{"id":149578,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149578","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1441ba9c2015bdbe579752715a27f79bdc62c46c87ca327ff8ba9b0039caa7a6883b0731a2b3b7265ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"謝衣鳯","委員發言時間":"12:16:42 - 12:23:00","影片長度":"00:06:18","會議時間":"2024-03-07T09:00:00+08:00","會議名稱":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議（事由：邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用藥之因應作為」進行專題報告，並備質詢。）","meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":4,"committees":[26],"id":"委員會-11-1-26-4"},"date":"2024-03-07","duration":378,"end_time":"2024-03-07T12:23:00+08:00","start_time":"2024-03-07T12:16:42+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":1120,"blocks":[["謝委員衣鳯：（12時16分）謝謝主席。我想要請我們薛部長。"],["主席：好，有請薛部長。"],["薛部長瑞元：委員好。"],["謝委員衣鳯：部長好。我想請問一下，去年我們中央政府預算補健保多少錢？250億，是不是？"],["薛部長瑞元：240億，今年是200億。"],["謝委員衣鳯：對啊！我們每年都在補健保的錢，然後你們又給人家調漲……"],["薛部長瑞元：這兩個不同事情。"],["謝委員衣鳯：這不是調漲，比較符合原意的說法是取消掛號費的上限，如果醫療機構這樣的調漲掛號費上限，這對民眾來講，也是一種變相的調漲健保費，請問這樣子對於整個健保的結構有沒有改善？"],["薛部長瑞元：當然有一些在行政成本提升的部分，醫療機構可能會有這種調漲掛號費來支應的情形，但是健保歸健保，因為健保指的是醫療費用，醫療費用這一個部分的話，在總額預算制度之下還是必須要另外去做處理。而委員剛剛提到公務預算補助的部分，其實我們是用於癌症新藥的部分，還有護理人員待遇提升的部分，所以是不一樣的。"],["謝委員衣鳯：那也是健保支出的，是不是？就是你說的，今年的200億跟去年的240億。"],["薛部長瑞元：去年的240億，同時也去處理到所謂補點值的問題，因為COVID停止之後，整個上呼吸道感染的case大增，這部分讓整個點值是下降了，所以去年的240億也同時在處理這個問題。"],["謝委員衣鳯：我實在很納悶，就是當我們中央政府總預算一直在挹注健保，但是第一個，醫院也沒拿到錢，然後我們又要多花錢……"],["薛部長瑞元：怎麼會沒有拿到錢？有啦！"],["謝委員衣鳯：它也沒有拿到足額的錢，我們又要多花錢，這是三輸欸！因為社會大眾也沒有覺得整體醫療改善了，那是不是有點三輸啊？"],["薛部長瑞元：至少在總額預算之下，已經有多年都不用再去調保費了，其實是這樣的。"],["謝委員衣鳯：對，我有點怕的是，你說你不要續任，而我現在質詢你，你講的也不代表未來的部長，可是你會不會騙我們，你說你不續任，但說不定最後部長還是你？"],["薛部長瑞元：那個不是我決定的。"],["謝委員衣鳯：對啊！所以你也沒有辦法說啊！現在你也沒有說死嘛！"],["薛部長瑞元：所以委員的意思是不用再質詢我？"],["謝委員衣鳯：不是啦！還是要討論出一個解決的方案，因為我認為，第一個，中央政府的總預算一直在挹注健保，而且你們取消上限的問題，讓民眾覺得即便你們改善了醫療診所的行政費用，但是沒有改善整個健保的結構，是不是？"],["薛部長瑞元：但是對醫療院所來講，它可以改善它的醫療品質，包括可以聘用更多的護理人員處理病人，這是馬上要面對的問題。"],["謝委員衣鳯：對，但是民眾會覺得他們就醫的……同樣的，在其他的政策方面，當然我們取消陸配，你們也知道明明一年的上限就是60個或70個？"],["薛部長瑞元：因為這個沒有寫到法律上面，以後會不會又要調整，我們實在是沒有把握，所以現在我們沒辦法說陸配的年限減短之後，依親的人是否會有影響。陸配本身不會有影響，但是他們依親的部分是否有影響，這個我們不知道。因為60個人……"],["謝委員衣鳯：你是說依親……"],["薛部長瑞元：現在每年……"],["謝委員衣鳯：60個會不會取消？"],["薛部長瑞元：每年60個是寫在一個表上面，它算是行政命令的一環而已，這個……"],["謝委員衣鳯：你是擔心取消會有影響，是不是？"],["薛部長瑞元：對，或是做調整。"],["謝委員衣鳯：你是擔心上限取消會有影響？"],["薛部長瑞元：對，如果以後是600個、6,000個、6萬個，我們的健保可能就受不了了。"],["謝委員衣鳯：不是啊！其實你也很清楚我們健保的問題，不用算到這一塊……"],["薛部長瑞元：對啊！不要用那個來雪上加霜。"],["謝委員衣鳯：不用算到那一塊，其實我們目前結構性的問題就存在了。"],["薛部長瑞元：對。"],["謝委員衣鳯：我們一直挹注健保資源，其實都沒有辦法改善整個健保的結構，你現在取消掛號費上限，讓民眾覺得不能夠信任，是不是？到時候亂象會不會更多？各醫療院所對於掛號費到底是什麼樣的形式都不知道，所以你就讓民眾無所適從嘛！是不是？"],["薛部長瑞元：我們還是會監測啦！"],["謝委員衣鳯：你怎麼監測？好啦！主席站起來了。我只是覺得好像還是沒有改善這個問題。"],["薛部長瑞元：主要是有一些地區的資源比較不足，我們就要注意這個部分的掛號費，因為它已經是事實上獨占或寡占的情形，這個就要特別去注意了。"],["謝委員衣鳯：好，謝謝。"],["薛部長瑞元：好，謝謝。"],["主席：我們謝謝謝衣鳯委員的質詢，接下來請鍾佳濱委員進行質詢。"]],"agenda":{"page_end":210,"meet_id":"委員會-11-1-26-4","speakers":["王育敏","陳昭姿","陳菁徽","林月琴","盧縣一","邱鎮軍","廖偉翔","黃秀芳","蘇清泉","涂權吉","王正旭","林德福","王鴻薇","羅廷瑋","李彥秀","林淑芬","黃健豪","謝衣鳯","鍾佳濱","林憶君","劉建國","陳瑩","楊曜","楊瓊瓔"],"page_start":133,"meetingDate":["2024-03-07"],"gazette_id":"1130901","agenda_lcidc_ids":["1130901_00003"],"meet_name":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議紀錄","content":"邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用\n藥之因應作為」進行專題報告，並備質詢","agenda_id":"1130901_00002"}},"transcript":{"id":"149578","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149578","tool":"pyannote","id":"149578-pyannote"},"job_id":"XqHh6rfY9KqPXP5O","queued_at":"2024-06-02 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{\"word\": \"啦\", \"start\": 330.911, \"end\": 330.931, \"score\": 0.0}, {\"word\": \"謝\"}, {\"word\": \"衣\", \"start\": 353.782, \"end\": 353.842, \"score\": 0.667}, {\"word\": \"鳯\"}, {\"word\": \"委\", \"start\": 353.842, \"end\": 353.862, \"score\": 0.0}, {\"word\": \"員\"}], \"language\": \"zh\"}","srt":"1\n00:00:08,614 --> 00:00:26,741\n謝謝主席,我想要請我們薛部長好,來有請薛部長委員好部長好,我想請問一下去年我們補健保多少錢?去年中央政府預算補健保多少錢?去年的話是240億,今年是200億\n\n2\n00:00:33,523 --> 00:00:49,282\n對阿,我們每年都在補健保的錢,然後你們又給人家調漲那個掛號,不是取消,不是調漲,你們比較符合原意叫做取消掛號費的上限嘛,那如果\n\n3\n00:00:51,223 --> 00:01:12,592\n醫療機構就是這樣子調漲光耗費上限的話那也是一種對民眾來講也是一種變相的就是你知道嗎調漲健保費然後呢其實這樣子對於整個健保的結構有沒有改善\n\n4\n00:01:15,107 --> 00:01:38,200\n當然有一些在行政成本提升的部分的話那醫療機構可能會有這種調漲花費來支應的這樣的情形但是健保是歸健保因為健保指的是醫療費用醫療費用的這一個部分的話那在總額預算制度之下仍然還是必須要另外去做處理\n\n5\n00:01:39,581 --> 00:01:57,716\n委員剛剛提到的這個公務預算補助的部分其實我們是用於在這個癌症新藥的這個部分還有就是護理人員他的待遇提升了這個部分那也是健保支出的是不是?你說去年的今年的200億跟去年的240億\n\n6\n00:01:59,337 --> 00:02:18,261\n去年的240億同時也去處理到所謂的補點子的問題因為這個COVID-19的停止之後的話那整個的整個的這一個三呼吸道感染的這種case大增那這部分的話讓這整個的點子是下降的所以去年的240億也同時在處理這個問題\n\n7\n00:02:21,042 --> 00:02:44,541\n因為我實在很納悶就是說當我們的中央政府總預算一直在就是說挹注健保但是健保第一個醫院也沒拿到錢然後我們又要多花錢也沒有拿到足額的錢嘛我們又要多花錢然後這是三輸耶就是社會大眾也沒有覺得整體的\n\n8\n00:02:46,002 --> 00:02:56,508\n就是我們整體的醫療的那個就是改善了,那是不是有點三書啊?至少總而算之下的話,那已經有多年都不用再去調保費了,這個是其實是這樣\n\n9\n00:02:57,899 --> 00:03:22,355\n對阿我有點怕齁我有點怕說欸你說你不要續任阿我現在質詢你了阿你你你你講的也不代表未來的就是說對不對未來的部長阿說不定說不定你會不會騙我們你會不會騙我們你說你不續任最後欸部長還是你阿那個不是我決定的對阿所以你也沒有辦法說阿你現在你也你也沒有鎖匙嗎什麼所謂意思就不用再質詢我\n\n10\n00:03:23,516 --> 00:03:44,324\n我怎麼...不是啦還是要討論出一個解決的方案啦因為我認為說第一個中央政府的總預算一直在挹注健保然後你們取消這個上限的問題讓民眾覺得說即便是你們改善了就是醫療診所的行政費用但是沒有改善整個健保的結構嘛\n\n11\n00:03:45,544 --> 00:04:00,772\n但是對醫療院所來講,他可以改善他的醫療品質,包括說可以聘用更多的這些護理人員來處理病人,所以這個是非常馬上就要去面對的問題\n\n12\n00:04:02,312 --> 00:04:15,913\n對可是民眾就會覺得他們就醫的那個然後你們同樣的在其他的政策方面好我們說當然我們取消陸配那你們也知道說明明就是一年的上限就是60個還70個\n\n13\n00:04:18,056 --> 00:04:41,413\n這個因為沒有寫到法律上面去啦所以以後會不會又要做調整這個我們實在是沒有辦法所以現在我們沒有辦法去講說這個陸配的這個年限是減短了之後的話依親的人是否會有影響陸配本身不會有影響但是他依親的這個部分是否有影響這個我們不知道\n\n14\n00:04:47,096 --> 00:05:02,643\n每年60個,這是寫在一個表上面,算是一個行政命令的一環而已你是擔心取消了,所以會影響,是不是?你是擔心說這個上限取消了會影響?600個、6000個、6萬個,我們健保就受不了了\n\n15\n00:05:10,094 --> 00:05:29,790\n可是我是說其實我們健保的問題你也清楚啦還不是不用算到這一塊其實我們目前的結構性的問題就存在了啦然後我們一直挹注健保資源其實都沒有辦法改善整個健保的結構啦\n\n16\n00:05:30,691 --> 00:05:30,931\n我們還是會監測啦\n\n17\n00:05:53,782 --> 00:05:53,862\n謝衣鳯委員\n\n","tsv":"start\tend\ttext\n8614\t26741\t謝謝主席,我想要請我們薛部長好,來有請薛部長委員好部長好,我想請問一下去年我們補健保多少錢?去年中央政府預算補健保多少錢?去年的話是240億,今年是200億\n33523\t49282\t對阿,我們每年都在補健保的錢,然後你們又給人家調漲那個掛號,不是取消,不是調漲,你們比較符合原意叫做取消掛號費的上限嘛,那如果\n51223\t72592\t醫療機構就是這樣子調漲光耗費上限的話那也是一種對民眾來講也是一種變相的就是你知道嗎調漲健保費然後呢其實這樣子對於整個健保的結構有沒有改善\n75107\t98200\t當然有一些在行政成本提升的部分的話那醫療機構可能會有這種調漲花費來支應的這樣的情形但是健保是歸健保因為健保指的是醫療費用醫療費用的這一個部分的話那在總額預算制度之下仍然還是必須要另外去做處理\n99581\t117716\t委員剛剛提到的這個公務預算補助的部分其實我們是用於在這個癌症新藥的這個部分還有就是護理人員他的待遇提升了這個部分那也是健保支出的是不是?你說去年的今年的200億跟去年的240億\n119337\t138261\t去年的240億同時也去處理到所謂的補點子的問題因為這個COVID-19的停止之後的話那整個的整個的這一個三呼吸道感染的這種case大增那這部分的話讓這整個的點子是下降的所以去年的240億也同時在處理這個問題\n141042\t164541\t因為我實在很納悶就是說當我們的中央政府總預算一直在就是說挹注健保但是健保第一個醫院也沒拿到錢然後我們又要多花錢也沒有拿到足額的錢嘛我們又要多花錢然後這是三輸耶就是社會大眾也沒有覺得整體的\n166002\t176508\t就是我們整體的醫療的那個就是改善了,那是不是有點三書啊?至少總而算之下的話,那已經有多年都不用再去調保費了,這個是其實是這樣\n177899\t202355\t對阿我有點怕齁我有點怕說欸你說你不要續任阿我現在質詢你了阿你你你你講的也不代表未來的就是說對不對未來的部長阿說不定說不定你會不會騙我們你會不會騙我們你說你不續任最後欸部長還是你阿那個不是我決定的對阿所以你也沒有辦法說阿你現在你也你也沒有鎖匙嗎什麼所謂意思就不用再質詢我\n203516\t224324\t我怎麼...不是啦還是要討論出一個解決的方案啦因為我認為說第一個中央政府的總預算一直在挹注健保然後你們取消這個上限的問題讓民眾覺得說即便是你們改善了就是醫療診所的行政費用但是沒有改善整個健保的結構嘛\n225544\t240772\t但是對醫療院所來講,他可以改善他的醫療品質,包括說可以聘用更多的這些護理人員來處理病人,所以這個是非常馬上就要去面對的問題\n242312\t255913\t對可是民眾就會覺得他們就醫的那個然後你們同樣的在其他的政策方面好我們說當然我們取消陸配那你們也知道說明明就是一年的上限就是60個還70個\n258056\t281413\t這個因為沒有寫到法律上面去啦所以以後會不會又要做調整這個我們實在是沒有辦法所以現在我們沒有辦法去講說這個陸配的這個年限是減短了之後的話依親的人是否會有影響陸配本身不會有影響但是他依親的這個部分是否有影響這個我們不知道\n287096\t302643\t每年60個,這是寫在一個表上面,算是一個行政命令的一環而已你是擔心取消了,所以會影響,是不是?你是擔心說這個上限取消了會影響?600個、6000個、6萬個,我們健保就受不了了\n310094\t329790\t可是我是說其實我們健保的問題你也清楚啦還不是不用算到這一塊其實我們目前的結構性的問題就存在了啦然後我們一直挹注健保資源其實都沒有辦法改善整個健保的結構啦\n330691\t330931\t我們還是會監測啦\n353782\t353862\t謝衣鳯委員\n","txt":"謝謝主席,我想要請我們薛部長好,來有請薛部長委員好部長好,我想請問一下去年我們補健保多少錢?去年中央政府預算補健保多少錢?去年的話是240億,今年是200億\n對阿,我們每年都在補健保的錢,然後你們又給人家調漲那個掛號,不是取消,不是調漲,你們比較符合原意叫做取消掛號費的上限嘛,那如果\n醫療機構就是這樣子調漲光耗費上限的話那也是一種對民眾來講也是一種變相的就是你知道嗎調漲健保費然後呢其實這樣子對於整個健保的結構有沒有改善\n當然有一些在行政成本提升的部分的話那醫療機構可能會有這種調漲花費來支應的這樣的情形但是健保是歸健保因為健保指的是醫療費用醫療費用的這一個部分的話那在總額預算制度之下仍然還是必須要另外去做處理\n委員剛剛提到的這個公務預算補助的部分其實我們是用於在這個癌症新藥的這個部分還有就是護理人員他的待遇提升了這個部分那也是健保支出的是不是?你說去年的今年的200億跟去年的240億\n去年的240億同時也去處理到所謂的補點子的問題因為這個COVID-19的停止之後的話那整個的整個的這一個三呼吸道感染的這種case大增那這部分的話讓這整個的點子是下降的所以去年的240億也同時在處理這個問題\n因為我實在很納悶就是說當我們的中央政府總預算一直在就是說挹注健保但是健保第一個醫院也沒拿到錢然後我們又要多花錢也沒有拿到足額的錢嘛我們又要多花錢然後這是三輸耶就是社會大眾也沒有覺得整體的\n就是我們整體的醫療的那個就是改善了,那是不是有點三書啊?至少總而算之下的話,那已經有多年都不用再去調保費了,這個是其實是這樣\n對阿我有點怕齁我有點怕說欸你說你不要續任阿我現在質詢你了阿你你你你講的也不代表未來的就是說對不對未來的部長阿說不定說不定你會不會騙我們你會不會騙我們你說你不續任最後欸部長還是你阿那個不是我決定的對阿所以你也沒有辦法說阿你現在你也你也沒有鎖匙嗎什麼所謂意思就不用再質詢我\n我怎麼...不是啦還是要討論出一個解決的方案啦因為我認為說第一個中央政府的總預算一直在挹注健保然後你們取消這個上限的問題讓民眾覺得說即便是你們改善了就是醫療診所的行政費用但是沒有改善整個健保的結構嘛\n但是對醫療院所來講,他可以改善他的醫療品質,包括說可以聘用更多的這些護理人員來處理病人,所以這個是非常馬上就要去面對的問題\n對可是民眾就會覺得他們就醫的那個然後你們同樣的在其他的政策方面好我們說當然我們取消陸配那你們也知道說明明就是一年的上限就是60個還70個\n這個因為沒有寫到法律上面去啦所以以後會不會又要做調整這個我們實在是沒有辦法所以現在我們沒有辦法去講說這個陸配的這個年限是減短了之後的話依親的人是否會有影響陸配本身不會有影響但是他依親的這個部分是否有影響這個我們不知道\n每年60個,這是寫在一個表上面,算是一個行政命令的一環而已你是擔心取消了,所以會影響,是不是?你是擔心說這個上限取消了會影響?600個、6000個、6萬個,我們健保就受不了了\n可是我是說其實我們健保的問題你也清楚啦還不是不用算到這一塊其實我們目前的結構性的問題就存在了啦然後我們一直挹注健保資源其實都沒有辦法改善整個健保的結構啦\n我們還是會監測啦\n謝衣鳯委員\n","vtt":"WEBVTT\n\n00:08.614 --> 00:26.741\n謝謝主席,我想要請我們薛部長好,來有請薛部長委員好部長好,我想請問一下去年我們補健保多少錢?去年中央政府預算補健保多少錢?去年的話是240億,今年是200億\n\n00:33.523 --> 00:49.282\n對阿,我們每年都在補健保的錢,然後你們又給人家調漲那個掛號,不是取消,不是調漲,你們比較符合原意叫做取消掛號費的上限嘛,那如果\n\n00:51.223 --> 01:12.592\n醫療機構就是這樣子調漲光耗費上限的話那也是一種對民眾來講也是一種變相的就是你知道嗎調漲健保費然後呢其實這樣子對於整個健保的結構有沒有改善\n\n01:15.107 --> 01:38.200\n當然有一些在行政成本提升的部分的話那醫療機構可能會有這種調漲花費來支應的這樣的情形但是健保是歸健保因為健保指的是醫療費用醫療費用的這一個部分的話那在總額預算制度之下仍然還是必須要另外去做處理\n\n01:39.581 --> 01:57.716\n委員剛剛提到的這個公務預算補助的部分其實我們是用於在這個癌症新藥的這個部分還有就是護理人員他的待遇提升了這個部分那也是健保支出的是不是?你說去年的今年的200億跟去年的240億\n\n01:59.337 --> 02:18.261\n去年的240億同時也去處理到所謂的補點子的問題因為這個COVID-19的停止之後的話那整個的整個的這一個三呼吸道感染的這種case大增那這部分的話讓這整個的點子是下降的所以去年的240億也同時在處理這個問題\n\n02:21.042 --> 02:44.541\n因為我實在很納悶就是說當我們的中央政府總預算一直在就是說挹注健保但是健保第一個醫院也沒拿到錢然後我們又要多花錢也沒有拿到足額的錢嘛我們又要多花錢然後這是三輸耶就是社會大眾也沒有覺得整體的\n\n02:46.002 --> 02:56.508\n就是我們整體的醫療的那個就是改善了,那是不是有點三書啊?至少總而算之下的話,那已經有多年都不用再去調保費了,這個是其實是這樣\n\n02:57.899 --> 03:22.355\n對阿我有點怕齁我有點怕說欸你說你不要續任阿我現在質詢你了阿你你你你講的也不代表未來的就是說對不對未來的部長阿說不定說不定你會不會騙我們你會不會騙我們你說你不續任最後欸部長還是你阿那個不是我決定的對阿所以你也沒有辦法說阿你現在你也你也沒有鎖匙嗎什麼所謂意思就不用再質詢我\n\n03:23.516 --> 03:44.324\n我怎麼...不是啦還是要討論出一個解決的方案啦因為我認為說第一個中央政府的總預算一直在挹注健保然後你們取消這個上限的問題讓民眾覺得說即便是你們改善了就是醫療診所的行政費用但是沒有改善整個健保的結構嘛\n\n03:45.544 --> 04:00.772\n但是對醫療院所來講,他可以改善他的醫療品質,包括說可以聘用更多的這些護理人員來處理病人,所以這個是非常馬上就要去面對的問題\n\n04:02.312 --> 04:15.913\n對可是民眾就會覺得他們就醫的那個然後你們同樣的在其他的政策方面好我們說當然我們取消陸配那你們也知道說明明就是一年的上限就是60個還70個\n\n04:18.056 --> 04:41.413\n這個因為沒有寫到法律上面去啦所以以後會不會又要做調整這個我們實在是沒有辦法所以現在我們沒有辦法去講說這個陸配的這個年限是減短了之後的話依親的人是否會有影響陸配本身不會有影響但是他依親的這個部分是否有影響這個我們不知道\n\n04:47.096 --> 05:02.643\n每年60個,這是寫在一個表上面,算是一個行政命令的一環而已你是擔心取消了,所以會影響,是不是?你是擔心說這個上限取消了會影響?600個、6000個、6萬個,我們健保就受不了了\n\n05:10.094 --> 05:29.790\n可是我是說其實我們健保的問題你也清楚啦還不是不用算到這一塊其實我們目前的結構性的問題就存在了啦然後我們一直挹注健保資源其實都沒有辦法改善整個健保的結構啦\n\n05:30.691 --> 05:30.931\n我們還是會監測啦\n\n05:53.782 --> 05:53.862\n謝衣鳯委員\n\n","segments":[{"start":8.614,"end":26.741,"text":"謝謝主席,我想要請我們薛部長好,來有請薛部長委員好部長好,我想請問一下去年我們補健保多少錢?去年中央政府預算補健保多少錢?去年的話是240億,今年是200億"},{"start":33.523,"end":49.282,"text":"對阿,我們每年都在補健保的錢,然後你們又給人家調漲那個掛號,不是取消,不是調漲,你們比較符合原意叫做取消掛號費的上限嘛,那如果"},{"start":51.223,"end":72.592,"text":"醫療機構就是這樣子調漲光耗費上限的話那也是一種對民眾來講也是一種變相的就是你知道嗎調漲健保費然後呢其實這樣子對於整個健保的結構有沒有改善"},{"start":75.107,"end":98.2,"text":"當然有一些在行政成本提升的部分的話那醫療機構可能會有這種調漲花費來支應的這樣的情形但是健保是歸健保因為健保指的是醫療費用醫療費用的這一個部分的話那在總額預算制度之下仍然還是必須要另外去做處理"},{"start":99.581,"end":117.716,"text":"委員剛剛提到的這個公務預算補助的部分其實我們是用於在這個癌症新藥的這個部分還有就是護理人員他的待遇提升了這個部分那也是健保支出的是不是?你說去年的今年的200億跟去年的240億"},{"start":119.337,"end":138.261,"text":"去年的240億同時也去處理到所謂的補點子的問題因為這個COVID-19的停止之後的話那整個的整個的這一個三呼吸道感染的這種case大增那這部分的話讓這整個的點子是下降的所以去年的240億也同時在處理這個問題"},{"start":141.042,"end":164.541,"text":"因為我實在很納悶就是說當我們的中央政府總預算一直在就是說挹注健保但是健保第一個醫院也沒拿到錢然後我們又要多花錢也沒有拿到足額的錢嘛我們又要多花錢然後這是三輸耶就是社會大眾也沒有覺得整體的"},{"start":166.002,"end":176.508,"text":"就是我們整體的醫療的那個就是改善了,那是不是有點三書啊?至少總而算之下的話,那已經有多年都不用再去調保費了,這個是其實是這樣"},{"start":177.899,"end":202.355,"text":"對阿我有點怕齁我有點怕說欸你說你不要續任阿我現在質詢你了阿你你你你講的也不代表未來的就是說對不對未來的部長阿說不定說不定你會不會騙我們你會不會騙我們你說你不續任最後欸部長還是你阿那個不是我決定的對阿所以你也沒有辦法說阿你現在你也你也沒有鎖匙嗎什麼所謂意思就不用再質詢我"},{"start":203.516,"end":224.324,"text":"我怎麼...不是啦還是要討論出一個解決的方案啦因為我認為說第一個中央政府的總預算一直在挹注健保然後你們取消這個上限的問題讓民眾覺得說即便是你們改善了就是醫療診所的行政費用但是沒有改善整個健保的結構嘛"},{"start":225.544,"end":240.772,"text":"但是對醫療院所來講,他可以改善他的醫療品質,包括說可以聘用更多的這些護理人員來處理病人,所以這個是非常馬上就要去面對的問題"},{"start":242.312,"end":255.913,"text":"對可是民眾就會覺得他們就醫的那個然後你們同樣的在其他的政策方面好我們說當然我們取消陸配那你們也知道說明明就是一年的上限就是60個還70個"},{"start":258.056,"end":281.413,"text":"這個因為沒有寫到法律上面去啦所以以後會不會又要做調整這個我們實在是沒有辦法所以現在我們沒有辦法去講說這個陸配的這個年限是減短了之後的話依親的人是否會有影響陸配本身不會有影響但是他依親的這個部分是否有影響這個我們不知道"},{"start":287.096,"end":302.643,"text":"每年60個,這是寫在一個表上面,算是一個行政命令的一環而已你是擔心取消了,所以會影響,是不是?你是擔心說這個上限取消了會影響?600個、6000個、6萬個,我們健保就受不了了"},{"start":310.094,"end":329.79,"text":"可是我是說其實我們健保的問題你也清楚啦還不是不用算到這一塊其實我們目前的結構性的問題就存在了啦然後我們一直挹注健保資源其實都沒有辦法改善整個健保的結構啦"},{"start":330.691,"end":330.931,"text":"我們還是會監測啦"},{"start":353.782,"end":353.862,"text":"謝衣鳯委員"}]}}}}