{"id":153916,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153916","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/cf02c7fc60cc7ba02be792f360b0de8a737265a8c4a9dd74f0c311de3a91f948c1cb33d534d520845ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"黃仁","委員發言時間":"09:38:08 - 09:45:28","影片長度":"00:07:20","會議時間":"2024-06-13T09:00:00+08:00","會議名稱":"立法院第11屆第1會期外交及國防委員會第27次全體委員會議（事由：一、邀請國軍退除役官兵輔導委員會主任委員嚴德發報告「退輔會職訓機構如何提升退除役官兵專業職能及媒合就業之具體作法」，並備質詢。二、審查本院委員翁曉玲等18人擬具「國軍退除役官兵輔導條例增訂第二十七條之二條文草案」案。）","type":"Clip","date":"2024-06-13","start_time":"2024-06-13T09:38:08+08:00","end_time":"2024-06-13T09:45:28+08:00","duration":440,"meet":{"tmpMeeting":null,"title":"第11屆第1會期外交及國防委員會第27次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":27,"committees":[35],"id":"委員會-11-1-35-27"},"features":["ai-transcript","gazette"],"gazette":{"lineno":210,"blocks":[["黃委員仁：（9時38分）謝謝主席，有請我們嚴主委。"],["主席：請主委。"],["嚴主任委員德發：黃委員好。"],["黃委員仁：你好。針對就業與就醫部分優缺點的分析，退輔會覺得就業與就醫的業務，哪一個比較重要？"],["嚴主任委員德發：就業、就醫，其實就我的認知都很重要，都是照顧我們的榮民。"],["黃委員仁：當然重要，好不好？就業跟就醫當然都非常的重要，所以如何申請榮民證，根據規定，取得榮民證的條件是：一，志願役現役滿十年以上，依法退除役之軍士官兵；第二，於民國79年2月9日入營服志願役軍（士）官、於94年8月9日前入營之志願役士官兵，經國防證實現役年資符合當時的規定；第三，因作戰或因公致病、傷或身心障礙而失去工作能力，於退伍除役後，生計艱難需長期醫療或就養，其傷殘經鑑定合格者。所以這個部分來講，退輔會近一年一直積極在推動輔導榮民就業，根據退輔會的一些報告，參加職訓中心辦理的訓練，就業率達到九成，成效不錯，所以本席要對此加以肯定，讓不少榮民因為退輔會的努力找到事業的第二春，但是榮民配合退輔會的就業政策後，反而在就醫優惠上受損，根據國軍退除役官兵就醫辦法，無職榮民可享有健保全額補助，但是有職榮民卻只能獲得部分健保費的補助，所以退輔會這個政策有自相矛盾之處，請主委做個說明。"],["嚴主任委員德發：報告委員，現行健保部分負擔費用就是按退伍的官階有一定的比例，上校20、中少校50跟70、士官跟士兵級是100，我們也瞭解這些是不太合情，也不太合理，目前我們正由就醫處在研擬怎麼去修訂這個就醫辦法。"],["黃委員仁：主委，你回答得非常好，因為本席認為榮民身分的取得是因為他們對國家的奉獻，與他們有沒有工作無關，照顧榮民本來就是退輔會的基本工作，如果要以有職、無職來區分他們的就醫優惠，反而是變相懲罰願意將自身能力再次奉獻到社會的榮民，所以這個部分你們應該要審慎地來做個討論，好不好？"],["嚴主任委員德發：是，正在辦理。"],["黃委員仁：請把你們的改進方向或是將來的推動方向給我一份報告。"],["嚴主任委員德發：是。"],["黃委員仁：另外是有關如何提升花東榮民醫院的醫療能量。臺北榮總所屬的玉里、鳳林及臺東醫院因為地處偏鄉，在地震、颱風等天然災害後，因為醫療匱乏且沒有大型醫學中心，導致重症患者必須北送或是南送，所以這個部分你們應該要予以考量。本席要提醒主委東部地區的醫療有多麼缺乏，全臺公私立醫學中心總共26家，北部有15家、中部有5家、南部有5家、東部有1家，退輔會在全臺有4家榮民總醫院，但是東部沒有半家。民國111年退輔會在醫療匱乏的屏東成立屏東榮民總醫院，未來將會升級為醫學中心，但是同樣醫療匱乏的東部地區，5家榮民醫院全都是分院，本席希望退輔會能夠成為花東醫療升級的領頭羊，規劃在花東地區設立總醫院。你認為呢？"],["嚴主任委員德發：報告委員，花東地區是由臺北榮總負責支援的，我請北榮副院長跟您做個報告。"],["黃委員仁：好。"],["李副院長偉強：委員好，我是臺北榮民總醫院李偉強副院長。事實上我們對這件事情非常關心，跟委員報告，按照衛福部的規劃，大概每100萬人口可以有一家醫學中心，因為支持一個醫學中心不容易，像臺北榮總、中榮、高榮都是動輒1,000床以上的醫院規模，才足以達到醫學中心的標準，這當然是跟當地人口有關係。現在我們花東三院當中，以急性病床來看，玉里榮民醫院大概有將近1,000床，不過這裡面只有105床是一般急性床，其他都是精神科的急性床，鳳林40床，臺東48床，規模都很小。所以在這種規模之下，我們現在主要的角色就是扮演一個第一線、一般級及中度級的急救責任醫院，並採用區域聯防的方法，跟周邊其他大型醫學中心聯合。"],["黃委員仁：當然沒有錯，這在你們制定的人口數的規範之外，但是現在我們應該要因地制宜，請問一下，屏東有沒有超過100萬人？沒有吧？"],["李副院長偉強：屏東人口目前應該沒有到100萬。"],["黃委員仁：對不對？有沒有100萬？"],["李副院長偉強：沒有。"],["黃委員仁：沒有嘛！所以要因地制宜！臺東因為醫療匱乏，有時候要北送或南送，所以醫療提升方面對臺東來講非常不公平，你們必須考量，未來因地制宜一定要在臺東增加一家東部的總院。這是本席的希望，我們已經喊了十幾年了！好不好？以上。"],["李副院長偉強：謝謝委員。"],["主席：接下來請沈伯洋委員上台質詢。"]],"agenda":{"page_end":502,"meet_id":"委員會-11-1-35-27","speakers":["馬文君","翁曉玲","洪申翰","黃仁","沈伯洋","王定宇","羅美玲","林楚茵","陳冠廷","林憶君","陳永康","鍾佳濱","徐巧芯","賴士葆"],"page_start":461,"meetingDate":["2024-06-13"],"gazette_id":"1136101","agenda_lcidc_ids":["1136101_00007"],"meet_name":"立法院第11屆第1會期外交及國防委員會第27次全體委員會議紀錄","content":"一、邀請國軍退除役官兵輔導委員會主任委員嚴德發報告「退輔會職訓機構如何提升退除役官兵\n專業職能及媒合就業之具體作法」，並備質詢；二、審查本院委員翁曉玲等18人擬具「國軍退除\n役官兵輔導條例增訂第二十七條之二條文草案」案","agenda_id":"1136101_00006"}},"transcript":{"id":"153916","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/153916","tool":"pyannote","id":"153916-pyannote"},"job_id":"S3lg3tQyriZfWPHE","queued_at":"2024-06-13 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81.257, \"text\": \"二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰\", \"words\": [{\"word\": \"二\", \"start\": 59.031, \"end\": 59.711, \"score\": 0.974}, {\"word\": \"、\"}, {\"word\": \"以\", \"start\": 59.711, \"end\": 59.971, \"score\": 0.9}, {\"word\": \"民\", \"start\": 59.971, \"end\": 61.092, \"score\": 0.938}, {\"word\": \"國\"}, {\"word\": \"1\"}, {\"word\": \"9\"}, {\"word\": \"7\"}, {\"word\": \"9\"}, {\"word\": \"年\", \"start\": 61.092, \"end\": 61.532, \"score\": 0.901}, {\"word\": \"2\"}, {\"word\": \"月\", \"start\": 61.532, \"end\": 61.992, \"score\": 0.881}, {\"word\": \"9\"}, {\"word\": \"日\", \"start\": 61.992, \"end\": 63.052, \"score\": 0.987}, {\"word\": \"入\", \"start\": 63.052, \"end\": 64.593, \"score\": 0.948}, {\"word\": \"營\"}, {\"word\": \"服\", \"start\": 64.593, \"end\": 64.993, \"score\": 0.947}, {\"word\": \"務\"}, {\"word\": \"志\", \"start\": 64.993, \"end\": 65.353, \"score\": 0.89}, {\"word\": \"願\"}, {\"word\": \"役\", \"start\": 65.353, 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{\"word\": \"作\", \"start\": 81.237, \"end\": 81.257, \"score\": 0.003}, {\"word\": \"戰\"}]}, {\"start\": 82.182, \"end\": 90.587, \"text\": \"或因自病、傷或身心障礙而失去工作能力以退\", \"words\": [{\"word\": \"或\", \"start\": 82.182, \"end\": 82.722, \"score\": 0.973}, {\"word\": \"因\", \"start\": 82.722, \"end\": 84.604, \"score\": 0.979}, {\"word\": \"自\", \"start\": 84.604, \"end\": 84.784, \"score\": 0.889}, {\"word\": \"病\", \"start\": 84.784, \"end\": 86.285, \"score\": 0.988}, {\"word\": \"、\"}, {\"word\": \"傷\"}, {\"word\": \"或\", \"start\": 86.285, \"end\": 86.565, \"score\": 0.998}, {\"word\": \"身\", \"start\": 86.565, \"end\": 86.885, \"score\": 0.938}, {\"word\": \"心\", \"start\": 86.885, \"end\": 87.766, \"score\": 0.998}, {\"word\": \"障\", \"start\": 87.766, \"end\": 88.466, \"score\": 0.944}, {\"word\": \"礙\"}, {\"word\": \"而\", \"start\": 88.466, \"end\": 88.726, \"score\": 0.973}, {\"word\": \"失\", \"start\": 88.726, \"end\": 88.886, \"score\": 0.876}, {\"word\": \"去\", \"start\": 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\"執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠\", \"words\": [{\"word\": \"執\"}, {\"word\": \"訓\"}, {\"word\": \"中\", \"start\": 113.984, \"end\": 114.204, \"score\": 0.999}, {\"word\": \"心\", \"start\": 114.204, \"end\": 114.864, \"score\": 0.97}, {\"word\": \"辦\"}, {\"word\": \"理\", \"start\": 114.864, \"end\": 115.125, \"score\": 0.992}, {\"word\": \"的\", \"start\": 115.125, \"end\": 115.665, \"score\": 0.925}, {\"word\": \"訓\"}, {\"word\": \"練\"}, {\"word\": \"就\", \"start\": 115.665, \"end\": 116.305, \"score\": 0.952}, {\"word\": \"業\"}, {\"word\": \"率\", \"start\": 116.305, \"end\": 117.105, \"score\": 0.95}, {\"word\": \"達\"}, {\"word\": \"到\", \"start\": 117.105, \"end\": 117.325, \"score\": 1.0}, {\"word\": \"九\", \"start\": 117.325, \"end\": 117.545, \"score\": 0.966}, {\"word\": \"成\", \"start\": 117.545, \"end\": 118.866, \"score\": 0.99}, {\"word\": \"當\"}, {\"word\": \"然\", \"start\": 118.866, \"end\": 119.226, \"score\": 0.944}, 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\"score\": 0.935}, {\"word\": \"諮\"}, {\"word\": \"詢\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,109 --> 00:00:01,670\n退輔會就在就業與就醫的業務哪一個比較重要?\n\n2\n00:00:29,042 --> 00:00:57,599\n就業就醫其實我的認知都很重要當然重要當然重要好不好就業跟就醫當然都非常的重要那所以如何申請這個榮民證那根據這個規定取得榮民證的條件是一志願役限役滿十年以上一法退伍這個退出役之軍士官兵\n\n3\n00:00:59,031 --> 00:01:21,257\n二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰\n\n4\n00:01:22,182 --> 00:01:30,587\n或因自病、傷或身心障礙而失去工作能力以退\n\n5\n00:01:31,590 --> 00:01:46,740\n退伍除役後生計艱難需長期醫療或就養其三產經鑑定合格者。所以這個部分來講退輔會近一年一直積極在推動輔導農民就業根據退輔會的一些報告在職業\n\n6\n00:01:53,984 --> 00:02:17,392\n執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠\n\n7\n00:02:18,392 --> 00:02:42,834\n上會有受損根據國軍退除役官兵就醫辦法無子的農民可享有健保前額補助但是這個有子的農民卻只能獲得部分的健保費的補助所以退輔會這個政策裡面有自相矛盾那我想你在這個地方做一個說明\n\n8\n00:02:44,506 --> 00:03:08,411\n關於現行健保部份負擔費用,就是退伍的關節有一定的比例,上校二十、中、少校五十跟七十,士官跟士兵級是一百。那麼我們也了解這些是不太合理。我們現在目前由就醫處,他們現在正在研究怎麼修訂這個就醫的辦法。\n\n9\n00:03:10,591 --> 00:03:36,619\n這個諸位你回答得非常好因為本席認為榮民的身份取得是因為他們對國家的奉獻那與他們有沒有工作無關照顧榮民本來就是退輔會的一個基本的工作那如果需要由此無止區分他們的就醫又會反而並向以懲罰願意將自身能力再一次的奉獻到社會的榮民\n\n10\n00:03:37,739 --> 00:03:38,619\n二、審查本院委員翁曉玲等18人擬具\n\n11\n00:04:00,550 --> 00:04:23,441\n臺北隆重所所屬的義理鳳林及台東醫院因為處於偏鄉及地震颱風後等天然災害在偏鄉醫療的醫療匱乏且沒有大型的醫學中心導致重症患者必須到北宋或南宋所以這個部分我們應該要考量\n\n12\n00:04:26,584 --> 00:04:47,212\n本席提醒諸委在東部地區的醫療有多麼缺乏在全台公司立醫學中心有26家北部有15家中部有5家南部有5家東部有一家退輔會在全台有4家的榮民\n\n13\n00:04:48,012 --> 00:04:49,654\n五家的榮民醫院全都是分院。\n\n14\n00:05:12,136 --> 00:05:16,861\n本席希望在退輔會能夠成為花東醫療升級的領頭羊規劃在花東地區能夠設立總院。你認為呢?\n\n15\n00:05:30,936 --> 00:05:56,309\n是委員好我是臺北榮民總委員李偉強副院長事實上我們對這個事情非常關心跟委員報告按照衛福部的規劃大概每100萬人口可以有一家的醫學中心因為支持一個醫學中心不容易像臺北榮總、中榮、高榮都在動輒一千床以上的這樣子一個醫院的規模才足以達到醫學中心那是當然跟當地人口有關係現在我們花東的三院當中以急性病床來看\n\n16\n00:05:57,009 --> 00:06:20,129\n預理榮民醫院大概有將近一千床不過這一面只有105床是一般急性床其他都是精神科的急性床鳳林40床然後另外台東是48床規模都很小所以在這種規模下面的時候我們現在主要角色就是扮演一個第一線一般級的重度級急救責任院並採用區域聯防的方法跟其他周邊的大型醫學中心做一個聯合\n\n17\n00:06:22,696 --> 00:06:43,941\n這個當然沒有錯在你們制定的人口的人數的一個規定規範之外可是現在我們應該要因地制宜請問一下屏東有沒有超過一百萬沒有吧屏東人口應該目前沒有到一百萬沒有吧對不對有沒有一百萬沒有沒有吧所以\n\n18\n00:06:44,704 --> 00:06:46,245\n因為我們已經喊了十幾年了好不好以上謝謝委員\n\n19\n00:07:16,906 --> 00:07:20,614\n好接下來請沈博洋委員上台諮詢\n\n","tsv":"start\tend\ttext\n109\t1670\t退輔會就在就業與就醫的業務哪一個比較重要?\n29042\t57599\t就業就醫其實我的認知都很重要當然重要當然重要好不好就業跟就醫當然都非常的重要那所以如何申請這個榮民證那根據這個規定取得榮民證的條件是一志願役限役滿十年以上一法退伍這個退出役之軍士官兵\n59031\t81257\t二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰\n82182\t90587\t或因自病、傷或身心障礙而失去工作能力以退\n91590\t106740\t退伍除役後生計艱難需長期醫療或就養其三產經鑑定合格者。所以這個部分來講退輔會近一年一直積極在推動輔導農民就業根據退輔會的一些報告在職業\n113984\t137392\t執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠\n138392\t162834\t上會有受損根據國軍退除役官兵就醫辦法無子的農民可享有健保前額補助但是這個有子的農民卻只能獲得部分的健保費的補助所以退輔會這個政策裡面有自相矛盾那我想你在這個地方做一個說明\n164506\t188411\t關於現行健保部份負擔費用,就是退伍的關節有一定的比例,上校二十、中、少校五十跟七十,士官跟士兵級是一百。那麼我們也了解這些是不太合理。我們現在目前由就醫處,他們現在正在研究怎麼修訂這個就醫的辦法。\n190591\t216619\t這個諸位你回答得非常好因為本席認為榮民的身份取得是因為他們對國家的奉獻那與他們有沒有工作無關照顧榮民本來就是退輔會的一個基本的工作那如果需要由此無止區分他們的就醫又會反而並向以懲罰願意將自身能力再一次的奉獻到社會的榮民\n217739\t218619\t二、審查本院委員翁曉玲等18人擬具\n240550\t263441\t臺北隆重所所屬的義理鳳林及台東醫院因為處於偏鄉及地震颱風後等天然災害在偏鄉醫療的醫療匱乏且沒有大型的醫學中心導致重症患者必須到北宋或南宋所以這個部分我們應該要考量\n266584\t287212\t本席提醒諸委在東部地區的醫療有多麼缺乏在全台公司立醫學中心有26家北部有15家中部有5家南部有5家東部有一家退輔會在全台有4家的榮民\n288012\t289654\t五家的榮民醫院全都是分院。\n312136\t316861\t本席希望在退輔會能夠成為花東醫療升級的領頭羊規劃在花東地區能夠設立總院。你認為呢?\n330936\t356309\t是委員好我是臺北榮民總委員李偉強副院長事實上我們對這個事情非常關心跟委員報告按照衛福部的規劃大概每100萬人口可以有一家的醫學中心因為支持一個醫學中心不容易像臺北榮總、中榮、高榮都在動輒一千床以上的這樣子一個醫院的規模才足以達到醫學中心那是當然跟當地人口有關係現在我們花東的三院當中以急性病床來看\n357009\t380129\t預理榮民醫院大概有將近一千床不過這一面只有105床是一般急性床其他都是精神科的急性床鳳林40床然後另外台東是48床規模都很小所以在這種規模下面的時候我們現在主要角色就是扮演一個第一線一般級的重度級急救責任院並採用區域聯防的方法跟其他周邊的大型醫學中心做一個聯合\n382696\t403941\t這個當然沒有錯在你們制定的人口的人數的一個規定規範之外可是現在我們應該要因地制宜請問一下屏東有沒有超過一百萬沒有吧屏東人口應該目前沒有到一百萬沒有吧對不對有沒有一百萬沒有沒有吧所以\n404704\t406245\t因為我們已經喊了十幾年了好不好以上謝謝委員\n436906\t440614\t好接下來請沈博洋委員上台諮詢\n","txt":"退輔會就在就業與就醫的業務哪一個比較重要?\n就業就醫其實我的認知都很重要當然重要當然重要好不好就業跟就醫當然都非常的重要那所以如何申請這個榮民證那根據這個規定取得榮民證的條件是一志願役限役滿十年以上一法退伍這個退出役之軍士官兵\n二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰\n或因自病、傷或身心障礙而失去工作能力以退\n退伍除役後生計艱難需長期醫療或就養其三產經鑑定合格者。所以這個部分來講退輔會近一年一直積極在推動輔導農民就業根據退輔會的一些報告在職業\n執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠\n上會有受損根據國軍退除役官兵就醫辦法無子的農民可享有健保前額補助但是這個有子的農民卻只能獲得部分的健保費的補助所以退輔會這個政策裡面有自相矛盾那我想你在這個地方做一個說明\n關於現行健保部份負擔費用,就是退伍的關節有一定的比例,上校二十、中、少校五十跟七十,士官跟士兵級是一百。那麼我們也了解這些是不太合理。我們現在目前由就醫處,他們現在正在研究怎麼修訂這個就醫的辦法。\n這個諸位你回答得非常好因為本席認為榮民的身份取得是因為他們對國家的奉獻那與他們有沒有工作無關照顧榮民本來就是退輔會的一個基本的工作那如果需要由此無止區分他們的就醫又會反而並向以懲罰願意將自身能力再一次的奉獻到社會的榮民\n二、審查本院委員翁曉玲等18人擬具\n臺北隆重所所屬的義理鳳林及台東醫院因為處於偏鄉及地震颱風後等天然災害在偏鄉醫療的醫療匱乏且沒有大型的醫學中心導致重症患者必須到北宋或南宋所以這個部分我們應該要考量\n本席提醒諸委在東部地區的醫療有多麼缺乏在全台公司立醫學中心有26家北部有15家中部有5家南部有5家東部有一家退輔會在全台有4家的榮民\n五家的榮民醫院全都是分院。\n本席希望在退輔會能夠成為花東醫療升級的領頭羊規劃在花東地區能夠設立總院。你認為呢?\n是委員好我是臺北榮民總委員李偉強副院長事實上我們對這個事情非常關心跟委員報告按照衛福部的規劃大概每100萬人口可以有一家的醫學中心因為支持一個醫學中心不容易像臺北榮總、中榮、高榮都在動輒一千床以上的這樣子一個醫院的規模才足以達到醫學中心那是當然跟當地人口有關係現在我們花東的三院當中以急性病床來看\n預理榮民醫院大概有將近一千床不過這一面只有105床是一般急性床其他都是精神科的急性床鳳林40床然後另外台東是48床規模都很小所以在這種規模下面的時候我們現在主要角色就是扮演一個第一線一般級的重度級急救責任院並採用區域聯防的方法跟其他周邊的大型醫學中心做一個聯合\n這個當然沒有錯在你們制定的人口的人數的一個規定規範之外可是現在我們應該要因地制宜請問一下屏東有沒有超過一百萬沒有吧屏東人口應該目前沒有到一百萬沒有吧對不對有沒有一百萬沒有沒有吧所以\n因為我們已經喊了十幾年了好不好以上謝謝委員\n好接下來請沈博洋委員上台諮詢\n","vtt":"WEBVTT\n\n00:00.109 --> 00:01.670\n退輔會就在就業與就醫的業務哪一個比較重要?\n\n00:29.042 --> 00:57.599\n就業就醫其實我的認知都很重要當然重要當然重要好不好就業跟就醫當然都非常的重要那所以如何申請這個榮民證那根據這個規定取得榮民證的條件是一志願役限役滿十年以上一法退伍這個退出役之軍士官兵\n\n00:59.031 --> 01:21.257\n二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰\n\n01:22.182 --> 01:30.587\n或因自病、傷或身心障礙而失去工作能力以退\n\n01:31.590 --> 01:46.740\n退伍除役後生計艱難需長期醫療或就養其三產經鑑定合格者。所以這個部分來講退輔會近一年一直積極在推動輔導農民就業根據退輔會的一些報告在職業\n\n01:53.984 --> 02:17.392\n執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠\n\n02:18.392 --> 02:42.834\n上會有受損根據國軍退除役官兵就醫辦法無子的農民可享有健保前額補助但是這個有子的農民卻只能獲得部分的健保費的補助所以退輔會這個政策裡面有自相矛盾那我想你在這個地方做一個說明\n\n02:44.506 --> 03:08.411\n關於現行健保部份負擔費用,就是退伍的關節有一定的比例,上校二十、中、少校五十跟七十,士官跟士兵級是一百。那麼我們也了解這些是不太合理。我們現在目前由就醫處,他們現在正在研究怎麼修訂這個就醫的辦法。\n\n03:10.591 --> 03:36.619\n這個諸位你回答得非常好因為本席認為榮民的身份取得是因為他們對國家的奉獻那與他們有沒有工作無關照顧榮民本來就是退輔會的一個基本的工作那如果需要由此無止區分他們的就醫又會反而並向以懲罰願意將自身能力再一次的奉獻到社會的榮民\n\n03:37.739 --> 03:38.619\n二、審查本院委員翁曉玲等18人擬具\n\n04:00.550 --> 04:23.441\n臺北隆重所所屬的義理鳳林及台東醫院因為處於偏鄉及地震颱風後等天然災害在偏鄉醫療的醫療匱乏且沒有大型的醫學中心導致重症患者必須到北宋或南宋所以這個部分我們應該要考量\n\n04:26.584 --> 04:47.212\n本席提醒諸委在東部地區的醫療有多麼缺乏在全台公司立醫學中心有26家北部有15家中部有5家南部有5家東部有一家退輔會在全台有4家的榮民\n\n04:48.012 --> 04:49.654\n五家的榮民醫院全都是分院。\n\n05:12.136 --> 05:16.861\n本席希望在退輔會能夠成為花東醫療升級的領頭羊規劃在花東地區能夠設立總院。你認為呢?\n\n05:30.936 --> 05:56.309\n是委員好我是臺北榮民總委員李偉強副院長事實上我們對這個事情非常關心跟委員報告按照衛福部的規劃大概每100萬人口可以有一家的醫學中心因為支持一個醫學中心不容易像臺北榮總、中榮、高榮都在動輒一千床以上的這樣子一個醫院的規模才足以達到醫學中心那是當然跟當地人口有關係現在我們花東的三院當中以急性病床來看\n\n05:57.009 --> 06:20.129\n預理榮民醫院大概有將近一千床不過這一面只有105床是一般急性床其他都是精神科的急性床鳳林40床然後另外台東是48床規模都很小所以在這種規模下面的時候我們現在主要角色就是扮演一個第一線一般級的重度級急救責任院並採用區域聯防的方法跟其他周邊的大型醫學中心做一個聯合\n\n06:22.696 --> 06:43.941\n這個當然沒有錯在你們制定的人口的人數的一個規定規範之外可是現在我們應該要因地制宜請問一下屏東有沒有超過一百萬沒有吧屏東人口應該目前沒有到一百萬沒有吧對不對有沒有一百萬沒有沒有吧所以\n\n06:44.704 --> 06:46.245\n因為我們已經喊了十幾年了好不好以上謝謝委員\n\n07:16.906 --> 07:20.614\n好接下來請沈博洋委員上台諮詢\n\n","segments":[{"start":0.109,"end":1.67,"text":"退輔會就在就業與就醫的業務哪一個比較重要?"},{"start":29.042,"end":57.599,"text":"就業就醫其實我的認知都很重要當然重要當然重要好不好就業跟就醫當然都非常的重要那所以如何申請這個榮民證那根據這個規定取得榮民證的條件是一志願役限役滿十年以上一法退伍這個退出役之軍士官兵"},{"start":59.031,"end":81.257,"text":"二、以民國1979年2月9日入營服務志願役金士官以1994年8月9日前入營志願役士官兵經國防證實現役年資符合當時規定。三、因作戰"},{"start":82.182,"end":90.587,"text":"或因自病、傷或身心障礙而失去工作能力以退"},{"start":91.59,"end":106.74,"text":"退伍除役後生計艱難需長期醫療或就養其三產經鑑定合格者。所以這個部分來講退輔會近一年一直積極在推動輔導農民就業根據退輔會的一些報告在職業"},{"start":113.984,"end":137.392,"text":"執訓中心辦理的訓練就業率達到九成當然成效不錯所以這個地方加以這個肯定但不少榮民因為退輔會的努力尋找到事業的第二春但是榮民配合退輔會的就業政策後反而在就醫的優惠"},{"start":138.392,"end":162.834,"text":"上會有受損根據國軍退除役官兵就醫辦法無子的農民可享有健保前額補助但是這個有子的農民卻只能獲得部分的健保費的補助所以退輔會這個政策裡面有自相矛盾那我想你在這個地方做一個說明"},{"start":164.506,"end":188.411,"text":"關於現行健保部份負擔費用,就是退伍的關節有一定的比例,上校二十、中、少校五十跟七十,士官跟士兵級是一百。那麼我們也了解這些是不太合理。我們現在目前由就醫處,他們現在正在研究怎麼修訂這個就醫的辦法。"},{"start":190.591,"end":216.619,"text":"這個諸位你回答得非常好因為本席認為榮民的身份取得是因為他們對國家的奉獻那與他們有沒有工作無關照顧榮民本來就是退輔會的一個基本的工作那如果需要由此無止區分他們的就醫又會反而並向以懲罰願意將自身能力再一次的奉獻到社會的榮民"},{"start":217.739,"end":218.619,"text":"二、審查本院委員翁曉玲等18人擬具"},{"start":240.55,"end":263.441,"text":"臺北隆重所所屬的義理鳳林及台東醫院因為處於偏鄉及地震颱風後等天然災害在偏鄉醫療的醫療匱乏且沒有大型的醫學中心導致重症患者必須到北宋或南宋所以這個部分我們應該要考量"},{"start":266.584,"end":287.212,"text":"本席提醒諸委在東部地區的醫療有多麼缺乏在全台公司立醫學中心有26家北部有15家中部有5家南部有5家東部有一家退輔會在全台有4家的榮民"},{"start":288.012,"end":289.654,"text":"五家的榮民醫院全都是分院。"},{"start":312.136,"end":316.861,"text":"本席希望在退輔會能夠成為花東醫療升級的領頭羊規劃在花東地區能夠設立總院。你認為呢?"},{"start":330.936,"end":356.309,"text":"是委員好我是臺北榮民總委員李偉強副院長事實上我們對這個事情非常關心跟委員報告按照衛福部的規劃大概每100萬人口可以有一家的醫學中心因為支持一個醫學中心不容易像臺北榮總、中榮、高榮都在動輒一千床以上的這樣子一個醫院的規模才足以達到醫學中心那是當然跟當地人口有關係現在我們花東的三院當中以急性病床來看"},{"start":357.009,"end":380.129,"text":"預理榮民醫院大概有將近一千床不過這一面只有105床是一般急性床其他都是精神科的急性床鳳林40床然後另外台東是48床規模都很小所以在這種規模下面的時候我們現在主要角色就是扮演一個第一線一般級的重度級急救責任院並採用區域聯防的方法跟其他周邊的大型醫學中心做一個聯合"},{"start":382.696,"end":403.941,"text":"這個當然沒有錯在你們制定的人口的人數的一個規定規範之外可是現在我們應該要因地制宜請問一下屏東有沒有超過一百萬沒有吧屏東人口應該目前沒有到一百萬沒有吧對不對有沒有一百萬沒有沒有吧所以"},{"start":404.704,"end":406.245,"text":"因為我們已經喊了十幾年了好不好以上謝謝委員"},{"start":436.906,"end":440.614,"text":"好接下來請沈博洋委員上台諮詢"}]}}}}