{"id":154416,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/154416","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1f04b26fe05fa65a7257ad8c766dca1afe28e669f0977b51b7fdab9a2f286338deae64beff7db0ff5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"賴士葆","委員發言時間":"12:43:29 - 12:54:09","影片長度":"00:10:40","會議時間":"2024-07-01T09:00:00+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23次全體委員會議（事由：邀請衛生福利部部長就「有關健保合理支付、保障醫護人員收入、設置百億癌症基金及健康投資等事項」進行專題報告，並備質詢。）","type":"Clip","date":"2024-07-01","start_time":"2024-07-01T12:43:29+08:00","end_time":"2024-07-01T12:54:09+08:00","duration":640,"meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第23次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":23,"committees":[26],"id":"委員會-11-1-26-23"},"features":["ai-transcript","gazette"],"gazette":{"lineno":1022,"blocks":[["賴委員士葆：（12時43分）謝謝主席以及各位先進。有請衛福部邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["賴委員士葆：部長，你上台後，這是我第一次跟你質詢。"],["邱部長泰源：謝謝。"],["賴委員士葆：為什麼要來跟你質詢？因為過去8年你在立法院給人家的印象就是人人好、EQ很高、踫到人笑嘻嘻，看起來像彌勒佛一樣，大家都覺得你很好相處，言外之意就是你沒什麼魄力，這次你把吳秀梅開掉，我跟你說讚、有魄力！老實講，吳秀梅是衛福部的一個毒瘤，在那裡7年不下來，他犯的錯罄竹難書啊！光是EUA的過程就一塌糊塗，然後疫苗的問題，完全就是用意識形態在施政，但是以你來講……"],["邱部長泰源：報告委員，我還是要講公道話，他也很認真用心在工作。"],["賴委員士葆：他很認真用心？那為什麼讓他下來呢？讓他繼續做就好了啊！"],["邱部長泰源：因為這方面的人才很多，大家來一起來努力。"],["賴委員士葆：是他提出辭呈？還是你想辦法讓他走？"],["邱部長泰源：這是他的人生規劃啦！"],["賴委員士葆：他跟你提辭呈了嗎？"],["邱部長泰源：因為要歸建回去當教授嘛！"],["賴委員士葆：7年還沒有到，8年才到啊！大家都知道借調一次4年，總共可以8年，對不對？這個你可以不必回答，我只是覺得你這樣做是正確的，但我是高度質疑的，以你的個性，你也不會得罪人，所以這一定是民進黨高層叫你動刀，簡單來講就是這樣，對不對？不然的話，他提辭你一樣可以不准，因為背後老闆要他繼續做。現在是背後老闆不要他做了，對不對？因為他犯了太多錯誤，這件事情今天沒有時間細講，現在回過來討論今天的主題，你說健保現在有到0.9，有到0.9嗎？有些醫學中心只有0.8多而已，對吧？臺大是多少你跟我說，臺大1點是多少錢？署長你來講一下。"],["石署長崇良：平均點值都超過0.9。"],["賴委員士葆：臺大是多少？"],["石署長崇良：平均……醫院總額嗎？"],["賴委員士葆：對啊！"],["石署長崇良：都超過0.9。"],["邱部長泰源：醫院的平均點值是有超過0.9。"],["賴委員士葆：據我所知臺大只有0.8多而已，榮總也是0.8多，沒有0.9喔！"],["邱部長泰源：那是浮動點值。"],["賴委員士葆：來說明一下。"],["邱部長泰源：第一季臺北區的平均點值是0.91，北區是0.95……"],["石署長崇良：這是醫院的部分……"],["邱部長泰源：我再看一下基層的部分……"],["賴委員士葆：這麼重要的東西你都沒有背起來。"],["邱部長泰源：這是最近才出來的，基層比較低是0.86……"],["賴委員士葆：0.86嘛，沒到0.9啊！"],["邱部長泰源：有些地方比較高，有些區域比較低啦！"],["賴委員士葆：我知道，所以話不能隨便講講來唬弄大家，賴總統是希望1元，不要說什麼點，就是錢啦！一年……1元……"],["邱部長泰源：那是我們的目標。"],["賴委員士葆：什麼時候可以達到？你要訂一個目標，你說你要達到，你部長就繼續一直做下去啊，如果你說3年之後要達到，3年之內都讓你當部長，這樣多讚啊！"],["邱部長泰源：我們當然都很希望點值能夠1點1塊錢……"],["賴委員士葆：希望繼續做部長就對了！"],["邱部長泰源：但是要考慮到整個總額的精神及民眾的負擔……"],["賴委員士葆：你告訴我一個努力的目標，什麼時候可以達成你努力的目標？"],["邱部長泰源：大概……"],["賴委員士葆：3年可以吧？"],["邱部長泰源：跟委員報告，相信你很瞭解醫界，總額制度你也很……你是財政專家，總額制度大概很難到1點1元……"],["賴委員士葆：1塊錢，不要到1.1，1點1塊就好。"],["邱部長泰源：我知道，就是1點1塊嘛，所以才會有零點……但是我覺得保0.90是基本要做的，然後從0.90開始我們想辦法來繼續做。"],["賴委員士葆：但現在是0.86啊，0.9是地板，什麼時候可以做到0.9？你聽懂我的意思嗎？"],["邱部長泰源：0.8是這樣子的，跟委員報告，那個不一樣，像臺北區就比較低，如果以平均點值0.9來講的話，臺灣6區有2區沒有達到，其他4區是有達到，所以……"],["賴委員士葆：什麼時候可以6區全部達到？"],["邱部長泰源：這個會牽涉到……"],["賴委員士葆：我時間有限……"],["邱部長泰源：那個不太一樣，因為各有各的說詞。"],["賴委員士葆：所以你沒辦法給我答案？0.9都保不了，你還說1塊錢，天方夜譚！"],["邱部長泰源：去年0.9是後來去補的，差不多補了100億，讓所有的醫院跟基層都到0.9，所以要補到0.9並不是困難的事情，只要大家願意去補，去年就是這樣子，臺大醫院去年第二季就是因為我們補了以後，它就是盈餘那些錢。"],["賴委員士葆：第二個，你剛剛有提到一件事，我不知道有沒有聽錯，請你再講一遍，你說未來兩年內不會漲健保費，是不是這樣？"],["邱部長泰源：會朝這樣來……"],["賴委員士葆：不會漲健保？"],["邱部長泰源：關於人民的健保費，我們會儘量在堅持不漲的情況之下來努力。"],["賴委員士葆：我剛才聽到的是兩年內不會漲，這句話對不對？"],["邱部長泰源：當然朝這樣來努力啊！"],["賴委員士葆：對吧？"],["邱部長泰源：對、對、對。"],["賴委員士葆：所以兩年內不會漲？不要講兩年，今年一定不會漲、明年一定不會漲，可以這樣講嗎？"],["邱部長泰源：今年不會漲啦！"],["賴委員士葆：明年也不會漲？"],["邱部長泰源：明年我們全力讓它不要漲。"],["賴委員士葆：你這樣講，你要有氣魄一點！明年不會漲，就這樣……"],["邱部長泰源：因為我們的安全準備金還夠，所以……"],["賴委員士葆：夠不夠？"],["邱部長泰源：夠，大概有兩個月，所以基本上今年跟明年應該都不至於漲價，除非健康投資要多一點的話，那當然就是另外一回事。"],["賴委員士葆：健保一年的支出多少？有沒有9,000億？"],["邱部長泰源：今年是8,700億，明年預估是9,100億左右，是有成長率啦！"],["賴委員士葆：最後我要請教你，再生醫療法通過了，依照第十四條後續制定相關子法來講，當初法案在協商的時候，有人提到說：奇怪，現在打到豬、狗、貓、牛的身上都要GMP，為什麼細胞療法打到人的身上不用GMP？為什麼這樣子呢？"],["邱部長泰源：現在不是已經要求要了嗎……"],["賴委員士葆：沒有，法沒有這樣訂喔！根據藥品優良製造規範以及西藥優良運銷準則，其實全世界都是這樣子，為什麼我們的再生醫療法沒有把GMP加進來？"],["郭專門委員威中：跟委員報告，因為目前屬於商品類的東西都是屬於要走GMP製劑那一條路，如果是自體的部分，就是自己培養出來的東西，就是自體化使用的部分，因為它沒辦法做商品化，它是客製化，所以我們要求它的實驗室至少要是GTP等級的實驗室。"],["賴委員士葆：GTP等級就比較低了啊！"],["郭專門委員威中：因為是自體培養在實驗室，收取以後在實驗室培養以後把它複製以後再來……"],["賴委員士葆：今天部長講了很多的努力目標，要不要把這個當做你們未來的努力目標？未來就是通通要GMP，這樣子的話，其實也可以跟國際接軌，國際都有GMP啊，同意嗎？努力目標可以吧？"],["邱部長泰源：這個要看臨床實際上的狀況，臨床就需要……你要要求得這麼……是不是會影響到他用到病人的權利……"],["賴委員士葆：那就不要做啊！如果這樣就不要做，因為你可以想打到貓、狗、豬上面都要GMP，打到人不要要求GMP，這很奇怪！"],["邱部長泰源：那個是大量的製劑，這是客製化，就是針對他的細胞提出來再用於他嘛！所以基本上是沒有用到其他人的身上，所以它跟製劑大量的不太一樣。"],["賴委員士葆：可是其他國家都要求……"],["石署長崇良：跟委員報告，其實日本跟我們現在的制度有點相似，也就是雙軌制，有一些是比較低風險的，個人使用自己的細胞、自己回輸的，是客製化、少量……"],["賴委員士葆：自己的細胞就GTP，但是大量的就是GMP，是不是？"],["石署長崇良：對，如果商品化、液體的使用，那個就要G 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0.729}, {\"word\": \"葆\", \"start\": 615.059, \"end\": 615.079, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:05,397 --> 00:00:09,943\n謝謝主席以及各位先進有請衛福部的邱部長請邱部長\n\n2\n00:00:18,677 --> 00:00:29,834\n部長你久來我第一次跟你諮詢為什麼要來跟你諮詢因為過去你8年在立法院給人家印象就是\n\n3\n00:00:30,649 --> 00:00:38,275\n人人好啊,AQ很好啊,潘道仁笑嘻嘻啊,這個看起來像米樂火一樣,大家都覺得你真好到底,那個意思言外之意就是你沒什麼魄力,這次你把吳秀美把她開掉,我跟你說讚,有魄力喔,所以我就覺得說\n\n4\n00:00:55,488 --> 00:01:15,706\n吳秀梅這個老實講是衛福部的一個毒瘤在那裡7年了齁她不下來她犯了錯慶祝難輸啊光那個EUA過程當中一塌糊塗然後這個疫苗的問題這個完全就是意識形態在失真齁\n\n5\n00:01:17,167 --> 00:01:18,808\n市長提出辭呈還是你給他就是想辦法讓他走?\n\n6\n00:01:36,432 --> 00:01:56,092\n這也人生規劃了他跟你提辭成了嗎?回去那個因為要回去規定到做嘛他七年還沒有到啊八年才到啊戒掉都才這樣啊一任四年啊戒掉一次四年可以八年總共可以八年啊對不對這你們應該可以不必回到我是說我是說覺得說你\n\n7\n00:01:59,555 --> 00:02:26,675\n你做這個是正確的但是呢我是高度質疑了以你的個性你也不會得罪人的啊當然是一定是民進黨高層叫你動刀啊很簡單就是這樣啊對不對很簡單就是這樣啊不然的話他提詞你應該不准啊因為背後老闆要他居住現在是背後老闆不要他做對不對背後老闆不要他做他犯了太多錯誤\n\n8\n00:02:28,375 --> 00:02:50,560\n這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9\n\n9\n00:02:59,056 --> 00:03:05,603\n一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下\n\n10\n00:03:14,657 --> 00:03:20,639\n第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號\n\n11\n00:03:41,732 --> 00:04:04,864\n賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要\n\n12\n00:04:10,859 --> 00:04:12,601\n你告訴我一個努力目標,什麼時候你努力目標?\n\n13\n00:04:39,432 --> 00:04:41,314\n一塊錢不要1.1,一點點一塊就好\n\n14\n00:04:58,152 --> 00:05:14,343\n所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔\n\n15\n00:05:21,400 --> 00:05:22,721\n什麼時候可以六區全部達到?\n\n16\n00:05:39,612 --> 00:06:06,230\n六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情\n\n17\n00:06:07,247 --> 00:06:12,508\n好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?\n\n18\n00:06:34,172 --> 00:06:42,415\n人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲\n\n19\n00:06:55,180 --> 00:07:20,814\n今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔\n\n20\n00:07:21,314 --> 00:07:37,095\n你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的\n\n21\n00:07:39,538 --> 00:08:07,821\n主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎\n\n22\n00:08:10,331 --> 00:08:10,612\n賴士葆\n\n23\n00:08:13,135 --> 00:08:39,567\n根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己\n\n24\n00:08:40,287 --> 00:08:40,988\nGDP就比較低了啊\n\n25\n00:08:55,918 --> 00:09:05,985\n今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?\n\n26\n00:09:23,059 --> 00:09:44,525\n這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化\n\n27\n00:09:46,525 --> 00:09:50,927\n跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量\n\n28\n00:10:14,899 --> 00:10:15,079\n賴士葆\n\n","tsv":"start\tend\ttext\n5397\t9943\t謝謝主席以及各位先進有請衛福部的邱部長請邱部長\n18677\t29834\t部長你久來我第一次跟你諮詢為什麼要來跟你諮詢因為過去你8年在立法院給人家印象就是\n30649\t38275\t人人好啊,AQ很好啊,潘道仁笑嘻嘻啊,這個看起來像米樂火一樣,大家都覺得你真好到底,那個意思言外之意就是你沒什麼魄力,這次你把吳秀美把她開掉,我跟你說讚,有魄力喔,所以我就覺得說\n55488\t75706\t吳秀梅這個老實講是衛福部的一個毒瘤在那裡7年了齁她不下來她犯了錯慶祝難輸啊光那個EUA過程當中一塌糊塗然後這個疫苗的問題這個完全就是意識形態在失真齁\n77167\t78808\t市長提出辭呈還是你給他就是想辦法讓他走?\n96432\t116092\t這也人生規劃了他跟你提辭成了嗎?回去那個因為要回去規定到做嘛他七年還沒有到啊八年才到啊戒掉都才這樣啊一任四年啊戒掉一次四年可以八年總共可以八年啊對不對這你們應該可以不必回到我是說我是說覺得說你\n119555\t146675\t你做這個是正確的但是呢我是高度質疑了以你的個性你也不會得罪人的啊當然是一定是民進黨高層叫你動刀啊很簡單就是這樣啊對不對很簡單就是這樣啊不然的話他提詞你應該不准啊因為背後老闆要他居住現在是背後老闆不要他做對不對背後老闆不要他做他犯了太多錯誤\n148375\t170560\t這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9\n179056\t185603\t一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下\n194657\t200639\t第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號\n221732\t244864\t賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要\n250859\t252601\t你告訴我一個努力目標,什麼時候你努力目標?\n279432\t281314\t一塊錢不要1.1,一點點一塊就好\n298152\t314343\t所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔\n321400\t322721\t什麼時候可以六區全部達到?\n339612\t366230\t六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情\n367247\t372508\t好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?\n394172\t402415\t人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲\n415180\t440814\t今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔\n441314\t457095\t你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的\n459538\t487821\t主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎\n490331\t490612\t賴士葆\n493135\t519567\t根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己\n520287\t520988\tGDP就比較低了啊\n535918\t545985\t今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?\n563059\t584525\t這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化\n586525\t590927\t跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量\n614899\t615079\t賴士葆\n","txt":"謝謝主席以及各位先進有請衛福部的邱部長請邱部長\n部長你久來我第一次跟你諮詢為什麼要來跟你諮詢因為過去你8年在立法院給人家印象就是\n人人好啊,AQ很好啊,潘道仁笑嘻嘻啊,這個看起來像米樂火一樣,大家都覺得你真好到底,那個意思言外之意就是你沒什麼魄力,這次你把吳秀美把她開掉,我跟你說讚,有魄力喔,所以我就覺得說\n吳秀梅這個老實講是衛福部的一個毒瘤在那裡7年了齁她不下來她犯了錯慶祝難輸啊光那個EUA過程當中一塌糊塗然後這個疫苗的問題這個完全就是意識形態在失真齁\n市長提出辭呈還是你給他就是想辦法讓他走?\n這也人生規劃了他跟你提辭成了嗎?回去那個因為要回去規定到做嘛他七年還沒有到啊八年才到啊戒掉都才這樣啊一任四年啊戒掉一次四年可以八年總共可以八年啊對不對這你們應該可以不必回到我是說我是說覺得說你\n你做這個是正確的但是呢我是高度質疑了以你的個性你也不會得罪人的啊當然是一定是民進黨高層叫你動刀啊很簡單就是這樣啊對不對很簡單就是這樣啊不然的話他提詞你應該不准啊因為背後老闆要他居住現在是背後老闆不要他做對不對背後老闆不要他做他犯了太多錯誤\n這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9\n一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下\n第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號\n賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要\n你告訴我一個努力目標,什麼時候你努力目標?\n一塊錢不要1.1,一點點一塊就好\n所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔\n什麼時候可以六區全部達到?\n六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情\n好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?\n人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲\n今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔\n你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的\n主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎\n賴士葆\n根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己\nGDP就比較低了啊\n今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?\n這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化\n跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量\n賴士葆\n","vtt":"WEBVTT\n\n00:05.397 --> 00:09.943\n謝謝主席以及各位先進有請衛福部的邱部長請邱部長\n\n00:18.677 --> 00:29.834\n部長你久來我第一次跟你諮詢為什麼要來跟你諮詢因為過去你8年在立法院給人家印象就是\n\n00:30.649 --> 00:38.275\n人人好啊,AQ很好啊,潘道仁笑嘻嘻啊,這個看起來像米樂火一樣,大家都覺得你真好到底,那個意思言外之意就是你沒什麼魄力,這次你把吳秀美把她開掉,我跟你說讚,有魄力喔,所以我就覺得說\n\n00:55.488 --> 01:15.706\n吳秀梅這個老實講是衛福部的一個毒瘤在那裡7年了齁她不下來她犯了錯慶祝難輸啊光那個EUA過程當中一塌糊塗然後這個疫苗的問題這個完全就是意識形態在失真齁\n\n01:17.167 --> 01:18.808\n市長提出辭呈還是你給他就是想辦法讓他走?\n\n01:36.432 --> 01:56.092\n這也人生規劃了他跟你提辭成了嗎?回去那個因為要回去規定到做嘛他七年還沒有到啊八年才到啊戒掉都才這樣啊一任四年啊戒掉一次四年可以八年總共可以八年啊對不對這你們應該可以不必回到我是說我是說覺得說你\n\n01:59.555 --> 02:26.675\n你做這個是正確的但是呢我是高度質疑了以你的個性你也不會得罪人的啊當然是一定是民進黨高層叫你動刀啊很簡單就是這樣啊對不對很簡單就是這樣啊不然的話他提詞你應該不准啊因為背後老闆要他居住現在是背後老闆不要他做對不對背後老闆不要他做他犯了太多錯誤\n\n02:28.375 --> 02:50.560\n這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9\n\n02:59.056 --> 03:05.603\n一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下\n\n03:14.657 --> 03:20.639\n第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號\n\n03:41.732 --> 04:04.864\n賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要\n\n04:10.859 --> 04:12.601\n你告訴我一個努力目標,什麼時候你努力目標?\n\n04:39.432 --> 04:41.314\n一塊錢不要1.1,一點點一塊就好\n\n04:58.152 --> 05:14.343\n所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔\n\n05:21.400 --> 05:22.721\n什麼時候可以六區全部達到?\n\n05:39.612 --> 06:06.230\n六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情\n\n06:07.247 --> 06:12.508\n好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?\n\n06:34.172 --> 06:42.415\n人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲\n\n06:55.180 --> 07:20.814\n今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔\n\n07:21.314 --> 07:37.095\n你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的\n\n07:39.538 --> 08:07.821\n主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎\n\n08:10.331 --> 08:10.612\n賴士葆\n\n08:13.135 --> 08:39.567\n根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己\n\n08:40.287 --> 08:40.988\nGDP就比較低了啊\n\n08:55.918 --> 09:05.985\n今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?\n\n09:23.059 --> 09:44.525\n這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化\n\n09:46.525 --> 09:50.927\n跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量\n\n10:14.899 --> 10:15.079\n賴士葆\n\n","segments":[{"start":5.397,"end":9.943,"text":"謝謝主席以及各位先進有請衛福部的邱部長請邱部長"},{"start":18.677,"end":29.834,"text":"部長你久來我第一次跟你諮詢為什麼要來跟你諮詢因為過去你8年在立法院給人家印象就是"},{"start":30.649,"end":38.275,"text":"人人好啊,AQ很好啊,潘道仁笑嘻嘻啊,這個看起來像米樂火一樣,大家都覺得你真好到底,那個意思言外之意就是你沒什麼魄力,這次你把吳秀美把她開掉,我跟你說讚,有魄力喔,所以我就覺得說"},{"start":55.488,"end":75.706,"text":"吳秀梅這個老實講是衛福部的一個毒瘤在那裡7年了齁她不下來她犯了錯慶祝難輸啊光那個EUA過程當中一塌糊塗然後這個疫苗的問題這個完全就是意識形態在失真齁"},{"start":77.167,"end":78.808,"text":"市長提出辭呈還是你給他就是想辦法讓他走?"},{"start":96.432,"end":116.092,"text":"這也人生規劃了他跟你提辭成了嗎?回去那個因為要回去規定到做嘛他七年還沒有到啊八年才到啊戒掉都才這樣啊一任四年啊戒掉一次四年可以八年總共可以八年啊對不對這你們應該可以不必回到我是說我是說覺得說你"},{"start":119.555,"end":146.675,"text":"你做這個是正確的但是呢我是高度質疑了以你的個性你也不會得罪人的啊當然是一定是民進黨高層叫你動刀啊很簡單就是這樣啊對不對很簡單就是這樣啊不然的話他提詞你應該不准啊因為背後老闆要他居住現在是背後老闆不要他做對不對背後老闆不要他做他犯了太多錯誤"},{"start":148.375,"end":170.56,"text":"這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9"},{"start":179.056,"end":185.603,"text":"一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下"},{"start":194.657,"end":200.639,"text":"第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號"},{"start":221.732,"end":244.864,"text":"賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要"},{"start":250.859,"end":252.601,"text":"你告訴我一個努力目標,什麼時候你努力目標?"},{"start":279.432,"end":281.314,"text":"一塊錢不要1.1,一點點一塊就好"},{"start":298.152,"end":314.343,"text":"所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔"},{"start":321.4,"end":322.721,"text":"什麼時候可以六區全部達到?"},{"start":339.612,"end":366.23,"text":"六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情"},{"start":367.247,"end":372.508,"text":"好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?"},{"start":394.172,"end":402.415,"text":"人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲"},{"start":415.18,"end":440.814,"text":"今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔"},{"start":441.314,"end":457.095,"text":"你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的"},{"start":459.538,"end":487.821,"text":"主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎"},{"start":490.331,"end":490.612,"text":"賴士葆"},{"start":493.135,"end":519.567,"text":"根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己"},{"start":520.287,"end":520.988,"text":"GDP就比較低了啊"},{"start":535.918,"end":545.985,"text":"今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?"},{"start":563.059,"end":584.525,"text":"這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化"},{"start":586.525,"end":590.927,"text":"跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量"},{"start":614.899,"end":615.079,"text":"賴士葆"}]}}}}