{"id":152128,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/152128","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6f015fe8e6787db156b7631e9dafb7fce5dad6307223f0f855be169921a0a717c7ca98e9358032305ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"羅廷瑋","委員發言時間":"12:19:59 - 12:26:49","影片長度":"00:06:50","會議時間":"2024-05-02T09:00:00+08:00","會議名稱":"立法院第11屆第1會期財政、內政、經濟、教育及文化、交通、社會福利及衛生環境委員會第1次聯席會議（事由：審查或處理「中央政府前瞻基礎建設計畫第4期特別預算(112至113年度)」及「中央政府疫後強化經濟與社會韌性及全民共享經濟成果特別預算」決議：\n一、有關教育部主管預算凍結書面報告案4案。\n二、有關經濟部主管預算凍結書面報告案9案。\n三、有關交通部主管預算凍結書面報告案14案。\n四、有關行政院農業委員會主管預算凍結書面報告案3案。\n五、有關衛生福利部主管預算凍結書面報告案11案。\n六、有關文化部主管預算凍結書面報告案1案。\n七、有關數位發展部主管預算凍結書面報告案7案。\n八、有關原住民族委員會預算凍結書面報告案1案。\n九、有關內政部主管預算凍結書面報告案3案。\n十、有關行政院環境保護署預算凍結書面報告案1案。\n十一、有關國家科學及技術委員會主管預算凍結書面報告案2案。）","date":"2024-05-02","meet":{"tmpMeeting":null,"title":"立法院第11屆第1會期財政、內政、經濟、教育及文化、交通、社會福利及衛生環境委員會第1次聯席會議","type":"聯席會議","term":11,"sessionPeriod":1,"sessionTimes":1,"committees":[20,15,19,22,23,26],"id":"聯席會議-11-1-20,15,19,22,23,26-1"},"duration":410,"end_time":"2024-05-02T12:26:49+08:00","start_time":"2024-05-02T12:19:59+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":1076,"blocks":[["羅委員廷瑋：（12時19分）謝謝主席，麻煩主席，衛福部李麗芬次長。"],["主席：衛福部李次長。"],["李次長麗芬：委員好。"],["羅委員廷瑋：次長好。臺灣目前有幾個結構性問題有迫切解決的必要，其中一個最重要的就是人口萎縮、少子化以及臺灣人越來越長壽，但人口卻越來越減少，導致現在人口結構正在快速老化，而人口萎縮造成的效益相當明顯，最近教育及文化委員會在探討的，許多學校招不到學生而退場，大學也開始面臨學生註冊人數下滑，更具威脅性的是臺灣勞動力預計在2065年減一半，只剩下860萬人口，連人口數的一半都不到，這絕對會削弱臺灣的經濟成長。再者，人口高度老化，負擔老年人退休金相關體制、健保體系也都會隨著年青人越來越少開始越趨崩毀。政府的前瞻怎麼因應少子化？之前我們有看到所謂的育兒百寶箱，被罵有做改善，我們當然樂見。但前瞻花了不少經費在蓋硬體，如公共托育設施，目前這些托育設施共有幾處？幾處未完工？"],["李次長麗芬：可能要請同仁提供我數字。"],["羅委員廷瑋：好，沒關係，你說。"],["李次長麗芬：我要跟委員說明，因為各縣市對於公設民營托育中心的需求非常高，今年度各縣市申請的案子已經超出前瞻的經費，所以我們現在正積極的向行政院爭取在少子女化對策中也能支持各縣市布建公設民營的托育中心。"],["羅委員廷瑋：當然，用力的補助，依地方政府的需求，但我要跟你探討的是光硬體設施就有助於提高國人生育的意願嗎？這我們應該好好的想想。已經實施的這幾年，2021年新生兒數15萬3,800，2022年新生兒數13.8萬，2023年新生兒數是13.5萬。次長，在前瞻計畫下，你預估2024年出生的新生兒有多少？應該是逐漸往下，看得出來這樣的趨勢。我們要講的是新生兒數逐年下降代表前瞻不一定有效果，拚命增加硬體設施是不是能夠解決少子化的問題？我們應該反向的探討。雖然地方很猛的一直在爭取這些預算，每一個縣市首長都希望把它當成一個政績，這也是一個趨勢，我能夠理解，但做為主管機關也要因應未來，不是只是說錢不夠再補錢，我們繼續蓋，我們是不是應該變向思考，我們一直努力蓋但還是一直往下，是不是有問題？所以我還是要講，這些硬體設施真的能夠讓我們解這個燃眉之急嗎？如果我們蓋了這個東西，兩、三年後完工，還是直接生一個孩子給100萬元，這件事情有總統候選人開過相關的政見，我們是不是應該做一個探討？"],["李次長麗芬：我們看到其他國家的經驗，提供公共化平價優質的托育服務確實可以提高。"],["羅委員廷瑋：但目前看來有限，我沒有說不對，我是說是否可以兩者並軌進行，兩者一起探討？"],["李次長麗芬：其實我們除了積極布建公共化、準公共化外，對於減輕家長負擔方面也有相當的補助，托育補助已經提高到13,000元，如果是自己帶小孩的，從過去的2,500元提高到5,000元，所以某一個部分是公共化、準公共化的布建，我們也在經濟方面減輕家長的負擔。"],["羅委員廷瑋：當然，這還是不夠，我們一直希望能夠再增加育兒津貼的相關補貼，會後我再繼續跟你爭取。","我要坦白講，我的家人有失智症的潛伏期，我們也正在追蹤當中，所以我們很關注這一類的議題。失智症帶來所有家庭的一些相關因子、因素，我們不再說了，影響有多深，你自己也很清楚，我原本要請你談失智症照護的願景，但現在時間不夠，我要講的是日本在去年將失智症列為國家級的應對目標，投資了將近兩百億日圓，約44億台幣。當然我也要講我們用在失智症的預算編列，2022年約50億元，但預算的配置狀況為何？前端預防以及花費的比例，後端的醫療照護花了多少比例？我們還是希望能夠再做相對應的檢討，失智症的輕中重度，在分級管理方面，衛福部的整合還要再加強，不同失智症的類型，我們該怎麼照顧家庭的需求，各地失智症還有社會資源的差異性都不同，衛福部有沒有針對這部分做通盤檢討，就相對應的困境做調查？希望衛福部能夠加強這部分。2009年失智症已經納入安寧療護的健保給付，但我還是要問，納入以後，目前國內負責照顧失智的人力是否足夠？你覺得夠嗎？"],["李次長麗芬：報告委員，如果是在醫療端，失智症是包括神經內科等等的醫療團隊，我們現在在長照這邊都有在布建，特別在醫療這邊都有失智共照中心，對於失智症民眾在社區有失智據點。失智症民眾的照顧是長照接下來要大力推動的。"],["羅委員廷瑋：我希望看到實際的、具體的方向並讓我知道。"],["李次長麗芬：好。"],["羅委員廷瑋：與國外相比，我們的專業人力與失智照護的比例，我覺得目前沒有看到具體的、更好的方向，我希望這個部分要加強。"],["李次長麗芬：好。"],["主席：謝謝羅廷瑋委員的質詢。","請徐富癸委員質詢。"]],"agenda":{"page_end":122,"meet_id":"聯席會議-11-1-20,15,19,22,23,26-1","speakers":["郭國文","林德福","陳亭妃","吳秉叡","賴士葆","萬美玲","洪孟楷","吳沛憶","葛如鈞","王鴻薇","李彥秀","蘇巧慧","林宜瑾","陳菁徽","陳培瑜","陳昭姿","陳玉珍","張宏陸","游顥","陳秀寳","鄭正鈐","羅廷瑋","徐富癸","黃秀芳","郭昱晴","伍麗華Saidhai‧Tahovecahe","李昆澤","李坤城","陳素月","楊瓊瓔","羅明才","王世堅","黃健豪","王美惠","范雲","張雅琳","林月琴","王正旭","賴瑞隆","吳春城","徐欣瑩","鍾佳濱","邱志偉","顏寬恒","謝衣鳯","葉元之","蘇清泉","盧縣一","陳超明","李柏毅","林岱樺","劉建國","邱議瑩","張嘉郡","邱鎮軍","廖偉翔","王育敏","牛煦庭","吳琪銘","蔡易餘","賴惠員"],"page_start":1,"meetingDate":["2024-05-02"],"gazette_id":"1133901","agenda_lcidc_ids":["1133901_00002"],"meet_name":"立法院第11屆第1會期財政、內政、經濟、教育及文化、交通、社會福利及衛生環境委員會第1次聯席會議紀錄","content":"審查或處理「中央政府前瞻基礎建設計畫第 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00:01:07,363\n連人口數的一半都不到,這絕對會削弱台灣的經濟成長,以及再者人口高度的老化,能負擔老年人的退休金,相關的體制健保體系也都會隨著年輕人越來越少開始越劇崩毀。政府在前瞻怎麼去因應這個少子化?\n\n4\n00:01:08,084 --> 00:01:24,174\n我們之前有看到這個所謂的育兒百寶箱當然有被罵有去做改善那我們當然是樂見那但是前瞻主要花了不少的經費在蓋這個硬體如公共托育的設施目前這些公共托育設施完工幾處幾處會完工\n\n5\n00:01:27,523 --> 00:01:34,910\n委員說明,因為我們在各縣市對於公共公社民營這樣的拖曳中心的需求其實非常的高,所以我們在今年度各縣市來申請的案子其實已經超出我們的\n\n6\n00:01:50,524 --> 00:01:50,564\n主席\n\n7\n00:02:06,479 --> 00:02:06,639\n2021年新生兒數153,800\n\n8\n00:02:23,624 --> 00:02:50,760\n2022年新生數13.8萬2023年的新生額數是13.5萬次長在前瞻計畫下2024年你預估出生的新生額要多少?應該是逐漸往下啦看得出來這樣的趨勢啦但是我們要講的是新生額數的逐年下降代表的前瞻不一定有效果拼命增加疫情測試是不是能夠解決少子化的問題我們應該要反向的再來探討\n\n9\n00:02:51,640 --> 00:03:15,892\n雖然地方很猛的一直在爭取這些預算那我想每一個縣市首長都希望把它當成一個政績這也是一個趨勢我能夠理解但是作為我們主管機關也要因應未來我們不是只是說錢不夠再補錢我們繼續蓋我們是不是應該變相思考我們一直努力蓋但是還是一直往下是不是有問題所以我還是要講\n\n10\n00:03:17,185 --> 00:03:32,179\n這些硬體設施真的能夠讓我們解這個藍莓之急嗎?如果我們蓋了這個東西兩三年後完工還是我們直接生一個孩子給一百萬這件事情有總統候選人也開出相關的政見過我們是不是應該去做一個探討?\n\n11\n00:03:33,300 --> 00:03:48,365\n跟委員報告,其實我們看到其他國家的經驗,就是提供公共化的評價優質的這樣一個托育的服務確實是可以來提高。提高,但是目前看起來有限。我沒有說不對,但是我說是不是能夠兩者並軌進行,兩者一起探討。\n\n12\n00:03:52,586 --> 00:04:17,751\n所以其實我們除了在積極部件公共化、準公共化之外其實我們對於家長在減輕他的負擔這邊其實有一些相關的一個補助包括我們有托育補助現在已經提高到一萬三了那另外如果他是自己帶小孩的話從過去的兩千五也提高到五千所以其實某一個部分是公共化的一個準公共化的一個部件那我們也在經濟這個部分已經來減輕家長的負擔\n\n13\n00:04:21,072 --> 00:04:35,984\n這個還是不夠啦,我們一直希望能夠再增加育兒津貼相關的一些補貼啦,這未後我再繼續跟你爭取。但第二個,我要跟你坦白講,我的家人有失智症的一個潛伏期,我們也正在追蹤當中,所以我們很關注這一類的議題。\n\n14\n00:04:36,944 --> 00:04:52,839\n而失智症帶來所有家庭的一些相關因子因素我們都不再說了影響有多深你自己也都很清楚但是我原本要請你談失智症照顧的一個願景但是現在時間也不夠但是我要講的是日本去年將失智症列為國家級的應對目標\n\n15\n00:04:53,960 --> 00:05:08,767\n投資了將近200億日元,約14億台幣。當然我也要講,我們用在失智的預算編列2022年約50億左右。但是預算的配置狀況為何,前端的預防以及花費的多少的比例,\n\n16\n00:05:09,367 --> 00:05:28,067\n還有後端的醫療照護花費的多少比例這個其實我們還是希望能夠再去做相對應的一個檢討失智症的輕中重度在分級管理衛福部的整合我們覺得在這個部分還要再加強不同失智症的類型我們該怎麼樣去照顧這個家庭的需求\n\n17\n00:05:28,467 --> 00:05:54,246\n各地失智症還有社會資源的差異性都不同衛福部有沒有針對這樣子部分去做通盤檢討去做相對應的一個困境做調查我覺得這個部分希望衛福部能夠加強啊2009年開始失智症已納入安寧療護的一個健保警戶但是我還是要問現在我們納入以後我們目前國內負責照顧失智的人力是否足夠你覺得夠嗎\n\n18\n00:05:56,516 --> 00:05:56,816\n我希望\n\n19\n00:06:25,276 --> 00:06:25,796\n主席\n\n","tsv":"start\tend\ttext\n9394\t31346\t市長好我想台灣目前有幾個結構性的問題有迫切需要解決的一個必要當然其中一個最重要就是人口萎縮少子化以及台灣人越來越長壽但人口卻越來越減少導致現在人口正在結構正在快速的一個老化而人口萎縮所造成的效益這些相當明顯我們最近教育文化委員會在探討的許多學校\n31826\t40195\t遭不到學生退場而大學生現在也開始面臨學生註冊人數下滑更具威脅性的是臺灣的勞動力預計在2065年減一半有860萬只剩下這樣子的人口\n47484\t67363\t連人口數的一半都不到,這絕對會削弱台灣的經濟成長,以及再者人口高度的老化,能負擔老年人的退休金,相關的體制健保體系也都會隨著年輕人越來越少開始越劇崩毀。政府在前瞻怎麼去因應這個少子化?\n68084\t84174\t我們之前有看到這個所謂的育兒百寶箱當然有被罵有去做改善那我們當然是樂見那但是前瞻主要花了不少的經費在蓋這個硬體如公共托育的設施目前這些公共托育設施完工幾處幾處會完工\n87523\t94910\t委員說明,因為我們在各縣市對於公共公社民營這樣的拖曳中心的需求其實非常的高,所以我們在今年度各縣市來申請的案子其實已經超出我們的\n110524\t110564\t主席\n126479\t126639\t2021年新生兒數153,800\n143624\t170760\t2022年新生數13.8萬2023年的新生額數是13.5萬次長在前瞻計畫下2024年你預估出生的新生額要多少?應該是逐漸往下啦看得出來這樣的趨勢啦但是我們要講的是新生額數的逐年下降代表的前瞻不一定有效果拼命增加疫情測試是不是能夠解決少子化的問題我們應該要反向的再來探討\n171640\t195892\t雖然地方很猛的一直在爭取這些預算那我想每一個縣市首長都希望把它當成一個政績這也是一個趨勢我能夠理解但是作為我們主管機關也要因應未來我們不是只是說錢不夠再補錢我們繼續蓋我們是不是應該變相思考我們一直努力蓋但是還是一直往下是不是有問題所以我還是要講\n197185\t212179\t這些硬體設施真的能夠讓我們解這個藍莓之急嗎?如果我們蓋了這個東西兩三年後完工還是我們直接生一個孩子給一百萬這件事情有總統候選人也開出相關的政見過我們是不是應該去做一個探討?\n213300\t228365\t跟委員報告,其實我們看到其他國家的經驗,就是提供公共化的評價優質的這樣一個托育的服務確實是可以來提高。提高,但是目前看起來有限。我沒有說不對,但是我說是不是能夠兩者並軌進行,兩者一起探討。\n232586\t257751\t所以其實我們除了在積極部件公共化、準公共化之外其實我們對於家長在減輕他的負擔這邊其實有一些相關的一個補助包括我們有托育補助現在已經提高到一萬三了那另外如果他是自己帶小孩的話從過去的兩千五也提高到五千所以其實某一個部分是公共化的一個準公共化的一個部件那我們也在經濟這個部分已經來減輕家長的負擔\n261072\t275984\t這個還是不夠啦,我們一直希望能夠再增加育兒津貼相關的一些補貼啦,這未後我再繼續跟你爭取。但第二個,我要跟你坦白講,我的家人有失智症的一個潛伏期,我們也正在追蹤當中,所以我們很關注這一類的議題。\n276944\t292839\t而失智症帶來所有家庭的一些相關因子因素我們都不再說了影響有多深你自己也都很清楚但是我原本要請你談失智症照顧的一個願景但是現在時間也不夠但是我要講的是日本去年將失智症列為國家級的應對目標\n293960\t308767\t投資了將近200億日元,約14億台幣。當然我也要講,我們用在失智的預算編列2022年約50億左右。但是預算的配置狀況為何,前端的預防以及花費的多少的比例,\n309367\t328067\t還有後端的醫療照護花費的多少比例這個其實我們還是希望能夠再去做相對應的一個檢討失智症的輕中重度在分級管理衛福部的整合我們覺得在這個部分還要再加強不同失智症的類型我們該怎麼樣去照顧這個家庭的需求\n328467\t354246\t各地失智症還有社會資源的差異性都不同衛福部有沒有針對這樣子部分去做通盤檢討去做相對應的一個困境做調查我覺得這個部分希望衛福部能夠加強啊2009年開始失智症已納入安寧療護的一個健保警戶但是我還是要問現在我們納入以後我們目前國內負責照顧失智的人力是否足夠你覺得夠嗎\n356516\t356816\t我希望\n385276\t385796\t主席\n","txt":"市長好我想台灣目前有幾個結構性的問題有迫切需要解決的一個必要當然其中一個最重要就是人口萎縮少子化以及台灣人越來越長壽但人口卻越來越減少導致現在人口正在結構正在快速的一個老化而人口萎縮所造成的效益這些相當明顯我們最近教育文化委員會在探討的許多學校\n遭不到學生退場而大學生現在也開始面臨學生註冊人數下滑更具威脅性的是臺灣的勞動力預計在2065年減一半有860萬只剩下這樣子的人口\n連人口數的一半都不到,這絕對會削弱台灣的經濟成長,以及再者人口高度的老化,能負擔老年人的退休金,相關的體制健保體系也都會隨著年輕人越來越少開始越劇崩毀。政府在前瞻怎麼去因應這個少子化?\n我們之前有看到這個所謂的育兒百寶箱當然有被罵有去做改善那我們當然是樂見那但是前瞻主要花了不少的經費在蓋這個硬體如公共托育的設施目前這些公共托育設施完工幾處幾處會完工\n委員說明,因為我們在各縣市對於公共公社民營這樣的拖曳中心的需求其實非常的高,所以我們在今年度各縣市來申請的案子其實已經超出我們的\n主席\n2021年新生兒數153,800\n2022年新生數13.8萬2023年的新生額數是13.5萬次長在前瞻計畫下2024年你預估出生的新生額要多少?應該是逐漸往下啦看得出來這樣的趨勢啦但是我們要講的是新生額數的逐年下降代表的前瞻不一定有效果拼命增加疫情測試是不是能夠解決少子化的問題我們應該要反向的再來探討\n雖然地方很猛的一直在爭取這些預算那我想每一個縣市首長都希望把它當成一個政績這也是一個趨勢我能夠理解但是作為我們主管機關也要因應未來我們不是只是說錢不夠再補錢我們繼續蓋我們是不是應該變相思考我們一直努力蓋但是還是一直往下是不是有問題所以我還是要講\n這些硬體設施真的能夠讓我們解這個藍莓之急嗎?如果我們蓋了這個東西兩三年後完工還是我們直接生一個孩子給一百萬這件事情有總統候選人也開出相關的政見過我們是不是應該去做一個探討?\n跟委員報告,其實我們看到其他國家的經驗,就是提供公共化的評價優質的這樣一個托育的服務確實是可以來提高。提高,但是目前看起來有限。我沒有說不對,但是我說是不是能夠兩者並軌進行,兩者一起探討。\n所以其實我們除了在積極部件公共化、準公共化之外其實我們對於家長在減輕他的負擔這邊其實有一些相關的一個補助包括我們有托育補助現在已經提高到一萬三了那另外如果他是自己帶小孩的話從過去的兩千五也提高到五千所以其實某一個部分是公共化的一個準公共化的一個部件那我們也在經濟這個部分已經來減輕家長的負擔\n這個還是不夠啦,我們一直希望能夠再增加育兒津貼相關的一些補貼啦,這未後我再繼續跟你爭取。但第二個,我要跟你坦白講,我的家人有失智症的一個潛伏期,我們也正在追蹤當中,所以我們很關注這一類的議題。\n而失智症帶來所有家庭的一些相關因子因素我們都不再說了影響有多深你自己也都很清楚但是我原本要請你談失智症照顧的一個願景但是現在時間也不夠但是我要講的是日本去年將失智症列為國家級的應對目標\n投資了將近200億日元,約14億台幣。當然我也要講,我們用在失智的預算編列2022年約50億左右。但是預算的配置狀況為何,前端的預防以及花費的多少的比例,\n還有後端的醫療照護花費的多少比例這個其實我們還是希望能夠再去做相對應的一個檢討失智症的輕中重度在分級管理衛福部的整合我們覺得在這個部分還要再加強不同失智症的類型我們該怎麼樣去照顧這個家庭的需求\n各地失智症還有社會資源的差異性都不同衛福部有沒有針對這樣子部分去做通盤檢討去做相對應的一個困境做調查我覺得這個部分希望衛福部能夠加強啊2009年開始失智症已納入安寧療護的一個健保警戶但是我還是要問現在我們納入以後我們目前國內負責照顧失智的人力是否足夠你覺得夠嗎\n我希望\n主席\n","vtt":"WEBVTT\n\n00:09.394 --> 00:31.346\n市長好我想台灣目前有幾個結構性的問題有迫切需要解決的一個必要當然其中一個最重要就是人口萎縮少子化以及台灣人越來越長壽但人口卻越來越減少導致現在人口正在結構正在快速的一個老化而人口萎縮所造成的效益這些相當明顯我們最近教育文化委員會在探討的許多學校\n\n00:31.826 --> 00:40.195\n遭不到學生退場而大學生現在也開始面臨學生註冊人數下滑更具威脅性的是臺灣的勞動力預計在2065年減一半有860萬只剩下這樣子的人口\n\n00:47.484 --> 01:07.363\n連人口數的一半都不到,這絕對會削弱台灣的經濟成長,以及再者人口高度的老化,能負擔老年人的退休金,相關的體制健保體系也都會隨著年輕人越來越少開始越劇崩毀。政府在前瞻怎麼去因應這個少子化?\n\n01:08.084 --> 01:24.174\n我們之前有看到這個所謂的育兒百寶箱當然有被罵有去做改善那我們當然是樂見那但是前瞻主要花了不少的經費在蓋這個硬體如公共托育的設施目前這些公共托育設施完工幾處幾處會完工\n\n01:27.523 --> 01:34.910\n委員說明,因為我們在各縣市對於公共公社民營這樣的拖曳中心的需求其實非常的高,所以我們在今年度各縣市來申請的案子其實已經超出我們的\n\n01:50.524 --> 01:50.564\n主席\n\n02:06.479 --> 02:06.639\n2021年新生兒數153,800\n\n02:23.624 --> 02:50.760\n2022年新生數13.8萬2023年的新生額數是13.5萬次長在前瞻計畫下2024年你預估出生的新生額要多少?應該是逐漸往下啦看得出來這樣的趨勢啦但是我們要講的是新生額數的逐年下降代表的前瞻不一定有效果拼命增加疫情測試是不是能夠解決少子化的問題我們應該要反向的再來探討\n\n02:51.640 --> 03:15.892\n雖然地方很猛的一直在爭取這些預算那我想每一個縣市首長都希望把它當成一個政績這也是一個趨勢我能夠理解但是作為我們主管機關也要因應未來我們不是只是說錢不夠再補錢我們繼續蓋我們是不是應該變相思考我們一直努力蓋但是還是一直往下是不是有問題所以我還是要講\n\n03:17.185 --> 03:32.179\n這些硬體設施真的能夠讓我們解這個藍莓之急嗎?如果我們蓋了這個東西兩三年後完工還是我們直接生一個孩子給一百萬這件事情有總統候選人也開出相關的政見過我們是不是應該去做一個探討?\n\n03:33.300 --> 03:48.365\n跟委員報告,其實我們看到其他國家的經驗,就是提供公共化的評價優質的這樣一個托育的服務確實是可以來提高。提高,但是目前看起來有限。我沒有說不對,但是我說是不是能夠兩者並軌進行,兩者一起探討。\n\n03:52.586 --> 04:17.751\n所以其實我們除了在積極部件公共化、準公共化之外其實我們對於家長在減輕他的負擔這邊其實有一些相關的一個補助包括我們有托育補助現在已經提高到一萬三了那另外如果他是自己帶小孩的話從過去的兩千五也提高到五千所以其實某一個部分是公共化的一個準公共化的一個部件那我們也在經濟這個部分已經來減輕家長的負擔\n\n04:21.072 --> 04:35.984\n這個還是不夠啦,我們一直希望能夠再增加育兒津貼相關的一些補貼啦,這未後我再繼續跟你爭取。但第二個,我要跟你坦白講,我的家人有失智症的一個潛伏期,我們也正在追蹤當中,所以我們很關注這一類的議題。\n\n04:36.944 --> 04:52.839\n而失智症帶來所有家庭的一些相關因子因素我們都不再說了影響有多深你自己也都很清楚但是我原本要請你談失智症照顧的一個願景但是現在時間也不夠但是我要講的是日本去年將失智症列為國家級的應對目標\n\n04:53.960 --> 05:08.767\n投資了將近200億日元,約14億台幣。當然我也要講,我們用在失智的預算編列2022年約50億左右。但是預算的配置狀況為何,前端的預防以及花費的多少的比例,\n\n05:09.367 --> 05:28.067\n還有後端的醫療照護花費的多少比例這個其實我們還是希望能夠再去做相對應的一個檢討失智症的輕中重度在分級管理衛福部的整合我們覺得在這個部分還要再加強不同失智症的類型我們該怎麼樣去照顧這個家庭的需求\n\n05:28.467 --> 05:54.246\n各地失智症還有社會資源的差異性都不同衛福部有沒有針對這樣子部分去做通盤檢討去做相對應的一個困境做調查我覺得這個部分希望衛福部能夠加強啊2009年開始失智症已納入安寧療護的一個健保警戶但是我還是要問現在我們納入以後我們目前國內負責照顧失智的人力是否足夠你覺得夠嗎\n\n05:56.516 --> 05:56.816\n我希望\n\n06:25.276 --> 06:25.796\n主席\n\n","segments":[{"start":9.394,"end":31.346,"text":"市長好我想台灣目前有幾個結構性的問題有迫切需要解決的一個必要當然其中一個最重要就是人口萎縮少子化以及台灣人越來越長壽但人口卻越來越減少導致現在人口正在結構正在快速的一個老化而人口萎縮所造成的效益這些相當明顯我們最近教育文化委員會在探討的許多學校"},{"start":31.826,"end":40.195,"text":"遭不到學生退場而大學生現在也開始面臨學生註冊人數下滑更具威脅性的是臺灣的勞動力預計在2065年減一半有860萬只剩下這樣子的人口"},{"start":47.484,"end":67.363,"text":"連人口數的一半都不到,這絕對會削弱台灣的經濟成長,以及再者人口高度的老化,能負擔老年人的退休金,相關的體制健保體系也都會隨著年輕人越來越少開始越劇崩毀。政府在前瞻怎麼去因應這個少子化?"},{"start":68.084,"end":84.174,"text":"我們之前有看到這個所謂的育兒百寶箱當然有被罵有去做改善那我們當然是樂見那但是前瞻主要花了不少的經費在蓋這個硬體如公共托育的設施目前這些公共托育設施完工幾處幾處會完工"},{"start":87.523,"end":94.91,"text":"委員說明,因為我們在各縣市對於公共公社民營這樣的拖曳中心的需求其實非常的高,所以我們在今年度各縣市來申請的案子其實已經超出我們的"},{"start":110.524,"end":110.564,"text":"主席"},{"start":126.479,"end":126.639,"text":"2021年新生兒數153,800"},{"start":143.624,"end":170.76,"text":"2022年新生數13.8萬2023年的新生額數是13.5萬次長在前瞻計畫下2024年你預估出生的新生額要多少?應該是逐漸往下啦看得出來這樣的趨勢啦但是我們要講的是新生額數的逐年下降代表的前瞻不一定有效果拼命增加疫情測試是不是能夠解決少子化的問題我們應該要反向的再來探討"},{"start":171.64,"end":195.892,"text":"雖然地方很猛的一直在爭取這些預算那我想每一個縣市首長都希望把它當成一個政績這也是一個趨勢我能夠理解但是作為我們主管機關也要因應未來我們不是只是說錢不夠再補錢我們繼續蓋我們是不是應該變相思考我們一直努力蓋但是還是一直往下是不是有問題所以我還是要講"},{"start":197.185,"end":212.179,"text":"這些硬體設施真的能夠讓我們解這個藍莓之急嗎?如果我們蓋了這個東西兩三年後完工還是我們直接生一個孩子給一百萬這件事情有總統候選人也開出相關的政見過我們是不是應該去做一個探討?"},{"start":213.3,"end":228.365,"text":"跟委員報告,其實我們看到其他國家的經驗,就是提供公共化的評價優質的這樣一個托育的服務確實是可以來提高。提高,但是目前看起來有限。我沒有說不對,但是我說是不是能夠兩者並軌進行,兩者一起探討。"},{"start":232.586,"end":257.751,"text":"所以其實我們除了在積極部件公共化、準公共化之外其實我們對於家長在減輕他的負擔這邊其實有一些相關的一個補助包括我們有托育補助現在已經提高到一萬三了那另外如果他是自己帶小孩的話從過去的兩千五也提高到五千所以其實某一個部分是公共化的一個準公共化的一個部件那我們也在經濟這個部分已經來減輕家長的負擔"},{"start":261.072,"end":275.984,"text":"這個還是不夠啦,我們一直希望能夠再增加育兒津貼相關的一些補貼啦,這未後我再繼續跟你爭取。但第二個,我要跟你坦白講,我的家人有失智症的一個潛伏期,我們也正在追蹤當中,所以我們很關注這一類的議題。"},{"start":276.944,"end":292.839,"text":"而失智症帶來所有家庭的一些相關因子因素我們都不再說了影響有多深你自己也都很清楚但是我原本要請你談失智症照顧的一個願景但是現在時間也不夠但是我要講的是日本去年將失智症列為國家級的應對目標"},{"start":293.96,"end":308.767,"text":"投資了將近200億日元,約14億台幣。當然我也要講,我們用在失智的預算編列2022年約50億左右。但是預算的配置狀況為何,前端的預防以及花費的多少的比例,"},{"start":309.367,"end":328.067,"text":"還有後端的醫療照護花費的多少比例這個其實我們還是希望能夠再去做相對應的一個檢討失智症的輕中重度在分級管理衛福部的整合我們覺得在這個部分還要再加強不同失智症的類型我們該怎麼樣去照顧這個家庭的需求"},{"start":328.467,"end":354.246,"text":"各地失智症還有社會資源的差異性都不同衛福部有沒有針對這樣子部分去做通盤檢討去做相對應的一個困境做調查我覺得這個部分希望衛福部能夠加強啊2009年開始失智症已納入安寧療護的一個健保警戶但是我還是要問現在我們納入以後我們目前國內負責照顧失智的人力是否足夠你覺得夠嗎"},{"start":356.516,"end":356.816,"text":"我希望"},{"start":385.276,"end":385.796,"text":"主席"}]}}}}