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help，所以外界才會批評我們缺藥的狀況好像是太空人內閣的狀況，我不希望這個是由衛福部掛名，因為我知道你很用心，部長，我知道你很用心，但是解決的方法到底是什麼？"],["邱部長泰源：我想缺藥的原因太多了，所以真的是要抽絲剝繭……"],["李委員彥秀：部長，但是你們之前還花了3億……"],["邱部長泰源：在民間，其實我過去在……"],["李委員彥秀：要好好的用藥價的調整，讓更多人願意進來這個市場，我們還花了公務預算，花了健保3億元來解決，解決的結果等於是零，所以我才會說你交了一張白卷。"],["邱部長泰源：可不可以請健保署跟食藥署講最近大家努力的……"],["石署長崇良：好。跟委員報告，過去有些缺藥，它是屬於原廠藥的退出，都有國內的學名藥或者是相關的替代藥品，真正只有……"],["李委員彥秀：你不用跟我講過去，我剛才列了一大堆藥，無論是白內障用藥「柯寧優尼」、「立普妥」，還有兒童的止吐止瀉藥，這些都是啊！連最近的輸液也是，其實狀況都擺在眼前啊！"],["石署長崇良：前面這一些藥都是有替代藥品，這些都是學名藥可以用的，而輸液是因為短期的產線出了問題，這個已經有從專案的進口調整價格去增加國內的產量，有多軌在進行。"],["李委員彥秀：署長，這個示警，永豐化學藥廠的市占率、用得這麼頻繁，然後它又是寡占市場，你們停掉的時候，它固然違反GMP，我也覺得執行得沒錯，但是你們都沒有去做完整的規劃跟處理，才會造成今天的狀況。平常其他的缺藥，你們都有示警狀況，但缺藥的狀況還是非常頻繁，這就是今天攤在這邊的問題所在。今天很顯然的，你沒有辦法說服所有這麼多來質詢、關注臺灣現在缺藥問題的委員，這就是你們最大的責任和過失，所以部長，我們還是期待……"],["石署長崇良：跟委員說明，我們健保一共給付的藥品超過一萬三千多項，但每年會有這樣的缺藥情形，這個數目相較之下是少的啦！"],["李委員彥秀：數目……"],["邱部長泰源：報告委員，我想我站在……"],["李委員彥秀：用藥這麼多，但這些都是……我剛才講的，我想部長就知道，這些用藥其實是大家常常都聽得到的……"],["邱部長泰源：我完全瞭解醫療院所……"],["李委員彥秀：開的……你講這個話我就非常不滿意。"],["邱部長泰源：我很敬佩委員真的很瞭解醫療院所的狀況，真的醫療院所很希望給人民最好、最周全的藥，如果缺藥，他們也都會反映到我們這邊來……"],["李委員彥秀：平常用這個藥習慣了，忽然醫生開別的藥，他們馬上就知道了嘛！"],["邱部長泰源：所以這個問題真的還是存在，我們一定用心研議，把它澈底解決。"],["李委員彥秀：部長，提出一個好的方法，次長寫好的臉書，也是等於零，沒有用，提出解決方案才是真正造福所有的民眾。"],["邱部長泰源：是的，好，謝謝。"],["主席：好，謝謝李彥秀委員的發言。","接下來請徐欣瑩委員發言。"]],"agenda":{"page_end":118,"meet_id":"委員會-11-1-26-23","speakers":["黃秀芳","陳昭姿","林月琴","陳菁徽","邱鎮軍","王育敏","涂權吉","廖偉翔","蘇清泉","王正旭","鄭天財Sra 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{\"word\": \"有\", \"start\": 512.17, \"end\": 512.31, \"score\": 1.0}, {\"word\": \"的\", \"start\": 512.31, \"end\": 512.43, \"score\": 0.999}, {\"word\": \"民\", \"start\": 512.43, \"end\": 512.45, \"score\": 0.828}, {\"word\": \"眾\"}], \"language\": \"zh\"}","srt":"1\n00:00:03,345 --> 00:00:03,565\n請邀請副部長\n\n2\n00:00:29,361 --> 00:00:35,145\n為了因應健保點值的修法我們最近有提到未來要成立癌藥的基金未來用公務預算撥補包括除了癌藥基金之外還有公共衛生性質相關的項目未來都有可能用公務預算\n\n3\n00:00:58,522 --> 00:01:16,338\n那部長這個部分因為這牽涉到9月份我們馬上就要處理這個健保總額的協商還有下個會期我們就要審查預算到底這一塊你心裡有沒有去跟行政院或跟組織處溝通過未來大概要拿多少錢出來\n\n4\n00:01:18,891 --> 00:01:43,730\n如果是明年的癌藥基金大概60億60億因為第三年才會100億因為一需要其實今年才24億不是說一下子就馬上需要明年到底多少明年就60億60億那公共預算公共衛生性質的公共衛生預算現在兩個第一個我再說一次我今天說很多次了第一個就是\n\n5\n00:01:44,971 --> 00:01:55,039\n有些其他的補助都把它塞到應該政府要給健保36%的那個部分,這個把它清出來大概可以130幾億,140億左右\n\n6\n00:02:01,423 --> 00:02:09,326\n所以明年從健保可以挖出140億錢少140億其他用140億不要把我們算過來這是健保應該是給健保的啦這個部分那個就可以多140億然後有一些過去就是部長我問清楚140億是公共衛生性質的預算60億是癌藥基金的預算癌藥基金是60億60所以加起來200億那個是獨立的啦那個獨立來做為了這個基金嘛對\n\n7\n00:02:31,215 --> 00:02:31,756\n用公務預算用公務預算\n\n8\n00:02:50,694 --> 00:02:59,309\n好,現在講的都是收入讓整個健保的大水庫能夠增加嘛,那...就像你剛剛說的那個三頭肉泡這個可以用巴士用啦\n\n9\n00:03:03,496 --> 00:03:20,774\n一百三十三億嘛然後另外就是我們開始清一些過去用健保其實應該用公務預算的這可能一年可以清出分三年把它完成一年大概可以清一百出頭億應該沒有問題所以這兩個就應該有可以多兩百億\n\n10\n00:03:26,079 --> 00:03:47,249\n兩百億左右好謝謝部長那這個我得到答案所以明年九月份再協商我們知道有多雲出兩百億可以在健保裡面好好協商部長我延續一下剛剛林淑芬委員的質詢其實這個部分也是缺藥跟缺人我們大家也都知道這個當然是吳署長最後下台最主要的原因無論在這一段時間無論這些用藥的缺藥的狀況\n\n11\n00:03:50,330 --> 00:04:16,875\n缺人缺藥這個是一屆長期的狀況但是最近的缺藥是特別的嚴重那部長你看一下我下一張這個是在今年的一年前112年的2月27號當時缺藥所提出來的解決方案一樣是分短中長期套在最近這段時間缺藥無論是衛福部對外的說明也好還是從林次長講的用心良苦\n\n12\n00:04:18,775 --> 00:04:18,995\n李彥秀\n\n13\n00:04:35,151 --> 00:05:03,481\n市佔率高但是都是寡占市場我們衛福部處理的方向是什麼?你們剛剛說你們會設立高風險但是我憑良心講衛福部長期就是寡占市場的幫兇為什麼我們會讓這些單一市場超過六成也好超過八成也好我們解決他們變單一市場的方式解決的方案到底是什麼?這也是剛才林淑芬也關注的重點也是我今天要關注的方向\n\n14\n00:05:04,341 --> 00:05:15,571\n我們常常在講說任性台灣任性台灣但是我們連一個生理食鹽水供給的方式都這麼的脆弱我們在疫情時間我們強化說我們自己台灣canhelp我們現在變成台灣needshelp\n\n15\n00:05:19,870 --> 00:05:20,090\n博定\n\n16\n00:05:39,927 --> 00:06:06,763\n我想這個缺藥的原因太多了所以真的是要抽絲剝繭但是你們之前還花了3億要好好的妥善這個藥價要好好的用藥價的調整讓更多人願意進來這個市場我們還花了公務預算花了健保花了3億元來解決解決的結果等於是0所以我才會說你交了一張白券可不可以請那個健保署跟那個食藥署這樣你們\n\n17\n00:06:08,214 --> 00:06:33,078\n最近大家努力的一個跟委員報告過去有些缺藥他是屬於原廠藥的這個退出啦那都有國內的學名藥或者是相關的替代藥品那真正講過去我剛才列一大堆藥無論是無論是白內障的用藥柯寧幽尼利普陀還有兒童的止吐止瀉藥這些東西啊連最近的這個書語其實狀況都擺在眼前啊\n\n18\n00:06:37,372 --> 00:06:49,264\n前面這些藥都是有替代藥品就是學名藥可以這些都是學名藥可以用的那麼輸液是因為短期的這個產線出了問題那這個已經有從這個專案的進口那麼調整這個價格去增加國內的產量這個多軌在進行\n\n19\n00:06:58,773 --> 00:07:23,076\n這個市井永豐化學藥廠它寡占市占率用得這麼頻繁然後它又是寡占市場你們在停掉的時候它固然違反GMP我也覺得執行的沒錯但是你們都沒有去做完整的規劃跟處理才會造成今天的狀況平常其他的缺藥你們都有市井的狀況但是缺藥的狀況還是非常的頻繁\n\n20\n00:07:24,455 --> 00:07:49,618\n這個就是今天攤在這邊問題所在所以你今天很然很顯然你沒有辦法說服所有今天來質詢這麼多的委員關注台灣現在缺藥的問題這就是你們最大的責任跟過失在這裡所以部長我們還是期待這跟委員說明我們健保一共給付的藥品超過一萬三千多項但是每年會有這樣的缺藥的情形那個數目相較之下是少的啦\n\n21\n00:07:53,531 --> 00:08:03,616\n我完全瞭解到醫療院所我很敬佩這個委員真的很瞭解醫療院所的狀況真的醫療院所很希望給人民最好最周全的藥如果缺藥他們真的也都有反應到我們這邊來所以這個問題這個問題真的是還是存在所以我們一定用心去研議\n\n22\n00:08:21,545 --> 00:08:32,450\n部長提出一個好的方法,寫好的臉書,次長寫好的臉書也是等於你沒有用,所以真正提出解決的方案才是真正是造福所有的民眾\n\n","tsv":"start\tend\ttext\n3345\t3565\t請邀請副部長\n29361\t35145\t為了因應健保點值的修法我們最近有提到未來要成立癌藥的基金未來用公務預算撥補包括除了癌藥基金之外還有公共衛生性質相關的項目未來都有可能用公務預算\n58522\t76338\t那部長這個部分因為這牽涉到9月份我們馬上就要處理這個健保總額的協商還有下個會期我們就要審查預算到底這一塊你心裡有沒有去跟行政院或跟組織處溝通過未來大概要拿多少錢出來\n78891\t103730\t如果是明年的癌藥基金大概60億60億因為第三年才會100億因為一需要其實今年才24億不是說一下子就馬上需要明年到底多少明年就60億60億那公共預算公共衛生性質的公共衛生預算現在兩個第一個我再說一次我今天說很多次了第一個就是\n104971\t115039\t有些其他的補助都把它塞到應該政府要給健保36%的那個部分,這個把它清出來大概可以130幾億,140億左右\n121423\t129326\t所以明年從健保可以挖出140億錢少140億其他用140億不要把我們算過來這是健保應該是給健保的啦這個部分那個就可以多140億然後有一些過去就是部長我問清楚140億是公共衛生性質的預算60億是癌藥基金的預算癌藥基金是60億60所以加起來200億那個是獨立的啦那個獨立來做為了這個基金嘛對\n151215\t151756\t用公務預算用公務預算\n170694\t179309\t好,現在講的都是收入讓整個健保的大水庫能夠增加嘛,那...就像你剛剛說的那個三頭肉泡這個可以用巴士用啦\n183496\t200774\t一百三十三億嘛然後另外就是我們開始清一些過去用健保其實應該用公務預算的這可能一年可以清出分三年把它完成一年大概可以清一百出頭億應該沒有問題所以這兩個就應該有可以多兩百億\n206079\t227249\t兩百億左右好 謝謝部長那這個我得到答案所以明年九月份再協商我們知道有多雲出兩百億可以在健保裡面好好協商部長我延續一下剛剛林淑芬委員的質詢其實這個部分也是缺藥跟缺人我們大家也都知道這個當然是吳署長最後下台最主要的原因無論在這一段時間無論這些用藥的缺藥的狀況\n230330\t256875\t缺人缺藥這個是一屆長期的狀況但是最近的缺藥是特別的嚴重那部長你看一下我下一張這個是在今年的一年前112年的2月27號當時缺藥所提出來的解決方案一樣是分短中長期套在最近這段時間缺藥無論是衛福部對外的說明也好還是從林次長講的用心良苦\n258775\t258995\t李彥秀\n275151\t303481\t市佔率高但是都是寡占市場我們衛福部處理的方向是什麼?你們剛剛說你們會設立高風險但是我憑良心講衛福部長期就是寡占市場的幫兇為什麼我們會讓這些單一市場超過六成也好超過八成也好我們解決他們變單一市場的方式解決的方案到底是什麼?這也是剛才林淑芬也關注的重點也是我今天要關注的方向\n304341\t315571\t我們常常在講說任性台灣任性台灣但是我們連一個生理食鹽水供給的方式都這麼的脆弱我們在疫情時間我們強化說我們自己台灣can help我們現在變成台灣needs help\n319870\t320090\t博定\n339927\t366763\t我想這個缺藥的原因太多了所以真的是要抽絲剝繭但是你們之前還花了3億要好好的妥善這個藥價要好好的用藥價的調整讓更多人願意進來這個市場我們還花了公務預算花了健保花了3億元來解決解決的結果等於是0所以我才會說你交了一張白券可不可以請那個健保署跟那個食藥署這樣你們\n368214\t393078\t最近大家努力的一個跟委員報告過去有些缺藥他是屬於原廠藥的這個退出啦那都有國內的學名藥或者是相關的替代藥品那真正講過去我剛才列一大堆藥無論是無論是白內障的用藥柯寧幽尼利普陀還有兒童的止吐止瀉藥這些東西啊連最近的這個書語其實狀況都擺在眼前啊\n397372\t409264\t前面這些藥都是有替代藥品就是學名藥可以這些都是學名藥可以用的那麼輸液是因為短期的這個產線出了問題那這個已經有從這個專案的進口那麼調整這個價格去增加國內的產量這個多軌在進行\n418773\t443076\t這個市井永豐化學藥廠它寡占市占率用得這麼頻繁然後它又是寡占市場你們在停掉的時候它固然違反GMP我也覺得執行的沒錯但是你們都沒有去做完整的規劃跟處理才會造成今天的狀況平常其他的缺藥你們都有市井的狀況但是缺藥的狀況還是非常的頻繁\n444455\t469618\t這個就是今天攤在這邊問題所在所以你今天很然很顯然你沒有辦法說服所有今天來質詢這麼多的委員關注台灣現在缺藥的問題這就是你們最大的責任跟過失在這裡所以部長我們還是期待這跟委員說明我們健保一共給付的藥品超過一萬三千多項但是每年會有這樣的缺藥的情形那個數目相較之下是少的啦\n473531\t483616\t我完全瞭解到醫療院所我很敬佩這個委員真的很瞭解醫療院所的狀況真的醫療院所很希望給人民最好最周全的藥如果缺藥他們真的也都有反應到我們這邊來所以這個問題這個問題真的是還是存在所以我們一定用心去研議\n501545\t512450\t部長提出一個好的方法,寫好的臉書,次長寫好的臉書也是等於你沒有用,所以真正提出解決的方案才是真正是造福所有的民眾\n","txt":"請邀請副部長\n為了因應健保點值的修法我們最近有提到未來要成立癌藥的基金未來用公務預算撥補包括除了癌藥基金之外還有公共衛生性質相關的項目未來都有可能用公務預算\n那部長這個部分因為這牽涉到9月份我們馬上就要處理這個健保總額的協商還有下個會期我們就要審查預算到底這一塊你心裡有沒有去跟行政院或跟組織處溝通過未來大概要拿多少錢出來\n如果是明年的癌藥基金大概60億60億因為第三年才會100億因為一需要其實今年才24億不是說一下子就馬上需要明年到底多少明年就60億60億那公共預算公共衛生性質的公共衛生預算現在兩個第一個我再說一次我今天說很多次了第一個就是\n有些其他的補助都把它塞到應該政府要給健保36%的那個部分,這個把它清出來大概可以130幾億,140億左右\n所以明年從健保可以挖出140億錢少140億其他用140億不要把我們算過來這是健保應該是給健保的啦這個部分那個就可以多140億然後有一些過去就是部長我問清楚140億是公共衛生性質的預算60億是癌藥基金的預算癌藥基金是60億60所以加起來200億那個是獨立的啦那個獨立來做為了這個基金嘛對\n用公務預算用公務預算\n好,現在講的都是收入讓整個健保的大水庫能夠增加嘛,那...就像你剛剛說的那個三頭肉泡這個可以用巴士用啦\n一百三十三億嘛然後另外就是我們開始清一些過去用健保其實應該用公務預算的這可能一年可以清出分三年把它完成一年大概可以清一百出頭億應該沒有問題所以這兩個就應該有可以多兩百億\n兩百億左右好 謝謝部長那這個我得到答案所以明年九月份再協商我們知道有多雲出兩百億可以在健保裡面好好協商部長我延續一下剛剛林淑芬委員的質詢其實這個部分也是缺藥跟缺人我們大家也都知道這個當然是吳署長最後下台最主要的原因無論在這一段時間無論這些用藥的缺藥的狀況\n缺人缺藥這個是一屆長期的狀況但是最近的缺藥是特別的嚴重那部長你看一下我下一張這個是在今年的一年前112年的2月27號當時缺藥所提出來的解決方案一樣是分短中長期套在最近這段時間缺藥無論是衛福部對外的說明也好還是從林次長講的用心良苦\n李彥秀\n市佔率高但是都是寡占市場我們衛福部處理的方向是什麼?你們剛剛說你們會設立高風險但是我憑良心講衛福部長期就是寡占市場的幫兇為什麼我們會讓這些單一市場超過六成也好超過八成也好我們解決他們變單一市場的方式解決的方案到底是什麼?這也是剛才林淑芬也關注的重點也是我今天要關注的方向\n我們常常在講說任性台灣任性台灣但是我們連一個生理食鹽水供給的方式都這麼的脆弱我們在疫情時間我們強化說我們自己台灣can help我們現在變成台灣needs help\n博定\n我想這個缺藥的原因太多了所以真的是要抽絲剝繭但是你們之前還花了3億要好好的妥善這個藥價要好好的用藥價的調整讓更多人願意進來這個市場我們還花了公務預算花了健保花了3億元來解決解決的結果等於是0所以我才會說你交了一張白券可不可以請那個健保署跟那個食藥署這樣你們\n最近大家努力的一個跟委員報告過去有些缺藥他是屬於原廠藥的這個退出啦那都有國內的學名藥或者是相關的替代藥品那真正講過去我剛才列一大堆藥無論是無論是白內障的用藥柯寧幽尼利普陀還有兒童的止吐止瀉藥這些東西啊連最近的這個書語其實狀況都擺在眼前啊\n前面這些藥都是有替代藥品就是學名藥可以這些都是學名藥可以用的那麼輸液是因為短期的這個產線出了問題那這個已經有從這個專案的進口那麼調整這個價格去增加國內的產量這個多軌在進行\n這個市井永豐化學藥廠它寡占市占率用得這麼頻繁然後它又是寡占市場你們在停掉的時候它固然違反GMP我也覺得執行的沒錯但是你們都沒有去做完整的規劃跟處理才會造成今天的狀況平常其他的缺藥你們都有市井的狀況但是缺藥的狀況還是非常的頻繁\n這個就是今天攤在這邊問題所在所以你今天很然很顯然你沒有辦法說服所有今天來質詢這麼多的委員關注台灣現在缺藥的問題這就是你們最大的責任跟過失在這裡所以部長我們還是期待這跟委員說明我們健保一共給付的藥品超過一萬三千多項但是每年會有這樣的缺藥的情形那個數目相較之下是少的啦\n我完全瞭解到醫療院所我很敬佩這個委員真的很瞭解醫療院所的狀況真的醫療院所很希望給人民最好最周全的藥如果缺藥他們真的也都有反應到我們這邊來所以這個問題這個問題真的是還是存在所以我們一定用心去研議\n部長提出一個好的方法,寫好的臉書,次長寫好的臉書也是等於你沒有用,所以真正提出解決的方案才是真正是造福所有的民眾\n","vtt":"WEBVTT\n\n00:03.345 --> 00:03.565\n請邀請副部長\n\n00:29.361 --> 00:35.145\n為了因應健保點值的修法我們最近有提到未來要成立癌藥的基金未來用公務預算撥補包括除了癌藥基金之外還有公共衛生性質相關的項目未來都有可能用公務預算\n\n00:58.522 --> 01:16.338\n那部長這個部分因為這牽涉到9月份我們馬上就要處理這個健保總額的協商還有下個會期我們就要審查預算到底這一塊你心裡有沒有去跟行政院或跟組織處溝通過未來大概要拿多少錢出來\n\n01:18.891 --> 01:43.730\n如果是明年的癌藥基金大概60億60億因為第三年才會100億因為一需要其實今年才24億不是說一下子就馬上需要明年到底多少明年就60億60億那公共預算公共衛生性質的公共衛生預算現在兩個第一個我再說一次我今天說很多次了第一個就是\n\n01:44.971 --> 01:55.039\n有些其他的補助都把它塞到應該政府要給健保36%的那個部分,這個把它清出來大概可以130幾億,140億左右\n\n02:01.423 --> 02:09.326\n所以明年從健保可以挖出140億錢少140億其他用140億不要把我們算過來這是健保應該是給健保的啦這個部分那個就可以多140億然後有一些過去就是部長我問清楚140億是公共衛生性質的預算60億是癌藥基金的預算癌藥基金是60億60所以加起來200億那個是獨立的啦那個獨立來做為了這個基金嘛對\n\n02:31.215 --> 02:31.756\n用公務預算用公務預算\n\n02:50.694 --> 02:59.309\n好,現在講的都是收入讓整個健保的大水庫能夠增加嘛,那...就像你剛剛說的那個三頭肉泡這個可以用巴士用啦\n\n03:03.496 --> 03:20.774\n一百三十三億嘛然後另外就是我們開始清一些過去用健保其實應該用公務預算的這可能一年可以清出分三年把它完成一年大概可以清一百出頭億應該沒有問題所以這兩個就應該有可以多兩百億\n\n03:26.079 --> 03:47.249\n兩百億左右好謝謝部長那這個我得到答案所以明年九月份再協商我們知道有多雲出兩百億可以在健保裡面好好協商部長我延續一下剛剛林淑芬委員的質詢其實這個部分也是缺藥跟缺人我們大家也都知道這個當然是吳署長最後下台最主要的原因無論在這一段時間無論這些用藥的缺藥的狀況\n\n03:50.330 --> 04:16.875\n缺人缺藥這個是一屆長期的狀況但是最近的缺藥是特別的嚴重那部長你看一下我下一張這個是在今年的一年前112年的2月27號當時缺藥所提出來的解決方案一樣是分短中長期套在最近這段時間缺藥無論是衛福部對外的說明也好還是從林次長講的用心良苦\n\n04:18.775 --> 04:18.995\n李彥秀\n\n04:35.151 --> 05:03.481\n市佔率高但是都是寡占市場我們衛福部處理的方向是什麼?你們剛剛說你們會設立高風險但是我憑良心講衛福部長期就是寡占市場的幫兇為什麼我們會讓這些單一市場超過六成也好超過八成也好我們解決他們變單一市場的方式解決的方案到底是什麼?這也是剛才林淑芬也關注的重點也是我今天要關注的方向\n\n05:04.341 --> 05:15.571\n我們常常在講說任性台灣任性台灣但是我們連一個生理食鹽水供給的方式都這麼的脆弱我們在疫情時間我們強化說我們自己台灣canhelp我們現在變成台灣needshelp\n\n05:19.870 --> 05:20.090\n博定\n\n05:39.927 --> 06:06.763\n我想這個缺藥的原因太多了所以真的是要抽絲剝繭但是你們之前還花了3億要好好的妥善這個藥價要好好的用藥價的調整讓更多人願意進來這個市場我們還花了公務預算花了健保花了3億元來解決解決的結果等於是0所以我才會說你交了一張白券可不可以請那個健保署跟那個食藥署這樣你們\n\n06:08.214 --> 06:33.078\n最近大家努力的一個跟委員報告過去有些缺藥他是屬於原廠藥的這個退出啦那都有國內的學名藥或者是相關的替代藥品那真正講過去我剛才列一大堆藥無論是無論是白內障的用藥柯寧幽尼利普陀還有兒童的止吐止瀉藥這些東西啊連最近的這個書語其實狀況都擺在眼前啊\n\n06:37.372 --> 06:49.264\n前面這些藥都是有替代藥品就是學名藥可以這些都是學名藥可以用的那麼輸液是因為短期的這個產線出了問題那這個已經有從這個專案的進口那麼調整這個價格去增加國內的產量這個多軌在進行\n\n06:58.773 --> 07:23.076\n這個市井永豐化學藥廠它寡占市占率用得這麼頻繁然後它又是寡占市場你們在停掉的時候它固然違反GMP我也覺得執行的沒錯但是你們都沒有去做完整的規劃跟處理才會造成今天的狀況平常其他的缺藥你們都有市井的狀況但是缺藥的狀況還是非常的頻繁\n\n07:24.455 --> 07:49.618\n這個就是今天攤在這邊問題所在所以你今天很然很顯然你沒有辦法說服所有今天來質詢這麼多的委員關注台灣現在缺藥的問題這就是你們最大的責任跟過失在這裡所以部長我們還是期待這跟委員說明我們健保一共給付的藥品超過一萬三千多項但是每年會有這樣的缺藥的情形那個數目相較之下是少的啦\n\n07:53.531 --> 08:03.616\n我完全瞭解到醫療院所我很敬佩這個委員真的很瞭解醫療院所的狀況真的醫療院所很希望給人民最好最周全的藥如果缺藥他們真的也都有反應到我們這邊來所以這個問題這個問題真的是還是存在所以我們一定用心去研議\n\n08:21.545 --> 08:32.450\n部長提出一個好的方法,寫好的臉書,次長寫好的臉書也是等於你沒有用,所以真正提出解決的方案才是真正是造福所有的民眾\n\n","segments":[{"start":3.345,"end":3.565,"text":"請邀請副部長"},{"start":29.361,"end":35.145,"text":"為了因應健保點值的修法我們最近有提到未來要成立癌藥的基金未來用公務預算撥補包括除了癌藥基金之外還有公共衛生性質相關的項目未來都有可能用公務預算"},{"start":58.522,"end":76.338,"text":"那部長這個部分因為這牽涉到9月份我們馬上就要處理這個健保總額的協商還有下個會期我們就要審查預算到底這一塊你心裡有沒有去跟行政院或跟組織處溝通過未來大概要拿多少錢出來"},{"start":78.891,"end":103.73,"text":"如果是明年的癌藥基金大概60億60億因為第三年才會100億因為一需要其實今年才24億不是說一下子就馬上需要明年到底多少明年就60億60億那公共預算公共衛生性質的公共衛生預算現在兩個第一個我再說一次我今天說很多次了第一個就是"},{"start":104.971,"end":115.039,"text":"有些其他的補助都把它塞到應該政府要給健保36%的那個部分,這個把它清出來大概可以130幾億,140億左右"},{"start":121.423,"end":129.326,"text":"所以明年從健保可以挖出140億錢少140億其他用140億不要把我們算過來這是健保應該是給健保的啦這個部分那個就可以多140億然後有一些過去就是部長我問清楚140億是公共衛生性質的預算60億是癌藥基金的預算癌藥基金是60億60所以加起來200億那個是獨立的啦那個獨立來做為了這個基金嘛對"},{"start":151.215,"end":151.756,"text":"用公務預算用公務預算"},{"start":170.694,"end":179.309,"text":"好,現在講的都是收入讓整個健保的大水庫能夠增加嘛,那...就像你剛剛說的那個三頭肉泡這個可以用巴士用啦"},{"start":183.496,"end":200.774,"text":"一百三十三億嘛然後另外就是我們開始清一些過去用健保其實應該用公務預算的這可能一年可以清出分三年把它完成一年大概可以清一百出頭億應該沒有問題所以這兩個就應該有可以多兩百億"},{"start":206.079,"end":227.249,"text":"兩百億左右好 謝謝部長那這個我得到答案所以明年九月份再協商我們知道有多雲出兩百億可以在健保裡面好好協商部長我延續一下剛剛林淑芬委員的質詢其實這個部分也是缺藥跟缺人我們大家也都知道這個當然是吳署長最後下台最主要的原因無論在這一段時間無論這些用藥的缺藥的狀況"},{"start":230.33,"end":256.875,"text":"缺人缺藥這個是一屆長期的狀況但是最近的缺藥是特別的嚴重那部長你看一下我下一張這個是在今年的一年前112年的2月27號當時缺藥所提出來的解決方案一樣是分短中長期套在最近這段時間缺藥無論是衛福部對外的說明也好還是從林次長講的用心良苦"},{"start":258.775,"end":258.995,"text":"李彥秀"},{"start":275.151,"end":303.481,"text":"市佔率高但是都是寡占市場我們衛福部處理的方向是什麼?你們剛剛說你們會設立高風險但是我憑良心講衛福部長期就是寡占市場的幫兇為什麼我們會讓這些單一市場超過六成也好超過八成也好我們解決他們變單一市場的方式解決的方案到底是什麼?這也是剛才林淑芬也關注的重點也是我今天要關注的方向"},{"start":304.341,"end":315.571,"text":"我們常常在講說任性台灣任性台灣但是我們連一個生理食鹽水供給的方式都這麼的脆弱我們在疫情時間我們強化說我們自己台灣can help我們現在變成台灣needs help"},{"start":319.87,"end":320.09,"text":"博定"},{"start":339.927,"end":366.763,"text":"我想這個缺藥的原因太多了所以真的是要抽絲剝繭但是你們之前還花了3億要好好的妥善這個藥價要好好的用藥價的調整讓更多人願意進來這個市場我們還花了公務預算花了健保花了3億元來解決解決的結果等於是0所以我才會說你交了一張白券可不可以請那個健保署跟那個食藥署這樣你們"},{"start":368.214,"end":393.078,"text":"最近大家努力的一個跟委員報告過去有些缺藥他是屬於原廠藥的這個退出啦那都有國內的學名藥或者是相關的替代藥品那真正講過去我剛才列一大堆藥無論是無論是白內障的用藥柯寧幽尼利普陀還有兒童的止吐止瀉藥這些東西啊連最近的這個書語其實狀況都擺在眼前啊"},{"start":397.372,"end":409.264,"text":"前面這些藥都是有替代藥品就是學名藥可以這些都是學名藥可以用的那麼輸液是因為短期的這個產線出了問題那這個已經有從這個專案的進口那麼調整這個價格去增加國內的產量這個多軌在進行"},{"start":418.773,"end":443.076,"text":"這個市井永豐化學藥廠它寡占市占率用得這麼頻繁然後它又是寡占市場你們在停掉的時候它固然違反GMP我也覺得執行的沒錯但是你們都沒有去做完整的規劃跟處理才會造成今天的狀況平常其他的缺藥你們都有市井的狀況但是缺藥的狀況還是非常的頻繁"},{"start":444.455,"end":469.618,"text":"這個就是今天攤在這邊問題所在所以你今天很然很顯然你沒有辦法說服所有今天來質詢這麼多的委員關注台灣現在缺藥的問題這就是你們最大的責任跟過失在這裡所以部長我們還是期待這跟委員說明我們健保一共給付的藥品超過一萬三千多項但是每年會有這樣的缺藥的情形那個數目相較之下是少的啦"},{"start":473.531,"end":483.616,"text":"我完全瞭解到醫療院所我很敬佩這個委員真的很瞭解醫療院所的狀況真的醫療院所很希望給人民最好最周全的藥如果缺藥他們真的也都有反應到我們這邊來所以這個問題這個問題真的是還是存在所以我們一定用心去研議"},{"start":501.545,"end":512.45,"text":"部長提出一個好的方法,寫好的臉書,次長寫好的臉書也是等於你沒有用,所以真正提出解決的方案才是真正是造福所有的民眾"}]}}}}