{"id":149319,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149319","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/d6f3e02e0bf46d5ec4d26772b31f2f50886681d5001d2e43f8ba9b0039caa7a6bf7f96ea759d50d05ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"盧縣一","委員發言時間":"14:46:17 - 15:11:12","影片長度":"00:24:55","會議時間":"2024-03-05T09:00:00+08:00","會議名稱":"第11屆第1會期第3次會議（事由：一、對行政院院長提出施政方針及施政報告繼續質詢。\n 二、3月1日上午9時至10時為國是論壇時間。\n 三、3月5日下午1時50分至2時30分為處理臨時提案時間。）","meet":{"tmpMeeting":null,"title":"立法院第11屆第1會期第3次會議","id":"院會-11-1-3","type":"院會","term":11,"sessionPeriod":1,"sessionTimes":3},"date":"2024-03-05","duration":1495,"end_time":"2024-03-05T15:11:12+08:00","start_time":"2024-03-05T14:46:17+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":54,"blocks":[["盧委員縣一：（14時46分）有請陳院長。"],["主席：麻煩請陳院長備詢。"],["陳院長建仁：盧委員午安，恭喜你當選立委。"],["盧委員縣一：感謝陳院長，我先用族語介紹你是誰，我先用族語跟族人介紹你是誰：我要談話的對象，之前是副總統，現在是行政院院長。","今天我要討論的主題著重在原住民的問題，因為原住民的問題很多，就著重在交通跟醫療，還有一些我們的民生問題，以及運動員的問題。","先請問，目前在原鄉山地原住民地區的公車使用率是多少？"],["王部長國材：使用率還是涵蓋率？"],["盧委員縣一：涵蓋率。"],["王部長國材：涵蓋率初步已經到9成，當然班次還是不足，但基本上大概9成。"],["盧委員縣一：我幾乎都生長在原鄉，而且大部分服務的地點也在原鄉，我看到班次太少的問題，這是第一個；第二個，因為現在是著重環保的年代，不過看到的還是大型車輛，我覺得乘客人數跟道路使用應該要做一個modify，不是永遠都是那麼大的車在那麼小的路上行駛，不是嗎？對不對？"],["王部長國材：這個有，包括中型車跟現在的幸福巴士是用9人座，現在都有在進行中。"],["盧委員縣一：我想請問一下，現在幸福巴士做得最好的鄉是哪幾個鄉？"],["王部長國材：現在很多都做得還不錯。"],["盧委員縣一：你覺得最好的？或覺得前景……"],["王部長國材：尖石鄉做的不錯，尖石鄉有12條，像屏東霧台那邊也有很多，有的是用計程車去轉的，有的是用一般9人座還有中巴去轉。"],["盧委員縣一：對，沒有錯，因為現在原住民地區居住的地方都是非常偏遠，所以幸福巴士很重要。"],["王部長國材：是。"],["盧委員縣一：我去看過，我覺得目前做得最好的是卓溪鄉跟春日鄉……"],["王部長國材：都不錯……"],["盧委員縣一：部長，希望你如果有機會看的話，他們做得特別好的地方應該擴展到全省的原住民地區，讓長者在接送或是就業時能夠得到便利性，可以嗎？可以以他們作為模範擴及到全省各原住民鄉。"],["陳院長建仁：我們希望其他的原住民地區能夠跟這些好的來學習。"],["盧委員縣一：沒錯。那捷運呢？山地原住民地區有捷運嗎？"],["王部長國材：因為我們現在……"],["盧委員縣一：我告訴你是零。"],["王部長國材：對。"],["盧委員縣一：快速道路有嗎？"],["王部長國材：道路應該有。"],["盧委員縣一：快速道路有嗎？"],["王部長國材：快速道路有的有經過……"],["盧委員縣一：我告訴你是零，山地原住民地區。"],["王部長國材：因為我們必須分層級……"],["盧委員縣一：我要告訴你，就是以上除了有公車以外，捷運、快速道路跟國道，我們原住民地區都沒有辦法享受到，現在是2024年，當然我們這樣講是緣木求魚啦！我一直都在想什麼時候國道6號可以到花蓮？什麼時候國道10號至少可以延伸到甲仙？然後我住在屏東，是不是屏東能有一個國道或者是快速道路可以到墾丁？我們永遠都在想，每次政黨輪替的時候，他就會劃一條線，從潮州經過枋寮或者是經過原鄉地區沿山公路，接著劃到墾丁，然後說快要做了、要發包了，結果每次選完就沒有人再談這個問題。","我們有80幾萬人口住在屏東，而花東一條快速道路也沒有，我們只能看著人家走快速道路跟國道，西部已經有2、4、6、8、10號，還有62號一直到88號的快速道路，多得不得了，可是我們原住民地區卻連一條快速道路都沒有，所以至少花東快速道路應該要趕快執行……"],["陳院長建仁：有……"],["盧委員縣一：我想請問一下，花東快速道路什麼時候要做？"],["王部長國材：8月可行性報告會出來，今年8月可行性報告會提出來。我跟委員報告，就是剛才你提到的偏鄉，當然你如果講捷運或是快速道路到達偏鄉，因為我們有分大小……"],["盧委員縣一：我知道，我只是要做一個比較。"],["王部長國材：對！比如說骨幹，像花蓮，現在包括蘇花安、蘇花改都在做，事實上它旁邊有很多部落，都有……"],["盧委員縣一：所以我比較想要知道快速道路什麼時候可以做，就是花東快速道路，我知道已經核定了。"],["陳院長建仁：委員，現在是這樣，我們在做任何的道路建設都會先有可行性評估……"],["盧委員縣一：我知道。"],["陳院長建仁：可行性評估完了以後，再有綜合規劃，然後再進行……"],["盧委員縣一：我來之前有先看過這是有核定通過……"],["陳院長建仁：然後現在就是可行性評估已經報告上來了，我們核定以後就會再繼續進行綜合性的規劃，這個我們會加速來審議，至於什麼時候會進入到綜合規劃等等，那個就要……"],["盧委員縣一：希望在我有生之年可以看到花東快速道路，因為我是屏東人，我跟花蓮的人結婚，可是都已經結婚20多年了，我卻還沒有看到，只要車子一過潮州以後，我就開始享受野蠻人的生活。"],["陳院長建仁：這個屏東……"],["王部長國材：屏南的部分，剛才委員所提的這個，可行性已經完成了。"],["盧委員縣一：OK，我樂觀其成，我希望看到至少有動工，好嗎？"],["王部長國材：我們會加速。"],["陳院長建仁：我們的這項工作，在此也跟委員做一個報告，實際上，中央跟地方政府要一起來努力，因為有些可行性評估提出的意見在我們審完以後，會提給地方政府，地方政府會回我們意見，所以兩邊一起來努力。"],["盧委員縣一：明白，因為我很關心道路。","好，第二個就是我們原住民鄉鎮的道路，它不僅沒有進步，反而是解編，解編會造成它沒有經費可以來維修、來維護，當初在解編的時候，有沒有一個配套措施？"],["王部長國材：解編是在於地方政府……"],["盧委員縣一：沒錯。"],["王部長國材：它是縣道，他認為它層級不夠，要往鄉鎮的道路，這個是在地方政府，我們一般是尊重地方政府的決定。"],["盧委員縣一：所以我的意思就是，我們不僅沒有辦法享受到上面比較好的道路，我們鄉鎮道路還被解編，你不覺得是雪上加霜嗎？很可憐！然後原鄉的農路大部分都要靠水保局跟我們原民會的經費，我上次還協調過一個鄉鎮的需求，結果我發現那個錢只有幾百萬，可能只有修100公尺、50公尺吧！如果這條道路是有十幾公里的話，20年也沒有辦法維護好，不是嗎？所以交通部能不能把這些我們原住民鄉主要的聯外道路，不要因為解編了就完全不管了，不然我建議你可以去桃源區的寶山賞櫻，你可能會覺得那邊的花很漂亮，可是你在沿路所經過的那些馬路，根本就是你二、三十年前經過的馬路。"],["陳院長建仁：委員，我請原民會主委說明一下。"],["夷將．拔路兒主任委員：跟委員補充報告，的確有一些縣道、鄉道後來解編到原民特色部落道路的這個部分，過去幾年我們的預算的確不太夠，不過要謝謝交通部，從去年開始有一億六千多萬的養護費用編列到我們這邊來……"],["盧委員縣一：這是全國原住民地區的費用，根本就不夠！我們有多少個鄉鎮，對不對？"],["夷將．拔路兒主任委員：55個鄉鎮。"],["盧委員縣一：對，所以一億多一個鄉可以分到多少錢？200多萬吧？"],["夷將．拔路兒主任委員：正如剛剛委員提到的，其實縣道解編是在地方政府，所以我們要跟地方政府就這部分再多做溝通。"],["盧委員縣一：那我希望維護方面的經費能夠多一點，尤其農路是主要的聯外道路，之所以發生事故也都是因為路不好，不是嗎？"],["王部長國材：跟委員報告，縱然縣道解編到鄉鎮道路，仍屬於公路系統，我們的生活圈計畫還是有補助，不過它是往下到一般的原鄉農路或產業道路，這部分就變成在原民會……"],["陳院長建仁：對，在原民會。"],["盧委員縣一：我知道。因為上個禮拜有人找我，我才知道費用這麼少，我覺得那是杯水車薪，希望能夠編多一點預算給原民會好嗎？"],["陳院長建仁：委員，是這樣的，像這些解編的道路實際上是由地方政府負責主其事，所以它需要提出相關計畫，那我們看看地方政府執行的情形，我們就會來做滾動的檢討，看應該編列多少……"],["盧委員縣一：沒有關係，我會再繼續追農路與我們鄉鎮道路的安全性……"],["陳院長建仁：請他們提出相關計畫。"],["盧委員縣一：下一個主題是健康平權。大家都知道在原住民地區，尤其是山地原住民地區都是由衛生所在照顧我們的族人。我從91年服務到去年退休，衛生所的人員編制從來沒有改變過。我希望如果有所謂的升級，是從組織改造做起，我們先從第四項來看，也就是基於原健法設立專責機構，全面檢討原住民地區的衛生所型態。我們昨天跟薛部長有討論過照護司，如果照護司有專責機構的話，是不是能夠著手進行，全盤檢討原住民地區衛生所，看怎麼來升級？舉例來說，現在的編制是一個村莊一名護士，也就是如果這個鄉有六個村的話就有六名護士，屬正式人員。他要掌管非常多事情，疫情來的時候管疫情，平常的時候要防癌，登革熱來的時候要管登革熱，平常的一些行政業務也要管，若今天要行政相驗也要跟著去行政相驗，晚上還要值班，隔天還要上班，我們這樣的人力到底夠不夠應付如此繁重的工作？現在的醫療照顧越來越繁瑣與瑣碎，再加上長照，所以組織改造勢在必行！我希望看守內閣在這部分能幫我們確保衛生所可以升級，因為這是我在參選時向很多族人說的，是能夠打動他們內心的一個訴求。畢竟真正在照顧他們的是衛生所的醫護人員，也跟他們生活在一起。我希望組織改造裡能就原漢比例做適當的法律規定，如果不會講母語，不知道文化的人去那邊服務的話，可能在文化敏感度及對長者的關懷上會有落差。所以這方面一定要強調這點。","第二，升級不僅僅在硬體，我們有很多相對設施沒有到位，比如我們連自來水普及率都不高，很多地方都說他們要急診室，也要洗腎室，可是當我們連這些最基本的訴求都沒有的時候，談這些有什麼用？我當然想要衛生所升級，可是談何容易？但我們一定要把這件事情看得最重要，因為我們的平均餘命永遠都是比漢人、比主流社會少那麼多！雖然有在進步，可是我們認為不夠，可以嗎？"],["薛部長瑞元：首先跟委員報告，在民國97年時，原住民的平均餘命跟全國差了9.04歲。到111年的時候，內政部的統計看起來有改善，所以現在的差距大概在6.19歲……"],["盧委員縣一：我大概理解。"],["薛部長瑞元：111年的時候，所以差距其實已經有縮短了，這是第一點。","第二點，關於衛生所的部分，目前我們有兩個計畫，一個計畫正在送行政院這邊，就是偏鄉醫療改善計畫第二期，這部分就有涉及到衛生所的一些改建、擴建等等，第二個就是有關於衛生所的人力配置問題，跟委員報告，因為這個是屬於地方權責，但是我們在去年的時候已經提出了一個建議的方向，其中有一個部分是剛剛委員有提到過的，在行政工作上面，我們希望由縣市政府派人來承擔，不要像過去一樣讓衛生所的公衛護士同時去兼辦處理主計、人事等等業務，這些我們希望能予以取消，讓他們實際去做有關公共衛生跟醫療的服務。"],["盧委員縣一：我還特別要說的是，我們一直在發展觀光，可是在偏遠地區連就醫都這麼困難的時候，我們要怎麼樣來保障遊客的安全？所以把衛生室升級成至少是一個小型急診室也是勢在必行的，不然……"],["薛部長瑞元：這個我們也……"],["盧委員縣一：不然你一直推觀光，萬一晚上發生什麼事情，誰來處理？而且原住民地區距離都市都要1、2個小時以上的路程，夜路又加上有懸崖，也不能開快，對不對？"],["薛部長瑞元：對。"],["盧委員縣一：第二個就是原住民免部分負擔跟提高交通補助的部分，也就是說，我在原住民地區看病的時候，我這個身分是不用錢的，我們的健保代碼是68，可是如果原住民跑到高雄來看病，我就必須付部分負擔，就是這個是看地區而不是看人，所以我覺得應該要免部分負擔，因為原住民要到醫學中心看病是確實有需要才會去的，而且去的時候要翻山越嶺，不然就要家人請假開車載我們去，不然就是要包車，花了那麼多成本去那邊還要付部分負擔，你們覺得這樣合理嗎？"],["薛部長瑞元：有關這個部分，我跟委員報告，交通補助是本來就有的，但是如果……"],["盧委員縣一：是，可是沒有調整過！"],["薛部長瑞元：但是如果針對一個身分去做所謂的部分負擔免除的話，這可能要從長計議。"],["盧委員縣一：OK，沒有關係，我在衛環再修法看看，看看有沒有同仁可以一起幫忙。","我們一直在講免繳健保費，也是很多委員提過了，我就不再贅述。","最後一項是長者的智慧手錶，如果這個可以通過，其實很多偏鄉地區、不只是原鄉地區這些獨居的老人家就可以使用到，因為大部分老人家其實都是獨居，他們在家裡我們要怎麼知道他們到底安不安全？如果有個東西可以監測，至少監測他的生命徵象、可以定位他在哪裡的時候，很多年輕人在外面工作會比較放心，我們是不是可以朝這個方向來努力？可以嗎？"],["薛部長瑞元：跟委員報告，這個部分我們有二個計畫在進行，第一個是在花蓮豐濱，由慈濟醫院來協助執行，另外一個計畫是在臺東……"],["盧委員縣一：所以這個是由哪一個司在做？"],["薛部長瑞元：應該是我們的醫福會。"],["盧委員縣一：醫福會？"],["薛部長瑞元：醫福會，在豐濱跟成功，是由部立臺東醫院來執行的，現在正在進行。"],["盧委員縣一：OK，那我再來追它成效看看好不好。"],["薛部長瑞元：對，我們再看一下它的成效。"],["陳院長建仁：看一下成效啦。"],["盧委員縣一：第五項我提到原住民醫療，最主要是想說過去原住民在沒有現代醫療的狀況下，也跟大家一樣活到了現代，一定也有他的生活智慧，所以如果讓我們現在的醫生去學習一些已經量化或者經過驗證是OK的傳統藥材，也可以納入我們原住民醫療知識體系的話，我相信對我們長者在使用醫療時的意願會更高。"],["薛部長瑞元：這個部分我們中醫藥司有在進行這一部分的工作。"],["盧委員縣一：好，那我們進行下一個主題，就是我們的免巴氏量表。免巴氏量表不僅對族人來說是可以免去他的奔波，對很多我們的國人來講也是這樣，所以這個至少我在衛環這邊會努力地推出來，希望大家來認可這個提議，好不好？"],["薛部長瑞元：這個部分事實上就如同剛剛委員提到的，我們的多元評估方式已經開始推動，目前的人數可能不是很多，使用到這3類的大概有六千多人。"],["盧委員縣一：我知道，我大概有算過。","我們再來看自來水的普及率，這是我到每一個原住民地區都會遇到的問題，我們不是住在海邊就是住在溪流邊，不然就是住在深山，看到水卻不能好好地用水，不覺得這是很辛苦的一件事情嗎？所以我就去查了一下我們的普及率，請你看一下，目前山地原住民地區還是不到40%，如果加上簡易自來水也還不到8成，反觀都會區都是96%以上，請問你們有沒有一個進程或是有沒有規劃要怎麼樣來完成這個普及率？"],["王部長美花：因為在偏鄉或是原住民地區，大家非常分散，所以接管的成本確實是非常高，但是政府針對無自來水地區的經費都有相關的計畫，委員也很關心，所以我們加緊在進行，包括……"],["盧委員縣一：我想知道一年編的經費大概是多少？"],["王部長美花：現在的部分，譬如113年在原鄉部分也是有好幾億的經費來增加，但是也要跟委員報告，因為真的是很分散，所以接管上……"],["盧委員縣一：因為水的使用其實跟我們身體健康有很大的影響。"],["王部長美花：是，我們最近會去提明年度的預算，再提4年計畫，現在同仁有在跟相關的原住民專家討論，看看還有什麼其他比較創新的方法讓原住民地區可以有比較多的、好的水來使用，這個我們目前正在規劃當中，因為院裡面3、4月要提出來，所以可能規劃的方向在這裡面也會呈現。"],["盧委員縣一：我還是會請我們辦公室繼續追這個事情，好嗎？"],["王部長美花：是。"],["盧委員縣一：好，謝謝。","最後一項是關於照顧原住民運動員的問題，大家都知道常常代表我們國家的優秀運動員裡面，以選手數來說或就人口比例來講，我們確實是占了很優勢的位置，不過我們常常看到年輕的運動員因為家庭經濟因素還要四處去打工，有時候因為要去打工而騎摩托車，結果在路上就受傷了，就不能再練習了。我的期望是至少在區運或者亞運、有些世界級比賽如果得到前3名的運動員，就可以規劃他們在平時應該有每個月的營養費、教練費，或是買衣服、鞋子及一些相關設備的費用，或者是出國比賽的一些津貼，你們有這樣的規劃嗎？"],["潘部長文忠：謝謝委員，確實如委員所提到的，在最近的亞運，光我們原民的選手所占的比例就將近20%，得到很好的成績，為國爭光。我也跟委員報告，目前對原住民族選手的部分，我們也有特別考量一些措施，當然這裡面也包含我們對於他們從基層開始的優秀選訓……"],["盧委員縣一：目前我知道的補助好像只有針對名次的補助，並沒有針對我剛剛講的營養費、訓練費這些。"],["潘部長文忠：委員，應該說如果有做，對於相關選手現在國家是分為ABCD四級，這當中裡面也會包含營養費，當然我是說最基層的選手培訓。如果是像委員所提到的，他已經被列為國家國手的，尤其像是到國訓中心這邊的，其實相關的，包含他們的一些生活津貼等涵蓋的這方面……"],["盧委員縣一：都有嗎？"],["潘部長文忠：其實是比較完備的，而且最近才剛剛有新的調整，比如說雖然是在學的學生身分，但是在集訓的時間也有這樣的津貼。"],["盧委員縣一：那如果我再聽到說有國手去兼差打工呢？"],["潘部長文忠：委員，剛才我跟委員報告的，如果他已經進到類似我們的國訓中心，左營的這個國訓中心，基本上要去打工的機會應該是很少，像……"],["陳院長建仁：不需要。"],["潘部長文忠：對，不需要。"],["盧委員縣一：我是指如果他是得到比如說區運賽的前三名，你們有這樣的規劃嗎？"],["潘部長文忠：這部分可能……因為全國等於說中等學校運動會類似這個情況，那個還不到這裡……"],["盧委員縣一：我就希望原民會這邊可不可以考量我們原住民的選手？"],["夷將．拔路兒主任委員：跟委員報告，我們相關的原民的部分，我們有所謂得獎時候的一些獎助，不管是區運的、全國的或是國際性的比賽，我們都會有一些獎勵金，這個部分都會有提供。"],["盧委員縣一：是，我是覺得按照名次給獎勵是不夠的，我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙，而不要讓家長還要四處張羅他的生活，選手他也要考慮父母親的感受，結果到最後就完全都沒有辦法再繼續訓練，這是我對你的建議，可以嗎？"],["陳院長建仁：這個原民會可以來做比較不同的考量。"],["盧委員縣一：OK，本席的問題到此為止。謝謝。"],["陳院長建仁：好，謝謝。"],["主席：非常感謝盧委員縣一的質詢，也謝謝陳院長的答詢。","接下來我們請登記第41位李委員昆澤質詢。"]],"agenda":{"page_end":174,"meet_id":"院會-11-1-3","speakers":["韓國瑜","林宜瑾","黃仁","林俊憲","邱若華","陳素月","鄭天財Sra Kacaw","高金素梅","林月琴","盧縣一","李昆澤","許宇甄","何欣純","羅智強","張智倫"],"page_start":87,"meetingDate":["2024-03-05"],"gazette_id":"1130501","agenda_lcidc_ids":["1130501_00004","1130501_00005"],"meet_name":"立法院第11屆第1會期第3次會議紀錄","content":"施政質詢\n對行政院院長提出施政方針及施政報告繼續質詢─ 繼續質詢─","agenda_id":"1130501_00004"}},"transcript":{"id":"149319","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149319","tool":"pyannote","id":"149319-pyannote"},"job_id":"VK2jG63y5QGQTLFI","queued_at":"2024-06-02 11:24:53","status":"done","log":[{"time":"2024-06-02 11:24:53","msg":"downloading https://ivod.ly.gov.tw/Play/Clip/1M/149319"},{"time":"2024-06-02 11:24:54","msg":"downloading https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/d6f3e02e0bf46d5ec4d26772b31f2f50886681d5001d2e4326e8f58871d24fedd5a460e69db745675ea18f28b6918d91.mp4/playlist.m3u8"},{"time":"2024-06-02 11:25:37","msg":"converting mp4 to wav"},{"time":"2024-06-02 11:25:41","msg":"running 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1107.512, \"end\": 1136.349, \"text\": \"所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過\", \"words\": [{\"word\": \"所\", \"start\": 1107.512, \"end\": 1107.612, \"score\": 0.8}, {\"word\": \"以\", \"start\": 1107.612, \"end\": 1107.852, \"score\": 0.835}, {\"word\": \"這\"}, {\"word\": \"一\", \"start\": 1107.852, \"end\": 1108.112, \"score\": 0.857}, {\"word\": \"個\"}, {\"word\": \"我\", \"start\": 1108.112, \"end\": 1108.793, \"score\": 0.92}, {\"word\": \"會\"}, {\"word\": \"在\", \"start\": 1108.793, \"end\": 1108.993, \"score\": 0.999}, {\"word\": \"我\", \"start\": 1108.993, \"end\": 1109.173, \"score\": 0.999}, {\"word\": \"的\", \"start\": 1109.173, \"end\": 1109.893, \"score\": 0.973}, {\"word\": \"至\", \"start\": 1109.893, \"end\": 1110.034, \"score\": 0.883}, {\"word\": \"少\", \"start\": 1110.034, \"end\": 1110.194, \"score\": 0.999}, {\"word\": \"在\", \"start\": 1110.194, \"end\": 1110.794, 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1130.226, \"score\": 0.999}, {\"word\": \"就\", \"start\": 1130.226, \"end\": 1130.386, \"score\": 0.883}, {\"word\": \"是\", \"start\": 1130.386, \"end\": 1130.886, \"score\": 0.96}, {\"word\": \"說\"}, {\"word\": \"使\", \"start\": 1130.886, \"end\": 1131.026, \"score\": 0.997}, {\"word\": \"用\", \"start\": 1131.026, \"end\": 1131.206, \"score\": 0.999}, {\"word\": \"到\", \"start\": 1131.206, \"end\": 1131.627, \"score\": 0.916}, {\"word\": \"這\"}, {\"word\": \"三\", \"start\": 1131.627, \"end\": 1131.887, \"score\": 0.998}, {\"word\": \"類\"}, {\"word\": \"的\", \"start\": 1131.887, \"end\": 1132.747, \"score\": 0.953}, {\"word\": \"那\", \"start\": 1132.747, \"end\": 1133.027, \"score\": 0.98}, {\"word\": \"大\", \"start\": 1133.027, \"end\": 1133.168, \"score\": 0.999}, {\"word\": \"概\", \"start\": 1133.168, \"end\": 1133.588, \"score\": 0.998}, {\"word\": \"有\", \"start\": 1133.588, \"end\": 1134.208, \"score\": 0.933}, {\"word\": \"6\"}, {\"word\": \"0\"}, {\"word\": \"0\"}, {\"word\": \"0\"}, {\"word\": \"多\", \"start\": 1134.208, \"end\": 1134.408, \"score\": 0.998}, {\"word\": \"人\", \"start\": 1134.408, \"end\": 1134.568, \"score\": 0.985}, {\"word\": \"。\"}, {\"word\": \"我\", \"start\": 1134.568, \"end\": 1134.708, \"score\": 0.856}, {\"word\": \"知\", \"start\": 1134.708, \"end\": 1134.829, \"score\": 0.983}, {\"word\": \"道\", \"start\": 1134.829, \"end\": 1135.549, \"score\": 0.973}, {\"word\": \"我\", \"start\": 1135.549, \"end\": 1135.929, \"score\": 0.946}, {\"word\": \"大\", \"start\": 1135.929, \"end\": 1136.029, \"score\": 0.815}, {\"word\": \"概\", \"start\": 1136.029, \"end\": 1136.129, \"score\": 0.814}, {\"word\": \"有\", \"start\": 1136.129, \"end\": 1136.329, \"score\": 0.935}, {\"word\": \"算\", \"start\": 1136.329, \"end\": 1136.349, \"score\": 0.968}, {\"word\": \"過\"}]}, {\"start\": 1137.31, \"end\": 1164.45, \"text\": \"我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下\", \"words\": [{\"word\": 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\"score\": 0.751}, {\"word\": \"件\", \"start\": 1159.466, \"end\": 1159.666, \"score\": 0.947}, {\"word\": \"事\", \"start\": 1159.666, \"end\": 1159.887, \"score\": 0.97}, {\"word\": \"情\", \"start\": 1159.887, \"end\": 1160.987, \"score\": 0.979}, {\"word\": \"嗎\"}, {\"word\": \"所\", \"start\": 1160.987, \"end\": 1161.187, \"score\": 1.0}, {\"word\": \"以\", \"start\": 1161.187, \"end\": 1161.828, \"score\": 1.0}, {\"word\": \"我\", \"start\": 1161.828, \"end\": 1162.108, \"score\": 0.998}, {\"word\": \"就\", \"start\": 1162.108, \"end\": 1162.268, \"score\": 1.0}, {\"word\": \"去\", \"start\": 1162.268, \"end\": 1162.408, \"score\": 0.958}, {\"word\": \"查\", \"start\": 1162.408, \"end\": 1162.568, \"score\": 0.875}, {\"word\": \"了\", \"start\": 1162.568, \"end\": 1162.669, \"score\": 0.802}, {\"word\": \"一\", \"start\": 1162.669, \"end\": 1162.729, \"score\": 0.666}, {\"word\": \"下\", \"start\": 1162.729, \"end\": 1162.889, \"score\": 0.875}, {\"word\": \"我\", \"start\": 1162.889, \"end\": 1162.969, \"score\": 0.75}, {\"word\": \"們\"}, {\"word\": \"的\", \"start\": 1162.969, \"end\": 1163.089, \"score\": 0.998}, {\"word\": \"普\", \"start\": 1163.089, \"end\": 1163.289, \"score\": 0.983}, {\"word\": \"及\", \"start\": 1163.289, \"end\": 1163.489, \"score\": 0.978}, {\"word\": \"率\", \"start\": 1163.489, \"end\": 1163.829, \"score\": 0.897}, {\"word\": \"就\", \"start\": 1163.829, \"end\": 1163.97, \"score\": 1.0}, {\"word\": \"是\", \"start\": 1163.97, \"end\": 1164.07, \"score\": 0.894}, {\"word\": \"你\", \"start\": 1164.07, \"end\": 1164.19, \"score\": 0.838}, {\"word\": \"看\", \"start\": 1164.19, \"end\": 1164.35, \"score\": 1.0}, {\"word\": \"一\", \"start\": 1164.35, \"end\": 1164.43, \"score\": 0.799}, {\"word\": \"下\", \"start\": 1164.43, \"end\": 1164.45, \"score\": 0.027}]}, {\"start\": 1165.014, \"end\": 1184.57, \"text\": \"目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。\", \"words\": [{\"word\": \"目\", 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\"我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝\", \"words\": [{\"word\": \"我\", \"start\": 1233.472, \"end\": 1233.852, \"score\": 0.892}, {\"word\": \"們\"}, {\"word\": \"現\"}, {\"word\": \"在\", \"start\": 1233.852, \"end\": 1234.033, \"score\": 0.889}, {\"word\": \"同\", \"start\": 1234.033, \"end\": 1234.253, \"score\": 0.995}, {\"word\": \"仁\", \"start\": 1234.253, \"end\": 1234.593, \"score\": 0.891}, {\"word\": \"有\", \"start\": 1234.593, \"end\": 1234.813, \"score\": 0.999}, {\"word\": \"再\", \"start\": 1234.813, \"end\": 1235.093, \"score\": 0.929}, {\"word\": \"跟\", \"start\": 1235.093, \"end\": 1235.733, \"score\": 0.966}, {\"word\": \"相\", \"start\": 1235.733, \"end\": 1236.194, \"score\": 0.937}, {\"word\": \"關\"}, {\"word\": \"的\", \"start\": 1236.194, \"end\": 1236.614, \"score\": 0.997}, {\"word\": \"原\", \"start\": 1236.614, \"end\": 1236.854, \"score\": 0.986}, {\"word\": \"住\", \"start\": 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00:00:46,854\n請陳院長請陳院長麻煩請陳院長備詢盧委員晚安抱歉你當前立委謝謝陳院長先用主語介紹你是誰我先用主語跟主人介紹你是誰阿祖父阿關阿\n\n2\n00:00:49,159 --> 00:00:57,843\n發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．�\n\n3\n00:01:19,008 --> 00:01:48,403\n還有運動員的問題先請問目前在原鄉山地原住民地區原鄉的公車的使用率是多少使用率還是涵蓋率涵蓋率我們現在初步已經到九成了因為那個當然是班次還是不足但是基本上的那個大概九成我在我幾乎都生產在原鄉而且是\n\n4\n00:01:49,209 --> 00:02:09,365\n大部分的服務的地點是在原鄉那我看到的班次當然是太少的問題第一個第二個是因為現在是著重環保的年代不過看到的車子還是大型車輛他沒有我覺得他應該要因為乘客的人數跟道路的使用應該要\n\n5\n00:02:10,694 --> 00:02:34,731\n要做一個modify,不是永遠都是那麼大的車在那麼小的路上行駛,不是嗎?對不對?這個有,這個包括中型跟我們現在幸福巴士是用九輪坐,現在都有在進行中型。請問一下現在幸福巴士坐的最好的箱是哪幾個箱?現在很多都坐的還...你覺得最好的?或者是你覺得前幾名的箱?堅持箱坐得不錯,堅持箱有12條。\n\n6\n00:02:47,146 --> 00:03:05,092\n對,沒有錯,因為現在原住民地區居住的地方都是非常偏遠,所以幸福巴士來得很重要。那我去看過,我覺得目前住的最好的是濁西鄉跟春日鄉。希望部長如果你有機會看的話,如果他們住的特別好的地方應該擴展到全省的原住民地區。\n\n7\n00:03:06,512 --> 00:03:31,954\n讓長者在接送或者是就業的時候,他們能夠得到便利性,可以嗎?以他們做模範來擴展到全省。我們希望其他的地區能夠跟這一些好的來學習。沒錯。那捷運呢?有三地原住民地區有捷運嗎?因為我們現在...我告訴你是零。二次道路有嗎?\n\n8\n00:03:33,083 --> 00:03:59,311\n快速道路應該有快速道路有嗎?快速道路有的經過。告訴你是零。三地原住民地區。那因為我們必須分層級。我要告訴你就是說以上除了公車有以外捷運快速道路跟國道我們原住民地區都沒有辦法享受到現在是2024年當然我們這樣講是緣木求雨\n\n9\n00:04:00,854 --> 00:04:30,369\n我一直都在想什麼時候國道6號可以到花蓮什麼時候國道10號可以延伸到至少到甲仙對不對然後我們屏東我住在屏東是不是屏東有一個國道或者是快速道路可以到墾丁我們永遠都在想每次政黨輪替的時候他就會畫一條線從潮州畫到經過仿良或者說經過園鄉的地區沿山公路上面然後畫到\n\n10\n00:04:31,329 --> 00:04:51,828\n發到肯定說快要做了,要發包了。結果每次選完就沒有人在談這個問題。我們住在屏東八十幾萬人口,花東一條快速道路也沒有。我們只能看著人家在走快速道路跟不到。西部已經有26、80,從62一直到88的快速道路,多得不得了了。\n\n11\n00:04:52,452 --> 00:04:53,093\n八月那個可行性報告會出來\n\n12\n00:05:09,272 --> 00:05:28,277\n我剛才跟委員報告就剛才你提到的就是偏鄉當然你如果講捷運或是快速道道那個偏鄉這個因為我們有分對我知道我只是要做一個比較對骨幹比如說骨幹你說像花蓮花蓮現在包括我們蘇阿安蘇阿改在做事實上它旁邊有很多這個\n\n13\n00:05:29,477 --> 00:05:31,820\n委員現在是這樣,我們在做任何的道路的建設都會先有可行性評估,可行性評估完了以後再有這個綜合規劃,\n\n14\n00:05:46,720 --> 00:05:49,461\n希望在我有生之年可以看到花東快速道路因為我是屏東人我跟花蓮的人結婚可是這已經結婚20多年了我還沒有看到我只要\n\n15\n00:06:15,905 --> 00:06:20,241\n只要車子一過潮之後我就開始享受野蠻人的生活。\n\n16\n00:06:23,199 --> 00:06:45,514\n這個屏東﹐屏南的部分剛才委員所提的這個可行性完成了。那我樂觀其成我希望能夠看到至少是動工好嗎?我們這個工作也跟委員做一個報告實際上中央跟地方政府要一起來努力了因為有些可行性評估\n\n17\n00:06:47,850 --> 00:06:47,870\n盧縣一\n\n18\n00:07:15,630 --> 00:07:23,038\n解編是在於地方政府,他是限到他認為他成績不夠要往鄉鎮,這地方政府\n\n19\n00:08:10,026 --> 00:08:15,990\n委員,我是不是請那個人民會的主委?跟陸委補充報告,的確有一些縣到鄉到後來解編到嚴敏的特色部落道路這個部分。那過去幾年我們的預算的確不太夠,不過也要謝謝交通部\n\n20\n00:08:36,884 --> 00:08:57,007\n從去年開始呢那個養護費的費用有編列到我們這個地方來有1億6千多萬的費用是全國的全國住民地區的費用根本就不夠啊我們有多少個鄉鎮?有無數個鄉鎮所以你說1億多一個鄉可以分多少錢?兩百多萬吧?\n\n21\n00:08:58,035 --> 00:09:02,218\n我希望經費能夠多一點在維護方面,而且是農路,主要的連外道路,不然發生事故也都是因為路不好,不是嗎?是嗎?\n\n22\n00:09:17,844 --> 00:09:42,612\n跟委員報告,縣到結邊鄉鎮道路,它是屬於公路系統,我們的生活圈還是有補助。它是往下到一般的比如說沿鄉的農路或是產業道路,這部分再變成在園民會這邊。我知道,就是因為上個禮拜有人找我,那我才知道費用這麼少,我總覺得那是杯水車薪。我希望能夠編多一點預算給園民會好嗎?\n\n23\n00:09:45,932 --> 00:10:12,181\n這個委員是這樣像這一些解編的道路呢是實際上是地方政府嘛因為他要負責主題市所以呢他需要來提出相關的計畫那我們看看地方政府執行的情形我們就會來做滾動的檢討看應該沒有關係那我再繼續追我們農路跟我們鄉鄉鎮道路的對請他們提出相關的這個計畫那我們下一個主題是健康平權\n\n24\n00:10:17,708 --> 00:10:46,563\n大家都知道在原住民地區尤其是山地原住民地區都是衛生所在照顧我們的族人那衛生所從我91年服務到去年退休他的人員編制從來沒有改變過我希望如果所謂的升級是從我們的組織改造來做起當然我們就應該是先從第四項來看第五項來看就是第四項來看就是設立\n\n25\n00:10:47,806 --> 00:11:13,678\n盧縣盧縣法,基於盧縣法來設立專責機構來全面檢討我們原住民地區的我們衛生所形態,是不是?我們昨天跟學院長有討論過就是照護師嘛,是不是?那如果是照護師那邊會有專責機構的話,是不是能夠著手進行我們全盤檢討我們原住民地區衛生所怎麼來升級?因為如果一個像我比例來說,一個他現在的編制是這樣,一個村莊\n\n26\n00:11:15,560 --> 00:11:43,596\n一名護士也就是說如果這個像是六個六個人呃六個春花就是六名護士正式人員他要掌管非常多的事情疫情來的時候管疫情平常的時候要防癌然後登革日了登革日來的時候要管登革日然後平常的呃一些行政業務他也要管然後今天要行政宣言他要跟著去行政宣言然後晚上還要值班隔天還要上班那到底我們這樣的人力夠不夠\n\n27\n00:11:44,360 --> 00:11:44,380\n盧縣一\n\n28\n00:12:10,646 --> 00:12:10,786\n盧縣一盧縣一\n\n29\n00:12:40,250 --> 00:12:40,270\n盧縣一\n\n30\n00:13:03,473 --> 00:13:07,295\n首先跟委員報告,在民國97年的時候,我們的原住民的平均移民跟全國是差了9.04歲。\n\n31\n00:13:29,309 --> 00:13:37,358\n那到111年的時候,那內政部的統計看起來有改善,所以現在的差距大概在6.19歲,所以這其實是差距已經有縮短,這是第一點。\n\n32\n00:13:49,406 --> 00:14:18,000\n第二點的話那有關於衛生所的這一個部分的話那目前我們有兩個計畫一個計畫的話我們正在送行政院這邊就是天香的醫療改善計畫第二期那這部分就有涉及到衛生所的一些改建、擴建等等那第二個就是說有關於這個衛生所的人力的配置的問題那也跟委員報告因為這個是屬於地方的權責但是我們在\n\n33\n00:14:18,502 --> 00:14:47,588\n去年的時候已經提出來一個建議的一個方向那其中有一個部分的話剛剛委員有提到過在行政的工作上面的話我們希望就是由縣市政府來承擔派人來承擔不要讓衛生所的過去公衛護士都要同時要去處理這個主計、人事等等這些去兼辦這些這些我們希望是把它取消而讓他實際上去做公共衛生跟醫療的一個服務\n\n34\n00:14:48,845 --> 00:14:55,322\n還有特別要說的是我們一直在發展觀光可是在偏遠地區連就業都那麼困難的時候\n\n35\n00:14:56,465 --> 00:15:23,935\n我們要怎麼樣來保障我們遊客的安全所以把衛生室升級成至少是一個小型的急診室也是事在必行不然你一直在推觀光萬一晚上發生什麼事情誰來處理而且原住民的地區都離都市要一兩個小時以上夜路又有懸崖你也不能開快對不對對好第三個就是我第二個就是原住民\n\n36\n00:15:24,500 --> 00:15:24,520\n盧縣一\n\n37\n00:15:47,372 --> 00:16:03,511\n免部分負擔,因為我們原住民要到醫學中心看病是確實有需要才會去,然後去的時候要翻山越嶺,不然就要請家人請假,開車載我們去,不然就是要包車,花了那麼多成本去那邊還要部分負擔,你們覺得這樣合理嗎?\n\n38\n00:16:04,641 --> 00:16:31,737\n這個部分的話跟委員報告交通補助是本來就有的。可是沒有調整過。但是如果針對一個身份去做所謂的不分負擔的免除的話,這可能要從長計議。沒關係,我在未還我在修法看看,看看有沒有同仁可以一起幫忙。那我們一直在講免繳健保費也是很多委員有提過,我就不再贅述。\n\n39\n00:16:32,403 --> 00:16:57,365\n那就是還有最後一項就是長者的智慧手錶如果這個可以通過其實很多我們偏鄉地區不不只是原鄉地區的一些獨居的老人家就可以可以使用到因為其實大部分的老人家都是獨居所以他們在家裡我們要怎麼知道他們到底安不安全如果有一個可以監測至少監測他的生命真相可以定位他在哪裡的時候\n\n40\n00:16:57,915 --> 00:17:22,520\n我們很多年輕人在外面工作的會比較放心。我們是不是可以朝這個方向來努力?各位報告,這個部分的話我們有兩個計畫在進行。第一個是在花蓮豐濱,有慈濟醫院來執行的,來協助執行。另外一個計畫是在臺東。這是在哪一個市?是哪一個市在東?應該是我們的衣服會。衣服會。衣服會。\n\n41\n00:17:23,760 --> 00:17:42,630\n那在封兵跟成功那是由我們部立台東醫院來執行的。所以現在正在進行。我現在有提到原住民醫療,最主要是想說原住民在沒有\n\n42\n00:17:43,527 --> 00:17:45,468\n我相信對我們長者在使用醫療的時候他的意願會更高。\n\n43\n00:18:10,170 --> 00:18:24,375\n這部分我們的中醫藥師有在進行這一部分的一個工作。那我們進行下一個主題就是我們的免巴斯量表。免巴斯量表不僅對我們族人來說是也可以免去它的崩潰,對很多我們國人來講也是這樣。\n\n44\n00:18:27,512 --> 00:18:56,349\n所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過\n\n45\n00:18:57,310 --> 00:19:24,450\n我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下\n\n46\n00:19:25,014 --> 00:19:44,570\n目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。\n\n47\n00:19:45,522 --> 00:20:08,998\n因為偏鄉或者原住民地區因為大家非常分散所以那個接管的成本確實是非常高那但是政府呢也針對這個無自來水地區的這個經費都有相關的計畫那委員也很關心所以我們加緊再進行我想知道說一年的大概編的那個經費是多少\n\n48\n00:20:10,119 --> 00:20:32,332\n現在的部分比如說113年的部分在原鄉的部分也是有好幾億的這個經費來增加但是也要跟委員報告因為真的是很分散所以接管上因為水的使用其實是跟我們的身體的健康是有很大的影響那我們最近會去提明年度的預算再提四年計劃\n\n49\n00:20:33,472 --> 00:20:58,406\n我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝\n\n50\n00:21:03,249 --> 00:21:29,626\n最後一項是關於我們照顧原住民運動員的一個問題大家都知道說我們常常在代表我們國家的優秀運動員裡面我們的就選手數來說就人口比例來講我們是確實是佔了很優勢的一個位置不過我們常常在看我們的年輕的運動員常常是因為\n\n51\n00:21:30,575 --> 00:21:56,401\n家庭經濟藝術還要四處打工有的時候是因為去打工了一起摩托車結果在路上就受傷了就不能再練習那我期望就是說至少在七運或者是亞運或者是有些世界級的比賽的時候如果得到前三名的運動員就可以平時可以我們可以規劃他應該有每個月的營養費\n\n52\n00:21:57,811 --> 00:22:07,621\n至少有教練費或者是買他衣服啊買他鞋子啊或者是一些相關的設備或者是他出國比賽的時候一些津貼你們有這樣的規劃嗎\n\n53\n00:22:10,661 --> 00:22:37,587\n謝謝委員,確實委員所提到的我們最近的亞運光我們原民的選手站的比例就將近20%,得到很好的成績,這個為國爭光。那我跟委員報告,現在目前對原住民族選手的部分,因為我們也特別考量一些措施,當然這個裡面也包含我們對於他們從基層開始的這種優秀的選訓。目前我知道的\n\n54\n00:22:38,067 --> 00:22:38,668\n委員提到他已經是我們列為國家國首的\n\n55\n00:23:04,105 --> 00:23:05,526\n如果再聽到說有國手去兼差打工呢?\n\n56\n00:23:28,940 --> 00:23:31,401\n我是指如果他是得到比如說區運賽的前三名你們有這樣的規劃嗎?我最希望原民會這邊可以考量\n\n57\n00:23:57,278 --> 00:23:59,503\n關於我們有所謂的得獎的時候的一些講座不管是\n\n58\n00:24:08,751 --> 00:24:32,089\n區運的、全國的或是國際性的比賽我們都會有一些獎勵金。是,我是覺得按照名次給獎勵是不夠的。我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙。而譬如家長還要釋出張羅他的生活,選手他也要考慮父母親的感受,結果到最後就完全都沒有辦法再繼續訓練。這是我的對你的建議,可以嗎?\n\n59\n00:24:37,335 --> 00:24:37,695\n臨時提案委員\n\n","tsv":"start\tend\ttext\n19745\t46854\t請陳院長請陳院長麻煩請陳院長備詢盧委員晚安抱歉你當前立委謝謝陳院長先用主語介紹你是誰我先用主語跟主人介紹你是誰阿祖父阿關阿\n49159\t57843\t發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．�\n79008\t108403\t還有運動員的問題先請問目前在原鄉山地原住民地區原鄉的公車的使用率是多少使用率還是涵蓋率涵蓋率我們現在初步已經到九成了因為那個當然是班次還是不足但是基本上的那個大概九成我在我幾乎都生產在原鄉而且是\n109209\t129365\t大部分的服務的地點是在原鄉那我看到的班次當然是太少的問題第一個第二個是因為現在是著重環保的年代不過看到的車子還是大型車輛他沒有我覺得他應該要因為乘客的人數跟道路的使用應該要\n130694\t154731\t要做一個modify,不是永遠都是那麼大的車在那麼小的路上行駛,不是嗎?對不對?這個有,這個包括中型跟我們現在幸福巴士是用九輪坐,現在都有在進行中型。請問一下現在幸福巴士坐的最好的箱是哪幾個箱?現在很多都坐的還...你覺得最好的?或者是你覺得前幾名的箱?堅持箱坐得不錯,堅持箱有12條。\n167146\t185092\t對,沒有錯,因為現在原住民地區居住的地方都是非常偏遠,所以幸福巴士來得很重要。那我去看過,我覺得目前住的最好的是濁西鄉跟春日鄉。希望部長如果你有機會看的話,如果他們住的特別好的地方應該擴展到全省的原住民地區。\n186512\t211954\t讓長者在接送或者是就業的時候,他們能夠得到便利性,可以嗎?以他們做模範來擴展到全省。我們希望其他的地區能夠跟這一些好的來學習。沒錯。那捷運呢?有三地原住民地區有捷運嗎?因為我們現在...我告訴你是零。二次道路有嗎?\n213083\t239311\t快速道路應該有快速道路有嗎?快速道路有的經過。告訴你是零。三地原住民地區。那因為我們必須分層級。我要告訴你就是說以上除了公車有以外捷運快速道路跟國道我們原住民地區都沒有辦法享受到現在是2024年當然我們這樣講是緣木求雨\n240854\t270369\t我一直都在想什麼時候國道6號可以到花蓮什麼時候國道10號可以延伸到至少到甲仙對不對然後我們屏東我住在屏東是不是屏東有一個國道或者是快速道路可以到墾丁我們永遠都在想每次政黨輪替的時候他就會畫一條線從潮州畫到經過仿良或者說經過園鄉的地區沿山公路上面然後畫到\n271329\t291828\t發到肯定說快要做了,要發包了。結果每次選完就沒有人在談這個問題。我們住在屏東八十幾萬人口,花東一條快速道路也沒有。我們只能看著人家在走快速道路跟不到。西部已經有26、80,從62一直到88的快速道路,多得不得了了。\n292452\t293093\t八月那個可行性報告會出來\n309272\t328277\t我剛才跟委員報告就剛才你提到的就是偏鄉當然你如果講捷運或是快速道道那個偏鄉這個因為我們有分對我知道我只是要做一個比較對骨幹比如說骨幹你說像花蓮花蓮現在包括我們蘇阿安蘇阿改在做事實上它旁邊有很多這個\n329477\t331820\t委員現在是這樣,我們在做任何的道路的建設都會先有可行性評估,可行性評估完了以後再有這個綜合規劃,\n346720\t349461\t希望在我有生之年可以看到花東快速道路因為我是屏東人我跟花蓮的人結婚可是這已經結婚20多年了我還沒有看到我只要\n375905\t380241\t只要車子一過潮之後我就開始享受野蠻人的生活。\n383199\t405514\t這個屏東﹐屏南的部分剛才委員所提的這個可行性完成了。那我樂觀其成我希望能夠看到至少是動工好嗎?我們這個工作也跟委員做一個報告實際上中央跟地方政府要一起來努力了因為有些可行性評估\n407850\t407870\t盧縣一\n435630\t443038\t解編是在於地方政府,他是限到他認為他成績不夠要往鄉鎮,這地方政府\n444394\t474394\t盧縣議員\n474394\t489735\t﹗\n490026\t495990\t委員,我是不是請那個人民會的主委?跟陸委補充報告,的確有一些縣到鄉到後來解編到嚴敏的特色部落道路這個部分。那過去幾年我們的預算的確不太夠,不過也要謝謝交通部\n516884\t537007\t從去年開始呢那個養護費的費用有編列到我們這個地方來有1億6千多萬的費用是全國的全國住民地區的費用根本就不夠啊我們有多少個鄉鎮?有無數個鄉鎮所以你說1億多一個鄉可以分多少錢?兩百多萬吧?\n538035\t542218\t我希望經費能夠多一點在維護方面,而且是農路,主要的連外道路,不然發生事故也都是因為路不好,不是嗎?是嗎?\n557844\t582612\t跟委員報告,縣到結邊鄉鎮道路,它是屬於公路系統,我們的生活圈還是有補助。它是往下到一般的比如說沿鄉的農路或是產業道路,這部分再變成在園民會這邊。我知道,就是因為上個禮拜有人找我,那我才知道費用這麼少,我總覺得那是杯水車薪。我希望能夠編多一點預算給園民會好嗎?\n585932\t612181\t這個委員是這樣像這一些解編的道路呢是實際上是地方政府嘛因為他要負責主題市所以呢他需要來提出相關的計畫那我們看看地方政府執行的情形我們就會來做滾動的檢討看應該沒有關係那我再繼續追我們農路跟我們鄉鄉鎮道路的對請他們提出相關的這個計畫那我們下一個主題是健康平權\n617708\t646563\t大家都知道在原住民地區尤其是山地原住民地區都是衛生所在照顧我們的族人那衛生所從我91年服務到去年退休他的人員編制從來沒有改變過我希望如果所謂的升級是從我們的組織改造來做起當然我們就應該是先從第四項來看第五項來看就是第四項來看就是設立\n647806\t673678\t盧縣盧縣法,基於盧縣法來設立專責機構來全面檢討我們原住民地區的我們衛生所形態,是不是?我們昨天跟學院長有討論過就是照護師嘛,是不是?那如果是照護師那邊會有專責機構的話,是不是能夠著手進行我們全盤檢討我們原住民地區衛生所怎麼來升級?因為如果一個像我比例來說,一個他現在的編制是這樣,一個村莊\n675560\t703596\t一名護士也就是說如果這個像是六個六個人呃六個春花就是六名護士正式人員他要掌管非常多的事情疫情來的時候管疫情平常的時候要防癌然後登革日了登革日來的時候要管登革日然後平常的呃一些行政業務他也要管然後今天要行政宣言他要跟著去行政宣言然後晚上還要值班隔天還要上班那到底我們這樣的人力夠不夠\n704360\t704380\t盧縣一\n730646\t730786\t盧縣一盧縣一\n760250\t760270\t盧縣一\n783473\t787295\t首先跟委員報告,在民國97年的時候,我們的原住民的平均移民跟全國是差了9.04歲。\n809309\t817358\t那到111年的時候,那內政部的統計看起來有改善,所以現在的差距大概在6.19歲,所以這其實是差距已經有縮短,這是第一點。\n829406\t858000\t第二點的話那有關於衛生所的這一個部分的話那目前我們有兩個計畫一個計畫的話我們正在送行政院這邊就是天香的醫療改善計畫第二期那這部分就有涉及到衛生所的一些改建、擴建等等那第二個就是說有關於這個衛生所的人力的配置的問題那也跟委員報告因為這個是屬於地方的權責但是我們在\n858502\t887588\t去年的時候已經提出來一個建議的一個方向那其中有一個部分的話剛剛委員有提到過在行政的工作上面的話我們希望就是由縣市政府來承擔派人來承擔不要讓衛生所的過去公衛護士都要同時要去處理這個主計、人事等等這些去兼辦這些這些我們希望是把它取消而讓他實際上去做公共衛生跟醫療的一個服務\n888845\t895322\t還有特別要說的是我們一直在發展觀光可是在偏遠地區連就業都那麼困難的時候\n896465\t923935\t我們要怎麼樣來保障我們遊客的安全所以把衛生室升級成至少是一個小型的急診室也是事在必行不然你一直在推觀光萬一晚上發生什麼事情誰來處理而且原住民的地區都離都市要一兩個小時以上夜路又有懸崖你也不能開快對不對對好第三個就是我第二個就是原住民\n924500\t924520\t盧縣一\n947372\t963511\t免部分負擔,因為我們原住民要到醫學中心看病是確實有需要才會去,然後去的時候要翻山越嶺,不然就要請家人請假,開車載我們去,不然就是要包車,花了那麼多成本去那邊還要部分負擔,你們覺得這樣合理嗎?\n964641\t991737\t這個部分的話跟委員報告交通補助是本來就有的。可是沒有調整過。但是如果針對一個身份去做所謂的不分負擔的免除的話,這可能要從長計議。沒關係,我在未還我在修法看看,看看有沒有同仁可以一起幫忙。那我們一直在講免繳健保費也是很多委員有提過,我就不再贅述。\n992403\t1017365\t那就是還有最後一項就是長者的智慧手錶如果這個可以通過其實很多我們偏鄉地區不不只是原鄉地區的一些獨居的老人家就可以可以使用到因為其實大部分的老人家都是獨居所以他們在家裡我們要怎麼知道他們到底安不安全如果有一個可以監測至少監測他的生命真相可以定位他在哪裡的時候\n1017915\t1042520\t我們很多年輕人在外面工作的會比較放心。我們是不是可以朝這個方向來努力?各位報告,這個部分的話我們有兩個計畫在進行。第一個是在花蓮豐濱,有慈濟醫院來執行的,來協助執行。另外一個計畫是在臺東。這是在哪一個市?是哪一個市在東?應該是我們的衣服會。衣服會。衣服會。\n1043760\t1062630\t那在封兵跟成功那是由我們部立台東醫院來執行的。所以現在正在進行。我現在有提到原住民醫療,最主要是想說原住民在沒有\n1063527\t1065468\t我相信對我們長者在使用醫療的時候他的意願會更高。\n1090170\t1104375\t這部分我們的中醫藥師有在進行這一部分的一個工作。那我們進行下一個主題就是我們的免巴斯量表。免巴斯量表不僅對我們族人來說是也可以免去它的崩潰,對很多我們國人來講也是這樣。\n1107512\t1136349\t所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過\n1137310\t1164450\t我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下\n1165014\t1184570\t目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。\n1185522\t1208998\t因為偏鄉或者原住民地區因為大家非常分散所以那個接管的成本確實是非常高那但是政府呢也針對這個無自來水地區的這個經費都有相關的計畫那委員也很關心所以我們加緊再進行我想知道說一年的大概編的那個經費是多少\n1210119\t1232332\t現在的部分比如說113年的部分在原鄉的部分也是有好幾億的這個經費來增加但是也要跟委員報告因為真的是很分散所以接管上因為水的使用其實是跟我們的身體的健康是有很大的影響那我們最近會去提明年度的預算再提四年計劃\n1233472\t1258406\t我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝\n1263249\t1289626\t最後一項是關於我們照顧原住民運動員的一個問題大家都知道說我們常常在代表我們國家的優秀運動員裡面我們的就選手數來說就人口比例來講我們是確實是佔了很優勢的一個位置不過我們常常在看我們的年輕的運動員常常是因為\n1290575\t1316401\t家庭經濟藝術還要四處打工有的時候是因為去打工了一起摩托車結果在路上就受傷了就不能再練習那我期望就是說至少在七運或者是亞運或者是有些世界級的比賽的時候如果得到前三名的運動員就可以平時可以我們可以規劃他應該有每個月的營養費\n1317811\t1327621\t至少有教練費或者是買他衣服啊買他鞋子啊或者是一些相關的設備或者是他出國比賽的時候一些津貼你們有這樣的規劃嗎\n1330661\t1357587\t謝謝委員,確實委員所提到的我們最近的亞運光我們原民的選手站的比例就將近20%,得到很好的成績,這個為國爭光。那我跟委員報告,現在目前對原住民族選手的部分,因為我們也特別考量一些措施,當然這個裡面也包含我們對於他們從基層開始的這種優秀的選訓。目前我知道的\n1358067\t1358668\t委員提到他已經是我們列為國家國首的\n1384105\t1385526\t如果再聽到說有國手去兼差打工呢?\n1408940\t1411401\t我是指如果他是得到比如說區運賽的前三名你們有這樣的規劃嗎?我最希望原民會這邊可以考量\n1437278\t1439503\t關於我們有所謂的得獎的時候的一些講座不管是\n1448751\t1472089\t區運的、全國的或是國際性的比賽我們都會有一些獎勵金。是,我是覺得按照名次給獎勵是不夠的。我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙。而譬如家長還要釋出張羅他的生活,選手他也要考慮父母親的感受,結果到最後就完全都沒有辦法再繼續訓練。這是我的對你的建議,可以嗎?\n1477335\t1477695\t臨時提案委員\n","txt":"請陳院長請陳院長麻煩請陳院長備詢盧委員晚安抱歉你當前立委謝謝陳院長先用主語介紹你是誰我先用主語跟主人介紹你是誰阿祖父阿關阿\n發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．�\n還有運動員的問題先請問目前在原鄉山地原住民地區原鄉的公車的使用率是多少使用率還是涵蓋率涵蓋率我們現在初步已經到九成了因為那個當然是班次還是不足但是基本上的那個大概九成我在我幾乎都生產在原鄉而且是\n大部分的服務的地點是在原鄉那我看到的班次當然是太少的問題第一個第二個是因為現在是著重環保的年代不過看到的車子還是大型車輛他沒有我覺得他應該要因為乘客的人數跟道路的使用應該要\n要做一個modify,不是永遠都是那麼大的車在那麼小的路上行駛,不是嗎?對不對?這個有,這個包括中型跟我們現在幸福巴士是用九輪坐,現在都有在進行中型。請問一下現在幸福巴士坐的最好的箱是哪幾個箱?現在很多都坐的還...你覺得最好的?或者是你覺得前幾名的箱?堅持箱坐得不錯,堅持箱有12條。\n對,沒有錯,因為現在原住民地區居住的地方都是非常偏遠,所以幸福巴士來得很重要。那我去看過,我覺得目前住的最好的是濁西鄉跟春日鄉。希望部長如果你有機會看的話,如果他們住的特別好的地方應該擴展到全省的原住民地區。\n讓長者在接送或者是就業的時候,他們能夠得到便利性,可以嗎?以他們做模範來擴展到全省。我們希望其他的地區能夠跟這一些好的來學習。沒錯。那捷運呢?有三地原住民地區有捷運嗎?因為我們現在...我告訴你是零。二次道路有嗎?\n快速道路應該有快速道路有嗎?快速道路有的經過。告訴你是零。三地原住民地區。那因為我們必須分層級。我要告訴你就是說以上除了公車有以外捷運快速道路跟國道我們原住民地區都沒有辦法享受到現在是2024年當然我們這樣講是緣木求雨\n我一直都在想什麼時候國道6號可以到花蓮什麼時候國道10號可以延伸到至少到甲仙對不對然後我們屏東我住在屏東是不是屏東有一個國道或者是快速道路可以到墾丁我們永遠都在想每次政黨輪替的時候他就會畫一條線從潮州畫到經過仿良或者說經過園鄉的地區沿山公路上面然後畫到\n發到肯定說快要做了,要發包了。結果每次選完就沒有人在談這個問題。我們住在屏東八十幾萬人口,花東一條快速道路也沒有。我們只能看著人家在走快速道路跟不到。西部已經有26、80,從62一直到88的快速道路,多得不得了了。\n八月那個可行性報告會出來\n我剛才跟委員報告就剛才你提到的就是偏鄉當然你如果講捷運或是快速道道那個偏鄉這個因為我們有分對我知道我只是要做一個比較對骨幹比如說骨幹你說像花蓮花蓮現在包括我們蘇阿安蘇阿改在做事實上它旁邊有很多這個\n委員現在是這樣,我們在做任何的道路的建設都會先有可行性評估,可行性評估完了以後再有這個綜合規劃,\n希望在我有生之年可以看到花東快速道路因為我是屏東人我跟花蓮的人結婚可是這已經結婚20多年了我還沒有看到我只要\n只要車子一過潮之後我就開始享受野蠻人的生活。\n這個屏東﹐屏南的部分剛才委員所提的這個可行性完成了。那我樂觀其成我希望能夠看到至少是動工好嗎?我們這個工作也跟委員做一個報告實際上中央跟地方政府要一起來努力了因為有些可行性評估\n盧縣一\n解編是在於地方政府,他是限到他認為他成績不夠要往鄉鎮,這地方政府\n盧縣議員\n﹗\n委員,我是不是請那個人民會的主委?跟陸委補充報告,的確有一些縣到鄉到後來解編到嚴敏的特色部落道路這個部分。那過去幾年我們的預算的確不太夠,不過也要謝謝交通部\n從去年開始呢那個養護費的費用有編列到我們這個地方來有1億6千多萬的費用是全國的全國住民地區的費用根本就不夠啊我們有多少個鄉鎮?有無數個鄉鎮所以你說1億多一個鄉可以分多少錢?兩百多萬吧?\n我希望經費能夠多一點在維護方面,而且是農路,主要的連外道路,不然發生事故也都是因為路不好,不是嗎?是嗎?\n跟委員報告,縣到結邊鄉鎮道路,它是屬於公路系統,我們的生活圈還是有補助。它是往下到一般的比如說沿鄉的農路或是產業道路,這部分再變成在園民會這邊。我知道,就是因為上個禮拜有人找我,那我才知道費用這麼少,我總覺得那是杯水車薪。我希望能夠編多一點預算給園民會好嗎?\n這個委員是這樣像這一些解編的道路呢是實際上是地方政府嘛因為他要負責主題市所以呢他需要來提出相關的計畫那我們看看地方政府執行的情形我們就會來做滾動的檢討看應該沒有關係那我再繼續追我們農路跟我們鄉鄉鎮道路的對請他們提出相關的這個計畫那我們下一個主題是健康平權\n大家都知道在原住民地區尤其是山地原住民地區都是衛生所在照顧我們的族人那衛生所從我91年服務到去年退休他的人員編制從來沒有改變過我希望如果所謂的升級是從我們的組織改造來做起當然我們就應該是先從第四項來看第五項來看就是第四項來看就是設立\n盧縣盧縣法,基於盧縣法來設立專責機構來全面檢討我們原住民地區的我們衛生所形態,是不是?我們昨天跟學院長有討論過就是照護師嘛,是不是?那如果是照護師那邊會有專責機構的話,是不是能夠著手進行我們全盤檢討我們原住民地區衛生所怎麼來升級?因為如果一個像我比例來說,一個他現在的編制是這樣,一個村莊\n一名護士也就是說如果這個像是六個六個人呃六個春花就是六名護士正式人員他要掌管非常多的事情疫情來的時候管疫情平常的時候要防癌然後登革日了登革日來的時候要管登革日然後平常的呃一些行政業務他也要管然後今天要行政宣言他要跟著去行政宣言然後晚上還要值班隔天還要上班那到底我們這樣的人力夠不夠\n盧縣一\n盧縣一盧縣一\n盧縣一\n首先跟委員報告,在民國97年的時候,我們的原住民的平均移民跟全國是差了9.04歲。\n那到111年的時候,那內政部的統計看起來有改善,所以現在的差距大概在6.19歲,所以這其實是差距已經有縮短,這是第一點。\n第二點的話那有關於衛生所的這一個部分的話那目前我們有兩個計畫一個計畫的話我們正在送行政院這邊就是天香的醫療改善計畫第二期那這部分就有涉及到衛生所的一些改建、擴建等等那第二個就是說有關於這個衛生所的人力的配置的問題那也跟委員報告因為這個是屬於地方的權責但是我們在\n去年的時候已經提出來一個建議的一個方向那其中有一個部分的話剛剛委員有提到過在行政的工作上面的話我們希望就是由縣市政府來承擔派人來承擔不要讓衛生所的過去公衛護士都要同時要去處理這個主計、人事等等這些去兼辦這些這些我們希望是把它取消而讓他實際上去做公共衛生跟醫療的一個服務\n還有特別要說的是我們一直在發展觀光可是在偏遠地區連就業都那麼困難的時候\n我們要怎麼樣來保障我們遊客的安全所以把衛生室升級成至少是一個小型的急診室也是事在必行不然你一直在推觀光萬一晚上發生什麼事情誰來處理而且原住民的地區都離都市要一兩個小時以上夜路又有懸崖你也不能開快對不對對好第三個就是我第二個就是原住民\n盧縣一\n免部分負擔,因為我們原住民要到醫學中心看病是確實有需要才會去,然後去的時候要翻山越嶺,不然就要請家人請假,開車載我們去,不然就是要包車,花了那麼多成本去那邊還要部分負擔,你們覺得這樣合理嗎?\n這個部分的話跟委員報告交通補助是本來就有的。可是沒有調整過。但是如果針對一個身份去做所謂的不分負擔的免除的話,這可能要從長計議。沒關係,我在未還我在修法看看,看看有沒有同仁可以一起幫忙。那我們一直在講免繳健保費也是很多委員有提過,我就不再贅述。\n那就是還有最後一項就是長者的智慧手錶如果這個可以通過其實很多我們偏鄉地區不不只是原鄉地區的一些獨居的老人家就可以可以使用到因為其實大部分的老人家都是獨居所以他們在家裡我們要怎麼知道他們到底安不安全如果有一個可以監測至少監測他的生命真相可以定位他在哪裡的時候\n我們很多年輕人在外面工作的會比較放心。我們是不是可以朝這個方向來努力?各位報告,這個部分的話我們有兩個計畫在進行。第一個是在花蓮豐濱,有慈濟醫院來執行的,來協助執行。另外一個計畫是在臺東。這是在哪一個市?是哪一個市在東?應該是我們的衣服會。衣服會。衣服會。\n那在封兵跟成功那是由我們部立台東醫院來執行的。所以現在正在進行。我現在有提到原住民醫療,最主要是想說原住民在沒有\n我相信對我們長者在使用醫療的時候他的意願會更高。\n這部分我們的中醫藥師有在進行這一部分的一個工作。那我們進行下一個主題就是我們的免巴斯量表。免巴斯量表不僅對我們族人來說是也可以免去它的崩潰,對很多我們國人來講也是這樣。\n所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過\n我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下\n目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。\n因為偏鄉或者原住民地區因為大家非常分散所以那個接管的成本確實是非常高那但是政府呢也針對這個無自來水地區的這個經費都有相關的計畫那委員也很關心所以我們加緊再進行我想知道說一年的大概編的那個經費是多少\n現在的部分比如說113年的部分在原鄉的部分也是有好幾億的這個經費來增加但是也要跟委員報告因為真的是很分散所以接管上因為水的使用其實是跟我們的身體的健康是有很大的影響那我們最近會去提明年度的預算再提四年計劃\n我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝\n最後一項是關於我們照顧原住民運動員的一個問題大家都知道說我們常常在代表我們國家的優秀運動員裡面我們的就選手數來說就人口比例來講我們是確實是佔了很優勢的一個位置不過我們常常在看我們的年輕的運動員常常是因為\n家庭經濟藝術還要四處打工有的時候是因為去打工了一起摩托車結果在路上就受傷了就不能再練習那我期望就是說至少在七運或者是亞運或者是有些世界級的比賽的時候如果得到前三名的運動員就可以平時可以我們可以規劃他應該有每個月的營養費\n至少有教練費或者是買他衣服啊買他鞋子啊或者是一些相關的設備或者是他出國比賽的時候一些津貼你們有這樣的規劃嗎\n謝謝委員,確實委員所提到的我們最近的亞運光我們原民的選手站的比例就將近20%,得到很好的成績,這個為國爭光。那我跟委員報告,現在目前對原住民族選手的部分,因為我們也特別考量一些措施,當然這個裡面也包含我們對於他們從基層開始的這種優秀的選訓。目前我知道的\n委員提到他已經是我們列為國家國首的\n如果再聽到說有國手去兼差打工呢?\n我是指如果他是得到比如說區運賽的前三名你們有這樣的規劃嗎?我最希望原民會這邊可以考量\n關於我們有所謂的得獎的時候的一些講座不管是\n區運的、全國的或是國際性的比賽我們都會有一些獎勵金。是,我是覺得按照名次給獎勵是不夠的。我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙。而譬如家長還要釋出張羅他的生活,選手他也要考慮父母親的感受,結果到最後就完全都沒有辦法再繼續訓練。這是我的對你的建議,可以嗎?\n臨時提案委員\n","vtt":"WEBVTT\n\n00:19.745 --> 00:46.854\n請陳院長請陳院長麻煩請陳院長備詢盧委員晚安抱歉你當前立委謝謝陳院長先用主語介紹你是誰我先用主語跟主人介紹你是誰阿祖父阿關阿\n\n00:49.159 --> 00:57.843\n發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．�\n\n01:19.008 --> 01:48.403\n還有運動員的問題先請問目前在原鄉山地原住民地區原鄉的公車的使用率是多少使用率還是涵蓋率涵蓋率我們現在初步已經到九成了因為那個當然是班次還是不足但是基本上的那個大概九成我在我幾乎都生產在原鄉而且是\n\n01:49.209 --> 02:09.365\n大部分的服務的地點是在原鄉那我看到的班次當然是太少的問題第一個第二個是因為現在是著重環保的年代不過看到的車子還是大型車輛他沒有我覺得他應該要因為乘客的人數跟道路的使用應該要\n\n02:10.694 --> 02:34.731\n要做一個modify,不是永遠都是那麼大的車在那麼小的路上行駛,不是嗎?對不對?這個有,這個包括中型跟我們現在幸福巴士是用九輪坐,現在都有在進行中型。請問一下現在幸福巴士坐的最好的箱是哪幾個箱?現在很多都坐的還...你覺得最好的?或者是你覺得前幾名的箱?堅持箱坐得不錯,堅持箱有12條。\n\n02:47.146 --> 03:05.092\n對,沒有錯,因為現在原住民地區居住的地方都是非常偏遠,所以幸福巴士來得很重要。那我去看過,我覺得目前住的最好的是濁西鄉跟春日鄉。希望部長如果你有機會看的話,如果他們住的特別好的地方應該擴展到全省的原住民地區。\n\n03:06.512 --> 03:31.954\n讓長者在接送或者是就業的時候,他們能夠得到便利性,可以嗎?以他們做模範來擴展到全省。我們希望其他的地區能夠跟這一些好的來學習。沒錯。那捷運呢?有三地原住民地區有捷運嗎?因為我們現在...我告訴你是零。二次道路有嗎?\n\n03:33.083 --> 03:59.311\n快速道路應該有快速道路有嗎?快速道路有的經過。告訴你是零。三地原住民地區。那因為我們必須分層級。我要告訴你就是說以上除了公車有以外捷運快速道路跟國道我們原住民地區都沒有辦法享受到現在是2024年當然我們這樣講是緣木求雨\n\n04:00.854 --> 04:30.369\n我一直都在想什麼時候國道6號可以到花蓮什麼時候國道10號可以延伸到至少到甲仙對不對然後我們屏東我住在屏東是不是屏東有一個國道或者是快速道路可以到墾丁我們永遠都在想每次政黨輪替的時候他就會畫一條線從潮州畫到經過仿良或者說經過園鄉的地區沿山公路上面然後畫到\n\n04:31.329 --> 04:51.828\n發到肯定說快要做了,要發包了。結果每次選完就沒有人在談這個問題。我們住在屏東八十幾萬人口,花東一條快速道路也沒有。我們只能看著人家在走快速道路跟不到。西部已經有26、80,從62一直到88的快速道路,多得不得了了。\n\n04:52.452 --> 04:53.093\n八月那個可行性報告會出來\n\n05:09.272 --> 05:28.277\n我剛才跟委員報告就剛才你提到的就是偏鄉當然你如果講捷運或是快速道道那個偏鄉這個因為我們有分對我知道我只是要做一個比較對骨幹比如說骨幹你說像花蓮花蓮現在包括我們蘇阿安蘇阿改在做事實上它旁邊有很多這個\n\n05:29.477 --> 05:31.820\n委員現在是這樣,我們在做任何的道路的建設都會先有可行性評估,可行性評估完了以後再有這個綜合規劃,\n\n05:46.720 --> 05:49.461\n希望在我有生之年可以看到花東快速道路因為我是屏東人我跟花蓮的人結婚可是這已經結婚20多年了我還沒有看到我只要\n\n06:15.905 --> 06:20.241\n只要車子一過潮之後我就開始享受野蠻人的生活。\n\n06:23.199 --> 06:45.514\n這個屏東﹐屏南的部分剛才委員所提的這個可行性完成了。那我樂觀其成我希望能夠看到至少是動工好嗎?我們這個工作也跟委員做一個報告實際上中央跟地方政府要一起來努力了因為有些可行性評估\n\n06:47.850 --> 06:47.870\n盧縣一\n\n07:15.630 --> 07:23.038\n解編是在於地方政府,他是限到他認為他成績不夠要往鄉鎮,這地方政府\n\n08:10.026 --> 08:15.990\n委員,我是不是請那個人民會的主委?跟陸委補充報告,的確有一些縣到鄉到後來解編到嚴敏的特色部落道路這個部分。那過去幾年我們的預算的確不太夠,不過也要謝謝交通部\n\n08:36.884 --> 08:57.007\n從去年開始呢那個養護費的費用有編列到我們這個地方來有1億6千多萬的費用是全國的全國住民地區的費用根本就不夠啊我們有多少個鄉鎮?有無數個鄉鎮所以你說1億多一個鄉可以分多少錢?兩百多萬吧?\n\n08:58.035 --> 09:02.218\n我希望經費能夠多一點在維護方面,而且是農路,主要的連外道路,不然發生事故也都是因為路不好,不是嗎?是嗎?\n\n09:17.844 --> 09:42.612\n跟委員報告,縣到結邊鄉鎮道路,它是屬於公路系統,我們的生活圈還是有補助。它是往下到一般的比如說沿鄉的農路或是產業道路,這部分再變成在園民會這邊。我知道,就是因為上個禮拜有人找我,那我才知道費用這麼少,我總覺得那是杯水車薪。我希望能夠編多一點預算給園民會好嗎?\n\n09:45.932 --> 10:12.181\n這個委員是這樣像這一些解編的道路呢是實際上是地方政府嘛因為他要負責主題市所以呢他需要來提出相關的計畫那我們看看地方政府執行的情形我們就會來做滾動的檢討看應該沒有關係那我再繼續追我們農路跟我們鄉鄉鎮道路的對請他們提出相關的這個計畫那我們下一個主題是健康平權\n\n10:17.708 --> 10:46.563\n大家都知道在原住民地區尤其是山地原住民地區都是衛生所在照顧我們的族人那衛生所從我91年服務到去年退休他的人員編制從來沒有改變過我希望如果所謂的升級是從我們的組織改造來做起當然我們就應該是先從第四項來看第五項來看就是第四項來看就是設立\n\n10:47.806 --> 11:13.678\n盧縣盧縣法,基於盧縣法來設立專責機構來全面檢討我們原住民地區的我們衛生所形態,是不是?我們昨天跟學院長有討論過就是照護師嘛,是不是?那如果是照護師那邊會有專責機構的話,是不是能夠著手進行我們全盤檢討我們原住民地區衛生所怎麼來升級?因為如果一個像我比例來說,一個他現在的編制是這樣,一個村莊\n\n11:15.560 --> 11:43.596\n一名護士也就是說如果這個像是六個六個人呃六個春花就是六名護士正式人員他要掌管非常多的事情疫情來的時候管疫情平常的時候要防癌然後登革日了登革日來的時候要管登革日然後平常的呃一些行政業務他也要管然後今天要行政宣言他要跟著去行政宣言然後晚上還要值班隔天還要上班那到底我們這樣的人力夠不夠\n\n11:44.360 --> 11:44.380\n盧縣一\n\n12:10.646 --> 12:10.786\n盧縣一盧縣一\n\n12:40.250 --> 12:40.270\n盧縣一\n\n13:03.473 --> 13:07.295\n首先跟委員報告,在民國97年的時候,我們的原住民的平均移民跟全國是差了9.04歲。\n\n13:29.309 --> 13:37.358\n那到111年的時候,那內政部的統計看起來有改善,所以現在的差距大概在6.19歲,所以這其實是差距已經有縮短,這是第一點。\n\n13:49.406 --> 14:18.000\n第二點的話那有關於衛生所的這一個部分的話那目前我們有兩個計畫一個計畫的話我們正在送行政院這邊就是天香的醫療改善計畫第二期那這部分就有涉及到衛生所的一些改建、擴建等等那第二個就是說有關於這個衛生所的人力的配置的問題那也跟委員報告因為這個是屬於地方的權責但是我們在\n\n14:18.502 --> 14:47.588\n去年的時候已經提出來一個建議的一個方向那其中有一個部分的話剛剛委員有提到過在行政的工作上面的話我們希望就是由縣市政府來承擔派人來承擔不要讓衛生所的過去公衛護士都要同時要去處理這個主計、人事等等這些去兼辦這些這些我們希望是把它取消而讓他實際上去做公共衛生跟醫療的一個服務\n\n14:48.845 --> 14:55.322\n還有特別要說的是我們一直在發展觀光可是在偏遠地區連就業都那麼困難的時候\n\n14:56.465 --> 15:23.935\n我們要怎麼樣來保障我們遊客的安全所以把衛生室升級成至少是一個小型的急診室也是事在必行不然你一直在推觀光萬一晚上發生什麼事情誰來處理而且原住民的地區都離都市要一兩個小時以上夜路又有懸崖你也不能開快對不對對好第三個就是我第二個就是原住民\n\n15:24.500 --> 15:24.520\n盧縣一\n\n15:47.372 --> 16:03.511\n免部分負擔,因為我們原住民要到醫學中心看病是確實有需要才會去,然後去的時候要翻山越嶺,不然就要請家人請假,開車載我們去,不然就是要包車,花了那麼多成本去那邊還要部分負擔,你們覺得這樣合理嗎?\n\n16:04.641 --> 16:31.737\n這個部分的話跟委員報告交通補助是本來就有的。可是沒有調整過。但是如果針對一個身份去做所謂的不分負擔的免除的話,這可能要從長計議。沒關係,我在未還我在修法看看,看看有沒有同仁可以一起幫忙。那我們一直在講免繳健保費也是很多委員有提過,我就不再贅述。\n\n16:32.403 --> 16:57.365\n那就是還有最後一項就是長者的智慧手錶如果這個可以通過其實很多我們偏鄉地區不不只是原鄉地區的一些獨居的老人家就可以可以使用到因為其實大部分的老人家都是獨居所以他們在家裡我們要怎麼知道他們到底安不安全如果有一個可以監測至少監測他的生命真相可以定位他在哪裡的時候\n\n16:57.915 --> 17:22.520\n我們很多年輕人在外面工作的會比較放心。我們是不是可以朝這個方向來努力?各位報告,這個部分的話我們有兩個計畫在進行。第一個是在花蓮豐濱,有慈濟醫院來執行的,來協助執行。另外一個計畫是在臺東。這是在哪一個市?是哪一個市在東?應該是我們的衣服會。衣服會。衣服會。\n\n17:23.760 --> 17:42.630\n那在封兵跟成功那是由我們部立台東醫院來執行的。所以現在正在進行。我現在有提到原住民醫療,最主要是想說原住民在沒有\n\n17:43.527 --> 17:45.468\n我相信對我們長者在使用醫療的時候他的意願會更高。\n\n18:10.170 --> 18:24.375\n這部分我們的中醫藥師有在進行這一部分的一個工作。那我們進行下一個主題就是我們的免巴斯量表。免巴斯量表不僅對我們族人來說是也可以免去它的崩潰,對很多我們國人來講也是這樣。\n\n18:27.512 --> 18:56.349\n所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過\n\n18:57.310 --> 19:24.450\n我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下\n\n19:25.014 --> 19:44.570\n目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。\n\n19:45.522 --> 20:08.998\n因為偏鄉或者原住民地區因為大家非常分散所以那個接管的成本確實是非常高那但是政府呢也針對這個無自來水地區的這個經費都有相關的計畫那委員也很關心所以我們加緊再進行我想知道說一年的大概編的那個經費是多少\n\n20:10.119 --> 20:32.332\n現在的部分比如說113年的部分在原鄉的部分也是有好幾億的這個經費來增加但是也要跟委員報告因為真的是很分散所以接管上因為水的使用其實是跟我們的身體的健康是有很大的影響那我們最近會去提明年度的預算再提四年計劃\n\n20:33.472 --> 20:58.406\n我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝\n\n21:03.249 --> 21:29.626\n最後一項是關於我們照顧原住民運動員的一個問題大家都知道說我們常常在代表我們國家的優秀運動員裡面我們的就選手數來說就人口比例來講我們是確實是佔了很優勢的一個位置不過我們常常在看我們的年輕的運動員常常是因為\n\n21:30.575 --> 21:56.401\n家庭經濟藝術還要四處打工有的時候是因為去打工了一起摩托車結果在路上就受傷了就不能再練習那我期望就是說至少在七運或者是亞運或者是有些世界級的比賽的時候如果得到前三名的運動員就可以平時可以我們可以規劃他應該有每個月的營養費\n\n21:57.811 --> 22:07.621\n至少有教練費或者是買他衣服啊買他鞋子啊或者是一些相關的設備或者是他出國比賽的時候一些津貼你們有這樣的規劃嗎\n\n22:10.661 --> 22:37.587\n謝謝委員,確實委員所提到的我們最近的亞運光我們原民的選手站的比例就將近20%,得到很好的成績,這個為國爭光。那我跟委員報告,現在目前對原住民族選手的部分,因為我們也特別考量一些措施,當然這個裡面也包含我們對於他們從基層開始的這種優秀的選訓。目前我知道的\n\n22:38.067 --> 22:38.668\n委員提到他已經是我們列為國家國首的\n\n23:04.105 --> 23:05.526\n如果再聽到說有國手去兼差打工呢?\n\n23:28.940 --> 23:31.401\n我是指如果他是得到比如說區運賽的前三名你們有這樣的規劃嗎?我最希望原民會這邊可以考量\n\n23:57.278 --> 23:59.503\n關於我們有所謂的得獎的時候的一些講座不管是\n\n24:08.751 --> 24:32.089\n區運的、全國的或是國際性的比賽我們都會有一些獎勵金。是,我是覺得按照名次給獎勵是不夠的。我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙。而譬如家長還要釋出張羅他的生活,選手他也要考慮父母親的感受,結果到最後就完全都沒有辦法再繼續訓練。這是我的對你的建議,可以嗎?\n\n24:37.335 --> 24:37.695\n臨時提案委員\n\n","segments":[{"start":19.745,"end":46.854,"text":"請陳院長請陳院長麻煩請陳院長備詢盧委員晚安抱歉你當前立委謝謝陳院長先用主語介紹你是誰我先用主語跟主人介紹你是誰阿祖父阿關阿"},{"start":49.159,"end":57.843,"text":"發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．盧縣一發言委員．�"},{"start":79.008,"end":108.403,"text":"還有運動員的問題先請問目前在原鄉山地原住民地區原鄉的公車的使用率是多少使用率還是涵蓋率涵蓋率我們現在初步已經到九成了因為那個當然是班次還是不足但是基本上的那個大概九成我在我幾乎都生產在原鄉而且是"},{"start":109.209,"end":129.365,"text":"大部分的服務的地點是在原鄉那我看到的班次當然是太少的問題第一個第二個是因為現在是著重環保的年代不過看到的車子還是大型車輛他沒有我覺得他應該要因為乘客的人數跟道路的使用應該要"},{"start":130.694,"end":154.731,"text":"要做一個modify,不是永遠都是那麼大的車在那麼小的路上行駛,不是嗎?對不對?這個有,這個包括中型跟我們現在幸福巴士是用九輪坐,現在都有在進行中型。請問一下現在幸福巴士坐的最好的箱是哪幾個箱?現在很多都坐的還...你覺得最好的?或者是你覺得前幾名的箱?堅持箱坐得不錯,堅持箱有12條。"},{"start":167.146,"end":185.092,"text":"對,沒有錯,因為現在原住民地區居住的地方都是非常偏遠,所以幸福巴士來得很重要。那我去看過,我覺得目前住的最好的是濁西鄉跟春日鄉。希望部長如果你有機會看的話,如果他們住的特別好的地方應該擴展到全省的原住民地區。"},{"start":186.512,"end":211.954,"text":"讓長者在接送或者是就業的時候,他們能夠得到便利性,可以嗎?以他們做模範來擴展到全省。我們希望其他的地區能夠跟這一些好的來學習。沒錯。那捷運呢?有三地原住民地區有捷運嗎?因為我們現在...我告訴你是零。二次道路有嗎?"},{"start":213.083,"end":239.311,"text":"快速道路應該有快速道路有嗎?快速道路有的經過。告訴你是零。三地原住民地區。那因為我們必須分層級。我要告訴你就是說以上除了公車有以外捷運快速道路跟國道我們原住民地區都沒有辦法享受到現在是2024年當然我們這樣講是緣木求雨"},{"start":240.854,"end":270.369,"text":"我一直都在想什麼時候國道6號可以到花蓮什麼時候國道10號可以延伸到至少到甲仙對不對然後我們屏東我住在屏東是不是屏東有一個國道或者是快速道路可以到墾丁我們永遠都在想每次政黨輪替的時候他就會畫一條線從潮州畫到經過仿良或者說經過園鄉的地區沿山公路上面然後畫到"},{"start":271.329,"end":291.828,"text":"發到肯定說快要做了,要發包了。結果每次選完就沒有人在談這個問題。我們住在屏東八十幾萬人口,花東一條快速道路也沒有。我們只能看著人家在走快速道路跟不到。西部已經有26、80,從62一直到88的快速道路,多得不得了了。"},{"start":292.452,"end":293.093,"text":"八月那個可行性報告會出來"},{"start":309.272,"end":328.277,"text":"我剛才跟委員報告就剛才你提到的就是偏鄉當然你如果講捷運或是快速道道那個偏鄉這個因為我們有分對我知道我只是要做一個比較對骨幹比如說骨幹你說像花蓮花蓮現在包括我們蘇阿安蘇阿改在做事實上它旁邊有很多這個"},{"start":329.477,"end":331.82,"text":"委員現在是這樣,我們在做任何的道路的建設都會先有可行性評估,可行性評估完了以後再有這個綜合規劃,"},{"start":346.72,"end":349.461,"text":"希望在我有生之年可以看到花東快速道路因為我是屏東人我跟花蓮的人結婚可是這已經結婚20多年了我還沒有看到我只要"},{"start":375.905,"end":380.241,"text":"只要車子一過潮之後我就開始享受野蠻人的生活。"},{"start":383.199,"end":405.514,"text":"這個屏東﹐屏南的部分剛才委員所提的這個可行性完成了。那我樂觀其成我希望能夠看到至少是動工好嗎?我們這個工作也跟委員做一個報告實際上中央跟地方政府要一起來努力了因為有些可行性評估"},{"start":407.85,"end":407.87,"text":"盧縣一"},{"start":435.63,"end":443.038,"text":"解編是在於地方政府,他是限到他認為他成績不夠要往鄉鎮,這地方政府"},{"start":444.394,"end":474.394,"text":"盧縣議員"},{"start":474.394,"end":489.735,"text":"﹗"},{"start":490.026,"end":495.99,"text":"委員,我是不是請那個人民會的主委?跟陸委補充報告,的確有一些縣到鄉到後來解編到嚴敏的特色部落道路這個部分。那過去幾年我們的預算的確不太夠,不過也要謝謝交通部"},{"start":516.884,"end":537.007,"text":"從去年開始呢那個養護費的費用有編列到我們這個地方來有1億6千多萬的費用是全國的全國住民地區的費用根本就不夠啊我們有多少個鄉鎮?有無數個鄉鎮所以你說1億多一個鄉可以分多少錢?兩百多萬吧?"},{"start":538.035,"end":542.218,"text":"我希望經費能夠多一點在維護方面,而且是農路,主要的連外道路,不然發生事故也都是因為路不好,不是嗎?是嗎?"},{"start":557.844,"end":582.612,"text":"跟委員報告,縣到結邊鄉鎮道路,它是屬於公路系統,我們的生活圈還是有補助。它是往下到一般的比如說沿鄉的農路或是產業道路,這部分再變成在園民會這邊。我知道,就是因為上個禮拜有人找我,那我才知道費用這麼少,我總覺得那是杯水車薪。我希望能夠編多一點預算給園民會好嗎?"},{"start":585.932,"end":612.181,"text":"這個委員是這樣像這一些解編的道路呢是實際上是地方政府嘛因為他要負責主題市所以呢他需要來提出相關的計畫那我們看看地方政府執行的情形我們就會來做滾動的檢討看應該沒有關係那我再繼續追我們農路跟我們鄉鄉鎮道路的對請他們提出相關的這個計畫那我們下一個主題是健康平權"},{"start":617.708,"end":646.563,"text":"大家都知道在原住民地區尤其是山地原住民地區都是衛生所在照顧我們的族人那衛生所從我91年服務到去年退休他的人員編制從來沒有改變過我希望如果所謂的升級是從我們的組織改造來做起當然我們就應該是先從第四項來看第五項來看就是第四項來看就是設立"},{"start":647.806,"end":673.678,"text":"盧縣盧縣法,基於盧縣法來設立專責機構來全面檢討我們原住民地區的我們衛生所形態,是不是?我們昨天跟學院長有討論過就是照護師嘛,是不是?那如果是照護師那邊會有專責機構的話,是不是能夠著手進行我們全盤檢討我們原住民地區衛生所怎麼來升級?因為如果一個像我比例來說,一個他現在的編制是這樣,一個村莊"},{"start":675.56,"end":703.596,"text":"一名護士也就是說如果這個像是六個六個人呃六個春花就是六名護士正式人員他要掌管非常多的事情疫情來的時候管疫情平常的時候要防癌然後登革日了登革日來的時候要管登革日然後平常的呃一些行政業務他也要管然後今天要行政宣言他要跟著去行政宣言然後晚上還要值班隔天還要上班那到底我們這樣的人力夠不夠"},{"start":704.36,"end":704.38,"text":"盧縣一"},{"start":730.646,"end":730.786,"text":"盧縣一盧縣一"},{"start":760.25,"end":760.27,"text":"盧縣一"},{"start":783.473,"end":787.295,"text":"首先跟委員報告,在民國97年的時候,我們的原住民的平均移民跟全國是差了9.04歲。"},{"start":809.309,"end":817.358,"text":"那到111年的時候,那內政部的統計看起來有改善,所以現在的差距大概在6.19歲,所以這其實是差距已經有縮短,這是第一點。"},{"start":829.406,"end":858,"text":"第二點的話那有關於衛生所的這一個部分的話那目前我們有兩個計畫一個計畫的話我們正在送行政院這邊就是天香的醫療改善計畫第二期那這部分就有涉及到衛生所的一些改建、擴建等等那第二個就是說有關於這個衛生所的人力的配置的問題那也跟委員報告因為這個是屬於地方的權責但是我們在"},{"start":858.502,"end":887.588,"text":"去年的時候已經提出來一個建議的一個方向那其中有一個部分的話剛剛委員有提到過在行政的工作上面的話我們希望就是由縣市政府來承擔派人來承擔不要讓衛生所的過去公衛護士都要同時要去處理這個主計、人事等等這些去兼辦這些這些我們希望是把它取消而讓他實際上去做公共衛生跟醫療的一個服務"},{"start":888.845,"end":895.322,"text":"還有特別要說的是我們一直在發展觀光可是在偏遠地區連就業都那麼困難的時候"},{"start":896.465,"end":923.935,"text":"我們要怎麼樣來保障我們遊客的安全所以把衛生室升級成至少是一個小型的急診室也是事在必行不然你一直在推觀光萬一晚上發生什麼事情誰來處理而且原住民的地區都離都市要一兩個小時以上夜路又有懸崖你也不能開快對不對對好第三個就是我第二個就是原住民"},{"start":924.5,"end":924.52,"text":"盧縣一"},{"start":947.372,"end":963.511,"text":"免部分負擔,因為我們原住民要到醫學中心看病是確實有需要才會去,然後去的時候要翻山越嶺,不然就要請家人請假,開車載我們去,不然就是要包車,花了那麼多成本去那邊還要部分負擔,你們覺得這樣合理嗎?"},{"start":964.641,"end":991.737,"text":"這個部分的話跟委員報告交通補助是本來就有的。可是沒有調整過。但是如果針對一個身份去做所謂的不分負擔的免除的話,這可能要從長計議。沒關係,我在未還我在修法看看,看看有沒有同仁可以一起幫忙。那我們一直在講免繳健保費也是很多委員有提過,我就不再贅述。"},{"start":992.403,"end":1017.365,"text":"那就是還有最後一項就是長者的智慧手錶如果這個可以通過其實很多我們偏鄉地區不不只是原鄉地區的一些獨居的老人家就可以可以使用到因為其實大部分的老人家都是獨居所以他們在家裡我們要怎麼知道他們到底安不安全如果有一個可以監測至少監測他的生命真相可以定位他在哪裡的時候"},{"start":1017.915,"end":1042.52,"text":"我們很多年輕人在外面工作的會比較放心。我們是不是可以朝這個方向來努力?各位報告,這個部分的話我們有兩個計畫在進行。第一個是在花蓮豐濱,有慈濟醫院來執行的,來協助執行。另外一個計畫是在臺東。這是在哪一個市?是哪一個市在東?應該是我們的衣服會。衣服會。衣服會。"},{"start":1043.76,"end":1062.63,"text":"那在封兵跟成功那是由我們部立台東醫院來執行的。所以現在正在進行。我現在有提到原住民醫療,最主要是想說原住民在沒有"},{"start":1063.527,"end":1065.468,"text":"我相信對我們長者在使用醫療的時候他的意願會更高。"},{"start":1090.17,"end":1104.375,"text":"這部分我們的中醫藥師有在進行這一部分的一個工作。那我們進行下一個主題就是我們的免巴斯量表。免巴斯量表不僅對我們族人來說是也可以免去它的崩潰,對很多我們國人來講也是這樣。"},{"start":1107.512,"end":1136.349,"text":"所以這一個我會在我的至少在這個未完這邊會到努力的推出來然後希望大家能夠來認可這個提議好不好?這部分的話事實上就如同剛剛委員提到的那這一個我們的多元評估的方式已經開始推動那目前的話當然人數可能不是很多也就是說使用到這三類的那大概有6000多人。我知道我大概有算過"},{"start":1137.31,"end":1164.45,"text":"我們再來看自來水的普及率這是我到每一個原住民地區都會遇到的問題我們不是住在海邊就是住在溪流邊不然就是住在深山看到水卻不能好好的用水那不覺得這是一個很辛苦的一件事情嗎所以我就去查了一下我們的普及率就是你看一下"},{"start":1165.014,"end":1184.57,"text":"目前山地原住民地區還是只有不到40%,那如果是減益自來水加起來也不到8成。那就反觀我們都會區都是在96%以上。那我是覺得我們至少我們有沒有一個進程或者說你的一個規劃有要怎麼來完成這個普及率。"},{"start":1185.522,"end":1208.998,"text":"因為偏鄉或者原住民地區因為大家非常分散所以那個接管的成本確實是非常高那但是政府呢也針對這個無自來水地區的這個經費都有相關的計畫那委員也很關心所以我們加緊再進行我想知道說一年的大概編的那個經費是多少"},{"start":1210.119,"end":1232.332,"text":"現在的部分比如說113年的部分在原鄉的部分也是有好幾億的這個經費來增加但是也要跟委員報告因為真的是很分散所以接管上因為水的使用其實是跟我們的身體的健康是有很大的影響那我們最近會去提明年度的預算再提四年計劃"},{"start":1233.472,"end":1258.406,"text":"我們現在同仁有再跟相關的原住民專家來討論還有什麼其他的比較創新的方法讓這個原住民的地區可以比較多的一個好的水來使用那這個我們目前正在規劃當中那因為院裡面的3、4月要提出來所以可能規劃的方向也會在這個裡面會呈現我還是會請我辦公室繼續做這個事情是是是謝謝"},{"start":1263.249,"end":1289.626,"text":"最後一項是關於我們照顧原住民運動員的一個問題大家都知道說我們常常在代表我們國家的優秀運動員裡面我們的就選手數來說就人口比例來講我們是確實是佔了很優勢的一個位置不過我們常常在看我們的年輕的運動員常常是因為"},{"start":1290.575,"end":1316.401,"text":"家庭經濟藝術還要四處打工有的時候是因為去打工了一起摩托車結果在路上就受傷了就不能再練習那我期望就是說至少在七運或者是亞運或者是有些世界級的比賽的時候如果得到前三名的運動員就可以平時可以我們可以規劃他應該有每個月的營養費"},{"start":1317.811,"end":1327.621,"text":"至少有教練費或者是買他衣服啊買他鞋子啊或者是一些相關的設備或者是他出國比賽的時候一些津貼你們有這樣的規劃嗎"},{"start":1330.661,"end":1357.587,"text":"謝謝委員,確實委員所提到的我們最近的亞運光我們原民的選手站的比例就將近20%,得到很好的成績,這個為國爭光。那我跟委員報告,現在目前對原住民族選手的部分,因為我們也特別考量一些措施,當然這個裡面也包含我們對於他們從基層開始的這種優秀的選訓。目前我知道的"},{"start":1358.067,"end":1358.668,"text":"委員提到他已經是我們列為國家國首的"},{"start":1384.105,"end":1385.526,"text":"如果再聽到說有國手去兼差打工呢?"},{"start":1408.94,"end":1411.401,"text":"我是指如果他是得到比如說區運賽的前三名你們有這樣的規劃嗎?我最希望原民會這邊可以考量"},{"start":1437.278,"end":1439.503,"text":"關於我們有所謂的得獎的時候的一些講座不管是"},{"start":1448.751,"end":1472.089,"text":"區運的、全國的或是國際性的比賽我們都會有一些獎勵金。是,我是覺得按照名次給獎勵是不夠的。我希望能夠從我剛才所提的這些面向給他們實質上的、生活上的幫忙。而譬如家長還要釋出張羅他的生活,選手他也要考慮父母親的感受,結果到最後就完全都沒有辦法再繼續訓練。這是我的對你的建議,可以嗎?"},{"start":1477.335,"end":1477.695,"text":"臨時提案委員"}]}}}}