{"id":153359,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153359","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/bbbc431469b8aeba80d54f9f9ff91160ea2e07370b40154bbeba37a180c9b1cd73ed662baa63b46f5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"楊瓊瓔","委員發言時間":"10:57:23 - 11:07:47","影片長度":"00:10:24","會議時間":"2024-05-30T09:00:00+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19次全體委員會議（事由：審查\n一、委員許宇甄等22人擬具「老人福利法增訂第二十二條之一條文草案」案。\n二、委員馬文君等16人擬具「老人福利法第二十五條條文修正草案」案。\n三、委員張嘉郡等20人擬具「老人福利法第二十二條條文修正草案」案。\n四、國民黨黨團擬具「老人福利法第二十二條條文修正草案」案。\n五、委員黃健豪等17人擬具「老人福利法第二十二條條文修正草案」案。\n六、委員王育敏等19人擬具「老人福利法第二十二條條文修正草案」案。\n七、台灣民眾黨黨團擬具「老人福利法第二十二條及第二十五條條文修正草案」案。\n【第七案，如經復議，則不予審查】）","date":"2024-05-30","duration":624,"meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":19,"committees":[26],"id":"委員會-11-1-26-19"},"end_time":"2024-05-30T11:07:47+08:00","start_time":"2024-05-30T10:57:23+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":575,"blocks":[["楊委員瓊瓔：（10時57分）謝謝主席，楊瓊瓔發言。邀請次長。"],["主席：好，請呂次長。"],["楊委員瓊瓔：次長好。"],["呂次長建德：委員好。"],["楊委員瓊瓔：本席跟黃健豪委員等22人提出的第二十二條修正條文，次長贊同吧？"],["呂次長建德：報告委員，關心長輩是我們共同的課題，總歸長輩對我們國家、對我們家庭都很有貢獻，但我們也一再強調，這個基本上還是社會保險，社會保險還是要大家有能力時，是不是……"],["楊委員瓊瓔：社會保險大家有能力，但沒能力的時候，政府就要來協助，你來自臺中，最清楚啊！"],["呂次長建德：沒錯。"],["楊委員瓊瓔：你看臺中盧秀燕市長一上來，老人健保由臺中市政府協助，其實這是一個生活鏈，怎麼去協助到年輕人？如果孩子不用再負擔這個部分，可以放心去工作，這對於我們大臺中來講是幫助很大，我們也希望中央能夠借鏡，所以我們就實質來討論。2023年，65歲以上民眾全民納保達到99.92%，但是我們的老年人口一直增加，2026年的統計數字，老年人口占總人口的比率應該是20.28%，聯合國定義的超高齡國家老人人口是占21%，我們已經快要達到了，而2036年我們預估更會達到28%，進入極高齡化國家。臺灣邁入這樣一個情況，國人的醫療需求也正快速成長，那要如何降低國人的醫療支出負擔？部分縣市對老人的健保有提供補助，但是各縣市財務狀況不一，依照人民的信賴保護原則，各地應該要有一致性的公平，所以本席跟黃健豪委員提出第二十二條修正條文，希望待會實質討論時，能夠得到行政部門的支持。所以再一次請教次長，你是否支持最近一年綜合所得稅總額合計未達申報標準，那就等於沒有收入，或者綜合所得稅稅率未達20%以上者，滿65歲以上的老人由中央主管機關全額補助健保費，以符合整個世代正義的精神？"],["呂次長建德：非常感謝委員的意見，我還是回復一下委員，如果我們有相關的財源當然很好，可是現在有個問題，我向委員報告兩個數字，如果按照目前20%的話，大概就占所有老人的84%。"],["楊委員瓊瓔：所以更可以看到這個問題的需求點。"],["呂次長建德：但是我向委員報告一個數字，最近正在報稅，稅率20%的家戶所得是126萬到252萬，現在年輕的中位所得是3萬7,500元，平均起來20%的長輩等於一個月將近12萬元，以3萬7,500元的年輕人去補助12萬元的，如果財政可以的話當然很好，但是……"],["楊委員瓊瓔：好一個財政可以當然很好，我還是要提醒次長，我覺得太多的政治話術是不好的，我們應該要以實質你站在你的角色的立場去看待這個問題，如果要一再地以政治話術、年輕人作為阻擋，本席認為不是很妥。"],["呂次長建德：是，沒有。"],["楊委員瓊瓔：整個國家從零歲到一百多歲，政府都有條件式的要照顧，好不好？"],["呂次長建德：好。"],["楊委員瓊瓔：所以你再深思。"],["呂次長建德：好。"],["楊委員瓊瓔：我還是要提醒不要政治話術。"],["呂次長建德：沒有、沒有。"],["楊委員瓊瓔：接下來本席跟你討論護理人力的挑戰越來越艱辛了，怎麼辦？雖然我們8次被排擠在WHA，但臺灣人很勇敢，我們由江副帶隊，各政黨派一位去，我們部長在那裡，我們不斷的吶喊，這是臺灣人的精神，這才是真正在做事，不要政治話術。"],["呂次長建德：是。"],["楊委員瓊瓔：本席要請教，我們要怎樣改善護理人力短絀的問題。這次去我也希望部長可以帶回來一些可以借鏡，因為1月份公告三班護病比的標準，自3月1號開始執行、實施，搭配三班輪值夜班人員給予獎勵，3月1號開始實施到現在，你認為實質改善的成果到底是怎麼樣？基層護理師人員的工作越來越繁複，加入的因子越來越多，在這樣的情況下，勞動強度不減，因子會越來越多，換句話說，他們的休假會一再地受到阻撓，甚至要跨科支援，這是一個重點，外科要支援內科，不夠人就是塞入，所以護理人員很辛苦，我們要怎麼樣滾動式的修正？護理工作是醫療體系當中非常重要的一環，次長要怎麼樣做護理人員的後盾？"],["呂次長建德：非常感謝委員對於這個部分的關心，我也非常欽佩。我有兩個重點：第一個是我們在去年12月已經核定，行政院有12項的對策，護病比只是其中之一，我想這個要多元。第二個就是剛才委員非常關心的有關跨科的部分，這部分牽涉到勞動部那邊有一些相關的規範。委員對這部分的關心，我們非常佩服，這也是全民共同關心的。"],["楊委員瓊瓔：你佩服本席提出的問題，但是你沒有回答本席的問題。從3月1號開始執行，現在是5月底，本席問的是你認為到目前為止成效如何？去年行政院核定的12項也是我們積極吶喊的，既然已經有這樣的政策，本席請問你，成效會不會改變？本席要請你去看政策執行的當中成效怎麼樣？好就給予嘉勉，不好的話我們要滾動式的檢討。"],["呂次長建德：對。"],["楊委員瓊瓔：我請你將詳實的書面資料給本席。"],["呂次長建德：好。"],["楊委員瓊瓔：執行到現在，你要怎麼樣滾動式的調整，讓它真正的有成效。第二個是三班制的護病比和跨科，因為如本席所說，內科和外科差很多，雖然都是護理師，對於跨科的情況，你的回答是這是勞動部的問題，不許你這樣回答，因為這是你管控的，你是主管機關，你要去瞭解跨科到目前為止到底有多少？實際缺少了多少人？你要去探問問題出來，才可以解決問題，你推給勞動部幹什麼？這樣你就不必站在這裡了。我是語重心長，因為護理師人員真的很辛苦，我的服務處每天都在接受陳情，護理人員真的太辛苦了，斧底抽薪，從根源著手，對護理師科系和相關科系可以做的，要有什麼樣的誘因讓他們來，現在他們做的工作所欠缺、所需要的到底是什麼？這才是我們要解決問題的方式，不要隨隨便便的答復是勞動部的權責，本席不予認同，所以一樣的，跨科系的問題可以怎麼樣解決，請你翔實的去瞭解因素，然後將你預計可以改善的方式給本席，好不好？"],["呂次長建德：好。"],["楊委員瓊瓔：這才是我們實質在討論的。","最後一個是腸病毒的問題。從6月17號臺北市全額補助弱勢者接種71型疫苗1、2劑，臺北市預計有800名兒童受惠。新北從5月23日開始3歲以下弱勢幼兒也可以免費接種。預防重於治療，因為兒童是國家的主人翁、是我們的寶貝，次長，有沒有研議將腸病毒疫苗納入公費施打以減輕家庭的負擔？"],["呂次長建德：非常感謝委員的意見，最近腸病毒疫情確實上升，這部分是由CDC疾管署權管，是否容許會後以書面方式答復？"],["楊委員瓊瓔：對，你去研討看看，因為你接到這樣的問題，這樣就對了，縣市政府已經受不了了，他們自行對弱勢部分給予補助，中央政府呢？我們可以怎樣去協助，請你把我的問題翔實討論之後，將研議方案以書面資料給本席。"],["呂次長建德：好，非常感謝楊委員的指教。"],["主席：謝謝楊瓊瓔委員。","接下來請陳瑩委員質詢。"]],"agenda":{"page_end":212,"meet_id":"委員會-11-1-26-19","speakers":["王育敏","許宇甄","張嘉郡","陳昭姿","林月琴","廖偉翔","黃秀芳","黃健豪","張智倫","李彥秀","林淑芬","楊瓊瓔","陳瑩","劉建國","徐欣瑩","楊曜","陳菁徽","盧縣一","涂權吉","蘇清泉"],"page_start":149,"meetingDate":["2024-05-30"],"gazette_id":"1135501","agenda_lcidc_ids":["1135501_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19次全體委員會議紀錄","content":"審查一、委員許宇甄等22人擬具「老人福利法增訂第二十二條之一條文草案」案；二、委員馬文\n君等16人擬具「老人福利法第二十五條條文修正草案」案；三、委員張嘉郡等20人擬具「老人福\n利法第二十二條條文修正草案」案；四、國民黨黨團擬具「老人福利法第二十二條條文修正草\n案」案；五、委員黃健豪等17人擬具「老人福利法第二十二條條文修正草案」案；六、委員王育\n敏等19人擬具「老人福利法第二十二條條文修正草案」案；七、台灣民眾黨黨團擬具「老人福利\n法第二十二條及第二十五條條文修正草案」案","agenda_id":"1135501_00002"}},"transcript":{"id":"153359","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153359","tool":"pyannote","id":"153359-pyannote"},"job_id":"3EqBOWk4bMcoF1Ln","queued_at":"2024-05-30 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11:49:36","status":"done","log":[{"time":"2024-05-30 11:50:45","msg":"https://ivod.ly.gov.tw/Play/Clip/1M/153359 already downloaded"},{"time":"2024-05-30 11:50:45","msg":"running whisperx with  --model large-v3 --initial_prompt '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19次全體委員會議（事由：審查\n一、委員許宇甄等22人擬具「老人福利法增訂第二十二條之一條文草案」案。\n二、委員馬文君等16人擬具「老人福利法第二十五條條文修正草案」案。\n三、委員張嘉郡等20人擬具「老人福利法第二十二條條文修正草案」案。\n四、國民黨黨團擬具「老人福利法第二十二條條文修正草案」案。\n五、委員黃健豪等17人擬具「老人福利法第二十二條條文修正草案」案。\n六、委員王育敏等19人擬具「老人福利法第二十二條條文修正草案」案。\n七、台灣民眾黨黨團擬具「老人福利法第二十二條及第二十五條條文修正草案」案。\n【第七案，如經復議，則不予審查】）\n發言委員：楊瓊瓔'"},{"time":"2024-05-30 11:51:08","msg":"merging result"},{"time":"2024-05-30 11:51:08","msg":"status: done"}],"result":{"json":"{\"segments\": [{\"start\": 0.189, \"end\": 21.601, \"text\": \"委員質詢。謝謝主席。楊瓊瓔發言,邀請次長。好,請李次長。次長好。委員好。本席跟黃健豪委員等22人所提出的條文第二十二條,你贊同嗎?\", \"words\": [{\"word\": \"委\", \"start\": 0.189, \"end\": 2.69, \"score\": 0.968}, {\"word\": \"員\"}, {\"word\": \"質\"}, {\"word\": \"詢\"}, {\"word\": \"。\"}, {\"word\": \"謝\"}, {\"word\": 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{\"start\": 117.159, \"end\": 135.623, \"text\": \"議員：楊瓊瓔議員：楊瓊瓔\", \"words\": []}, {\"start\": 135.843, \"end\": 139.624, \"text\": \"﹚各地要有讓他有一致性的一個公平﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚�\", \"words\": [{\"word\": \"﹚\"}, {\"word\": \"各\", \"start\": 135.843, \"end\": 136.183, \"score\": 0.964}, {\"word\": \"地\", \"start\": 136.183, \"end\": 136.863, \"score\": 0.935}, {\"word\": \"要\", \"start\": 136.863, \"end\": 137.123, \"score\": 0.993}, {\"word\": \"有\", \"start\": 137.123, \"end\": 137.564, \"score\": 0.953}, {\"word\": \"讓\"}, {\"word\": \"他\", \"start\": 137.564, \"end\": 137.764, \"score\": 0.915}, {\"word\": \"有\", \"start\": 137.764, \"end\": 137.984, \"score\": 0.987}, {\"word\": \"一\", \"start\": 137.984, \"end\": 138.244, \"score\": 0.975}, {\"word\": \"致\", \"start\": 138.244, \"end\": 138.444, \"score\": 0.957}, {\"word\": \"性\", \"start\": 138.444, \"end\": 139.004, \"score\": 0.971}, {\"word\": \"的\", \"start\": 139.004, \"end\": 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主 席 。 楊 瓊 瓔 發 言 , 邀 請 次 長 。 好 , 請 李 次 長 。 次 長 好 。 委 員 好 。 本 席 跟 黃 健 豪 委 員 等 2 2 人 所 提 出 的 條 文 第 二 十 二 條 , 你 贊 同 嗎 ?\n\n2\n00:00:22,709 --> 00:00:47,197\n報 告 委 員 我 想 那 個 關 心 那 個 長 輩 都 是 我 們 共 同 的 因 為 東 北 縱 使 講 對 我 們 國 家 對 我 們 家 庭 都 很 有 貢 獻 但 是 就 是 我 就 是 我 們 一 再 強 調 這 個 基 本 上 還 是 社 會 保 險 社 會 保 險 還 是 要 就 是 說 大 家 有 領 略 有 領 略 我 們 是 不 是 社 會 保 險 大 家 有 領 略 但 是 沒 領 略 的 時 候 政 府 就 要 來 協 助 你 來 自 台 中 沒 錯 最 清 楚\n\n3\n00:00:47,977 --> 00:01:12,993\n他 說 我 們 台 中 盧 秀 燕 市 長 一 上 來 我 們 的 老 人 的 健 保 由 台 中 市 政 府 來 協 助 其 實 這 個 是 一 個 生 活 鏈 怎 麼 樣 去 協 助 到 年 輕 人 他 的 孩 子 不 用 再 負 擔 這 個 他 放 心 去 工 作 這 個 對 於 我 們 這 個 大 台 中 來 講 是 幫 助 很 大 我 們 也 希 望 這 樣 的 借 鏡 能 夠 到 我 們 中 央 來 所 以 我 們 實 質 來 討 論 2 0 2 3 年\n\n4\n00:01:16,155 --> 00:01:40,780\n我 們 看 到 6 5 歲 以 上 的 民 眾 全 民 納 保 的 會 達 到 9 9 . 9 2 但 是 我 們 老 年 人 口 的 一 直 增 加 我 們 看 到 2 0 2 6 年 給 我 們 的 統 計 數 字 給 我 們 的 統 計 數 字 呢 我 們 老 年 人 口 的 總 人 口 的 總 比 應 該 是 2 0 . 2 8 那 年 輕 人 口 的 這 個 定 義 呢 就 老 年 人 口 是 2 1 % 那 我 們 已 經 快 要 達 到 了 齁\n\n5\n00:02:15,843 --> 00:02:19,624\n﹚ 各 地 要 有 讓 他 有 一 致 性 的 一 個 公 平 ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ �\n\n6\n00:02:38,709 --> 00:02:59,671\n那 總 額 合 計 未 達 到 申 報 標 準 ﹖ 那 就 是 一 定 的 沒 修 理 嘛 ﹖ 或 者 是 中 國 所 得 稅 率 未 達 到 百 分 之 二 十 以 上 的 滿 6 5 歲 以 上 的 老 人 由 中 央 主 管 機 關 全 額 來 補 助 這 個 健 保 費 。 依 符 合 整 個 世 代 的 整 個 世 代 的 正 義 精 神 。 請 教 市 長 。\n\n7\n00:03:00,336 --> 00:03:24,830\n我 非 常 感 謝 委 員 的 意 見 但 是 我 還 是 來 回 復 一 下 委 員 就 是 如 果 說 我 們 相 關 裁 員 我 想 當 然 很 好 可 是 現 在 有 個 問 題 在 於 剛 剛 說 就 是 說 我 大 概 兩 個 數 字 跟 委 員 報 告 如 果 按 照 現 在 目 前 2 0 % 的 話 大 概 就 佔 我 們 所 有 老 人 8 4 %\n\n8\n00:03:26,516 --> 00:03:50,284\n所 以 更 可 以 去 看 到 這 個 問 題 的 需 求 條 ? 對 啊 但 是 問 題 就 是 說 我 們 的 老 人 我 跟 委 員 報 告 一 個 數 字 因 為 我 們 最 近 都 在 報 稅 嘛 稅 率 百 分 之 二 十 以 前 家 戶 所 得 是 一 百 二 十 一 萬 到 兩 百 到 兩 百 五 十 到 兩 百 五 十 二 萬 啊 你 這 樣 啊 我 們 現 在 年 輕 的 齁 那 個 我 們 中 衛 所 得 是 三 萬 七 千 五 三 萬 七 千 五 啊 我 平 均 起 來\n\n9\n00:03:51,024 --> 00:03:51,344\n提 醒 市 長 ﹗\n\n10\n00:04:32,176 --> 00:04:51,523\n不 是 很 妥 不 是 很 妥 因 為 整 個 國 家 從 零 歲 到 一 百 多 歲 我 們 都 政 府 都 有 條 件 式 的 要 照 顧 好 不 好 所 以 你 再 深 思 我 還 是 提 醒 不 要 政 治 話 術 接 下 來 本 期 跟 你 討 論 護 理 人 力 的 一 個 挑 戰 越 來 越 艱 辛 了 怎 麼 辦\n\n11\n00:04:52,883 --> 00:05:11,153\n﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠\n\n12\n00:05:12,774 --> 00:05:35,043\n我 們 要 怎 麼 樣 改 善 護 理 人 力 的 一 個 短 處 的 問 題 。 那 我 們 這 一 次 去 我 也 希 望 部 長 可 以 帶 回 來 一 些 可 以 借 鏡 因 為 在 一 月 份 的 公 告 三 班 互 併 比 的 這 個 標 準 三 月 一 號 開 始 來 執 行 來 實 施 那 搭 配 了 三 班 輪 流 夜 班 的 人 員 給 予 獎 勵 我 要 請 教 部 長\n\n13\n00:05:37,284 --> 00:06:00,252\n目 前 實 施 三 月 一 號 開 始 實 施 到 現 在 你 認 為 實 質 改 善 的 成 果 到 底 是 怎 麼 樣 因 為 基 層 的 護 理 師 人 員 的 工 作 越 來 越 繁 複 加 入 的 因 子 越 來 越 多 在 這 樣 的 情 況 之 下 勞 動 強 度 不 減 因 子 會 越 來 越 多 所 以 換 句 話 說 他 休 假 會 一 再 的 受 到 阻 撓\n\n14\n00:06:01,152 --> 00:06:25,898\n那 甚 至 呢 要 跨 科 這 個 是 一 個 重 點 跨 科 來 支 援 , 外 科 的 要 來 支 援 內 科 的 , 沒 夠 人 就 是 淡 路 所 以 護 理 人 員 很 辛 苦 我 們 要 怎 麼 樣 的 去 滾 動 式 的 來 修 正 因 為 護 理 工 作 是 我 們 醫 療 體 系 當 中 非 常 重 要 的 一 環 那 部 長 你 要 怎 麼 樣 作 為 護 理 人 員 的 後 盾 , 請 說 明\n\n15\n00:06:26,238 --> 00:06:55,434\n非 常 感 謝 委 員 對 於 這 個 部 分 的 關 心 , 我 想 也 非 常 非 常 敬 佩 。 那 我 兩 個 中 間 第 一 點 就 是 說 我 們 在 去 年 十 二 月 已 經 有 核 定 這 個 新 政 院 那 邊 有 十 二 項 的 一 個 對 策 。 那 互 變 比 只 是 其 中 之 一 , 我 想 這 個 要 多 元 。 另 外 第 二 個 就 是 剛 剛 委 員 非 常 關 心 的 , 有 關 於 這 一 個 跨 科 的 部 分 , 其 實 這 個 部 分 會 牽 涉 到 勞 動 部 , 他 們 那 邊 有 一 些 相 關 的 規 範 。 我 想 這 個 部 分 , 我 想 委 員 的 關 心 我 們 非 常 佩 服 , 而 且 這 也 是 全 民 大 家 共 同 的 . . . 你 佩 服 本 席 提 出 問 題 , 但 是 你 沒 有 回 答 本 席 的 問 題 。\n\n16\n00:06:55,974 --> 00:06:56,795\n委 員 王 育 敏 等 1 9 人 擬 具\n\n17\n00:07:16,036 --> 00:07:31,871\n會 不 會 改 變 ? 本 席 是 要 請 你 去 看 我 們 的 政 策 執 行 的 當 中 我 們 的 成 效 怎 麼 樣 好 給 予 加 冕 不 好 我 們 要 滾 動 式 的 檢 討 所 以 我 請 你 詳 細 的 書 面 資 料 給 本 席 你 執 行 到 現 在\n\n18\n00:07:32,932 --> 00:07:47,509\n你 要 怎 麼 樣 滾 動 式 的 調 整 讓 他 們 真 正 有 這 個 成 效 。 第 二 個 , 三 班 制 的 互 併 比 跟 跨 科 。 因 為 本 席 說 的 , 內 科 跟 外 科 一 起 查 很 多 , 雖 然 都 是 護 理 師 。\n\n19\n00:07:48,991 --> 00:08:14,517\n所 以 在 這 個 跨 科 的 情 況 你 回 答 的 是 說 是 這 個 勞 動 部 的 問 題 不 許 這 樣 回 答 因 為 這 是 你 管 控 的 是 你 主 管 機 關 你 要 去 了 解 跨 科 目 前 到 底 有 多 少 實 際 我 們 缺 少 了 多 少 人 你 要 去 探 問 問 題 出 來 你 才 可 以 去 解 決 問 題 啊 你 堆 給 勞 動 部 幹 什 麼 那 你 就 不 要 站 在 這 裡 了 嘛\n\n20\n00:08:15,137 --> 00:08:39,879\n所 以 我 是 語 重 心 長 啦 因 為 護 理 師 人 員 真 的 好 辛 苦 我 們 每 一 天 服 務 處 都 在 接 受 陳 情 護 理 人 員 真 的 太 辛 苦 了 福 利 中 心 從 根 源 要 護 理 師 科 系 的 相 關 科 系 可 以 做 的 要 怎 麼 樣 誘 引 讓 他 們 可 以 來 現 在 他 們 做 的 工 作 所 限 缺 需 要 的 到 底 是 什 麼\n\n21\n00:08:40,800 --> 00:09:01,465\n這 才 是 我 們 要 解 決 問 題 不 要 隨 隨 便 便 的 答 覆 這 是 勞 動 部 這 本 席 不 予 認 同 所 以 一 樣 的 跨 科 系 的 這 個 問 題 可 以 怎 麼 樣 去 解 決 請 你 詳 實 去 了 解 因 素 那 你 講 你 預 計 你 可 以 改 善 的 方 式 給 本 席 好 不 好 這 個 才 是 我 們 實 質 在 討 論 最 後 一 個 議 題 長 病 毒 的 問 題 我 們 呢 從 6 月 1 7 號 台 北 市\n\n22\n00:09:08,246 --> 00:09:29,722\n全 額 補 助 弱 勢 的 那 七 十 一 型 疫 苗 的 這 個 這 個 一 兩 劑 。 那 麼 台 北 市 預 計 有 八 百 名 的 兒 童 受 惠 。 新 北 從 五 月 二 十 三 三 歲 以 下 弱 勢 幼 兒 也 可 以 免 費 來 接 送 。 所 以 我 要 請 教 部 長 預 防 重 瘀 治 療 。 部 長 你 有 沒 有 研 議\n\n23\n00:09:31,344 --> 00:09:46,720\n將 腸 病 毒 的 疫 苗 因 為 這 些 兒 童 都 是 我 們 最 國 家 的 主 人 翁 啊 都 是 我 們 的 寶 貝 你 有 沒 有 研 議 是 否 可 將 腸 病 毒 的 疫 苗 納 入 公 費 師 大 有 沒 有 來 減 輕 家 裡 的 負 擔 是\n\n24\n00:09:48,522 --> 00:09:48,542\n拜 託 。\n\n","tsv":"start\tend\ttext\n189\t21601\t委員質詢。謝謝主席。楊瓊瓔發言,邀請次長。好,請李次長。次長好。委員好。本席跟黃健豪委員等22人所提出的條文第二十二條,你贊同嗎?\n22709\t47197\t報告委員我想那個關心那個長輩都是我們共同的因為東北縱使講對我們國家對我們家庭都很有貢獻但是就是我就是我們一再強調這個基本上還是社會保險社會保險還是要就是說大家有領略有領略我們是不是社會保險大家有領略但是沒領略的時候政府就要來協助你來自台中沒錯最清楚\n47977\t72993\t他說我們台中盧秀燕市長一上來我們的老人的健保由台中市政府來協助其實這個是一個生活鏈怎麼樣去協助到年輕人他的孩子不用再負擔這個他放心去工作這個對於我們這個大台中來講是幫助很大我們也希望這樣的借鏡能夠到我們中央來所以我們實質來討論2023年\n76155\t100780\t我們看到65歲以上的民眾全民納保的會達到99.92但是我們老年人口的一直增加我們看到2026年給我們的統計數字給我們的統計數字呢我們老年人口的總人口的總比應該是20.28那年輕人口的這個定義呢就老年人口是21%那我們已經快要達到了齁\n101340\t117159\t議員：楊瓊瓔議員：楊瓊瓔議員：楊瓔\n117159\t135623\t議員：楊瓊瓔議員：楊瓊瓔\n135843\t139624\t﹚各地要有讓他有一致性的一個公平﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚�\n158709\t179671\t那總額合計未達到申報標準﹖那就是一定的沒修理嘛﹖或者是中國所得稅率未達到百分之二十以上的滿65歲以上的老人由中央主管機關全額來補助這個健保費。依符合整個世代的整個世代的正義精神。請教市長。\n180336\t204830\t我非常感謝委員的意見但是我還是來回復一下委員就是如果說我們相關裁員我想當然很好可是現在有個問題在於剛剛說就是說我大概兩個數字跟委員報告如果按照現在目前20%的話大概就佔我們所有老人84%\n206516\t230284\t所以更可以去看到這個問題的需求條?對啊但是問題就是說我們的老人我跟委員報告一個數字因為我們最近都在報稅嘛稅率百分之二十以前家戶所得是一百二十一萬到兩百到兩百五十到兩百五十二萬啊你這樣啊我們現在年輕的齁那個我們中衛所得是三萬七千五三萬七千五啊我平均起來\n231024\t231344\t提醒市長﹗\n252790\t272056\t﹏﹏﹏﹏\n272176\t291523\t不是很妥不是很妥因為整個國家從零歲到一百多歲我們都政府都有條件式的要照顧好不好所以你再深思我還是提醒不要政治話術接下來本期跟你討論護理人力的一個挑戰越來越艱辛了怎麼辦\n292883\t311153\t﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠\n312774\t335043\t我們要怎麼樣改善護理人力的一個短處的問題。那我們這一次去我也希望部長可以帶回來一些可以借鏡因為在一月份的公告三班互併比的這個標準三月一號開始來執行來實施那搭配了三班輪流夜班的人員給予獎勵我要請教部長\n337284\t360252\t目前實施三月一號開始實施到現在你認為實質改善的成果到底是怎麼樣因為基層的護理師人員的工作越來越繁複加入的因子越來越多在這樣的情況之下勞動強度不減因子會越來越多所以換句話說他休假會一再的受到阻撓\n361152\t385898\t那甚至呢要跨科這個是一個重點跨科來支援,外科的要來支援內科的,沒夠人就是淡路所以護理人員很辛苦我們要怎麼樣的去滾動式的來修正因為護理工作是我們醫療體系當中非常重要的一環那部長你要怎麼樣作為護理人員的後盾,請說明\n386238\t415434\t非常感謝委員對於這個部分的關心,我想也非常非常敬佩。那我兩個中間第一點就是說我們在去年十二月已經有核定這個新政院那邊有十二項的一個對策。那互變比只是其中之一,我想這個要多元。另外第二個就是剛剛委員非常關心的,有關於這一個跨科的部分,其實這個部分會牽涉到勞動部,他們那邊有一些相關的規範。我想這個部分,我想委員的關心我們非常佩服,而且這也是全民大家共同的...你佩服本席提出問題,但是你沒有回答本席的問題。\n415974\t416795\t委員王育敏等19人擬具\n436036\t451871\t會不會改變?本席是要請你去看我們的政策執行的當中我們的成效怎麼樣好給予加冕不好我們要滾動式的檢討所以我請你詳細的書面資料給本席你執行到現在\n452932\t467509\t你要怎麼樣滾動式的調整讓他們真正有這個成效。第二個,三班制的互併比跟跨科。因為本席說的,內科跟外科一起查很多,雖然都是護理師。\n468991\t494517\t所以在這個跨科的情況你回答的是說是這個勞動部的問題不許這樣回答因為這是你管控的是你主管機關你要去了解跨科目前到底有多少實際我們缺少了多少人你要去探問問題出來你才可以去解決問題啊你堆給勞動部幹什麼那你就不要站在這裡了嘛\n495137\t519879\t所以我是語重心長啦因為護理師人員真的好辛苦我們每一天服務處都在接受陳情護理人員真的太辛苦了福利中心從根源要護理師科系的相關科系可以做的要怎麼樣誘引讓他們可以來現在他們做的工作所限缺需要的到底是什麼\n520800\t541465\t這才是我們要解決問題不要隨隨便便的答覆這是勞動部這本席不予認同所以一樣的跨科系的這個問題可以怎麼樣去解決請你詳實去了解因素那你講你預計你可以改善的方式給本席好不好這個才是我們實質在討論最後一個議題長病毒的問題我們呢從6月17號台北市\n548246\t569722\t全額補助弱勢的那七十一型疫苗的這個這個一兩劑。那麼台北市預計有八百名的兒童受惠。新北從五月二十三三歲以下弱勢幼兒也可以免費來接送。所以我要請教部長預防重瘀治療。部長你有沒有研議\n571344\t586720\t將腸病毒的疫苗因為這些兒童都是我們最國家的主人翁啊都是我們的寶貝你有沒有研議是否可將腸病毒的疫苗納入公費師大有沒有來減輕家裡的負擔是\n588522\t588542\t拜託。\n605776\t624258\t楊瓊瓔\n","txt":"委員質詢。謝謝主席。楊瓊瓔發言,邀請次長。好,請李次長。次長好。委員好。本席跟黃健豪委員等22人所提出的條文第二十二條,你贊同嗎?\n報告委員我想那個關心那個長輩都是我們共同的因為東北縱使講對我們國家對我們家庭都很有貢獻但是就是我就是我們一再強調這個基本上還是社會保險社會保險還是要就是說大家有領略有領略我們是不是社會保險大家有領略但是沒領略的時候政府就要來協助你來自台中沒錯最清楚\n他說我們台中盧秀燕市長一上來我們的老人的健保由台中市政府來協助其實這個是一個生活鏈怎麼樣去協助到年輕人他的孩子不用再負擔這個他放心去工作這個對於我們這個大台中來講是幫助很大我們也希望這樣的借鏡能夠到我們中央來所以我們實質來討論2023年\n我們看到65歲以上的民眾全民納保的會達到99.92但是我們老年人口的一直增加我們看到2026年給我們的統計數字給我們的統計數字呢我們老年人口的總人口的總比應該是20.28那年輕人口的這個定義呢就老年人口是21%那我們已經快要達到了齁\n議員：楊瓊瓔議員：楊瓊瓔議員：楊瓔\n議員：楊瓊瓔議員：楊瓊瓔\n﹚各地要有讓他有一致性的一個公平﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚�\n那總額合計未達到申報標準﹖那就是一定的沒修理嘛﹖或者是中國所得稅率未達到百分之二十以上的滿65歲以上的老人由中央主管機關全額來補助這個健保費。依符合整個世代的整個世代的正義精神。請教市長。\n我非常感謝委員的意見但是我還是來回復一下委員就是如果說我們相關裁員我想當然很好可是現在有個問題在於剛剛說就是說我大概兩個數字跟委員報告如果按照現在目前20%的話大概就佔我們所有老人84%\n所以更可以去看到這個問題的需求條?對啊但是問題就是說我們的老人我跟委員報告一個數字因為我們最近都在報稅嘛稅率百分之二十以前家戶所得是一百二十一萬到兩百到兩百五十到兩百五十二萬啊你這樣啊我們現在年輕的齁那個我們中衛所得是三萬七千五三萬七千五啊我平均起來\n提醒市長﹗\n﹏﹏﹏﹏\n不是很妥不是很妥因為整個國家從零歲到一百多歲我們都政府都有條件式的要照顧好不好所以你再深思我還是提醒不要政治話術接下來本期跟你討論護理人力的一個挑戰越來越艱辛了怎麼辦\n﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠\n我們要怎麼樣改善護理人力的一個短處的問題。那我們這一次去我也希望部長可以帶回來一些可以借鏡因為在一月份的公告三班互併比的這個標準三月一號開始來執行來實施那搭配了三班輪流夜班的人員給予獎勵我要請教部長\n目前實施三月一號開始實施到現在你認為實質改善的成果到底是怎麼樣因為基層的護理師人員的工作越來越繁複加入的因子越來越多在這樣的情況之下勞動強度不減因子會越來越多所以換句話說他休假會一再的受到阻撓\n那甚至呢要跨科這個是一個重點跨科來支援,外科的要來支援內科的,沒夠人就是淡路所以護理人員很辛苦我們要怎麼樣的去滾動式的來修正因為護理工作是我們醫療體系當中非常重要的一環那部長你要怎麼樣作為護理人員的後盾,請說明\n非常感謝委員對於這個部分的關心,我想也非常非常敬佩。那我兩個中間第一點就是說我們在去年十二月已經有核定這個新政院那邊有十二項的一個對策。那互變比只是其中之一,我想這個要多元。另外第二個就是剛剛委員非常關心的,有關於這一個跨科的部分,其實這個部分會牽涉到勞動部,他們那邊有一些相關的規範。我想這個部分,我想委員的關心我們非常佩服,而且這也是全民大家共同的...你佩服本席提出問題,但是你沒有回答本席的問題。\n委員王育敏等19人擬具\n會不會改變?本席是要請你去看我們的政策執行的當中我們的成效怎麼樣好給予加冕不好我們要滾動式的檢討所以我請你詳細的書面資料給本席你執行到現在\n你要怎麼樣滾動式的調整讓他們真正有這個成效。第二個,三班制的互併比跟跨科。因為本席說的,內科跟外科一起查很多,雖然都是護理師。\n所以在這個跨科的情況你回答的是說是這個勞動部的問題不許這樣回答因為這是你管控的是你主管機關你要去了解跨科目前到底有多少實際我們缺少了多少人你要去探問問題出來你才可以去解決問題啊你堆給勞動部幹什麼那你就不要站在這裡了嘛\n所以我是語重心長啦因為護理師人員真的好辛苦我們每一天服務處都在接受陳情護理人員真的太辛苦了福利中心從根源要護理師科系的相關科系可以做的要怎麼樣誘引讓他們可以來現在他們做的工作所限缺需要的到底是什麼\n這才是我們要解決問題不要隨隨便便的答覆這是勞動部這本席不予認同所以一樣的跨科系的這個問題可以怎麼樣去解決請你詳實去了解因素那你講你預計你可以改善的方式給本席好不好這個才是我們實質在討論最後一個議題長病毒的問題我們呢從6月17號台北市\n全額補助弱勢的那七十一型疫苗的這個這個一兩劑。那麼台北市預計有八百名的兒童受惠。新北從五月二十三三歲以下弱勢幼兒也可以免費來接送。所以我要請教部長預防重瘀治療。部長你有沒有研議\n將腸病毒的疫苗因為這些兒童都是我們最國家的主人翁啊都是我們的寶貝你有沒有研議是否可將腸病毒的疫苗納入公費師大有沒有來減輕家裡的負擔是\n拜託。\n楊瓊瓔\n","vtt":"WEBVTT\n\n00:00.189 --> 00:21.601\n委 員 質 詢 。 謝 謝 主 席 。 楊 瓊 瓔 發 言 , 邀 請 次 長 。 好 , 請 李 次 長 。 次 長 好 。 委 員 好 。 本 席 跟 黃 健 豪 委 員 等 2 2 人 所 提 出 的 條 文 第 二 十 二 條 , 你 贊 同 嗎 ?\n\n00:22.709 --> 00:47.197\n報 告 委 員 我 想 那 個 關 心 那 個 長 輩 都 是 我 們 共 同 的 因 為 東 北 縱 使 講 對 我 們 國 家 對 我 們 家 庭 都 很 有 貢 獻 但 是 就 是 我 就 是 我 們 一 再 強 調 這 個 基 本 上 還 是 社 會 保 險 社 會 保 險 還 是 要 就 是 說 大 家 有 領 略 有 領 略 我 們 是 不 是 社 會 保 險 大 家 有 領 略 但 是 沒 領 略 的 時 候 政 府 就 要 來 協 助 你 來 自 台 中 沒 錯 最 清 楚\n\n00:47.977 --> 01:12.993\n他 說 我 們 台 中 盧 秀 燕 市 長 一 上 來 我 們 的 老 人 的 健 保 由 台 中 市 政 府 來 協 助 其 實 這 個 是 一 個 生 活 鏈 怎 麼 樣 去 協 助 到 年 輕 人 他 的 孩 子 不 用 再 負 擔 這 個 他 放 心 去 工 作 這 個 對 於 我 們 這 個 大 台 中 來 講 是 幫 助 很 大 我 們 也 希 望 這 樣 的 借 鏡 能 夠 到 我 們 中 央 來 所 以 我 們 實 質 來 討 論 2 0 2 3 年\n\n01:16.155 --> 01:40.780\n我 們 看 到 6 5 歲 以 上 的 民 眾 全 民 納 保 的 會 達 到 9 9 . 9 2 但 是 我 們 老 年 人 口 的 一 直 增 加 我 們 看 到 2 0 2 6 年 給 我 們 的 統 計 數 字 給 我 們 的 統 計 數 字 呢 我 們 老 年 人 口 的 總 人 口 的 總 比 應 該 是 2 0 . 2 8 那 年 輕 人 口 的 這 個 定 義 呢 就 老 年 人 口 是 2 1 % 那 我 們 已 經 快 要 達 到 了 齁\n\n02:15.843 --> 02:19.624\n﹚ 各 地 要 有 讓 他 有 一 致 性 的 一 個 公 平 ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ ﹚ �\n\n02:38.709 --> 02:59.671\n那 總 額 合 計 未 達 到 申 報 標 準 ﹖ 那 就 是 一 定 的 沒 修 理 嘛 ﹖ 或 者 是 中 國 所 得 稅 率 未 達 到 百 分 之 二 十 以 上 的 滿 6 5 歲 以 上 的 老 人 由 中 央 主 管 機 關 全 額 來 補 助 這 個 健 保 費 。 依 符 合 整 個 世 代 的 整 個 世 代 的 正 義 精 神 。 請 教 市 長 。\n\n03:00.336 --> 03:24.830\n我 非 常 感 謝 委 員 的 意 見 但 是 我 還 是 來 回 復 一 下 委 員 就 是 如 果 說 我 們 相 關 裁 員 我 想 當 然 很 好 可 是 現 在 有 個 問 題 在 於 剛 剛 說 就 是 說 我 大 概 兩 個 數 字 跟 委 員 報 告 如 果 按 照 現 在 目 前 2 0 % 的 話 大 概 就 佔 我 們 所 有 老 人 8 4 %\n\n03:26.516 --> 03:50.284\n所 以 更 可 以 去 看 到 這 個 問 題 的 需 求 條 ? 對 啊 但 是 問 題 就 是 說 我 們 的 老 人 我 跟 委 員 報 告 一 個 數 字 因 為 我 們 最 近 都 在 報 稅 嘛 稅 率 百 分 之 二 十 以 前 家 戶 所 得 是 一 百 二 十 一 萬 到 兩 百 到 兩 百 五 十 到 兩 百 五 十 二 萬 啊 你 這 樣 啊 我 們 現 在 年 輕 的 齁 那 個 我 們 中 衛 所 得 是 三 萬 七 千 五 三 萬 七 千 五 啊 我 平 均 起 來\n\n03:51.024 --> 03:51.344\n提 醒 市 長 ﹗\n\n04:32.176 --> 04:51.523\n不 是 很 妥 不 是 很 妥 因 為 整 個 國 家 從 零 歲 到 一 百 多 歲 我 們 都 政 府 都 有 條 件 式 的 要 照 顧 好 不 好 所 以 你 再 深 思 我 還 是 提 醒 不 要 政 治 話 術 接 下 來 本 期 跟 你 討 論 護 理 人 力 的 一 個 挑 戰 越 來 越 艱 辛 了 怎 麼 辦\n\n04:52.883 --> 05:11.153\n﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠 在 台 H A ﹖ 雖 然 我 們 八 次 被 排 擠\n\n05:12.774 --> 05:35.043\n我 們 要 怎 麼 樣 改 善 護 理 人 力 的 一 個 短 處 的 問 題 。 那 我 們 這 一 次 去 我 也 希 望 部 長 可 以 帶 回 來 一 些 可 以 借 鏡 因 為 在 一 月 份 的 公 告 三 班 互 併 比 的 這 個 標 準 三 月 一 號 開 始 來 執 行 來 實 施 那 搭 配 了 三 班 輪 流 夜 班 的 人 員 給 予 獎 勵 我 要 請 教 部 長\n\n05:37.284 --> 06:00.252\n目 前 實 施 三 月 一 號 開 始 實 施 到 現 在 你 認 為 實 質 改 善 的 成 果 到 底 是 怎 麼 樣 因 為 基 層 的 護 理 師 人 員 的 工 作 越 來 越 繁 複 加 入 的 因 子 越 來 越 多 在 這 樣 的 情 況 之 下 勞 動 強 度 不 減 因 子 會 越 來 越 多 所 以 換 句 話 說 他 休 假 會 一 再 的 受 到 阻 撓\n\n06:01.152 --> 06:25.898\n那 甚 至 呢 要 跨 科 這 個 是 一 個 重 點 跨 科 來 支 援 , 外 科 的 要 來 支 援 內 科 的 , 沒 夠 人 就 是 淡 路 所 以 護 理 人 員 很 辛 苦 我 們 要 怎 麼 樣 的 去 滾 動 式 的 來 修 正 因 為 護 理 工 作 是 我 們 醫 療 體 系 當 中 非 常 重 要 的 一 環 那 部 長 你 要 怎 麼 樣 作 為 護 理 人 員 的 後 盾 , 請 說 明\n\n06:26.238 --> 06:55.434\n非 常 感 謝 委 員 對 於 這 個 部 分 的 關 心 , 我 想 也 非 常 非 常 敬 佩 。 那 我 兩 個 中 間 第 一 點 就 是 說 我 們 在 去 年 十 二 月 已 經 有 核 定 這 個 新 政 院 那 邊 有 十 二 項 的 一 個 對 策 。 那 互 變 比 只 是 其 中 之 一 , 我 想 這 個 要 多 元 。 另 外 第 二 個 就 是 剛 剛 委 員 非 常 關 心 的 , 有 關 於 這 一 個 跨 科 的 部 分 , 其 實 這 個 部 分 會 牽 涉 到 勞 動 部 , 他 們 那 邊 有 一 些 相 關 的 規 範 。 我 想 這 個 部 分 , 我 想 委 員 的 關 心 我 們 非 常 佩 服 , 而 且 這 也 是 全 民 大 家 共 同 的 . . . 你 佩 服 本 席 提 出 問 題 , 但 是 你 沒 有 回 答 本 席 的 問 題 。\n\n06:55.974 --> 06:56.795\n委 員 王 育 敏 等 1 9 人 擬 具\n\n07:16.036 --> 07:31.871\n會 不 會 改 變 ? 本 席 是 要 請 你 去 看 我 們 的 政 策 執 行 的 當 中 我 們 的 成 效 怎 麼 樣 好 給 予 加 冕 不 好 我 們 要 滾 動 式 的 檢 討 所 以 我 請 你 詳 細 的 書 面 資 料 給 本 席 你 執 行 到 現 在\n\n07:32.932 --> 07:47.509\n你 要 怎 麼 樣 滾 動 式 的 調 整 讓 他 們 真 正 有 這 個 成 效 。 第 二 個 , 三 班 制 的 互 併 比 跟 跨 科 。 因 為 本 席 說 的 , 內 科 跟 外 科 一 起 查 很 多 , 雖 然 都 是 護 理 師 。\n\n07:48.991 --> 08:14.517\n所 以 在 這 個 跨 科 的 情 況 你 回 答 的 是 說 是 這 個 勞 動 部 的 問 題 不 許 這 樣 回 答 因 為 這 是 你 管 控 的 是 你 主 管 機 關 你 要 去 了 解 跨 科 目 前 到 底 有 多 少 實 際 我 們 缺 少 了 多 少 人 你 要 去 探 問 問 題 出 來 你 才 可 以 去 解 決 問 題 啊 你 堆 給 勞 動 部 幹 什 麼 那 你 就 不 要 站 在 這 裡 了 嘛\n\n08:15.137 --> 08:39.879\n所 以 我 是 語 重 心 長 啦 因 為 護 理 師 人 員 真 的 好 辛 苦 我 們 每 一 天 服 務 處 都 在 接 受 陳 情 護 理 人 員 真 的 太 辛 苦 了 福 利 中 心 從 根 源 要 護 理 師 科 系 的 相 關 科 系 可 以 做 的 要 怎 麼 樣 誘 引 讓 他 們 可 以 來 現 在 他 們 做 的 工 作 所 限 缺 需 要 的 到 底 是 什 麼\n\n08:40.800 --> 09:01.465\n這 才 是 我 們 要 解 決 問 題 不 要 隨 隨 便 便 的 答 覆 這 是 勞 動 部 這 本 席 不 予 認 同 所 以 一 樣 的 跨 科 系 的 這 個 問 題 可 以 怎 麼 樣 去 解 決 請 你 詳 實 去 了 解 因 素 那 你 講 你 預 計 你 可 以 改 善 的 方 式 給 本 席 好 不 好 這 個 才 是 我 們 實 質 在 討 論 最 後 一 個 議 題 長 病 毒 的 問 題 我 們 呢 從 6 月 1 7 號 台 北 市\n\n09:08.246 --> 09:29.722\n全 額 補 助 弱 勢 的 那 七 十 一 型 疫 苗 的 這 個 這 個 一 兩 劑 。 那 麼 台 北 市 預 計 有 八 百 名 的 兒 童 受 惠 。 新 北 從 五 月 二 十 三 三 歲 以 下 弱 勢 幼 兒 也 可 以 免 費 來 接 送 。 所 以 我 要 請 教 部 長 預 防 重 瘀 治 療 。 部 長 你 有 沒 有 研 議\n\n09:31.344 --> 09:46.720\n將 腸 病 毒 的 疫 苗 因 為 這 些 兒 童 都 是 我 們 最 國 家 的 主 人 翁 啊 都 是 我 們 的 寶 貝 你 有 沒 有 研 議 是 否 可 將 腸 病 毒 的 疫 苗 納 入 公 費 師 大 有 沒 有 來 減 輕 家 裡 的 負 擔 是\n\n09:48.522 --> 09:48.542\n拜 託 。\n\n","segments":[{"start":0.189,"end":21.601,"text":"委員質詢。謝謝主席。楊瓊瓔發言,邀請次長。好,請李次長。次長好。委員好。本席跟黃健豪委員等22人所提出的條文第二十二條,你贊同嗎?"},{"start":22.709,"end":47.197,"text":"報告委員我想那個關心那個長輩都是我們共同的因為東北縱使講對我們國家對我們家庭都很有貢獻但是就是我就是我們一再強調這個基本上還是社會保險社會保險還是要就是說大家有領略有領略我們是不是社會保險大家有領略但是沒領略的時候政府就要來協助你來自台中沒錯最清楚"},{"start":47.977,"end":72.993,"text":"他說我們台中盧秀燕市長一上來我們的老人的健保由台中市政府來協助其實這個是一個生活鏈怎麼樣去協助到年輕人他的孩子不用再負擔這個他放心去工作這個對於我們這個大台中來講是幫助很大我們也希望這樣的借鏡能夠到我們中央來所以我們實質來討論2023年"},{"start":76.155,"end":100.78,"text":"我們看到65歲以上的民眾全民納保的會達到99.92但是我們老年人口的一直增加我們看到2026年給我們的統計數字給我們的統計數字呢我們老年人口的總人口的總比應該是20.28那年輕人口的這個定義呢就老年人口是21%那我們已經快要達到了齁"},{"start":101.34,"end":117.159,"text":"議員：楊瓊瓔議員：楊瓊瓔議員：楊瓔"},{"start":117.159,"end":135.623,"text":"議員：楊瓊瓔議員：楊瓊瓔"},{"start":135.843,"end":139.624,"text":"﹚各地要有讓他有一致性的一個公平﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚﹚�"},{"start":158.709,"end":179.671,"text":"那總額合計未達到申報標準﹖那就是一定的沒修理嘛﹖或者是中國所得稅率未達到百分之二十以上的滿65歲以上的老人由中央主管機關全額來補助這個健保費。依符合整個世代的整個世代的正義精神。請教市長。"},{"start":180.336,"end":204.83,"text":"我非常感謝委員的意見但是我還是來回復一下委員就是如果說我們相關裁員我想當然很好可是現在有個問題在於剛剛說就是說我大概兩個數字跟委員報告如果按照現在目前20%的話大概就佔我們所有老人84%"},{"start":206.516,"end":230.284,"text":"所以更可以去看到這個問題的需求條?對啊但是問題就是說我們的老人我跟委員報告一個數字因為我們最近都在報稅嘛稅率百分之二十以前家戶所得是一百二十一萬到兩百到兩百五十到兩百五十二萬啊你這樣啊我們現在年輕的齁那個我們中衛所得是三萬七千五三萬七千五啊我平均起來"},{"start":231.024,"end":231.344,"text":"提醒市長﹗"},{"start":252.79,"end":272.056,"text":" ﹏﹏﹏﹏"},{"start":272.176,"end":291.523,"text":"不是很妥不是很妥因為整個國家從零歲到一百多歲我們都政府都有條件式的要照顧好不好所以你再深思我還是提醒不要政治話術接下來本期跟你討論護理人力的一個挑戰越來越艱辛了怎麼辦"},{"start":292.883,"end":311.153,"text":" ﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠在台HA﹖雖然我們八次被排擠"},{"start":312.774,"end":335.043,"text":"我們要怎麼樣改善護理人力的一個短處的問題。那我們這一次去我也希望部長可以帶回來一些可以借鏡因為在一月份的公告三班互併比的這個標準三月一號開始來執行來實施那搭配了三班輪流夜班的人員給予獎勵我要請教部長"},{"start":337.284,"end":360.252,"text":"目前實施三月一號開始實施到現在你認為實質改善的成果到底是怎麼樣因為基層的護理師人員的工作越來越繁複加入的因子越來越多在這樣的情況之下勞動強度不減因子會越來越多所以換句話說他休假會一再的受到阻撓"},{"start":361.152,"end":385.898,"text":"那甚至呢要跨科這個是一個重點跨科來支援,外科的要來支援內科的,沒夠人就是淡路所以護理人員很辛苦我們要怎麼樣的去滾動式的來修正因為護理工作是我們醫療體系當中非常重要的一環那部長你要怎麼樣作為護理人員的後盾,請說明"},{"start":386.238,"end":415.434,"text":"非常感謝委員對於這個部分的關心,我想也非常非常敬佩。那我兩個中間第一點就是說我們在去年十二月已經有核定這個新政院那邊有十二項的一個對策。那互變比只是其中之一,我想這個要多元。另外第二個就是剛剛委員非常關心的,有關於這一個跨科的部分,其實這個部分會牽涉到勞動部,他們那邊有一些相關的規範。我想這個部分,我想委員的關心我們非常佩服,而且這也是全民大家共同的...你佩服本席提出問題,但是你沒有回答本席的問題。"},{"start":415.974,"end":416.795,"text":"委員王育敏等19人擬具"},{"start":436.036,"end":451.871,"text":"會不會改變?本席是要請你去看我們的政策執行的當中我們的成效怎麼樣好給予加冕不好我們要滾動式的檢討所以我請你詳細的書面資料給本席你執行到現在"},{"start":452.932,"end":467.509,"text":"你要怎麼樣滾動式的調整讓他們真正有這個成效。第二個,三班制的互併比跟跨科。因為本席說的,內科跟外科一起查很多,雖然都是護理師。"},{"start":468.991,"end":494.517,"text":"所以在這個跨科的情況你回答的是說是這個勞動部的問題不許這樣回答因為這是你管控的是你主管機關你要去了解跨科目前到底有多少實際我們缺少了多少人你要去探問問題出來你才可以去解決問題啊你堆給勞動部幹什麼那你就不要站在這裡了嘛"},{"start":495.137,"end":519.879,"text":"所以我是語重心長啦因為護理師人員真的好辛苦我們每一天服務處都在接受陳情護理人員真的太辛苦了福利中心從根源要護理師科系的相關科系可以做的要怎麼樣誘引讓他們可以來現在他們做的工作所限缺需要的到底是什麼"},{"start":520.8,"end":541.465,"text":"這才是我們要解決問題不要隨隨便便的答覆這是勞動部這本席不予認同所以一樣的跨科系的這個問題可以怎麼樣去解決請你詳實去了解因素那你講你預計你可以改善的方式給本席好不好這個才是我們實質在討論最後一個議題長病毒的問題我們呢從6月17號台北市"},{"start":548.246,"end":569.722,"text":"全額補助弱勢的那七十一型疫苗的這個這個一兩劑。那麼台北市預計有八百名的兒童受惠。新北從五月二十三三歲以下弱勢幼兒也可以免費來接送。所以我要請教部長預防重瘀治療。部長你有沒有研議"},{"start":571.344,"end":586.72,"text":"將腸病毒的疫苗因為這些兒童都是我們最國家的主人翁啊都是我們的寶貝你有沒有研議是否可將腸病毒的疫苗納入公費師大有沒有來減輕家裡的負擔是"},{"start":588.522,"end":588.542,"text":"拜託。"},{"start":605.776,"end":624.258,"text":"楊瓊瓔"}]}}}}