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{\"word\": \"席\", \"start\": 361.864, \"end\": 361.884, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:03,171 --> 00:00:05,178\n好,謝謝主席,那我們是請薛部長好,有請部長\n\n2\n00:00:13,772 --> 00:00:39,891\n委員好部長好部長今天我想當然大家主要討論到這個健保藥價的部分那其實我想這個健保涉及到我們這個醫療機構相關這個營收一般來講據我所知一般的醫療機構不管大的小的它的這個收入來源一方面是這個健保的這個給付另外一個很重要當然就是所謂的門診的這個掛號費的收入所以說其實我剛剛看到這個報告的第一頁就提到說\n\n3\n00:00:41,192 --> 00:01:06,617\n主要是希望說能夠來這個反映藥品支付的價格調降來控制藥費在合理範圍裡面來尊潔健保的支出那包含剛剛的委員的臨時提案裡面也提到這個健保的支出當然健保可能現在入不敷出所以是不是有可能考慮用這個公務預算來撥補因為像其他的這個其他像比如說勞保或其他的這些保險的這個公務的保險如果他在保險的經費不夠的時候都會使用這個公務預算來撥補來擬貧這個可能虧損的部分\n\n4\n00:01:10,080 --> 00:01:11,006\n那在健保這部分\n\n5\n00:01:12,404 --> 00:01:38,741\n當然健保藥包勃勃這部分我們未來再討論那我今天想要講的是這個提到這個那個什麼掛號費提升的問題解開解封的問題其實我想跟這個部長來討論就是說部長說這個是市場機制但是我想這個醫療行為很難用這個市場機制來認定如果今天醫療行為要用市場機制來認定的話那我想醫院他的管理單位就不是衛福部可以把它移去經濟部了所以我想這個部長\n\n6\n00:01:40,382 --> 00:02:06,055\n我還是希望說這個在調整因為你今天受訪的時候也是很肯定的說這件事情一定會執行但在執行之前我想問部長有沒有可能至少你要召開一個公聽會來瞭解除了醫界的意見之外我想使用者、各民間團體、民眾的意見也很重要就是我願意能夠花多少錢來看一般的診所那願意花多少錢去掛特別的門診的這個健保這個購花費我想這是不一樣的這個結構所以\n\n7\n00:02:07,896 --> 00:02:26,218\n一刀切的說啊,全面性的都可以去調整,都可以去調漲,我想對這個民生衝擊會非常大,尤其現在這幾年啊,這幾個月來我想很多的這個費用都在調漲,不管是物價也好、電費也好,如果連現在這個掛號費也要調漲的話,我想對一般的民眾的衝擊會非常大。部長你對這件事情有什麼看法?有沒有\n\n8\n00:02:27,179 --> 00:02:49,174\n延後實施的可能性,有沒有可能再徵詢更多的意見,再去執行這件事情?首先跟我們報告,其實對於掛號費這種行政費用的管制,法律上是沒有根據的。我知道。那所以這一個解,既然說醫界有這樣子的提出來這樣的質疑的時候,我們就必須要去做處理。\n\n9\n00:02:49,654 --> 00:03:15,765\n我想醫界在質疑當然主要還是因為說這個收入的問題啦所以要提到說這健保的幾負點是不是也是很重要的一個環節那健保的部分是另外一件事情那健保事實上對於所謂的這一些營運成本包括說租金、水電等等這些還有人員薪資的上漲的壓力的話健保沒有辦法完全去cover但是那個是行政成本\n\n10\n00:03:16,685 --> 00:03:31,139\n所以我們其實是解開那個管制並不是說他一定就會調整比如說我們現在對於我們可以掌握的公立醫院的話我們可能就是讓他先不掌公立醫院先不掌\n\n11\n00:03:31,840 --> 00:03:56,947\n好部長謝謝喔晚上就是說其實這東西的確就是說這個是民眾多數民眾一看到說這個過號費可能會調會調漲的時候其實大家這個心理壓力其實也蠻大的那當然整個醫療收入的支出醫療收入的部分到底是這個這個過號費比較重要還是這個健保的費用比較重要因為今天時間不太夠所以我有有有機會再跟部長討論那最後一點喔另外一個話題就是這個大家很在注重這個蘇丹紅的議題\n\n12\n00:03:58,827 --> 00:04:21,558\n食安五環有一件事情就是所謂的進口的階段能夠來積茶但是在這個海關在積茶的時候食安五環針對的是食品但我想蘇丹紅這個原料它好像是工業產品所以這是不是不在目前的食安五環的管制範圍裡面應該說它作為食品添加物是一個不合法的這樣我們還是要管\n\n13\n00:04:23,243 --> 00:04:45,402\n因為他理論上進來他申報不會說我要加到食品裡面去嘛對他進來申報的時候他一定是用什麼其他的名義可能工業製品所以他申報要進入台灣然後在台灣來加工目前的狀況不是這樣目前的狀況是他在國外的話就是已經已經是加到這個辣椒粉裡面所以我們看到的是辣椒粉我們做出來看到成品就對了蘇丹紅\n\n14\n00:04:46,983 --> 00:05:04,378\n那並不是說蘇丹紅另外進來然後在國內去攬那並不是這個樣子那如果是成品進來的話理論上應該在這個邊境管制的時候就應該查到才對所以我們現在會提升那個管制的一個措施也就是說\n\n15\n00:05:04,838 --> 00:05:19,964\n像這一類的,我們會跟環境部一起來討論,有哪一些工業產品、工業使用的這些原料,它不可以加在食品裡面,我們會把它找出來。一旦驗到的話,那就是100%去擋了。\n\n16\n00:05:22,065 --> 00:05:38,895\n部長還有這個食藥署我想提供一個民間的建議因為我們家以前自己做食品業的很清楚其實這個食品哪些不肖業者會把不該加在食品裡面的東西放進食品的添加物裡面這些我想食藥署去業界了解一下就很清楚那我想這個部分\n\n17\n00:05:39,835 --> 00:06:01,244\n不能用善良民眾的心的想法去想這個事情要去從不肖廠商的想法節省成本的想法去想這個事情哪些工業製品會被添加到食物裡面包含在這個境外管制的包含在這個港口管制的時候就應該要去處理不是進來之後食安風暴才去查緝所以部分我是希望說部長跟我們署長\n\n18\n00:06:01,804 --> 00:06:01,884\n主席\n\n","tsv":"start\tend\ttext\n3171\t5178\t好,謝謝主席,那我們是請薛部長好,有請部長\n13772\t39891\t委員好部長好部長今天我想當然大家主要討論到這個健保藥價的部分那其實我想這個健保涉及到我們這個醫療機構相關這個營收一般來講據我所知一般的醫療機構不管大的小的它的這個收入來源一方面是這個健保的這個給付另外一個很重要當然就是所謂的門診的這個掛號費的收入所以說其實我剛剛看到這個報告的第一頁就提到說\n41192\t66617\t主要是希望說能夠來這個反映藥品支付的價格調降來控制藥費在合理範圍裡面來尊潔健保的支出那包含剛剛的委員的臨時提案裡面也提到這個健保的支出當然健保可能現在入不敷出所以是不是有可能考慮用這個公務預算來撥補因為像其他的這個其他像比如說勞保或其他的這些保險的這個公務的保險如果他在保險的經費不夠的時候都會使用這個公務預算來撥補來擬貧這個可能虧損的部分\n70080\t71006\t那在健保這部分\n72404\t98741\t當然健保藥包勃勃這部分我們未來再討論那我今天想要講的是這個提到這個那個什麼掛號費提升的問題解開解封的問題其實我想跟這個部長來討論就是說部長說這個是市場機制但是我想這個醫療行為很難用這個市場機制來認定如果今天醫療行為要用市場機制來認定的話那我想醫院他的管理單位就不是衛福部可以把它移去經濟部了所以我想這個部長\n100382\t126055\t我還是希望說這個在調整因為你今天受訪的時候也是很肯定的說這件事情一定會執行但在執行之前我想問部長有沒有可能至少你要召開一個公聽會來瞭解除了醫界的意見之外我想使用者、各民間團體、民眾的意見也很重要就是我願意能夠花多少錢來看一般的診所那願意花多少錢去掛特別的門診的這個健保這個購花費我想這是不一樣的這個結構所以\n127896\t146218\t一刀切的說啊,全面性的都可以去調整,都可以去調漲,我想對這個民生衝擊會非常大,尤其現在這幾年啊,這幾個月來我想很多的這個費用都在調漲,不管是物價也好、電費也好,如果連現在這個掛號費也要調漲的話,我想對一般的民眾的衝擊會非常大。部長你對這件事情有什麼看法?有沒有\n147179\t169174\t延後實施的可能性,有沒有可能再徵詢更多的意見,再去執行這件事情?首先跟我們報告,其實對於掛號費這種行政費用的管制,法律上是沒有根據的。我知道。那所以這一個解,既然說醫界有這樣子的提出來這樣的質疑的時候,我們就必須要去做處理。\n169654\t195765\t我想醫界在質疑當然主要還是因為說這個收入的問題啦所以要提到說這健保的幾負點是不是也是很重要的一個環節那健保的部分是另外一件事情那健保事實上對於所謂的這一些營運成本包括說租金、水電等等這些還有人員薪資的上漲的壓力的話健保沒有辦法完全去cover但是那個是行政成本\n196685\t211139\t所以我們其實是解開那個管制並不是說他一定就會調整比如說我們現在對於我們可以掌握的公立醫院的話我們可能就是讓他先不掌公立醫院先不掌\n211840\t236947\t好部長謝謝喔晚上就是說其實這東西的確就是說這個是民眾多數民眾一看到說這個過號費可能會調會調漲的時候其實大家這個心理壓力其實也蠻大的那當然整個醫療收入的支出醫療收入的部分到底是這個這個過號費比較重要還是這個健保的費用比較重要因為今天時間不太夠所以我有有有機會再跟部長討論那最後一點喔另外一個話題就是這個大家很在注重這個蘇丹紅的議題\n238827\t261558\t食安五環有一件事情就是所謂的進口的階段能夠來積茶但是在這個海關在積茶的時候食安五環針對的是食品但我想蘇丹紅這個原料它好像是工業產品所以這是不是不在目前的食安五環的管制範圍裡面應該說它作為食品添加物是一個不合法的這樣我們還是要管\n263243\t285402\t因為他理論上進來他申報不會說我要加到食品裡面去嘛對他進來申報的時候他一定是用什麼其他的名義可能工業製品所以他申報要進入台灣然後在台灣來加工目前的狀況不是這樣目前的狀況是他在國外的話就是已經已經是加到這個辣椒粉裡面所以我們看到的是辣椒粉我們做出來看到成品就對了蘇丹紅\n286983\t304378\t那並不是說蘇丹紅另外進來然後在國內去攬那並不是這個樣子那如果是成品進來的話理論上應該在這個邊境管制的時候就應該查到才對所以我們現在會提升那個管制的一個措施也就是說\n304838\t319964\t像這一類的,我們會跟環境部一起來討論,有哪一些工業產品、工業使用的這些原料,它不可以加在食品裡面,我們會把它找出來。一旦驗到的話,那就是100%去擋了。\n322065\t338895\t部長還有這個食藥署我想提供一個民間的建議因為我們家以前自己做食品業的很清楚其實這個食品哪些不肖業者會把不該加在食品裡面的東西放進食品的添加物裡面這些我想食藥署去業界了解一下就很清楚那我想這個部分\n339835\t361244\t不能用善良民眾的心的想法去想這個事情要去從不肖廠商的想法節省成本的想法去想這個事情哪些工業製品會被添加到食物裡面包含在這個境外管制的包含在這個港口管制的時候就應該要去處理不是進來之後食安風暴才去查緝所以部分我是希望說部長跟我們署長\n361804\t361884\t主席\n","txt":"好,謝謝主席,那我們是請薛部長好,有請部長\n委員好部長好部長今天我想當然大家主要討論到這個健保藥價的部分那其實我想這個健保涉及到我們這個醫療機構相關這個營收一般來講據我所知一般的醫療機構不管大的小的它的這個收入來源一方面是這個健保的這個給付另外一個很重要當然就是所謂的門診的這個掛號費的收入所以說其實我剛剛看到這個報告的第一頁就提到說\n主要是希望說能夠來這個反映藥品支付的價格調降來控制藥費在合理範圍裡面來尊潔健保的支出那包含剛剛的委員的臨時提案裡面也提到這個健保的支出當然健保可能現在入不敷出所以是不是有可能考慮用這個公務預算來撥補因為像其他的這個其他像比如說勞保或其他的這些保險的這個公務的保險如果他在保險的經費不夠的時候都會使用這個公務預算來撥補來擬貧這個可能虧損的部分\n那在健保這部分\n當然健保藥包勃勃這部分我們未來再討論那我今天想要講的是這個提到這個那個什麼掛號費提升的問題解開解封的問題其實我想跟這個部長來討論就是說部長說這個是市場機制但是我想這個醫療行為很難用這個市場機制來認定如果今天醫療行為要用市場機制來認定的話那我想醫院他的管理單位就不是衛福部可以把它移去經濟部了所以我想這個部長\n我還是希望說這個在調整因為你今天受訪的時候也是很肯定的說這件事情一定會執行但在執行之前我想問部長有沒有可能至少你要召開一個公聽會來瞭解除了醫界的意見之外我想使用者、各民間團體、民眾的意見也很重要就是我願意能夠花多少錢來看一般的診所那願意花多少錢去掛特別的門診的這個健保這個購花費我想這是不一樣的這個結構所以\n一刀切的說啊,全面性的都可以去調整,都可以去調漲,我想對這個民生衝擊會非常大,尤其現在這幾年啊,這幾個月來我想很多的這個費用都在調漲,不管是物價也好、電費也好,如果連現在這個掛號費也要調漲的話,我想對一般的民眾的衝擊會非常大。部長你對這件事情有什麼看法?有沒有\n延後實施的可能性,有沒有可能再徵詢更多的意見,再去執行這件事情?首先跟我們報告,其實對於掛號費這種行政費用的管制,法律上是沒有根據的。我知道。那所以這一個解,既然說醫界有這樣子的提出來這樣的質疑的時候,我們就必須要去做處理。\n我想醫界在質疑當然主要還是因為說這個收入的問題啦所以要提到說這健保的幾負點是不是也是很重要的一個環節那健保的部分是另外一件事情那健保事實上對於所謂的這一些營運成本包括說租金、水電等等這些還有人員薪資的上漲的壓力的話健保沒有辦法完全去cover但是那個是行政成本\n所以我們其實是解開那個管制並不是說他一定就會調整比如說我們現在對於我們可以掌握的公立醫院的話我們可能就是讓他先不掌公立醫院先不掌\n好部長謝謝喔晚上就是說其實這東西的確就是說這個是民眾多數民眾一看到說這個過號費可能會調會調漲的時候其實大家這個心理壓力其實也蠻大的那當然整個醫療收入的支出醫療收入的部分到底是這個這個過號費比較重要還是這個健保的費用比較重要因為今天時間不太夠所以我有有有機會再跟部長討論那最後一點喔另外一個話題就是這個大家很在注重這個蘇丹紅的議題\n食安五環有一件事情就是所謂的進口的階段能夠來積茶但是在這個海關在積茶的時候食安五環針對的是食品但我想蘇丹紅這個原料它好像是工業產品所以這是不是不在目前的食安五環的管制範圍裡面應該說它作為食品添加物是一個不合法的這樣我們還是要管\n因為他理論上進來他申報不會說我要加到食品裡面去嘛對他進來申報的時候他一定是用什麼其他的名義可能工業製品所以他申報要進入台灣然後在台灣來加工目前的狀況不是這樣目前的狀況是他在國外的話就是已經已經是加到這個辣椒粉裡面所以我們看到的是辣椒粉我們做出來看到成品就對了蘇丹紅\n那並不是說蘇丹紅另外進來然後在國內去攬那並不是這個樣子那如果是成品進來的話理論上應該在這個邊境管制的時候就應該查到才對所以我們現在會提升那個管制的一個措施也就是說\n像這一類的,我們會跟環境部一起來討論,有哪一些工業產品、工業使用的這些原料,它不可以加在食品裡面,我們會把它找出來。一旦驗到的話,那就是100%去擋了。\n部長還有這個食藥署我想提供一個民間的建議因為我們家以前自己做食品業的很清楚其實這個食品哪些不肖業者會把不該加在食品裡面的東西放進食品的添加物裡面這些我想食藥署去業界了解一下就很清楚那我想這個部分\n不能用善良民眾的心的想法去想這個事情要去從不肖廠商的想法節省成本的想法去想這個事情哪些工業製品會被添加到食物裡面包含在這個境外管制的包含在這個港口管制的時候就應該要去處理不是進來之後食安風暴才去查緝所以部分我是希望說部長跟我們署長\n主席\n","vtt":"WEBVTT\n\n00:03.171 --> 00:05.178\n好,謝謝主席,那我們是請薛部長好,有請部長\n\n00:13.772 --> 00:39.891\n委員好部長好部長今天我想當然大家主要討論到這個健保藥價的部分那其實我想這個健保涉及到我們這個醫療機構相關這個營收一般來講據我所知一般的醫療機構不管大的小的它的這個收入來源一方面是這個健保的這個給付另外一個很重要當然就是所謂的門診的這個掛號費的收入所以說其實我剛剛看到這個報告的第一頁就提到說\n\n00:41.192 --> 01:06.617\n主要是希望說能夠來這個反映藥品支付的價格調降來控制藥費在合理範圍裡面來尊潔健保的支出那包含剛剛的委員的臨時提案裡面也提到這個健保的支出當然健保可能現在入不敷出所以是不是有可能考慮用這個公務預算來撥補因為像其他的這個其他像比如說勞保或其他的這些保險的這個公務的保險如果他在保險的經費不夠的時候都會使用這個公務預算來撥補來擬貧這個可能虧損的部分\n\n01:10.080 --> 01:11.006\n那在健保這部分\n\n01:12.404 --> 01:38.741\n當然健保藥包勃勃這部分我們未來再討論那我今天想要講的是這個提到這個那個什麼掛號費提升的問題解開解封的問題其實我想跟這個部長來討論就是說部長說這個是市場機制但是我想這個醫療行為很難用這個市場機制來認定如果今天醫療行為要用市場機制來認定的話那我想醫院他的管理單位就不是衛福部可以把它移去經濟部了所以我想這個部長\n\n01:40.382 --> 02:06.055\n我還是希望說這個在調整因為你今天受訪的時候也是很肯定的說這件事情一定會執行但在執行之前我想問部長有沒有可能至少你要召開一個公聽會來瞭解除了醫界的意見之外我想使用者、各民間團體、民眾的意見也很重要就是我願意能夠花多少錢來看一般的診所那願意花多少錢去掛特別的門診的這個健保這個購花費我想這是不一樣的這個結構所以\n\n02:07.896 --> 02:26.218\n一刀切的說啊,全面性的都可以去調整,都可以去調漲,我想對這個民生衝擊會非常大,尤其現在這幾年啊,這幾個月來我想很多的這個費用都在調漲,不管是物價也好、電費也好,如果連現在這個掛號費也要調漲的話,我想對一般的民眾的衝擊會非常大。部長你對這件事情有什麼看法?有沒有\n\n02:27.179 --> 02:49.174\n延後實施的可能性,有沒有可能再徵詢更多的意見,再去執行這件事情?首先跟我們報告,其實對於掛號費這種行政費用的管制,法律上是沒有根據的。我知道。那所以這一個解,既然說醫界有這樣子的提出來這樣的質疑的時候,我們就必須要去做處理。\n\n02:49.654 --> 03:15.765\n我想醫界在質疑當然主要還是因為說這個收入的問題啦所以要提到說這健保的幾負點是不是也是很重要的一個環節那健保的部分是另外一件事情那健保事實上對於所謂的這一些營運成本包括說租金、水電等等這些還有人員薪資的上漲的壓力的話健保沒有辦法完全去cover但是那個是行政成本\n\n03:16.685 --> 03:31.139\n所以我們其實是解開那個管制並不是說他一定就會調整比如說我們現在對於我們可以掌握的公立醫院的話我們可能就是讓他先不掌公立醫院先不掌\n\n03:31.840 --> 03:56.947\n好部長謝謝喔晚上就是說其實這東西的確就是說這個是民眾多數民眾一看到說這個過號費可能會調會調漲的時候其實大家這個心理壓力其實也蠻大的那當然整個醫療收入的支出醫療收入的部分到底是這個這個過號費比較重要還是這個健保的費用比較重要因為今天時間不太夠所以我有有有機會再跟部長討論那最後一點喔另外一個話題就是這個大家很在注重這個蘇丹紅的議題\n\n03:58.827 --> 04:21.558\n食安五環有一件事情就是所謂的進口的階段能夠來積茶但是在這個海關在積茶的時候食安五環針對的是食品但我想蘇丹紅這個原料它好像是工業產品所以這是不是不在目前的食安五環的管制範圍裡面應該說它作為食品添加物是一個不合法的這樣我們還是要管\n\n04:23.243 --> 04:45.402\n因為他理論上進來他申報不會說我要加到食品裡面去嘛對他進來申報的時候他一定是用什麼其他的名義可能工業製品所以他申報要進入台灣然後在台灣來加工目前的狀況不是這樣目前的狀況是他在國外的話就是已經已經是加到這個辣椒粉裡面所以我們看到的是辣椒粉我們做出來看到成品就對了蘇丹紅\n\n04:46.983 --> 05:04.378\n那並不是說蘇丹紅另外進來然後在國內去攬那並不是這個樣子那如果是成品進來的話理論上應該在這個邊境管制的時候就應該查到才對所以我們現在會提升那個管制的一個措施也就是說\n\n05:04.838 --> 05:19.964\n像這一類的,我們會跟環境部一起來討論,有哪一些工業產品、工業使用的這些原料,它不可以加在食品裡面,我們會把它找出來。一旦驗到的話,那就是100%去擋了。\n\n05:22.065 --> 05:38.895\n部長還有這個食藥署我想提供一個民間的建議因為我們家以前自己做食品業的很清楚其實這個食品哪些不肖業者會把不該加在食品裡面的東西放進食品的添加物裡面這些我想食藥署去業界了解一下就很清楚那我想這個部分\n\n05:39.835 --> 06:01.244\n不能用善良民眾的心的想法去想這個事情要去從不肖廠商的想法節省成本的想法去想這個事情哪些工業製品會被添加到食物裡面包含在這個境外管制的包含在這個港口管制的時候就應該要去處理不是進來之後食安風暴才去查緝所以部分我是希望說部長跟我們署長\n\n06:01.804 --> 06:01.884\n主席\n\n","segments":[{"start":3.171,"end":5.178,"text":"好,謝謝主席,那我們是請薛部長好,有請部長"},{"start":13.772,"end":39.891,"text":"委員好部長好部長今天我想當然大家主要討論到這個健保藥價的部分那其實我想這個健保涉及到我們這個醫療機構相關這個營收一般來講據我所知一般的醫療機構不管大的小的它的這個收入來源一方面是這個健保的這個給付另外一個很重要當然就是所謂的門診的這個掛號費的收入所以說其實我剛剛看到這個報告的第一頁就提到說"},{"start":41.192,"end":66.617,"text":"主要是希望說能夠來這個反映藥品支付的價格調降來控制藥費在合理範圍裡面來尊潔健保的支出那包含剛剛的委員的臨時提案裡面也提到這個健保的支出當然健保可能現在入不敷出所以是不是有可能考慮用這個公務預算來撥補因為像其他的這個其他像比如說勞保或其他的這些保險的這個公務的保險如果他在保險的經費不夠的時候都會使用這個公務預算來撥補來擬貧這個可能虧損的部分"},{"start":70.08,"end":71.006,"text":"那在健保這部分"},{"start":72.404,"end":98.741,"text":"當然健保藥包勃勃這部分我們未來再討論那我今天想要講的是這個提到這個那個什麼掛號費提升的問題解開解封的問題其實我想跟這個部長來討論就是說部長說這個是市場機制但是我想這個醫療行為很難用這個市場機制來認定如果今天醫療行為要用市場機制來認定的話那我想醫院他的管理單位就不是衛福部可以把它移去經濟部了所以我想這個部長"},{"start":100.382,"end":126.055,"text":"我還是希望說這個在調整因為你今天受訪的時候也是很肯定的說這件事情一定會執行但在執行之前我想問部長有沒有可能至少你要召開一個公聽會來瞭解除了醫界的意見之外我想使用者、各民間團體、民眾的意見也很重要就是我願意能夠花多少錢來看一般的診所那願意花多少錢去掛特別的門診的這個健保這個購花費我想這是不一樣的這個結構所以"},{"start":127.896,"end":146.218,"text":"一刀切的說啊,全面性的都可以去調整,都可以去調漲,我想對這個民生衝擊會非常大,尤其現在這幾年啊,這幾個月來我想很多的這個費用都在調漲,不管是物價也好、電費也好,如果連現在這個掛號費也要調漲的話,我想對一般的民眾的衝擊會非常大。部長你對這件事情有什麼看法?有沒有"},{"start":147.179,"end":169.174,"text":"延後實施的可能性,有沒有可能再徵詢更多的意見,再去執行這件事情?首先跟我們報告,其實對於掛號費這種行政費用的管制,法律上是沒有根據的。我知道。那所以這一個解,既然說醫界有這樣子的提出來這樣的質疑的時候,我們就必須要去做處理。"},{"start":169.654,"end":195.765,"text":"我想醫界在質疑當然主要還是因為說這個收入的問題啦所以要提到說這健保的幾負點是不是也是很重要的一個環節那健保的部分是另外一件事情那健保事實上對於所謂的這一些營運成本包括說租金、水電等等這些還有人員薪資的上漲的壓力的話健保沒有辦法完全去cover但是那個是行政成本"},{"start":196.685,"end":211.139,"text":"所以我們其實是解開那個管制並不是說他一定就會調整比如說我們現在對於我們可以掌握的公立醫院的話我們可能就是讓他先不掌公立醫院先不掌"},{"start":211.84,"end":236.947,"text":"好部長謝謝喔晚上就是說其實這東西的確就是說這個是民眾多數民眾一看到說這個過號費可能會調會調漲的時候其實大家這個心理壓力其實也蠻大的那當然整個醫療收入的支出醫療收入的部分到底是這個這個過號費比較重要還是這個健保的費用比較重要因為今天時間不太夠所以我有有有機會再跟部長討論那最後一點喔另外一個話題就是這個大家很在注重這個蘇丹紅的議題"},{"start":238.827,"end":261.558,"text":"食安五環有一件事情就是所謂的進口的階段能夠來積茶但是在這個海關在積茶的時候食安五環針對的是食品但我想蘇丹紅這個原料它好像是工業產品所以這是不是不在目前的食安五環的管制範圍裡面應該說它作為食品添加物是一個不合法的這樣我們還是要管"},{"start":263.243,"end":285.402,"text":"因為他理論上進來他申報不會說我要加到食品裡面去嘛對他進來申報的時候他一定是用什麼其他的名義可能工業製品所以他申報要進入台灣然後在台灣來加工目前的狀況不是這樣目前的狀況是他在國外的話就是已經已經是加到這個辣椒粉裡面所以我們看到的是辣椒粉我們做出來看到成品就對了蘇丹紅"},{"start":286.983,"end":304.378,"text":"那並不是說蘇丹紅另外進來然後在國內去攬那並不是這個樣子那如果是成品進來的話理論上應該在這個邊境管制的時候就應該查到才對所以我們現在會提升那個管制的一個措施也就是說"},{"start":304.838,"end":319.964,"text":"像這一類的,我們會跟環境部一起來討論,有哪一些工業產品、工業使用的這些原料,它不可以加在食品裡面,我們會把它找出來。一旦驗到的話,那就是100%去擋了。"},{"start":322.065,"end":338.895,"text":"部長還有這個食藥署我想提供一個民間的建議因為我們家以前自己做食品業的很清楚其實這個食品哪些不肖業者會把不該加在食品裡面的東西放進食品的添加物裡面這些我想食藥署去業界了解一下就很清楚那我想這個部分"},{"start":339.835,"end":361.244,"text":"不能用善良民眾的心的想法去想這個事情要去從不肖廠商的想法節省成本的想法去想這個事情哪些工業製品會被添加到食物裡面包含在這個境外管制的包含在這個港口管制的時候就應該要去處理不是進來之後食安風暴才去查緝所以部分我是希望說部長跟我們署長"},{"start":361.804,"end":361.884,"text":"主席"}]}}}}