transcript.whisperx[374].text |
那剛剛您也提到目前政府對少子化的這個少子女化的這個對策就是補助補助再補助除了補助好像沒有其他更好的方法面對願意生養還是要面對願意生養但是有困難生養有生理問題即便科技科學醫學科技有解 |
| transcript.whisperx[375].start |
10955.356 |
| transcript.whisperx[375].end |
10971.01 |
| transcript.whisperx[375].text |
一直存在一直訴求就是迴避院長您不覺得您對這一群人也是你的子民啊太殘忍了嗎我們對於人口對策你不覺得對我跟對我後面這一群人太殘忍了嗎兩個部分我們對人口對策除了多補助之外我們還有減負擔 |
| transcript.whisperx[376].start |
10972.131 |
| transcript.whisperx[376].end |
10992.044 |
| transcript.whisperx[376].text |
還有多彈性還有減壓力不是那對於就是說現在社會其他的國家世界國家我們可以去吸引吸取這些已經合法代理孕母制度的國家他們執行之後對整個 |
| transcript.whisperx[377].start |
10993.704 |
| transcript.whisperx[377].end |
11021.129 |
| transcript.whisperx[377].text |
自主權、社會價值、風險移轉有沒有值得我們可以學習的我希望會不會能夠去學習這一步從2018年到2025年政府為了處理少子女化的問題公編列了這個數字你可以查5931億但是台灣生育仍然是全世界倒數第一名近期是0.65你知道穩定人口數是要1.2所以等於我可以這樣講6000億如同石沉大海 |
| transcript.whisperx[378].start |
11021.889 |
| transcript.whisperx[378].end |
11043.039 |
| transcript.whisperx[378].text |
石沉大海那我這樣說並不誇張部長你看這張圖你就知道了所以院長不好意思院長這張圖每個人都熟悉這張圖人口直直落就是花錢就如石沉大海院長台灣勞工平均薪資4.8萬但是有70%的人低於平均 |
| transcript.whisperx[379].start |
11044.019 |
| transcript.whisperx[379].end |
11070.602 |
| transcript.whisperx[379].text |
那很多人都不敢生養小孩喔那就是怕陷入這個經濟的困境殷董你看到這種雪崩式的這個出生人口數我想請問你你有感覺嗎你害怕嗎你擔心嗎你有沒有感覺我們在2024年520之後就重新檢驗台灣的人口政策那麼到去年底我們再度發現比我們預期的狀況還要快速的往下降所以我們去年底就開始研究人口對策一個新的戰略 |
| transcript.whisperx[380].start |
11071.322 |
| transcript.whisperx[380].end |
11087.419 |
| transcript.whisperx[380].text |
還有一件事因為政府一直在誇耀經濟成長率今年應該是高達8%我昨天看到還有一些說第一季有13點多但是我刻意問了我身邊的人包括立法院的購物車司機議事人員我過去的同事我問了很多人 |
| transcript.whisperx[381].start |
11088.14 |
| transcript.whisperx[381].end |
11112.952 |
| transcript.whisperx[381].text |
他們不斷對你所謂的政府所謂的經濟成長率無感而且還說物價一直上漲我們的生活困難度越來越高所以院長試問如果他們都感覺自己養不好自己養不活自己那年輕世代誰敢生養小孩呢所以當政府在誇說經濟成長率一直提高那基層卻感覺生活是越來越困難你知道這樣會引起人民的反感 |
| transcript.whisperx[382].start |
11116.937 |
| transcript.whisperx[382].end |
11128.671 |
| transcript.whisperx[382].text |
從去年去年到現在尤其這三個月以來我們穩定我們的物價政府做了許多的努力所以物價CPI還是維持在單月都可能在2以下您可以學我一樣去問 |
| transcript.whisperx[383].start |
11130.053 |
| transcript.whisperx[383].end |
11146.609 |
| transcript.whisperx[383].text |
我知道 我完全了解台灣的財富我問過幾個專家台灣的財富有50%以上有人說60%以上是集中在這個20萬到30萬人也就是1%那如果扣掉 院長麻煩你聽清楚我的問題如果扣掉AI跟半導體產業的貢獻 |
| transcript.whisperx[384].start |
11148.331 |
| transcript.whisperx[384].end |
11165.587 |
| transcript.whisperx[384].text |
那麼經濟成長率大概剩多少呢我是不是請院長拜託院長能夠責成主計總署將這個AI半導體的產業貢獻先排除然後再告訴我們這些移下來的這個去年排除高科技我們還有2.7%左右排除高科技那還是略高於其他的國家 |
| transcript.whisperx[385].start |
11167.209 |
| transcript.whisperx[385].end |
11181.35 |
| transcript.whisperx[385].text |
院長麻煩你把這個數字跟計算方式用正式公文給我主計總數有現成的資料我可以提供給委員我們需要這個資料因為這麼少數人有感這麼多人無感你真的要考慮每一個人的感受 |
| transcript.whisperx[386].start |
11182.031 |
| transcript.whisperx[386].end |
11198.427 |
| transcript.whisperx[386].text |
那之前出生率一直掉尾巴的男孩去年的生育率只跌回升增加到3.6%這張圖你看他往上翹那和生育率高度相關的這個結婚率也上升喔結婚率 |
| transcript.whisperx[387].start |
11199.789 |
| transcript.whisperx[387].end |
11219.963 |
| transcript.whisperx[387].text |
我們大家都想知道南韓做對了什麼那除了增加當然您剛剛提到的育嬰津貼、育嬰假這些我們都有我知道可是南韓在去年6月他宣布怎麼樣呢他宣布他進入人口國家緊急狀態他那時候還有0.72我們近期才0.650.72就宣布國家進入緊急狀態他成立一個國家級的指揮中心 |
| transcript.whisperx[388].start |
11226.397 |
| transcript.whisperx[388].end |
11244.645 |
| transcript.whisperx[388].text |
然後增加生育宅的供應量你殖民免稅額提高然後提高男性的賠產價同事分攤業務的補貼因為你請假那同事要分攤業務還有有善育兒的企業的獎勵等等他的意思是讓整個社會來支持生育 |
| transcript.whisperx[389].start |
11245.365 |
| transcript.whisperx[389].end |
11268.479 |
| transcript.whisperx[389].text |
用整個社會 南韓在2024年少子化的對策報告中檢討他過去發放的育兒津貼的思維他用全方位的方式來改善結構性的問題讓生育變成不是個懲罰 是個優惠他們有列出三件事情他們認為是造成堵卻生育的原因 其實跟台灣很像一個就是房價 一個就是職涯中斷 |
| transcript.whisperx[390].start |
11269.68 |
| transcript.whisperx[390].end |
11289.023 |
| transcript.whisperx[390].text |
就是因為你要照顧小孩等等那你的職業還中斷嘛第三個就是生活成本高其實跟台灣是非常相像的那我們再來看台灣過去台灣十年的初結婚率這個有它的定義也在下跌喔那去年111人力銀行做了調查有八成的人表示 |
| transcript.whisperx[391].start |
11289.884 |
| transcript.whisperx[391].end |
11310.868 |
| transcript.whisperx[391].text |
低薪高房價讓他們不敢結婚育兒那我們再看另外一個數字叫做去年台灣的房價所得比院長你知道房價所得比我是採用內政部的公式就是房價總價然後除以可支配的這個所得我們也是繼續攀升啦這個越高當然越恐怖啦院長你有掌握台灣跟先進國家這些數字嗎有或沒有 |
| transcript.whisperx[392].start |
11312.328 |
| transcript.whisperx[392].end |
11334.319 |
| transcript.whisperx[392].text |
我下面給你聽台灣在已開發國家非常的高我們大概是21到2525一定是台北韓國是22新加坡22到23日本是11到12英國德國是8到9法國加拿大是10美國是3到5那根據世界銀行跟這個國際住宅研究合理是3到5偏高是5到8 |
| transcript.whisperx[393].start |
11335.459 |
| transcript.whisperx[393].end |
11358.335 |
| transcript.whisperx[393].text |
負擔沉重價8到10嚴重失衡是大於10嚴重失衡是大於10我們台灣的平均是21到25這個非常非常失衡嚴重年輕人看不到未來當然他不要有下一代所以院長南韓也是高房價國家剛剛我也念到數字那這次南韓經驗非常清楚他20年來殺的錢是多少呢360兆韓元相當於7.5兆的這個 |
| transcript.whisperx[394].start |
11361.775 |
| transcript.whisperx[394].end |
11382.711 |
| transcript.whisperx[394].text |
新台幣但是各種補貼都沒有用啊所以重點說怎麼樣讓社會有一個安心生養的氛圍整個社會讓我們安心生養這個氛圍不是讓生意成為一種懲罰或是說讓這個補貼成為一種好像補償金這個概念是不能存在的那我們談到房價政府一直說要打房 |
| transcript.whisperx[395].start |
11383.652 |
| transcript.whisperx[395].end |
11400.384 |
| transcript.whisperx[395].text |
那個院長你也不會否認嘛本來在這一屆的總統競選的時候說以過去的基礎再增加大概13萬戶左右的社會住宅那現在是跳票我們看不到這個部分打房決心跟對年輕人的支持南韓祭出了非常嚴格的打房政策 |
| transcript.whisperx[396].start |
11401.044 |
| transcript.whisperx[396].end |
11416.953 |
| transcript.whisperx[396].text |
他對於持有多房的官員他禁止參加房市政策的討論而且韓總統把自己的公寓低價賣出去了你知道這種做法就是在告訴他們的人民說政府是玩真的 |
| transcript.whisperx[397].start |
11418.474 |
| transcript.whisperx[397].end |
11440.771 |
| transcript.whisperx[397].text |
院長人性在這個政治環境裡面就會發揮到極致了就是當你每一個人看到新規或是新法的時候第一個就會想說這對我是好還是壞對我是有利還是有弊這是難免人性難免的所以為什麼我們做很多政策要排除所既得利益者而且政府官員要 |
| transcript.whisperx[398].start |
11441.932 |
| transcript.whisperx[398].end |
11449.46 |
| transcript.whisperx[398].text |
以身作則才有效用所以院長政府的打房學金真的在嗎在哪裡國人還看不到 |
| transcript.whisperx[399].start |
11450.106 |
| transcript.whisperx[399].end |
11472.709 |
| transcript.whisperx[399].text |
是 我也應該記得這個中央銀行有提出了七波的打草房的政策現在還在持續當中對房市有起碼的穩定另外我們也推出了至少穩定在現在這個階段那我們也推出了親安 新親安等等的策略那現在我們又從社會住宅衍生出青年住宅以及婚育宅就是希望給年輕人更多一層的保障 |
| transcript.whisperx[400].start |
11474.071 |
| transcript.whisperx[400].end |
11485.627 |
| transcript.whisperx[400].text |
時間有限 院長您說穩定 您甚至還不敢說有開始下降我只要告訴你說 那麼多年了 那麼久了就算有下降 您剛剛說是穩定而已就算有下降也無感了 因為太久了 |
| transcript.whisperx[401].start |
11486.644 |
| transcript.whisperx[401].end |
11505.435 |
| transcript.whisperx[401].text |
那個漲幅實在太大我們希望社會的經濟是穩穩的來做調整而不是起伏太大這樣對誰都沒有實質上的好處的穩穩的來穩穩的操控那我們希望這個年輕人可以得到更多的支持我們是嚴重失衡嘛在國際的標準我們是嚴重失衡人家是大於20嘛 |
| transcript.whisperx[402].start |
11506.135 |
| transcript.whisperx[402].end |
11529.214 |
| transcript.whisperx[402].text |
好 過年前賴總統說要保護這個民間的茶區民間 南投的民間鄉那反對興建焚化爐這是賴總統講的喔但是年後3月15號他說南投縣的垃圾要採雞尾酒療法可是沒有人懂這個是什麼意思他就是一個多重方式 多元化的解決我要跟你說一些重要的資料4月16日農業部陳部長回答這個民間的焚化爐的內容 |
| transcript.whisperx[403].start |
11533.638 |
| transcript.whisperx[403].end |
11560.392 |
| transcript.whisperx[403].text |
他說焚化爐的場址現在都位於特定農地區農業區那除非特殊情況是不可以改做其他用途而且他說我還沒有收到南投縣政府的農地變更申請也就是說農業部基本上是不同意農地變更的他跟賴總統的態度一樣就是說不贊成民間焚化爐的設立那既然如此那反對民間焚化爐的話這個清楚賴總統跟農業部為什麼財政部 |
| transcript.whisperx[404].start |
11564.013 |
| transcript.whisperx[404].end |
11573.219 |
| transcript.whisperx[404].text |
國產署去年3月20號以行政院名義你看左邊用行政院名義核定給南投縣政府7.5公頃的國有土地為什麼還不撤銷 |
| transcript.whisperx[405].start |
11574.771 |
| transcript.whisperx[405].end |
11594.796 |
| transcript.whisperx[405].text |
這樣子行政院是要跟總統做對嗎縣政府提出的跟財政部提出是用促參的方式的條文來提出那這要怎麼使用的用途現在縣政府還在跟地方說明他沒有提出來所以現在全責在縣政府他提出來之後農業部就會依照特定農業區使用的限制來做定奪 |
| transcript.whisperx[406].start |
11595.576 |
| transcript.whisperx[406].end |
11620.91 |
| transcript.whisperx[406].text |
現在一切的活動包括他啟動純化爐的環評包括他啟動篡球界定會議全部都根源於這封信就是行政院的核准談你知道這個核准談讓農民居民多辛苦嗎大熱天要去抗爭然後要去面對南投縣環保局無理的刁難跟密集開會他根本沒辦法回家好好工作生活農民居民他每天都要工作 |
| transcript.whisperx[407].start |
11621.73 |
| transcript.whisperx[407].end |
11639.589 |
| transcript.whisperx[407].text |
所以你要不要撤銷這個核准函呢這個核准函就是讓他就一直做下去啦現在的權限是在地方政府他只要依照他現在的使用目的提出的時候我們的農業部依照特定農業區另外環境部各部會也會來做最後的訂定農業部的態度是非常清楚的你不要撤銷就對了啦 |
| transcript.whisperx[408].start |
11642.692 |
| transcript.whisperx[408].end |
11656.599 |
| transcript.whisperx[408].text |
不是 他沒有提出來 我們現在沒案可以撤銷啊你跟院長 你跟總統的意見是不一樣好 我跟你講 我請你看一下10秒鐘的一張影片 這是民先將的這個環評在範疇界定會議室已經出現一堆程序問題了好 請院長看一下10秒鐘的影片我們剛剛有提到我們是不是想要跟這些議事進行開發單位不跟他講話 |
| transcript.whisperx[409].start |
11669.281 |
| transcript.whisperx[409].end |
11685.666 |
| transcript.whisperx[409].text |
因為我要指的就是說在沒有討論替代方案之前開發單位代表也就是南投縣環保局局長李毅書他竟然指揮會議的主席說我們下午的會議議程是什麼然後這種讓地方政府求援兼裁判 |
| transcript.whisperx[410].start |
11686.466 |
| transcript.whisperx[410].end |
11687.807 |
| transcript.whisperx[410].text |
所以我的重點在這個地方 院長 |
| transcript.whisperx[411].start |
11709.165 |
| transcript.whisperx[411].end |
11734.564 |
| transcript.whisperx[411].text |
院長你能不能承諾地方政府環保局的開發案不宜自己求援兼裁判不宜自己來做評審是不是要拉回環境部拉回第三方由中央政府來審理呢因為這是最基本的利益衝突跟迴避啊可以嗎院長你可以承諾嗎有些該屬於地方層級完成的他必須要大的層級來處理你聽到我這樣講嗎就是自家 |
| transcript.whisperx[412].start |
11737.046 |
| transcript.whisperx[412].end |
11751.289 |
| transcript.whisperx[412].text |
報告委員環天法現在的規定類似焚化爐這個事件的確是地方在審但是我們也會觀察這次的事件如果說他未來有違法的地方我們也會考慮要修法收回來我在這裡講基本的原則啊兩位院長部長 |
| transcript.whisperx[413].start |
11752.37 |
| transcript.whisperx[413].end |
11781.093 |
| transcript.whisperx[413].text |
自己家開發自己來審查求員兼裁判這個你們就要處理啊應該要壞這個是基本原則啊不是你在看他公不公平合不合理啊居民都說不合理我幫他們開了五次記者會啦你們都有派人來啊我們也都有把委員的意見來喊轉南投縣政府院長那我回答院長院長你剛剛覺得我講話沒有道理嗎你自己求員兼裁判你家要開發那你家自己整理你覺得這樣對嗎是但環評的程序也是行之多年 |
| transcript.whisperx[414].start |
11784.335 |
| transcript.whisperx[414].end |
11806.794 |
| transcript.whisperx[414].text |
他環評的程序行事多年,如果當中出現了問題,中央地方該來檢討的,我們就會檢討這樣你就是覺得說就是自己去做啦,不然中央政府需要中央政府嗎?他如果是在特定農業區,到時候農業部一定會有清楚的態度農業部有多少利益迴避的嗎?每個都是這樣子的你們要懂得什麼叫基本的利益迴避跟這個衝突跟迴避的問題 |
| transcript.whisperx[415].start |
11808.035 |
| transcript.whisperx[415].end |
11836.242 |
| transcript.whisperx[415].text |
好我現在請兩位就是部長還有院長你好好思考我提一個原則性的問題好有請勞動部洪部長我想請洪部長你一邊來我一邊在念我的題目根據勞基謝謝謝謝部長那個洪部長根據勞基法的規定勞工加班費會依據加班時數有每個小時1.34 1.67的倍率的計算方法我請教洪部長為什麼加班費要用倍率去計算 |
| transcript.whisperx[416].start |
11838.696 |
| transcript.whisperx[416].end |
11845.724 |
| transcript.whisperx[416].text |
主要是避免勞工會有超時加班工作然後會造成這個身體上面或過勞的情況 |
| transcript.whisperx[417].start |
11846.69 |
| transcript.whisperx[417].end |
11873.615 |
| transcript.whisperx[417].text |
我想大概ok啦八九十分ok啦補償勞工健康的耗損那避免資方濫用加班那鼓勵正常的工時就是所以才有這個倍數嘛好那謝謝部長我現在請問左院長那同樣道理難道公務員加班就不會過勞嗎就不會犧牲健康了嗎那院長你要不要支持調整加班費率讓公務員的辛苦能夠獲得回報啊 |
| transcript.whisperx[418].start |
11875.038 |
| transcript.whisperx[418].end |
11890.424 |
| transcript.whisperx[418].text |
跟委員報告公務員的禁用啦等等包括他的全續考期跟勞工是不一樣的我們對公務員有其他的各種不同的福利措施我在談的是最基本的東西對他的身體對他的加班是不是合理 |
| transcript.whisperx[419].start |
11891.064 |
| transcript.whisperx[419].end |
11894.128 |
| transcript.whisperx[419].text |
那為什麼勞工的加班費可以有這樣的倍數剛剛部長也回答了我也在做補充了那為什麼公務員不可以呢 |
| transcript.whisperx[420].start |
11908.81 |
| transcript.whisperx[420].end |
11928.837 |
| transcript.whisperx[420].text |
為什麼公務員就沒有備註 這請你考慮嘛對 公務員還是有限制的啊健康跟犧牲 每天每月不得超過的時數對 公務員還是有限制的啊每人加班的時數 每天也不能超過然後每個月還限制四十幾個小時咧那公務員每月不得超過二十小時 這個更嚴的限制啊 |
| transcript.whisperx[421].start |
11929.437 |
| transcript.whisperx[421].end |
11949.149 |
| transcript.whisperx[421].text |
院長就是說那個思考而且你在520的時候也說體育軍公教人員研議調薪我這幾天也有看到新聞那我就請問那公務員這個調薪部分你的進度在哪裡你知道公務員現在的報考率很低然後甚至這個留任率也很低不再像以前我們講的那個鐵飯碗了耶 |
| transcript.whisperx[422].start |
11951.104 |
| transcript.whisperx[422].end |
11980.039 |
| transcript.whisperx[422].text |
那你這個進度呢?這兩天有新聞啊你說大概調薪的東西這個有一些演繹啊公務員調薪有兩個時機一個就是一月一號開始用年度預算那如果現在公務員要在年中間調薪的話那我要請大院能夠支持追加預算你再看我一個數字齁就是你們審議軍公教人員待遇調整條例草案齁那個上面你看放多久了嘛那個感覺就是一再拖延一再跳票嘛就是說這個草案你什麼時候送到這個立法院來? |
| transcript.whisperx[423].start |
11981.239 |
| transcript.whisperx[423].end |
12008.836 |
| transcript.whisperx[423].text |
這個草案人事總署還在做最後的意見的總和還在吧對不對還在處理啊那這個好謝謝洪部長石部長你慢慢上來我在這一屆上任的第二天就去拜訪你我談到新藥納保納入健保這個審議進度要透明的議題那在多次的催促之下也謝謝你這個網站誕生了但是我收到一些民團的反應我想先請問部長 |
| transcript.whisperx[424].start |
12010.116 |
| transcript.whisperx[424].end |
12023.865 |
| transcript.whisperx[424].text |
這個網站是不是公開透明 可受公平的會擔心被查閱嗎 檢核嗎就是您公布的那個網站對 可以查 大家都可以查那現在問題是說已經生效全部下架你覺得合理嗎已經生效的部分全部下架 |
| transcript.whisperx[425].start |
12025.547 |
| transcript.whisperx[425].end |
12042.126 |
| transcript.whisperx[425].text |
這個資料應該是越完整越好啊你知道英國NICE也是都留在那裡啊隨時可靠公民錢可以做比較啊那為什麼一過來就要下架呢跟委員報告因為它這個是屬於幾戶進度啦所以它進度完了就不在這上面它已經納入健保了我有三個問題喔因為時間有限第一個 |
| transcript.whisperx[426].start |
12045.589 |
| transcript.whisperx[426].end |
12067.263 |
| transcript.whisperx[426].text |
為什麼已經通過了下架這個要保...NICE你不是學NICE嗎你還到去考察了第二個現在網站很陽春我希望在審核進度這個時間點能夠連結一些資料包括HTA醫療科技包括包括供你會記錄甚至病人反應的意見也可以做一些連結那第三個就是是不是可能藥品跟醫材都要試用這個原則那個醫... |
| transcript.whisperx[427].start |
12081.469 |
| transcript.whisperx[427].end |
12100.932 |
| transcript.whisperx[427].text |
好 謝謝好 謝謝陳昭志委員質詢謝謝卓院長 相關部會首長備詢 謝謝接下來曾嘉斌委員質詢以書面提出請行政院書面答覆並列入紀錄刊登公報抱怨會 |
| transcript.whisperx[428].start |
12102.179 |
| transcript.whisperx[428].end |
12115.071 |
| transcript.whisperx[428].text |
社會福利及衛生環境組諮詢已經詢答完畢本會期至2月24日起對行政院院長施政方針及施政報告進行諮詢已經於今天詢答完畢 |
| transcript.whisperx[429].start |
12116.941 |
| transcript.whisperx[429].end |
12132.659 |
| transcript.whisperx[429].text |
謝謝卓院長以及所有辛苦的相關部會首長列席的答詢在質詢結束之前我們請各位委員都坐好好嗎各位委員坐定位我們再請卓院長來說幾句話現在有請卓院長 |
| transcript.whisperx[430].start |
12144.398 |
| transcript.whisperx[430].end |
12170.404 |
| transcript.whisperx[430].text |
韓院長 江副院長各位委員先進本會期就是第十一屆第五會期從2月24號開始到現在進行將近三個月的總視訊時間容許本人在這裡向大院表達由衷的感謝在總視訊當中我們聆聽到朝野各委員先進提供給行政院非常多的建言 |
| transcript.whisperx[431].start |
12171.144 |
| transcript.whisperx[431].end |
12194.37 |
| transcript.whisperx[431].text |
也讓行政院的未來的施政有更清楚的方向這個部分我們會充分的在未來的這個政策的製政過程當中與納入跟考量那麼在答詢過程當中容許有不甚周到之處不甚完整之處我們會以書面以及其他的形式來向各位委員宣敬再做充分的說明 |
| transcript.whisperx[432].start |
12196.069 |
| transcript.whisperx[432].end |
12218.714 |
| transcript.whisperx[432].text |
我們一直認為國家現在正處於最好的時代當然也是面對最多考驗的時代站在AI的浪潮讓我們每天都感受到全世界對台灣的重視無論是我們整個經濟體的表現以及即將來的Computex的各種的展示都會讓台灣再度的備受國際的注目但是 |
| transcript.whisperx[433].start |
12219.674 |
| transcript.whisperx[433].end |
12235.919 |
| transcript.whisperx[433].text |
空前的挑戰也是有的我們從世界經貿關稅的新秩序的談判以及到地緣政治的不同的侵擾乃至於中東衝突事件都讓我們遭受一次又一次不同的衝擊那我們也在這個衝擊當中持續站穩的腳步 |
| transcript.whisperx[434].start |
12238.76 |
| transcript.whisperx[434].end |
12256.106 |
| transcript.whisperx[434].text |
我要再向各位先進再次的報告維護國家安全跟強化國防實力跟我們發展經濟跟科技是同等的作用我們必須用國家的主權國家的安全來保障我們經濟發展的成果所以我們會全力來做到各種的面向 |
| transcript.whisperx[435].start |
12257.026 |
| transcript.whisperx[435].end |
12275.893 |
| transcript.whisperx[435].text |
所以希望各朝野各黨團所有的委員先進能夠不分彼此不分黨派不分朝野的立場能同時來支持行政院關於經濟發展科技發展的各種政策跟預算也支持我們在維護國家主權跟安全特別 |
| transcript.whisperx[436].start |
12276.693 |
| transcript.whisperx[436].end |
12291.966 |
| transcript.whisperx[436].text |
均購的相關預算也支持未來我們針對台灣人口對策新戰略所提出的部分的預算的需求在今年或在明年能夠分別在不同的時程來展開各種的部署 |
| transcript.whisperx[437].start |
12292.591 |
| transcript.whisperx[437].end |
12309.525 |
| transcript.whisperx[437].text |
那麼為了這樣子有效的來全面的規劃我希望未來希望我們的特別軍購的國防特別預算大院能夠鼎力的支持那麼還在審的今年度的中央政府總預算也能夠加速整個審查的過程 |
| transcript.whisperx[438].start |
12310.245 |
| transcript.whisperx[438].end |
12331.408 |
| transcript.whisperx[438].text |
然而總諮詢結束之後會進入到非常密集的法律案的審查階段所以我們已經提出了行政院在現在的優先法案有財政一法、預算二法、住宅三法、環境四法、社福五法、組織六法、產經七法以及國安十三法 |
| transcript.whisperx[439].start |
12332.486 |
| transcript.whisperx[439].end |
12357.474 |
| transcript.whisperx[439].text |
再加上我剛剛所說的特別軍購的特別預算中央政府總預算以及人口對策新戰略的相關的預算都會請大院鼎力的支持那這些也會涉及未來許多相關法規的修正行政院也會陸續的提出這些都是攸關國人生計跟民生以及社會福利國家安全的各方面的發展 |
| transcript.whisperx[440].start |
12358.234 |
| transcript.whisperx[440].end |
12374.529 |
| transcript.whisperx[440].text |
除了大家的鼎力支持之外我們更有希望行政立法兩院共同回應國人高度的期盼讓我們真正來打造會期開始我說的一個更開放更富強而且更安全的國家再次向 |
| transcript.whisperx[441].start |
12375.806 |
| transcript.whisperx[441].end |
12394.6 |
| transcript.whisperx[441].text |
韓院長 江副院長 各位委員先生至上最高的謝意也謝謝所有大院的工作同仁們的辛苦我們在這裡雖然結束總諮詢但是我們彼此的努力繼續的展開國人還在看整個政府往前推定的力量有多大人民的幸福的道路就有多長謝謝大家 感謝各位 |
| transcript.whisperx[442].start |
12396.206 |
| transcript.whisperx[442].end |
12424.274 |
| transcript.whisperx[442].text |
好 謝謝左院長的報告與說明我們現在做以下決定一 將各委員會發言記錄及書面質詢函送行政院請就位答覆的部分予以書面答覆二 已經提出書面質詢尚未登載公報者一律補刊報告委員會依照黨團共識我們本次會議不處理臨時提案謝謝在場所有各位委員的一起參與我們今天的總質詢本次會議進行到此為止現在散會 |