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\"這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好\", \"words\": [{\"word\": \"這\"}, {\"word\": \"一\", \"start\": 162.163, \"end\": 162.284, \"score\": 0.818}, {\"word\": \"點\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"委\", \"start\": 162.284, \"end\": 163.044, \"score\": 0.91}, {\"word\": \"員\"}, {\"word\": \"剛\"}, {\"word\": \"剛\"}, {\"word\": \"提\", \"start\": 163.044, \"end\": 163.164, \"score\": 0.988}, {\"word\": \"出\", \"start\": 163.164, \"end\": 163.304, \"score\": 0.835}, {\"word\": \"的\", \"start\": 163.304, \"end\": 163.684, \"score\": 0.891}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"疑\", \"start\": 163.684, \"end\": 164.645, \"score\": 0.881}, {\"word\": \"問\"}, {\"word\": \"那\", \"start\": 164.645, \"end\": 165.145, \"score\": 0.941}, {\"word\": \"有\", \"start\": 165.145, \"end\": 165.545, \"score\": 0.932}, {\"word\": \"關\"}, {\"word\": \"於\", 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{\"word\": \"跟\", \"start\": 633.282, \"end\": 633.402, \"score\": 0.814}, {\"word\": \"處\"}, {\"word\": \"理\", \"start\": 633.402, \"end\": 633.462, \"score\": 0.665}, {\"word\": \"好\", \"start\": 633.462, \"end\": 633.482, \"score\": 0.0}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"好\", \"start\": 636.842, \"end\": 637.003, \"score\": 0.874}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"王\", \"start\": 637.003, \"end\": 637.204, \"score\": 0.999}, {\"word\": \"育\", \"start\": 637.204, \"end\": 637.325, \"score\": 0.836}, {\"word\": \"敏\", \"start\": 637.325, \"end\": 637.507, \"score\": 0.882}, {\"word\": \"委\", \"start\": 637.507, \"end\": 638.051, \"score\": 0.925}, {\"word\": \"員\"}, {\"word\": \"發\"}, {\"word\": \"言\", \"start\": 638.051, \"end\": 638.715, \"score\": 0.992}, {\"word\": \"接\", \"start\": 638.715, \"end\": 638.816, \"score\": 0.8}, {\"word\": \"下\", \"start\": 638.816, \"end\": 638.836, \"score\": 0.692}, {\"word\": \"來\"}, {\"word\": \"請\"}], \"language\": \"zh\"}","srt":"1\n00:00:06,638 --> 00:00:09,260\n謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊\n\n2\n00:00:23,632 --> 00:00:46,419\n的一些相關會議我相信這樣的一個行程還是非常的繁忙那我看到你的報告裡面提到說這次的成果在疫後是最佳你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談那一年應該是高峰有高達71場\n\n3\n00:00:52,928 --> 00:01:15,796\n當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎?跟委員報告齁我們這43場\n\n4\n00:01:21,857 --> 00:01:28,982\n都是有坐下來,針對主要的議題來討論,而且都有正式的記錄。那2019是關水?\n\n5\n00:01:31,465 --> 00:01:57,271\n也不是灌水多算了我們很落實在每一場43場那以前的算法我是不太清楚你不太清楚但是這43場絕對都是貨真真的就是做下來這次真的有談有會議記錄的有會議記錄那我請那個你再回去交代同仁過去那71場是不是也可以告訴本委員會有沒有會議記錄\n\n6\n00:01:58,860 --> 00:02:15,815\n還是這一些其實是宣稱的不過這個會議紀錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是\n\n7\n00:02:17,323 --> 00:02:40,131\n因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙邊會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員?\n\n8\n00:02:42,163 --> 00:03:07,977\n這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好\n\n9\n00:03:08,617 --> 00:03:32,152\n我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面\n\n10\n00:03:32,832 --> 00:03:33,353\n王育敏議員\n\n11\n00:03:47,825 --> 00:04:04,257\n新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制喔那這個部分因為今天報告裡面完全沒有提到這個部長是不是可以補充跟大家報告一下有沒有什麼成果我先報告一下齁就是大流行公約是針對齁\n\n12\n00:04:05,798 --> 00:04:05,898\n臺灣絕對不能\n\n13\n00:04:28,225 --> 00:04:56,040\n所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充\n\n14\n00:04:56,260 --> 00:04:56,867\n好來副處長補充\n\n15\n00:04:58,506 --> 00:05:27,181\n簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝\n\n16\n00:05:27,921 --> 00:05:55,337\n那有沒有把握我們可以用觀察員的身份來加入到目前為止你們的評估是困難重重還是有機會以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難\n\n17\n00:05:57,398 --> 00:06:23,284\n他都是採會員國就是好那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說\n\n18\n00:06:24,784 --> 00:06:49,170\n好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀\n\n19\n00:06:51,731 --> 00:07:16,559\n這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有\n\n20\n00:07:18,235 --> 00:07:22,776\n因為可以加強我沒有去加強的我們都一定要馬上來改善\n\n21\n00:07:23,291 --> 00:07:44,863\n好那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題\n\n22\n00:07:53,792 --> 00:08:04,881\n這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎?\n\n23\n00:08:06,977 --> 00:08:28,696\n已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步\n\n24\n00:08:30,438 --> 00:08:39,905\n好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環\n\n25\n00:08:57,679 --> 00:09:25,799\n那因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法齁這個\n\n26\n00:09:27,140 --> 00:09:51,285\n我想這個政府的財政我們稅額超徵是兩三千億那錢我覺得都沒有花在刀口上去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題\n\n27\n00:09:52,345 --> 00:10:06,496\n不是有沒有錢的問題那站在衛環委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了\n\n28\n00:10:07,617 --> 00:10:33,482\n我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很了解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們一定周全的來思考配套措施來完成這樣的一個方式我們近期就會來討論跟處理好謝謝\n\n29\n00:10:36,842 --> 00:10:38,836\n好謝謝王育敏委員發言接下來請\n\n","tsv":"start\tend\ttext\n6638\t9260\t謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊\n23632\t46419\t的一些相關會議我相信這樣的一個行程還是非常的繁忙那我看到你的報告裡面提到說這次的成果在疫後是最佳你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談那一年應該是高峰有高達71場\n52928\t75796\t當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎?跟委員報告齁我們這43場\n81857\t88982\t都是有坐下來,針對主要的議題來討論,而且都有正式的記錄。那2019是關水?\n91465\t117271\t也不是灌水 多算了 我們很落實在每一場43場 那以前的算法我是不太清楚 你不太清楚 但是這43場絕對都是貨真 真的就是做下來 這次 真的有談有會議記錄的 有會議記錄 那我請那個 你再回去交代同仁 過去那71場是不是也可以告訴本委員會 有沒有會議記錄\n118860\t135815\t還是這一些其實是宣稱的不過這個會議紀錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是\n137323\t160131\t因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙邊會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員?\n162163\t187977\t這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好\n188617\t212152\t我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面\n212832\t213353\t王育敏議員\n227825\t244257\t新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制喔那這個部分因為今天報告裡面完全沒有提到這個部長是不是可以補充跟大家報告一下有沒有什麼成果我先報告一下齁就是大流行公約是針對齁\n245798\t245898\t臺灣絕對不能\n268225\t296040\t所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充\n296260\t296867\t好來副處長補充\n298506\t327181\t簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝\n327921\t355337\t那有沒有把握我們可以用觀察員的身份來加入到目前為止你們的評估是困難重重還是有機會以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難\n357398\t383284\t他都是採會員國就是好那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說\n384784\t409170\t好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀\n411731\t436559\t這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有\n438235\t442776\t因為可以加強我沒有去加強的我們都一定要馬上來改善\n443291\t464863\t好那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題\n473792\t484881\t這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎?\n486977\t508696\t已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步\n510438\t519905\t好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環\n537679\t565799\t那因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法齁這個\n567140\t591285\t我想這個政府的財政我們稅額超徵是兩三千億那錢我覺得都沒有花在刀口上去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題\n592345\t606496\t不是有沒有錢的問題那站在衛環委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了\n607617\t633482\t我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很了解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們一定周全的來思考配套措施來完成這樣的一個方式我們近期就會來討論跟處理好謝謝\n636842\t638836\t好謝謝王育敏委員發言接下來請\n","txt":"謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊\n的一些相關會議我相信這樣的一個行程還是非常的繁忙那我看到你的報告裡面提到說這次的成果在疫後是最佳你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談那一年應該是高峰有高達71場\n當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎?跟委員報告齁我們這43場\n都是有坐下來,針對主要的議題來討論,而且都有正式的記錄。那2019是關水?\n也不是灌水 多算了 我們很落實在每一場43場 那以前的算法我是不太清楚 你不太清楚 但是這43場絕對都是貨真 真的就是做下來 這次 真的有談有會議記錄的 有會議記錄 那我請那個 你再回去交代同仁 過去那71場是不是也可以告訴本委員會 有沒有會議記錄\n還是這一些其實是宣稱的不過這個會議紀錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是\n因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙邊會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員?\n這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好\n我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面\n王育敏議員\n新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制喔那這個部分因為今天報告裡面完全沒有提到這個部長是不是可以補充跟大家報告一下有沒有什麼成果我先報告一下齁就是大流行公約是針對齁\n臺灣絕對不能\n所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充\n好來副處長補充\n簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝\n那有沒有把握我們可以用觀察員的身份來加入到目前為止你們的評估是困難重重還是有機會以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難\n他都是採會員國就是好那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說\n好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀\n這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有\n因為可以加強我沒有去加強的我們都一定要馬上來改善\n好那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題\n這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎?\n已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步\n好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環\n那因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法齁這個\n我想這個政府的財政我們稅額超徵是兩三千億那錢我覺得都沒有花在刀口上去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題\n不是有沒有錢的問題那站在衛環委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了\n我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很了解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們一定周全的來思考配套措施來完成這樣的一個方式我們近期就會來討論跟處理好謝謝\n好謝謝王育敏委員發言接下來請\n","vtt":"WEBVTT\n\n00:06.638 --> 00:09.260\n謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊\n\n00:23.632 --> 00:46.419\n的一些相關會議我相信這樣的一個行程還是非常的繁忙那我看到你的報告裡面提到說這次的成果在疫後是最佳你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談那一年應該是高峰有高達71場\n\n00:52.928 --> 01:15.796\n當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎?跟委員報告齁我們這43場\n\n01:21.857 --> 01:28.982\n都是有坐下來,針對主要的議題來討論,而且都有正式的記錄。那2019是關水?\n\n01:31.465 --> 01:57.271\n也不是灌水多算了我們很落實在每一場43場那以前的算法我是不太清楚你不太清楚但是這43場絕對都是貨真真的就是做下來這次真的有談有會議記錄的有會議記錄那我請那個你再回去交代同仁過去那71場是不是也可以告訴本委員會有沒有會議記錄\n\n01:58.860 --> 02:15.815\n還是這一些其實是宣稱的不過這個會議紀錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是\n\n02:17.323 --> 02:40.131\n因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙邊會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員?\n\n02:42.163 --> 03:07.977\n這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好\n\n03:08.617 --> 03:32.152\n我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面\n\n03:32.832 --> 03:33.353\n王育敏議員\n\n03:47.825 --> 04:04.257\n新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制喔那這個部分因為今天報告裡面完全沒有提到這個部長是不是可以補充跟大家報告一下有沒有什麼成果我先報告一下齁就是大流行公約是針對齁\n\n04:05.798 --> 04:05.898\n臺灣絕對不能\n\n04:28.225 --> 04:56.040\n所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充\n\n04:56.260 --> 04:56.867\n好來副處長補充\n\n04:58.506 --> 05:27.181\n簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝\n\n05:27.921 --> 05:55.337\n那有沒有把握我們可以用觀察員的身份來加入到目前為止你們的評估是困難重重還是有機會以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難\n\n05:57.398 --> 06:23.284\n他都是採會員國就是好那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說\n\n06:24.784 --> 06:49.170\n好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀\n\n06:51.731 --> 07:16.559\n這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有\n\n07:18.235 --> 07:22.776\n因為可以加強我沒有去加強的我們都一定要馬上來改善\n\n07:23.291 --> 07:44.863\n好那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題\n\n07:53.792 --> 08:04.881\n這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎?\n\n08:06.977 --> 08:28.696\n已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步\n\n08:30.438 --> 08:39.905\n好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環\n\n08:57.679 --> 09:25.799\n那因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法齁這個\n\n09:27.140 --> 09:51.285\n我想這個政府的財政我們稅額超徵是兩三千億那錢我覺得都沒有花在刀口上去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題\n\n09:52.345 --> 10:06.496\n不是有沒有錢的問題那站在衛環委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了\n\n10:07.617 --> 10:33.482\n我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很了解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們一定周全的來思考配套措施來完成這樣的一個方式我們近期就會來討論跟處理好謝謝\n\n10:36.842 --> 10:38.836\n好謝謝王育敏委員發言接下來請\n\n","segments":[{"start":6.638,"end":9.26,"text":"謝謝主席。我們有請邱部長。請邱部長。委員好。部長好。部長辛苦了參加這個WHA,雖然沒有進到這個大會裡面,但是周邊"},{"start":23.632,"end":46.419,"text":"的一些相關會議我相信這樣的一個行程還是非常的繁忙那我看到你的報告裡面提到說這次的成果在疫後是最佳你指的是疫後最佳但是本期還是要提供一個數據給你看剛剛圖圈級委員比較的是馬政府時期那我這邊比較的同樣是過去蔡政府時期在2019年的時候雙邊會談那一年應該是高峰有高達71場"},{"start":52.928,"end":75.796,"text":"當時的友邦是16個友邦支持我們但是到了2024年今年你帶隊出去之後雙邊會會談剩下43場然後國際支持是11個友邦那這個具體的數據其實呈現的都是一個下降的情況那這個部長你自己有掌握到這樣的一個訊息嗎?跟委員報告齁我們這43場"},{"start":81.857,"end":88.982,"text":"都是有坐下來,針對主要的議題來討論,而且都有正式的記錄。那2019是關水?"},{"start":91.465,"end":117.271,"text":"也不是灌水 多算了 我們很落實在每一場43場 那以前的算法我是不太清楚 你不太清楚 但是這43場絕對都是貨真 真的就是做下來 這次 真的有談有會議記錄的 有會議記錄 那我請那個 你再回去交代同仁 過去那71場是不是也可以告訴本委員會 有沒有會議記錄"},{"start":118.86,"end":135.815,"text":"還是這一些其實是宣稱的不過這個會議紀錄是有沒有是可以來講但是有些都是外交的那個機密雙邊會談就是說裡面的內容要做什麼有嗎那個外交部今天是"},{"start":137.323,"end":160.131,"text":"因為有很多的國家連照相都不跟我們照相。那所以是私下會談?沒有,但是也是正式會談,但是不照相、不公開的。就是說在你們外交部的記錄裡面,這一些的雙邊會談的記錄可不可以對外公開?有沒有留下記錄?可不可以提供給委員?"},{"start":162.163,"end":187.977,"text":"這一點謝謝委員剛剛提出的這個疑問那有關於我們過去有這麼多場跟人家的互動那麼是不是有涉及外交上的考量我們當然第一個要先瞭解說對方是不是同意公布因為這個有這個對方的要求的問題那如果說是可以公布的然後內容不涉及機敏的我們回去調查一下然後再給委員一個答覆好提供給委員參考不是對新聞媒體是給委員參考好不好"},{"start":188.617,"end":212.152,"text":"我也希望了解情況那另外一個呢我想要問的就是之前這個薛部長在的時候他一直提到說今年的WHA大會很重要是一個有關於大流行公約的一個相關的討論跟簽署但是在今天的報告裡面這個邱部長只字未提有關於大流行公約那這個部分到底我們在這一次裡面"},{"start":212.832,"end":213.353,"text":"王育敏議員"},{"start":227.825,"end":244.257,"text":"新冠之後大家對這個部分大家如何去分享知識這個其實是很重要的機制喔那這個部分因為今天報告裡面完全沒有提到這個部長是不是可以補充跟大家報告一下有沒有什麼成果我先報告一下齁就是大流行公約是針對齁"},{"start":245.798,"end":245.898,"text":"臺灣絕對不能"},{"start":268.225,"end":296.04,"text":"所以從一開始我們就用盡各種辦法來爭取不管是用觀察員的角度或者用學術甚至用教育用各種角度一直在努力但是就是因為他的議題太多太爭議所以他今年是沒有通過還要在這一點當中會再討論我們會在這一點當中用盡各種辦法來參與那我想一經那個副市長要不要做補充"},{"start":296.26,"end":296.867,"text":"好來副處長補充"},{"start":298.506,"end":327.181,"text":"簡單跟委員補充就是這次我們有辦一個論壇所以有請到對這個中越非常有專精的美國學者以及國內的專家來一起討論那他確實是因為目前在這個資源分享還有那個一些技術面的問題沒有辦法達成共識所以已經宣布延長一年的談判時間那我們會在這一年當中透過多元的管道來就是針對身份加入的部分還有一些實質參與還有提供建議的部分來努力謝謝"},{"start":327.921,"end":355.337,"text":"那有沒有把握我們可以用觀察員的身份來加入到目前為止你們的評估是困難重重還是有機會以他目前現有的文字的話要參與是非常困難的因為他他裡頭是用這個也是用會員國這樣的一個名稱他不是有經濟體嗎沒有沒有他目前就是那個文字部分當然在未來一年當中是還有可能再去做一些調整但是目前來講就是用這個身份參與的話應該是相當的困難"},{"start":357.398,"end":383.284,"text":"他都是採會員國就是好那這個部分我們當然希望站在防疫的角度我們積極去爭取希望我們可以跟全球同步可以來交流這樣的一個跟疾病防治有關的相關的資訊這個部長在帶領相關討論繼續努力接下來我要問一個現在大家很關注的上午其實也有委員已經問到就是關床的一個問題那這個部分本席發現說"},{"start":384.784,"end":409.17,"text":"好像從衛福部的角度你們看都沒有問題護理人員也在增加都沒有問題但是從實務上面現在爆發出來的如果一個區域醫院他關閉三層的病床這個其實是非常嚴重的問題因為背後代表有很多的病人他沒有辦法及時的得到病床那甚至現在如果有一些醫院開刀午後不開刀"},{"start":411.731,"end":436.559,"text":"這個影響的其實都是病人的權益但是從衛福部的報告裡面跟回應好像覺得問題不大部長你認為這個問題大還是不大我認為只要有任何一個病人他的健康需要照顧我們沒有及時跟他照顧都是大問題所以當然只要有"},{"start":438.235,"end":442.776,"text":"因為可以加強我沒有去加強的我們都一定要馬上來改善"},{"start":443.291,"end":464.863,"text":"好那這當中其實最嚴重的當然就是護理人員不足啊他的這個離職率跟空缺率這兩個其實都是近5年的新高你可以看到這樣的一個數據所以沒有護理人員他就被迫必須要關床那這個問題這個部長你上任我相信你還沒上任之前就知道這個問題你有什麼具體的解方你要怎麼樣來處理這樣的一個問題"},{"start":473.792,"end":484.881,"text":"這陣子來政府大概有提出了三個方向剛剛有報告過人才培育、職場的改善還有薪資的一個改善薪資的改善部分你做得到嗎?"},{"start":486.977,"end":508.696,"text":"已經有一直在提撥可能還不至於到我們護理界所期待因為我當還沒當部長之前我也都是跟他們大家一起在工作我也很期待更高但是政府當然一步一步"},{"start":510.438,"end":519.905,"text":"好那部長我提醒你就是現在衛福委員會在討論的就是健保點子就是1.1元的這個部分醫界也講將來調高的這個部分他們願意回饋給醫護人員首先會去調薪所以事實上這個如果你可以給醫院足夠的資源的話讓他再回饋回去給這一些必要的護理人員我覺得這個才是一個正向的循環"},{"start":537.679,"end":565.799,"text":"那因為之前你到WHA都沒有正式回答這個問題我就正式問你關於健保點值1.1元這個政策你贊成還是反對朝向1.1元的努力我當然是贊成好那我們就加速加速好不好就是朝向1.1元你贊成那我們委員會就加速這樣的一個進程我們會開快車當然要考慮到有沒有辦法來負擔有啦一定有辦法齁這個"},{"start":567.14,"end":591.285,"text":"我想這個政府的財政我們稅額超徵是兩三千億那錢我覺得都沒有花在刀口上去補貼台建的虧損那這個勞保的改革明明是應要走改革路線結果他就撥補就是用一千多億這樣來撥補那真的全民健保這邊要照顧的部分他就說沒有錢沒有錢所以我覺得這個是政府資源分配要分配在哪裡的問題"},{"start":592.345,"end":606.496,"text":"不是有沒有錢的問題那站在衛環委員會委員的立場我覺得去讓我們的醫界真的可以有韌性可以健康的永續這個才是全民健保之福如果醫療界垮了"},{"start":607.617,"end":633.482,"text":"我們的全民健保也不會存在這個我們一定要有這樣的共識所以未來這一個修法我希望這個部長提早做好準備這個是一屆因應其判你過去擔任醫師公會你應該很了解大家的想法那這個部分我們會全力往這部分來邁進那希望你做好準備我們一定周全的來思考配套措施來完成這樣的一個方式我們近期就會來討論跟處理好謝謝"},{"start":636.842,"end":638.836,"text":"好謝謝王育敏委員發言接下來請"}]}}}}