{"id":149582,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149582","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1441ba9c2015bdbefc0d658ae5f9d49edc62c46c87ca327ff8ba9b0039caa7a605e24b27dc4653105ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"鍾佳濱","委員發言時間":"12:23:05 - 12:28:10","影片長度":"00:05:05","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":305,"end_time":"2024-03-07T12:28:10+08:00","start_time":"2024-03-07T12:23:05+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":1162,"blocks":[["鍾委員佳濱：（12時23分）主席、在場委員先進、列席的政府機關長官、會場工作夥伴、媒體記者女士先生，有請薛部長及吳署長。"],["主席：請部長及署長。"],["薛部長瑞元：委員好。"],["鍾委員佳濱：部長好。今天這個題目在此之前恐怕很多人都很關心、也都問過了，但我還是要請教一下，報載說年底恐怕會缺藥，將有600萬人無藥可用，甚至標題包括年底會有缺藥潮啦！600萬人沒有藥啦！年底會缺藥嗎？"],["薛部長瑞元：事實上是你怎麼定義缺藥的問題。"],["鍾委員佳濱：聽聽部長的定義。"],["薛部長瑞元：如果缺藥講的是比較正確的定義，應該是國內都沒有辦法提供，這樣才稱為缺藥。"],["鍾委員佳濱：國內沒有辦法提供。"],["薛部長瑞元：不是某一家醫院、診所或藥局……"],["鍾委員佳濱：了解，當然我們關心的是在國內拿不到這個藥嘛！"],["薛部長瑞元：對。"],["鍾委員佳濱：國內拿不到這個藥就嚴重囉！是不是這樣？"],["薛部長瑞元：對。"],["鍾委員佳濱：這次都說缺藥的原因是藥品採購的調降幅度，譬如第一名是從2,500降到1,600，降幅是35%，第二名的乳癌用藥從36降到26，降幅是28%，第三名是胃潰瘍藥，從36降到26，也是降了27%。我們再往下看，降幅最大的，包括心血管、神經系統、抗感染的，請問需要用到這些項目的病患是否會受到影響呢？"],["薛部長瑞元：基本上不會，因為它都有替代的藥品。"],["鍾委員佳濱：都有替代的藥品？"],["薛部長瑞元：對。"],["鍾委員佳濱：但是有人提到因為藥局怕被砍藥價就不進藥，也就是說藥局備藥、等醫生開處方，在3月31日之前備的藥在4月1日調降了，因為它怕被砍藥價就不再進了，會不會有這樣的事情發生？譬如空窗期拿不到藥，因為藥局不進了，會不會有這個情況？"],["薛部長瑞元：基本上這一段時間的利潤會稍微減少，原本它進藥時的成本可能是比較高，因為預期的藥價是比較高嘛！"],["鍾委員佳濱：是。"],["薛部長瑞元：現在藥價調降下來就會壓縮到它的利潤空間。"],["鍾委員佳濱：是。"],["薛部長瑞元：但是只有這一段時間，因為它可以再與藥廠……"],["鍾委員佳濱：就是過渡時間。"],["薛部長瑞元：對。"],["鍾委員佳濱：未來它再進藥的成本也降低了、賣的藥價也低了。"],["薛部長瑞元：會降低。"],["鍾委員佳濱：最近很多相關醫事團體、藥廠聚集討論這件事情，有人提出，如果在臺灣製造藥品並給國產原料藥藥品適當價格保護會不會避免斷藥？"],["薛部長瑞元：我們目前就是要做這件事情，譬如有一些專利過期，可以讓國產能夠製造。如果是原料藥的部分，使用的是國產的原料藥，我們會讓它核價更高一點。"],["鍾委員佳濱：所以你們已經往這個方向研議了？"],["薛部長瑞元：對。"],["鍾委員佳濱：好，很好。另外，我們舉例，軟便劑只剩一家藥廠願意生產，它是很簡單的一個氧化鎂，1顆才2元，人家說是糖果價、地板價，再砍一次，到了醫院再砍一次，廠商說現在1顆剩8毛。目前這個藥證有5張，也就是國內有5家藥廠在生產，應該說是有資格生產、有許可生產，但是只有一家願意生產，這樣會不會有危險性啊？只剩一家在生產，萬一它認為不划算也不做了，這樣會不會斷藥？"],["薛部長瑞元：關於這個部分，我向委員解釋一下，因為氧化鎂已經是OTC的藥，也就是指示用藥。"],["鍾委員佳濱：對。"],["薛部長瑞元：按照規則，它本來就會一直砍一直砍下來，但是後來因為缺藥，而且這個藥還是好用……"],["鍾委員佳濱：不可或缺。"],["薛部長瑞元：所以我們現在已經調升它的價格，而且給予它保護了。"],["鍾委員佳濱：如果藥證有限，這些藥廠願意生產的藥或有資格生產的藥廠，我們就要很小心地把它保住嘛！"],["薛部長瑞元：對。"],["鍾委員佳濱：很怕它一時打個噴嚏就不生產，病患就麻煩了，所以你們有在注意？"],["薛部長瑞元：對。"],["鍾委員佳濱：有人提出，稀缺藥證像剛剛那種只有5張或2張、3張，供應有限而且有臨床需求的藥物，不列入每年調價範圍。如果有人提出這個主張，你認為是否有助於避免斷藥？"],["薛部長瑞元：應該是有。"],["鍾委員佳濱：有幫助，所以你們會評估？"],["薛部長瑞元：我們現在就往這方面做處理。"],["鍾委員佳濱：最後我有2個訴求，針對剛剛那兩個訴求，在臺製造藥品並使用國產原料藥藥品給予適當價格保護，請你們分析它對藥品供應的影響，3個月內提出書面報告，可以嗎？"],["薛部長瑞元：好。"],["鍾委員佳濱：同樣的，針對稀缺藥證或供應有限且有臨床需求之藥物不再列入每年調價的範圍，請你們也分析這個對於藥品供應的影響，好不好？"],["薛部長瑞元：好。"],["鍾委員佳濱：一樣在3個月內提供給本席及本委員會。"],["薛部長瑞元：好。"],["鍾委員佳濱：好，謝謝部長。"],["主席：謝謝鍾佳濱委員的質詢，接下來請林憶君委員進行質詢。"]],"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":"149582","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149582","tool":"pyannote","id":"149582-pyannote"},"job_id":"h11zqQZk57MZXkQj","queued_at":"2024-06-02 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\"language\": \"zh\"}","srt":"1\n00:00:09,212 --> 00:00:37,532\n阿主席、在場委員、先進、列席的政府金管署長、官員、會長、工作夥伴、媒體記者、女士先生有請薛部長跟吳署長好,請部長跟署長吳仁豪阿部長好,署長好今天這個題目在這之前很怕很多人都關心也問過了但是我還是要請教一下那個報載說年底恐怕會缺藥,六百萬人無藥可用那個標題包括說什麼年底會有缺藥潮啦,六百萬人沒有藥啦,年底會缺藥嗎?\n\n2\n00:00:39,430 --> 00:00:58,708\n這事實上是你怎麼定義缺藥的問題你聽聽部長的定義如果是缺藥講的是比較正確的一個定義的話是國內都沒有辦法提供而不是說某一家醫院診所或者是當然我們關心的是國內這個藥拿不到嘛那國內拿不到這個藥就嚴重囉是不是這樣\n\n3\n00:01:03,973 --> 00:01:31,931\n好那我們來看一下這次因為都說缺藥的原因是因為我們把藥品的採購的調降幅度嘛比如說第一名的他從這個2500降到1600降幅35%第二名的乳癌從36降到26降28%第三名是胃潰瘍從36降到26也是降27%那好那我們再往下看降幅最大的包括心血管、神經系統、抗感染的請問需要用到這些項目的病患他會不會受到影響呢\n\n4\n00:01:33,584 --> 00:01:43,377\n這基本上不會因為他都有都有這一個替代的藥品都替代藥品是的好但是有人提到說因為藥局怕被砍藥價就不禁藥\n\n5\n00:01:44,349 --> 00:02:06,998\n那就是包括藥局在備藥啊等醫生開處方啊那3月30日前備的藥好事業藥調降了那因為他怕被砍掉他就不再進了會不會有這樣的事情發生比如說空中拿不到藥他就不進了會不會有這樣的情況他就基本上利潤會稍微減少在這一段時間因為他原來進藥的時候的成本可能是比較高因為預期的藥價是比較高是的\n\n6\n00:02:07,998 --> 00:02:31,906\n現在藥價調降下來所以會壓縮到他的利潤空間但是只有在一段時間因為他就可以再跟那個藥廠再去就是說這是過渡時間啦就是未來他再進藥的成本也降低了賣的藥價也低了好那開始呢我們我想最近很多的相關醫事團體藥廠他們就聚集在討論這個事情那有人提出說如果在臺灣製造藥品並給國產的\n\n7\n00:02:34,926 --> 00:02:35,967\n我們希望說有一些專利過期的話那可以讓這個國產能夠來製造\n\n8\n00:02:52,558 --> 00:03:17,821\n如果是原料藥的這個部分的話使用的是國產的原料我們會再讓它合價更高一點所以你們已經往這個方向有在研議了好很好那另外呢比如說我們舉例啦齁所謂的這個軟便劑只剩下藥廠願意生產它是很簡單的一個氧化酶嘛一顆才兩塊錢人家說是糖果價、地板價再砍一次到醫院再砍一次廠商說現在一顆剩八毛那目前呢這個藥證有五張\n\n9\n00:03:19,542 --> 00:03:21,063\n所以本來他就按照規則的話就會一直砍一直砍下來\n\n10\n00:03:48,760 --> 00:04:12,995\n但是後來因為有這個缺藥而且這個藥的確還是好用所以我們現在已經調升它的價格而且給它保護了那所以這個就是說類似像剛剛說的藥證藥證如果有限這些藥廠願意生產的藥或有這個藥廠就要很小心的把它保住嘛很怕它一時打個噴嚏它就不生產了那病患就麻煩了你們有在注意啦\n\n11\n00:04:13,715 --> 00:04:33,394\n所以有人提出說稀缺藥證像剛剛那種只有5張或只有2張3張的供應有限而且臨場需求的藥物不列入每年調價範圍你說如果有人提出這個主張有沒有有助於避免斷藥應該是有有助於所以你們會評估對我們現在就往這一方面來做處理所以最後我就兩個訴求\n\n12\n00:04:35,596 --> 00:04:58,133\n針對剛剛那兩個訴求在臺製造藥品並使用國產原料藥品給予適當的價格保護請你們分析他對藥品供應的影響三個月內提出一個書面報告可以嗎?那同樣的對於稀缺的藥證或供應有限且有臨場需求的藥物不再列入每年調教的範圍請你們也分析一下這對藥品供應的影響好不好?一樣在三個月內提供給本席和委員會好謝謝部長謝謝署長找錯了應該是找了好謝謝鍾佳濱\n\n","tsv":"start\tend\ttext\n9212\t37532\t阿主席、在場委員、先進、列席的政府金管署長、官員、會長、工作夥伴、媒體記者、女士先生有請薛部長跟吳署長好,請部長跟署長吳仁豪阿部長好,署長好今天這個題目在這之前很怕很多人都關心也問過了但是我還是要請教一下那個報載說年底恐怕會缺藥,六百萬人無藥可用那個標題包括說什麼年底會有缺藥潮啦,六百萬人沒有藥啦,年底會缺藥嗎?\n39430\t58708\t這事實上是你怎麼定義缺藥的問題你聽聽部長的定義如果是缺藥講的是比較正確的一個定義的話是國內都沒有辦法提供而不是說某一家醫院診所或者是當然我們關心的是國內這個藥拿不到嘛那國內拿不到這個藥就嚴重囉是不是這樣\n63973\t91931\t好 那我們來看一下這次因為都說缺藥的原因是因為我們把藥品的採購的調降幅度嘛比如說第一名的他從這個2500降到1600降幅35%第二名的乳癌從36降到26降28%第三名是胃潰瘍從36降到26也是降27%那好 那我們再往下看降幅最大的包括心血管、神經系統、抗感染的請問需要用到這些項目的病患他會不會受到影響呢\n93584\t103377\t這基本上不會因為他都有都有這一個替代的藥品都替代藥品是的好但是有人提到說因為藥局怕被砍藥價就不禁藥\n104349\t126998\t那就是包括藥局在備藥啊等醫生開處方啊那3月30日前備的藥好事業藥調降了那因為他怕被砍掉他就不再進了會不會有這樣的事情發生比如說空中拿不到藥他就不進了會不會有這樣的情況他就基本上利潤會稍微減少在這一段時間因為他原來進藥的時候的成本可能是比較高因為預期的藥價是比較高是的\n127998\t151906\t現在藥價調降下來所以會壓縮到他的利潤空間但是只有在一段時間因為他就可以再跟那個藥廠再去就是說這是過渡時間啦就是未來他再進藥的成本也降低了賣的藥價也低了好那開始呢我們我想最近很多的相關醫事團體藥廠他們就聚集在討論這個事情那有人提出說如果在臺灣製造藥品並給國產的\n154926\t155967\t我們希望說有一些專利過期的話那可以讓這個國產能夠來製造\n172558\t197821\t如果是原料藥的這個部分的話使用的是國產的原料我們會再讓它合價更高一點所以你們已經往這個方向有在研議了好很好那另外呢比如說我們舉例啦齁所謂的這個軟便劑只剩下藥廠願意生產它是很簡單的一個氧化酶嘛一顆才兩塊錢人家說是糖果價、地板價再砍一次到醫院再砍一次廠商說現在一顆剩八毛那目前呢這個藥證有五張\n199542\t201063\t所以本來他就按照規則的話就會一直砍一直砍下來\n228760\t252995\t但是後來因為有這個缺藥而且這個藥的確還是好用所以我們現在已經調升它的價格而且給它保護了那所以這個就是說類似像剛剛說的藥證藥證如果有限這些藥廠願意生產的藥或有這個藥廠就要很小心的把它保住嘛很怕它一時打個噴嚏它就不生產了那病患就麻煩了你們有在注意啦\n253715\t273394\t所以有人提出說稀缺藥證像剛剛那種只有5張或只有2張3張的供應有限而且臨場需求的藥物不列入每年調價範圍你說如果有人提出這個主張有沒有有助於避免斷藥應該是有有助於所以你們會評估對我們現在就往這一方面來做處理所以最後我就兩個訴求\n275596\t298133\t針對剛剛那兩個訴求在臺製造藥品並使用國產原料藥品給予適當的價格保護請你們分析他對藥品供應的影響三個月內提出一個書面報告可以嗎?那同樣的對於稀缺的藥證或供應有限且有臨場需求的藥物不再列入每年調教的範圍請你們也分析一下這對藥品供應的影響好不好?一樣在三個月內提供給本席和委員會好謝謝部長謝謝署長找錯了應該是找了好謝謝鍾佳濱\n","txt":"阿主席、在場委員、先進、列席的政府金管署長、官員、會長、工作夥伴、媒體記者、女士先生有請薛部長跟吳署長好,請部長跟署長吳仁豪阿部長好,署長好今天這個題目在這之前很怕很多人都關心也問過了但是我還是要請教一下那個報載說年底恐怕會缺藥,六百萬人無藥可用那個標題包括說什麼年底會有缺藥潮啦,六百萬人沒有藥啦,年底會缺藥嗎?\n這事實上是你怎麼定義缺藥的問題你聽聽部長的定義如果是缺藥講的是比較正確的一個定義的話是國內都沒有辦法提供而不是說某一家醫院診所或者是當然我們關心的是國內這個藥拿不到嘛那國內拿不到這個藥就嚴重囉是不是這樣\n好 那我們來看一下這次因為都說缺藥的原因是因為我們把藥品的採購的調降幅度嘛比如說第一名的他從這個2500降到1600降幅35%第二名的乳癌從36降到26降28%第三名是胃潰瘍從36降到26也是降27%那好 那我們再往下看降幅最大的包括心血管、神經系統、抗感染的請問需要用到這些項目的病患他會不會受到影響呢\n這基本上不會因為他都有都有這一個替代的藥品都替代藥品是的好但是有人提到說因為藥局怕被砍藥價就不禁藥\n那就是包括藥局在備藥啊等醫生開處方啊那3月30日前備的藥好事業藥調降了那因為他怕被砍掉他就不再進了會不會有這樣的事情發生比如說空中拿不到藥他就不進了會不會有這樣的情況他就基本上利潤會稍微減少在這一段時間因為他原來進藥的時候的成本可能是比較高因為預期的藥價是比較高是的\n現在藥價調降下來所以會壓縮到他的利潤空間但是只有在一段時間因為他就可以再跟那個藥廠再去就是說這是過渡時間啦就是未來他再進藥的成本也降低了賣的藥價也低了好那開始呢我們我想最近很多的相關醫事團體藥廠他們就聚集在討論這個事情那有人提出說如果在臺灣製造藥品並給國產的\n我們希望說有一些專利過期的話那可以讓這個國產能夠來製造\n如果是原料藥的這個部分的話使用的是國產的原料我們會再讓它合價更高一點所以你們已經往這個方向有在研議了好很好那另外呢比如說我們舉例啦齁所謂的這個軟便劑只剩下藥廠願意生產它是很簡單的一個氧化酶嘛一顆才兩塊錢人家說是糖果價、地板價再砍一次到醫院再砍一次廠商說現在一顆剩八毛那目前呢這個藥證有五張\n所以本來他就按照規則的話就會一直砍一直砍下來\n但是後來因為有這個缺藥而且這個藥的確還是好用所以我們現在已經調升它的價格而且給它保護了那所以這個就是說類似像剛剛說的藥證藥證如果有限這些藥廠願意生產的藥或有這個藥廠就要很小心的把它保住嘛很怕它一時打個噴嚏它就不生產了那病患就麻煩了你們有在注意啦\n所以有人提出說稀缺藥證像剛剛那種只有5張或只有2張3張的供應有限而且臨場需求的藥物不列入每年調價範圍你說如果有人提出這個主張有沒有有助於避免斷藥應該是有有助於所以你們會評估對我們現在就往這一方面來做處理所以最後我就兩個訴求\n針對剛剛那兩個訴求在臺製造藥品並使用國產原料藥品給予適當的價格保護請你們分析他對藥品供應的影響三個月內提出一個書面報告可以嗎?那同樣的對於稀缺的藥證或供應有限且有臨場需求的藥物不再列入每年調教的範圍請你們也分析一下這對藥品供應的影響好不好?一樣在三個月內提供給本席和委員會好謝謝部長謝謝署長找錯了應該是找了好謝謝鍾佳濱\n","vtt":"WEBVTT\n\n00:09.212 --> 00:37.532\n阿主席、在場委員、先進、列席的政府金管署長、官員、會長、工作夥伴、媒體記者、女士先生有請薛部長跟吳署長好,請部長跟署長吳仁豪阿部長好,署長好今天這個題目在這之前很怕很多人都關心也問過了但是我還是要請教一下那個報載說年底恐怕會缺藥,六百萬人無藥可用那個標題包括說什麼年底會有缺藥潮啦,六百萬人沒有藥啦,年底會缺藥嗎?\n\n00:39.430 --> 00:58.708\n這事實上是你怎麼定義缺藥的問題你聽聽部長的定義如果是缺藥講的是比較正確的一個定義的話是國內都沒有辦法提供而不是說某一家醫院診所或者是當然我們關心的是國內這個藥拿不到嘛那國內拿不到這個藥就嚴重囉是不是這樣\n\n01:03.973 --> 01:31.931\n好那我們來看一下這次因為都說缺藥的原因是因為我們把藥品的採購的調降幅度嘛比如說第一名的他從這個2500降到1600降幅35%第二名的乳癌從36降到26降28%第三名是胃潰瘍從36降到26也是降27%那好那我們再往下看降幅最大的包括心血管、神經系統、抗感染的請問需要用到這些項目的病患他會不會受到影響呢\n\n01:33.584 --> 01:43.377\n這基本上不會因為他都有都有這一個替代的藥品都替代藥品是的好但是有人提到說因為藥局怕被砍藥價就不禁藥\n\n01:44.349 --> 02:06.998\n那就是包括藥局在備藥啊等醫生開處方啊那3月30日前備的藥好事業藥調降了那因為他怕被砍掉他就不再進了會不會有這樣的事情發生比如說空中拿不到藥他就不進了會不會有這樣的情況他就基本上利潤會稍微減少在這一段時間因為他原來進藥的時候的成本可能是比較高因為預期的藥價是比較高是的\n\n02:07.998 --> 02:31.906\n現在藥價調降下來所以會壓縮到他的利潤空間但是只有在一段時間因為他就可以再跟那個藥廠再去就是說這是過渡時間啦就是未來他再進藥的成本也降低了賣的藥價也低了好那開始呢我們我想最近很多的相關醫事團體藥廠他們就聚集在討論這個事情那有人提出說如果在臺灣製造藥品並給國產的\n\n02:34.926 --> 02:35.967\n我們希望說有一些專利過期的話那可以讓這個國產能夠來製造\n\n02:52.558 --> 03:17.821\n如果是原料藥的這個部分的話使用的是國產的原料我們會再讓它合價更高一點所以你們已經往這個方向有在研議了好很好那另外呢比如說我們舉例啦齁所謂的這個軟便劑只剩下藥廠願意生產它是很簡單的一個氧化酶嘛一顆才兩塊錢人家說是糖果價、地板價再砍一次到醫院再砍一次廠商說現在一顆剩八毛那目前呢這個藥證有五張\n\n03:19.542 --> 03:21.063\n所以本來他就按照規則的話就會一直砍一直砍下來\n\n03:48.760 --> 04:12.995\n但是後來因為有這個缺藥而且這個藥的確還是好用所以我們現在已經調升它的價格而且給它保護了那所以這個就是說類似像剛剛說的藥證藥證如果有限這些藥廠願意生產的藥或有這個藥廠就要很小心的把它保住嘛很怕它一時打個噴嚏它就不生產了那病患就麻煩了你們有在注意啦\n\n04:13.715 --> 04:33.394\n所以有人提出說稀缺藥證像剛剛那種只有5張或只有2張3張的供應有限而且臨場需求的藥物不列入每年調價範圍你說如果有人提出這個主張有沒有有助於避免斷藥應該是有有助於所以你們會評估對我們現在就往這一方面來做處理所以最後我就兩個訴求\n\n04:35.596 --> 04:58.133\n針對剛剛那兩個訴求在臺製造藥品並使用國產原料藥品給予適當的價格保護請你們分析他對藥品供應的影響三個月內提出一個書面報告可以嗎?那同樣的對於稀缺的藥證或供應有限且有臨場需求的藥物不再列入每年調教的範圍請你們也分析一下這對藥品供應的影響好不好?一樣在三個月內提供給本席和委員會好謝謝部長謝謝署長找錯了應該是找了好謝謝鍾佳濱\n\n","segments":[{"start":9.212,"end":37.532,"text":"阿主席、在場委員、先進、列席的政府金管署長、官員、會長、工作夥伴、媒體記者、女士先生有請薛部長跟吳署長好,請部長跟署長吳仁豪阿部長好,署長好今天這個題目在這之前很怕很多人都關心也問過了但是我還是要請教一下那個報載說年底恐怕會缺藥,六百萬人無藥可用那個標題包括說什麼年底會有缺藥潮啦,六百萬人沒有藥啦,年底會缺藥嗎?"},{"start":39.43,"end":58.708,"text":"這事實上是你怎麼定義缺藥的問題你聽聽部長的定義如果是缺藥講的是比較正確的一個定義的話是國內都沒有辦法提供而不是說某一家醫院診所或者是當然我們關心的是國內這個藥拿不到嘛那國內拿不到這個藥就嚴重囉是不是這樣"},{"start":63.973,"end":91.931,"text":"好 那我們來看一下這次因為都說缺藥的原因是因為我們把藥品的採購的調降幅度嘛比如說第一名的他從這個2500降到1600降幅35%第二名的乳癌從36降到26降28%第三名是胃潰瘍從36降到26也是降27%那好 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