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\"長\"}, {\"word\": \"好\", \"start\": 932.942, \"end\": 933.883, \"score\": 0.874}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"盧\"}, {\"word\": \"瀉\"}, {\"word\": \"英\", \"start\": 933.883, \"end\": 934.083, \"score\": 0.838}, {\"word\": \"委\", \"start\": 934.083, \"end\": 934.283, \"score\": 0.839}, {\"word\": \"員\"}, {\"word\": \"的\", \"start\": 934.283, \"end\": 935.083, \"score\": 0.93}, {\"word\": \"質\"}, {\"word\": \"詢\"}, {\"word\": \"我\", \"start\": 935.083, \"end\": 935.863, \"score\": 0.866}, {\"word\": \"們\"}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"卓\", \"start\": 935.863, \"end\": 936.003, \"score\": 0.829}, {\"word\": \"院\", \"start\": 936.003, \"end\": 936.703, \"score\": 0.895}, {\"word\": \"長\"}, {\"word\": \"衛\"}, {\"word\": \"福\", \"start\": 936.703, \"end\": 936.823, \"score\": 0.834}, {\"word\": \"部\", \"start\": 936.823, \"end\": 936.923, \"score\": 0.793}, {\"word\": \"長\"}, {\"word\": \"貝\"}, {\"word\": \"許\", \"start\": 936.923, \"end\": 938.223, \"score\": 0.938}, {\"word\": \"謝\"}, {\"word\": \"謝\"}, {\"word\": \"接\", \"start\": 938.223, \"end\": 938.323, \"score\": 0.87}, {\"word\": \"下\", \"start\": 938.323, \"end\": 938.443, \"score\": 0.801}, {\"word\": \"來\"}, {\"word\": \"我\", \"start\": 938.443, \"end\": 938.644, \"score\": 0.86}, {\"word\": \"們\"}, {\"word\": \"是\", \"start\": 938.644, \"end\": 938.784, \"score\": 0.858}, {\"word\": \"李\", \"start\": 938.784, \"end\": 939.264, \"score\": 0.909}, {\"word\": \"彥\"}, {\"word\": \"秀\", \"start\": 939.264, \"end\": 939.464, \"score\": 0.904}, {\"word\": \"委\", \"start\": 939.464, \"end\": 940.004, \"score\": 0.884}, {\"word\": \"員\"}, {\"word\": \"質\"}, {\"word\": \"詢\"}, {\"word\": \"蔓\", \"start\": 940.004, \"end\": 940.164, \"score\": 0.874}, {\"word\": \"郁\", \"start\": 940.164, \"end\": 940.284, \"score\": 0.833}, {\"word\": \"真\", \"start\": 940.284, \"end\": 940.424, \"score\": 0.931}, {\"word\": \"委\", \"start\": 940.424, \"end\": 940.744, \"score\": 0.877}, {\"word\": \"員\"}, {\"word\": \"請\"}, {\"word\": \"準\", \"start\": 940.744, \"end\": 940.764, \"score\": 0.002}, {\"word\": \"備\"}], \"language\": \"zh\"}","srt":"1\n00:00:11,147 --> 00:00:15,937\n主席有請院長跟環境部長麻煩再請卓院長環保部長備詢\n\n2\n00:00:28,831 --> 00:00:55,606\n部長好今天我們來談談我們再生能源因為越來越多關電或者是風力發電想要在我們原住民地區來做設施我們來看一下現在美國的比例是大概是多少我剛剛資料是美國現在太陽能的話是22%我們台灣現在是5%也就是說可能以後我們會來越多的關電設施我們可以預期\n\n3\n00:00:56,306 --> 00:01:07,904\n那現在考一下彭部長就是說如果一千戶的話大概需要多少的關店面積一千Mega一千戶一千個家庭\n\n4\n00:01:08,700 --> 00:01:34,002\n一千個家庭這個比較難這樣說沒有查資料他說是32的acre也就是說英畝如果換成甲的話是3.35甲如果我們再這樣算如果以後我們要增加那麼多的關電我們以後要設在哪裡你們想過我們大概以後的maximum要到哪一個多少個公畝還是多少個甲的一個關電設施\n\n5\n00:01:35,970 --> 00:01:57,966\n要到幾萬公頃的確如果要大的話以後原住民地區可能會越來越多所以我們就討論到原基法的第21條就是說政府或私人與原住民土地或部落及周邊一定範圍內的公有土地從事土地開發資源利用生態保育及學術研究因諮商必取的原住民族或部落同意或參與\n\n6\n00:01:59,187 --> 00:02:14,404\n那利益有源民族應該可以共同來分享那現在呢就是公有土地的這個部分跟私有土地這個部分是最受爭議的因為為了業者為了規避很多的一些法令他就是去找了私有地所以在我們\n\n7\n00:02:15,598 --> 00:02:31,525\n那個台東的海端鄉的管理員就拉了白布條說這個私人土地是1.5公頃可是縣政府後來就說他是符合所謂的環保的環評那我是希望部長這邊在環評的部分能不能好好把關\n\n8\n00:02:32,766 --> 00:03:01,705\n報告委員因為目前是針對於山坡地超過15公頃我們現在是訂單環評但是關於原民關切的部分其實我們環評裡面如果大家有意見的話我們可以列入考慮在裡面未來環評來進行修正不過基本上這個還是要跟原住民基本法裡面的諮商的部分因為這個是兩個平行的時空所以我這次我今年有提出一個修法就是說希望私有土地能夠部落統一\n\n9\n00:03:02,626 --> 00:03:21,533\n至少住在這個土地的原住民能夠知道或者是同意這件事情這樣會阻力會比較少可以嗎這個就是可能要在原住民基本法裡面來討論這個東西那我們環評的部分的話我們可以考慮來例如說原民部落這個部分多大的面積要來環評這個部分我們也可以來考慮這個來做這些規劃\n\n10\n00:03:24,310 --> 00:03:38,104\n就風力發電的部分我剛看了就是大概今年的三月就是造成台東縣很多我們無論是縣長議長或者是立委他們都強烈的反對說要在我們東海岸設置風電那部長你的態度呢\n\n11\n00:03:39,797 --> 00:04:02,054\n報告委員因為今年我們環評委員審到好幾個陸域風機的案子大概都非常的因為基本上陸域風機超過500公尺半徑的話其實它對於民眾的生活上的確是受到很大的影響所以今年的確有好幾個陸域風機特別是在彰化還有台東屏東的都沒有通過\n\n12\n00:04:02,734 --> 00:04:17,405\n所以其實關於台東那個案件的話我也主動因為我知道台東的民眾很關心這個問題在我們環境部的臉書不過他還沒有正式開發他是預想要開發所以我們也表示說如果要進行陸域風險的開發一定要\n\n13\n00:04:18,025 --> 00:04:40,845\n特別特別的注意那我們個人來說的話是不鼓勵因為其實這個台灣的土地面積很小如果要有這麼大規模的入域縫隙很難找到地方所以我們基本上一定要相信這邊還是要強烈建議就是說以後如果要設置的話至少要離部落五百公尺以上因為他們設置的地點有些是非常近現在規定就是五百公尺距離就一定要做環評\n\n14\n00:04:41,784 --> 00:05:03,591\n我做一個數字給部長參考就是500公尺以內如果造成所謂的低頻噪音的話每增加7.86個分貝會造成心跳變快就是說如果說10分貝每增加10分貝的話可能他一天的心跳多了一萬多下所以這個部分就會造成以後無論是心血管無論是他的腦神經衰弱這些部分\n\n15\n00:05:04,231 --> 00:05:25,025\n就是他們低頻造成的所以這個概念就是要有所以他國外的研究說希望是五百公尺以上是有依據的而不是隨便亂說的現在就是五百公尺距離這個建築物五百公尺都必須要還品接下來請我們衛生部長謝謝環境部長麻煩請衛福部長請備詢\n\n16\n00:05:36,605 --> 00:05:53,841\n因為每次看到我的話應該還是要想到原建法原建法再過一個月就要兩年了所以我們再講一次專責單位的重要性那為什麼一直要這麼說因為原住民地區確實是非常的辛苦然後每次我們都在講就是衛生所在幾乎承接了所有的\n\n17\n00:05:54,361 --> 00:06:16,696\n所謂的醫療的照顧那其實我在選舉期間我一直都在說希望能夠衛生所能夠升級升級呢就是比如說變成小醫院或者是醫院的層級規模的時候裡面的醫生的科別才會多護理人員才會增加不然每次都是固定一個地段一個護士所以六個村就是六個護士可是現在的問題五花八門\n\n18\n00:06:18,220 --> 00:06:39,212\n那個防疫的時候要做防疫有個案死亡的時候要去做香菸這些事情或者說打疫苗的時候全部都要其實都是這幾個人在輪流做嘛所以其實如果說把你有專責單位的話去研究我們原鄉地區的衛生所能不能做一個升級以後呢我們才有下一步的可能不然人力永遠都是緊繃在那裡\n\n19\n00:06:41,547 --> 00:06:43,889\n所以委員的意思是要提升原鄉衛生所的人力\n\n20\n00:07:12,067 --> 00:07:29,694\n不然你永遠都是12個人的編制做那麼多事情我想委員長期在基層的衛生所服務很了解到他的服務他可以說是前往位的一個一健康一體的概念在服務的整個社區那我想這個部在人力上的確\n\n21\n00:07:30,435 --> 00:07:54,736\n不管是醫護相關工位的人才都相當的辛苦是不是我們可以先這個部分我們一般都是先協調縣市衛生局能夠給予資源不管是在人員或者是在醫院的協助之下因為衛生所一般來講都會跟醫院合作所以這個部分如果能夠充分的來合作相信可以解決\n\n22\n00:07:56,102 --> 00:08:12,897\n目前的問題其實這個也不只在原鄉連在雲林的鄉下哪裡都是這個問題所以應該可以盤點全國特偏地區或是偏遠地區衛生所的人力編制不是每個地區都一樣然後上次提到救護車的事情就是說\n\n23\n00:08:13,577 --> 00:08:38,161\n明明就是有看到救護車可是沒有救護車司機備請嘛那其實以後可以把衛生所跟消防隊能夠蓋近一點像以前我在霧台衛生所服務的時候消防隊就在隔壁所以不是有後送的時候是不是很方便那像上次發生那個死亡案件就是因為他是衛生所在他前面可是他要叫消防隊是在好幾公里以外來的時候已經超過20分鐘以上\n\n24\n00:08:38,641 --> 00:08:59,516\n那就是會造成這樣的一個所謂的一個盲點所以其實如果你要救護車要有人開當然一定要有人沒有司機所以你把衛生所跟消防隊如果蓋近一點說不定以後他們人類可以互相搭配然後就可以輪流休息而不是永遠這批人累死了這邊的人就是可以放假這樣你不覺得這樣比較合理嗎對因為這樣會比較有效力好那\n\n25\n00:09:06,024 --> 00:09:30,629\n接下來就是我想問你萊豬的你的態度看到新聞說澳洲的萊豬可以進來了現在的單位是說是法定容許的量嘛對不對部長法定是0.01那現在查驗出來是0.001ppm所以是在我們的法定國際標準的容許量以下對那我跟院長我報告一個\n\n26\n00:09:32,570 --> 00:09:54,791\n資訊就是說2022年環境醫學有一個報告就是萊豬的無論你是不是容許範圍就是反正我們現在按照我們現在的法定的容許量好了他會加速動脈周狀硬化高血脂症也就是說增加我們心臟的一些所謂的風險在所以其實我們不要說他我們國家為了\n\n27\n00:09:56,312 --> 00:10:14,850\n什麼政策造成說可以容許檢出當然我們還是希望能夠零檢出啦不過還是要告訴說潛在的風險是在這裡不是因為說我們要去完全去block掉這個東西可是你要知道它的危害所以你要告訴國人說這個有這方面的疑慮所以還是要標示可以嗎\n\n28\n00:10:15,555 --> 00:10:32,697\n相關的報導也告訴我們說它已經是累積到相當程度的量它才會造成身體的一個反應出來那我們認為現在從國內的實用的狀況來講都不會到達那個量但是我們還是要提醒肉商\n\n29\n00:10:33,728 --> 00:10:59,135\n販賣的業者跟國人能夠自力提高經濟畢竟現在是從澳洲來的嘛所以希望標示能夠還是知道他是澳洲所以國人才可以做選擇第二個就是我們原住民就是我們公費養成計畫這個部分跟部長討論現在他們在公費生在分發的時候有七個順序就是說他可以到原住民地區衛生所可以到原住民地區所屬醫院可以到所屬非教學院這些七個\n\n30\n00:11:00,115 --> 00:11:26,093\n所以很多選項不過現在有一個陳情就是說他是原住民公費生他想要到診所去服務結果沒有辦法那其實在專科護理師的公費生其實是可以到偏遠地區的診所服務還公費可是醫生卻沒有辦法然後其實我們在這個所謂的七個順序別裡面他有一個第五項就是\n\n31\n00:11:26,773 --> 00:11:42,782\n原住民地區長期照顧管理中心或是長期照顧服務機構這第五項是他可以到哪裡服務那如果這個診所是做居家醫療的我覺得這是同類型的所以這個同類型的話我覺得可以開放或者是說我們把它直接設置第八點就是說\n\n32\n00:11:43,522 --> 00:11:59,307\n本席說建議設置原住民地區提供基層醫療居家醫療社區整合照護或安寧照護的服務診所應該作為公務生可以作為公費生旅行服務醫務的單位這是我的第八條建議所以希望以後我們有空的時候可以討論這一點\n\n33\n00:12:00,871 --> 00:12:27,649\n好謝謝委員我想這個問題我們其實一直都有討論過因為現在的服務型態已經從醫院診所到社區我們所工作已經從居家醫療到全診照顧到安寧的一個照顧但是問題做這些的團隊其實他是很辛苦而且如果在偏遠地區或山地離島那距離更遠所以其實是\n\n34\n00:12:28,269 --> 00:12:54,792\n不太有人要做啦所以如果把這個也加進去在裡面在排行七裡面也不一定要第八啦他可能會在前面一點讓更多的這些公會醫師能夠回到其實他醫院裡有時候也沒有位子了但是所以他沒辦法回去服務那如果有願意做居家醫療安寧照顧這種比較辛苦的比較沒人做的\n\n35\n00:12:55,559 --> 00:13:16,132\n我相信他的順序是可以把他排在前面部長同意嗎同意就是說因為這種比你你如果只是說我去那邊開業那可能當時當跟當時當初設立的原理就不太一樣而且也會引起其他的一個已經在那邊開業的意思的不同意見\n\n36\n00:13:17,182 --> 00:13:34,152\n最後一個問題就是關於那個就是有波波醫師的爭議的很多醫師單位跟我反映然後是要跟部長強烈的建議就是說新修正的醫師法施行細則裡面他有些他覺得他的一律我念給你聽\n\n37\n00:13:34,992 --> 00:14:00,972\n也基大學教學品質刊率就是第一個第二個就是說遠距教學他也被承認然後見習時數可以當作實習時數第四個就是說他認為你是圖利特定人士那你可不可以要不要做一些辨別報告委員我想那個細則其實是按照原來的版本把它規劃得更嚴格一點那如果說大家還有誤解的話我想我們都會坐下來談沒有問題\n\n38\n00:14:03,075 --> 00:14:26,338\n因為比如說演技但是在特別疫情的時候你如果沒有這一條的話大概就我們大概所有的大學的連高中生當時都不用畢業了因為很多連我兒子連建中差不多兩三年大概有一年半都是在視訊所以你沒有這樣的一個規範讓他完整其實也不行那另外在\n\n39\n00:14:27,539 --> 00:14:45,230\n認定的這個部分那是一個國家每一個國家它有不同的制度我們尊重國家如果這個大家還有疑惑我覺得都可以做下來所以你還是要請那些反波波一式的團體可以跟你們一起討論啊沒問題沒問題覺得說他們都沒有被尊重我們非常樂意來討論\n\n40\n00:14:48,100 --> 00:15:10,808\n那部長我們有一些養成計畫的公飛生還在外面流浪我想說你還是請特定的就是我們的工作人員或者官員去關心他們去問他們何去何從因為這些沒有被分發的一些公飛畢業生已經超過百位所以希望你可以組一個所謂的小組去協助他們未來怎麼辦可以嗎\n\n41\n00:15:11,618 --> 00:15:40,764\n還沒有分發的公會醫師我想這個部分我們政府有責任來瞭解我們訓練這麼多醫生他已經訓練好了可是沒辦法回去服務這個部分我們怎麼樣讓他到適當的地方來服務我們的人民我想我們會很用心來研議謝謝部長好謝謝盧瀉英委員的質詢我們謝謝卓院長衛福部長貝許謝謝接下來我們是李彥秀委員質詢蔓郁真委員請準備\n\n","tsv":"start\tend\ttext\n11147\t15937\t主席有請院長跟環境部長麻煩再請卓院長環保部長備詢\n28831\t55606\t部長好今天我們來談談我們再生能源因為越來越多關電或者是風力發電想要在我們原住民地區來做設施我們來看一下現在美國的比例是大概是多少我剛剛資料是美國現在太陽能的話是22%我們台灣現在是5%也就是說可能以後我們會來越多的關電設施我們可以預期\n56306\t67904\t那現在考一下彭部長就是說如果一千戶的話大概需要多少的關店面積一千Mega一千戶 一千個家庭\n68700\t94002\t一千個家庭這個比較難這樣說沒有查資料他說是32的acre也就是說英畝如果換成甲的話是3.35甲如果我們再這樣算如果以後我們要增加那麼多的關電我們以後要設在哪裡你們想過我們大概以後的maximum要到哪一個多少個公畝還是多少個甲的一個關電設施\n95970\t117966\t要到幾萬公頃的確如果要大的話以後原住民地區可能會越來越多所以我們就討論到原基法的第21條就是說政府或私人與原住民土地或部落及周邊一定範圍內的公有土地從事土地開發資源利用生態保育及學術研究因諮商必取的原住民族或部落同意或參與\n119187\t134404\t那利益有源民族應該可以共同來分享那現在呢就是公有土地的這個部分跟私有土地這個部分是最受爭議的因為為了業者為了規避很多的一些法令他就是去找了私有地所以在我們\n135598\t151525\t那個台東的海端鄉的管理員就拉了白布條說這個私人土地是1.5公頃可是縣政府後來就說他是符合所謂的環保的環評那我是希望部長這邊在環評的部分能不能好好把關\n152766\t181705\t報告委員因為目前是針對於山坡地超過15公頃我們現在是訂單環評但是關於原民關切的部分其實我們環評裡面如果大家有意見的話我們可以列入考慮在裡面未來環評來進行修正不過基本上這個還是要跟原住民基本法裡面的諮商的部分因為這個是兩個平行的時空所以我這次我今年有提出一個修法就是說希望私有土地能夠部落統一\n182626\t201533\t至少住在這個土地的原住民能夠知道或者是同意這件事情這樣會阻力會比較少可以嗎這個就是可能要在原住民基本法裡面來討論這個東西那我們環評的部分的話我們可以考慮來例如說原民部落這個部分多大的面積要來環評這個部分我們也可以來考慮這個來做這些規劃\n204310\t218104\t就風力發電的部分我剛看了就是大概今年的三月就是造成台東縣很多我們無論是縣長議長或者是立委他們都強烈的反對說要在我們東海岸設置風電那部長你的態度呢\n219797\t242054\t報告委員因為今年我們環評委員審到好幾個陸域風機的案子大概都非常的因為基本上陸域風機超過500公尺半徑的話其實它對於民眾的生活上的確是受到很大的影響所以今年的確有好幾個陸域風機特別是在彰化還有台東屏東的都沒有通過\n242734\t257405\t所以其實關於台東那個案件的話我也主動因為我知道台東的民眾很關心這個問題在我們環境部的臉書不過他還沒有正式開發他是預想要開發所以我們也表示說如果要進行陸域風險的開發一定要\n258025\t280845\t特別特別的注意那我們個人來說的話是不鼓勵因為其實這個台灣的土地面積很小如果要有這麼大規模的入域縫隙很難找到地方所以我們基本上一定要相信這邊還是要強烈建議就是說以後如果要設置的話至少要離部落五百公尺以上因為他們設置的地點有些是非常近現在規定就是五百公尺距離就一定要做環評\n281784\t303591\t我做一個數字給部長參考就是500公尺以內如果造成所謂的低頻噪音的話每增加7.86個分貝會造成心跳變快就是說如果說10分貝每增加10分貝的話可能他一天的心跳多了一萬多下所以這個部分就會造成以後無論是心血管無論是他的腦神經衰弱這些部分\n304231\t325025\t就是他們低頻造成的所以這個概念就是要有所以他國外的研究說希望是五百公尺以上是有依據的而不是隨便亂說的現在就是五百公尺距離這個建築物五百公尺都必須要還品接下來請我們衛生部長謝謝環境部長麻煩請衛福部長請備詢\n336605\t353841\t因為每次看到我的話應該還是要想到原建法原建法再過一個月就要兩年了所以我們再講一次專責單位的重要性那為什麼一直要這麼說因為原住民地區確實是非常的辛苦然後每次我們都在講就是衛生所在幾乎承接了所有的\n354361\t376696\t所謂的醫療的照顧那其實我在選舉期間我一直都在說希望能夠衛生所能夠升級升級呢就是比如說變成小醫院或者是醫院的層級規模的時候裡面的醫生的科別才會多護理人員才會增加不然每次都是固定一個地段一個護士所以六個村就是六個護士可是現在的問題五花八門\n378220\t399212\t那個防疫的時候要做防疫有個案死亡的時候要去做香菸這些事情或者說打疫苗的時候全部都要其實都是這幾個人在輪流做嘛所以其實如果說把你有專責單位的話去研究我們原鄉地區的衛生所能不能做一個升級以後呢我們才有下一步的可能不然人力永遠都是緊繃在那裡\n401547\t403889\t所以委員的意思是要提升原鄉衛生所的人力\n432067\t449694\t不然你永遠都是12個人的編制做那麼多事情我想委員長期在基層的衛生所服務很了解到他的服務他可以說是前往位的一個一健康一體的概念在服務的整個社區那我想這個部在人力上的確\n450435\t474736\t不管是醫護相關工位的人才都相當的辛苦是不是我們可以先這個部分我們一般都是先協調縣市衛生局能夠給予資源不管是在人員或者是在醫院的協助之下因為衛生所一般來講都會跟醫院合作所以這個部分如果能夠充分的來合作相信可以解決\n476102\t492897\t目前的問題其實這個也不只在原鄉連在雲林的鄉下哪裡都是這個問題所以應該可以盤點全國特偏地區或是偏遠地區衛生所的人力編制不是每個地區都一樣然後上次提到救護車的事情就是說\n493577\t518161\t明明就是有看到救護車可是沒有救護車司機備請嘛那其實以後可以把衛生所跟消防隊能夠蓋近一點像以前我在霧台衛生所服務的時候消防隊就在隔壁所以不是有後送的時候是不是很方便那像上次發生那個死亡案件就是因為他是衛生所在他前面可是他要叫消防隊是在好幾公里以外來的時候已經超過20分鐘以上\n518641\t539516\t那就是會造成這樣的一個所謂的一個盲點所以其實如果你要救護車要有人開當然一定要有人沒有司機所以你把衛生所跟消防隊如果蓋近一點說不定以後他們人類可以互相搭配然後就可以輪流休息而不是永遠這批人累死了這邊的人就是可以放假這樣你不覺得這樣比較合理嗎對 因為這樣會比較有效力好 那\n546024\t570629\t接下來就是我想問你萊豬的你的態度看到新聞說澳洲的萊豬可以進來了現在的單位是說是法定容許的量嘛對不對 部長法定是0.01那現在查驗出來是0.001ppm所以是在我們的法定國際標準的容許量以下對 那我跟院長我報告一個\n572570\t594791\t資訊就是說2022年環境醫學有一個報告就是萊豬的無論你是不是容許範圍就是反正我們現在按照我們現在的法定的容許量好了他會加速動脈周狀硬化高血脂症也就是說增加我們心臟的一些所謂的風險在所以其實我們不要說他我們國家為了\n596312\t614850\t什麼政策造成說可以容許檢出當然我們還是希望能夠零檢出啦不過還是要告訴說潛在的風險是在這裡不是因為說我們要去完全去block掉這個東西可是你要知道它的危害所以你要告訴國人說這個有這方面的疑慮所以還是要標示可以嗎\n615555\t632697\t相關的報導也告訴我們說它已經是累積到相當程度的量它才會造成身體的一個反應出來那我們認為現在從國內的實用的狀況來講都不會到達那個量但是我們還是要提醒肉商\n633728\t659135\t販賣的業者跟國人能夠自力提高經濟畢竟現在是從澳洲來的嘛所以希望標示能夠還是知道他是澳洲所以國人才可以做選擇第二個就是我們原住民就是我們公費養成計畫這個部分跟部長討論現在他們在公費生在分發的時候有七個順序就是說他可以到原住民地區衛生所可以到原住民地區所屬醫院可以到所屬非教學院這些七個\n660115\t686093\t所以很多選項不過現在有一個陳情就是說他是原住民公費生他想要到診所去服務結果沒有辦法那其實在專科護理師的公費生其實是可以到偏遠地區的診所服務還公費可是醫生卻沒有辦法然後其實我們在這個所謂的七個順序別裡面他有一個第五項就是\n686773\t702782\t原住民地區長期照顧管理中心或是長期照顧服務機構這第五項是他可以到哪裡服務那如果這個診所是做居家醫療的我覺得這是同類型的所以這個同類型的話我覺得可以開放或者是說我們把它直接設置第八點就是說\n703522\t719307\t本席說建議設置原住民地區提供基層醫療居家醫療社區整合照護或安寧照護的服務診所應該作為公務生可以作為公費生旅行服務醫務的單位這是我的第八條建議所以希望以後我們有空的時候可以討論這一點\n720871\t747649\t好 謝謝委員我想這個問題我們其實一直都有討論過因為現在的服務型態已經從醫院診所到社區我們所工作已經從居家醫療到全診照顧到安寧的一個照顧但是問題做這些的團隊其實他是很辛苦而且如果在偏遠地區或山地離島那距離更遠所以其實是\n748269\t774792\t不太有人要做啦所以如果把這個也加進去在裡面在排行七裡面也不一定要第八啦他可能會在前面一點讓更多的這些公會醫師能夠回到其實他醫院裡有時候也沒有位子了但是所以他沒辦法回去服務那如果有願意做居家醫療安寧照顧這種比較辛苦的比較沒人做的\n775559\t796132\t我相信他的順序是可以把他排在前面部長同意嗎同意就是說因為這種比你你如果只是說我去那邊開業那可能當時當跟當時當初設立的原理就不太一樣而且也會引起其他的一個已經在那邊開業的意思的不同意見\n797182\t814152\t最後一個問題就是關於那個就是有波波醫師的爭議的很多醫師單位跟我反映然後是要跟部長強烈的建議就是說新修正的醫師法施行細則裡面他有些他覺得他的一律我念給你聽\n814992\t840972\t也基大學教學品質刊率就是第一個第二個就是說遠距教學他也被承認然後見習時數可以當作實習時數第四個就是說他認為你是圖利特定人士那你可不可以要不要做一些辨別報告委員我想那個細則其實是按照原來的版本把它規劃得更嚴格一點那如果說大家還有誤解的話我想我們都會坐下來談沒有問題\n843075\t866338\t因為比如說演技但是在特別疫情的時候你如果沒有這一條的話大概就我們大概所有的大學的連高中生當時都不用畢業了因為很多連我兒子連建中差不多兩三年大概有一年半都是在視訊所以你沒有這樣的一個規範讓他完整其實也不行那另外在\n867539\t885230\t認定的這個部分那是一個國家每一個國家它有不同的制度我們尊重國家如果這個大家還有疑惑我覺得都可以做下來所以你還是要請那些反波波一式的團體可以跟你們一起討論啊沒問題沒問題覺得說他們都沒有被尊重我們非常樂意來討論\n888100\t910808\t那部長我們有一些養成計畫的公飛生還在外面流浪我想說你還是請特定的就是我們的工作人員或者官員去關心他們去問他們何去何從因為這些沒有被分發的一些公飛畢業生已經超過百位所以希望你可以組一個所謂的小組去協助他們未來怎麼辦可以嗎\n911618\t940764\t還沒有分發的公會醫師我想這個部分我們政府有責任來瞭解我們訓練這麼多醫生他已經訓練好了可是沒辦法回去服務這個部分我們怎麼樣讓他到適當的地方來服務我們的人民我想我們會很用心來研議謝謝部長好 謝謝盧瀉英委員的質詢我們謝謝卓院長 衛福部長 貝許謝謝接下來我們是李彥秀委員質詢蔓郁真委員請準備\n","txt":"主席有請院長跟環境部長麻煩再請卓院長環保部長備詢\n部長好今天我們來談談我們再生能源因為越來越多關電或者是風力發電想要在我們原住民地區來做設施我們來看一下現在美國的比例是大概是多少我剛剛資料是美國現在太陽能的話是22%我們台灣現在是5%也就是說可能以後我們會來越多的關電設施我們可以預期\n那現在考一下彭部長就是說如果一千戶的話大概需要多少的關店面積一千Mega一千戶 一千個家庭\n一千個家庭這個比較難這樣說沒有查資料他說是32的acre也就是說英畝如果換成甲的話是3.35甲如果我們再這樣算如果以後我們要增加那麼多的關電我們以後要設在哪裡你們想過我們大概以後的maximum要到哪一個多少個公畝還是多少個甲的一個關電設施\n要到幾萬公頃的確如果要大的話以後原住民地區可能會越來越多所以我們就討論到原基法的第21條就是說政府或私人與原住民土地或部落及周邊一定範圍內的公有土地從事土地開發資源利用生態保育及學術研究因諮商必取的原住民族或部落同意或參與\n那利益有源民族應該可以共同來分享那現在呢就是公有土地的這個部分跟私有土地這個部分是最受爭議的因為為了業者為了規避很多的一些法令他就是去找了私有地所以在我們\n那個台東的海端鄉的管理員就拉了白布條說這個私人土地是1.5公頃可是縣政府後來就說他是符合所謂的環保的環評那我是希望部長這邊在環評的部分能不能好好把關\n報告委員因為目前是針對於山坡地超過15公頃我們現在是訂單環評但是關於原民關切的部分其實我們環評裡面如果大家有意見的話我們可以列入考慮在裡面未來環評來進行修正不過基本上這個還是要跟原住民基本法裡面的諮商的部分因為這個是兩個平行的時空所以我這次我今年有提出一個修法就是說希望私有土地能夠部落統一\n至少住在這個土地的原住民能夠知道或者是同意這件事情這樣會阻力會比較少可以嗎這個就是可能要在原住民基本法裡面來討論這個東西那我們環評的部分的話我們可以考慮來例如說原民部落這個部分多大的面積要來環評這個部分我們也可以來考慮這個來做這些規劃\n就風力發電的部分我剛看了就是大概今年的三月就是造成台東縣很多我們無論是縣長議長或者是立委他們都強烈的反對說要在我們東海岸設置風電那部長你的態度呢\n報告委員因為今年我們環評委員審到好幾個陸域風機的案子大概都非常的因為基本上陸域風機超過500公尺半徑的話其實它對於民眾的生活上的確是受到很大的影響所以今年的確有好幾個陸域風機特別是在彰化還有台東屏東的都沒有通過\n所以其實關於台東那個案件的話我也主動因為我知道台東的民眾很關心這個問題在我們環境部的臉書不過他還沒有正式開發他是預想要開發所以我們也表示說如果要進行陸域風險的開發一定要\n特別特別的注意那我們個人來說的話是不鼓勵因為其實這個台灣的土地面積很小如果要有這麼大規模的入域縫隙很難找到地方所以我們基本上一定要相信這邊還是要強烈建議就是說以後如果要設置的話至少要離部落五百公尺以上因為他們設置的地點有些是非常近現在規定就是五百公尺距離就一定要做環評\n我做一個數字給部長參考就是500公尺以內如果造成所謂的低頻噪音的話每增加7.86個分貝會造成心跳變快就是說如果說10分貝每增加10分貝的話可能他一天的心跳多了一萬多下所以這個部分就會造成以後無論是心血管無論是他的腦神經衰弱這些部分\n就是他們低頻造成的所以這個概念就是要有所以他國外的研究說希望是五百公尺以上是有依據的而不是隨便亂說的現在就是五百公尺距離這個建築物五百公尺都必須要還品接下來請我們衛生部長謝謝環境部長麻煩請衛福部長請備詢\n因為每次看到我的話應該還是要想到原建法原建法再過一個月就要兩年了所以我們再講一次專責單位的重要性那為什麼一直要這麼說因為原住民地區確實是非常的辛苦然後每次我們都在講就是衛生所在幾乎承接了所有的\n所謂的醫療的照顧那其實我在選舉期間我一直都在說希望能夠衛生所能夠升級升級呢就是比如說變成小醫院或者是醫院的層級規模的時候裡面的醫生的科別才會多護理人員才會增加不然每次都是固定一個地段一個護士所以六個村就是六個護士可是現在的問題五花八門\n那個防疫的時候要做防疫有個案死亡的時候要去做香菸這些事情或者說打疫苗的時候全部都要其實都是這幾個人在輪流做嘛所以其實如果說把你有專責單位的話去研究我們原鄉地區的衛生所能不能做一個升級以後呢我們才有下一步的可能不然人力永遠都是緊繃在那裡\n所以委員的意思是要提升原鄉衛生所的人力\n不然你永遠都是12個人的編制做那麼多事情我想委員長期在基層的衛生所服務很了解到他的服務他可以說是前往位的一個一健康一體的概念在服務的整個社區那我想這個部在人力上的確\n不管是醫護相關工位的人才都相當的辛苦是不是我們可以先這個部分我們一般都是先協調縣市衛生局能夠給予資源不管是在人員或者是在醫院的協助之下因為衛生所一般來講都會跟醫院合作所以這個部分如果能夠充分的來合作相信可以解決\n目前的問題其實這個也不只在原鄉連在雲林的鄉下哪裡都是這個問題所以應該可以盤點全國特偏地區或是偏遠地區衛生所的人力編制不是每個地區都一樣然後上次提到救護車的事情就是說\n明明就是有看到救護車可是沒有救護車司機備請嘛那其實以後可以把衛生所跟消防隊能夠蓋近一點像以前我在霧台衛生所服務的時候消防隊就在隔壁所以不是有後送的時候是不是很方便那像上次發生那個死亡案件就是因為他是衛生所在他前面可是他要叫消防隊是在好幾公里以外來的時候已經超過20分鐘以上\n那就是會造成這樣的一個所謂的一個盲點所以其實如果你要救護車要有人開當然一定要有人沒有司機所以你把衛生所跟消防隊如果蓋近一點說不定以後他們人類可以互相搭配然後就可以輪流休息而不是永遠這批人累死了這邊的人就是可以放假這樣你不覺得這樣比較合理嗎對 因為這樣會比較有效力好 那\n接下來就是我想問你萊豬的你的態度看到新聞說澳洲的萊豬可以進來了現在的單位是說是法定容許的量嘛對不對 部長法定是0.01那現在查驗出來是0.001ppm所以是在我們的法定國際標準的容許量以下對 那我跟院長我報告一個\n資訊就是說2022年環境醫學有一個報告就是萊豬的無論你是不是容許範圍就是反正我們現在按照我們現在的法定的容許量好了他會加速動脈周狀硬化高血脂症也就是說增加我們心臟的一些所謂的風險在所以其實我們不要說他我們國家為了\n什麼政策造成說可以容許檢出當然我們還是希望能夠零檢出啦不過還是要告訴說潛在的風險是在這裡不是因為說我們要去完全去block掉這個東西可是你要知道它的危害所以你要告訴國人說這個有這方面的疑慮所以還是要標示可以嗎\n相關的報導也告訴我們說它已經是累積到相當程度的量它才會造成身體的一個反應出來那我們認為現在從國內的實用的狀況來講都不會到達那個量但是我們還是要提醒肉商\n販賣的業者跟國人能夠自力提高經濟畢竟現在是從澳洲來的嘛所以希望標示能夠還是知道他是澳洲所以國人才可以做選擇第二個就是我們原住民就是我們公費養成計畫這個部分跟部長討論現在他們在公費生在分發的時候有七個順序就是說他可以到原住民地區衛生所可以到原住民地區所屬醫院可以到所屬非教學院這些七個\n所以很多選項不過現在有一個陳情就是說他是原住民公費生他想要到診所去服務結果沒有辦法那其實在專科護理師的公費生其實是可以到偏遠地區的診所服務還公費可是醫生卻沒有辦法然後其實我們在這個所謂的七個順序別裡面他有一個第五項就是\n原住民地區長期照顧管理中心或是長期照顧服務機構這第五項是他可以到哪裡服務那如果這個診所是做居家醫療的我覺得這是同類型的所以這個同類型的話我覺得可以開放或者是說我們把它直接設置第八點就是說\n本席說建議設置原住民地區提供基層醫療居家醫療社區整合照護或安寧照護的服務診所應該作為公務生可以作為公費生旅行服務醫務的單位這是我的第八條建議所以希望以後我們有空的時候可以討論這一點\n好 謝謝委員我想這個問題我們其實一直都有討論過因為現在的服務型態已經從醫院診所到社區我們所工作已經從居家醫療到全診照顧到安寧的一個照顧但是問題做這些的團隊其實他是很辛苦而且如果在偏遠地區或山地離島那距離更遠所以其實是\n不太有人要做啦所以如果把這個也加進去在裡面在排行七裡面也不一定要第八啦他可能會在前面一點讓更多的這些公會醫師能夠回到其實他醫院裡有時候也沒有位子了但是所以他沒辦法回去服務那如果有願意做居家醫療安寧照顧這種比較辛苦的比較沒人做的\n我相信他的順序是可以把他排在前面部長同意嗎同意就是說因為這種比你你如果只是說我去那邊開業那可能當時當跟當時當初設立的原理就不太一樣而且也會引起其他的一個已經在那邊開業的意思的不同意見\n最後一個問題就是關於那個就是有波波醫師的爭議的很多醫師單位跟我反映然後是要跟部長強烈的建議就是說新修正的醫師法施行細則裡面他有些他覺得他的一律我念給你聽\n也基大學教學品質刊率就是第一個第二個就是說遠距教學他也被承認然後見習時數可以當作實習時數第四個就是說他認為你是圖利特定人士那你可不可以要不要做一些辨別報告委員我想那個細則其實是按照原來的版本把它規劃得更嚴格一點那如果說大家還有誤解的話我想我們都會坐下來談沒有問題\n因為比如說演技但是在特別疫情的時候你如果沒有這一條的話大概就我們大概所有的大學的連高中生當時都不用畢業了因為很多連我兒子連建中差不多兩三年大概有一年半都是在視訊所以你沒有這樣的一個規範讓他完整其實也不行那另外在\n認定的這個部分那是一個國家每一個國家它有不同的制度我們尊重國家如果這個大家還有疑惑我覺得都可以做下來所以你還是要請那些反波波一式的團體可以跟你們一起討論啊沒問題沒問題覺得說他們都沒有被尊重我們非常樂意來討論\n那部長我們有一些養成計畫的公飛生還在外面流浪我想說你還是請特定的就是我們的工作人員或者官員去關心他們去問他們何去何從因為這些沒有被分發的一些公飛畢業生已經超過百位所以希望你可以組一個所謂的小組去協助他們未來怎麼辦可以嗎\n還沒有分發的公會醫師我想這個部分我們政府有責任來瞭解我們訓練這麼多醫生他已經訓練好了可是沒辦法回去服務這個部分我們怎麼樣讓他到適當的地方來服務我們的人民我想我們會很用心來研議謝謝部長好 謝謝盧瀉英委員的質詢我們謝謝卓院長 衛福部長 貝許謝謝接下來我們是李彥秀委員質詢蔓郁真委員請準備\n","vtt":"WEBVTT\n\n00:11.147 --> 00:15.937\n主席有請院長跟環境部長麻煩再請卓院長環保部長備詢\n\n00:28.831 --> 00:55.606\n部長好今天我們來談談我們再生能源因為越來越多關電或者是風力發電想要在我們原住民地區來做設施我們來看一下現在美國的比例是大概是多少我剛剛資料是美國現在太陽能的話是22%我們台灣現在是5%也就是說可能以後我們會來越多的關電設施我們可以預期\n\n00:56.306 --> 01:07.904\n那現在考一下彭部長就是說如果一千戶的話大概需要多少的關店面積一千Mega一千戶一千個家庭\n\n01:08.700 --> 01:34.002\n一千個家庭這個比較難這樣說沒有查資料他說是32的acre也就是說英畝如果換成甲的話是3.35甲如果我們再這樣算如果以後我們要增加那麼多的關電我們以後要設在哪裡你們想過我們大概以後的maximum要到哪一個多少個公畝還是多少個甲的一個關電設施\n\n01:35.970 --> 01:57.966\n要到幾萬公頃的確如果要大的話以後原住民地區可能會越來越多所以我們就討論到原基法的第21條就是說政府或私人與原住民土地或部落及周邊一定範圍內的公有土地從事土地開發資源利用生態保育及學術研究因諮商必取的原住民族或部落同意或參與\n\n01:59.187 --> 02:14.404\n那利益有源民族應該可以共同來分享那現在呢就是公有土地的這個部分跟私有土地這個部分是最受爭議的因為為了業者為了規避很多的一些法令他就是去找了私有地所以在我們\n\n02:15.598 --> 02:31.525\n那個台東的海端鄉的管理員就拉了白布條說這個私人土地是1.5公頃可是縣政府後來就說他是符合所謂的環保的環評那我是希望部長這邊在環評的部分能不能好好把關\n\n02:32.766 --> 03:01.705\n報告委員因為目前是針對於山坡地超過15公頃我們現在是訂單環評但是關於原民關切的部分其實我們環評裡面如果大家有意見的話我們可以列入考慮在裡面未來環評來進行修正不過基本上這個還是要跟原住民基本法裡面的諮商的部分因為這個是兩個平行的時空所以我這次我今年有提出一個修法就是說希望私有土地能夠部落統一\n\n03:02.626 --> 03:21.533\n至少住在這個土地的原住民能夠知道或者是同意這件事情這樣會阻力會比較少可以嗎這個就是可能要在原住民基本法裡面來討論這個東西那我們環評的部分的話我們可以考慮來例如說原民部落這個部分多大的面積要來環評這個部分我們也可以來考慮這個來做這些規劃\n\n03:24.310 --> 03:38.104\n就風力發電的部分我剛看了就是大概今年的三月就是造成台東縣很多我們無論是縣長議長或者是立委他們都強烈的反對說要在我們東海岸設置風電那部長你的態度呢\n\n03:39.797 --> 04:02.054\n報告委員因為今年我們環評委員審到好幾個陸域風機的案子大概都非常的因為基本上陸域風機超過500公尺半徑的話其實它對於民眾的生活上的確是受到很大的影響所以今年的確有好幾個陸域風機特別是在彰化還有台東屏東的都沒有通過\n\n04:02.734 --> 04:17.405\n所以其實關於台東那個案件的話我也主動因為我知道台東的民眾很關心這個問題在我們環境部的臉書不過他還沒有正式開發他是預想要開發所以我們也表示說如果要進行陸域風險的開發一定要\n\n04:18.025 --> 04:40.845\n特別特別的注意那我們個人來說的話是不鼓勵因為其實這個台灣的土地面積很小如果要有這麼大規模的入域縫隙很難找到地方所以我們基本上一定要相信這邊還是要強烈建議就是說以後如果要設置的話至少要離部落五百公尺以上因為他們設置的地點有些是非常近現在規定就是五百公尺距離就一定要做環評\n\n04:41.784 --> 05:03.591\n我做一個數字給部長參考就是500公尺以內如果造成所謂的低頻噪音的話每增加7.86個分貝會造成心跳變快就是說如果說10分貝每增加10分貝的話可能他一天的心跳多了一萬多下所以這個部分就會造成以後無論是心血管無論是他的腦神經衰弱這些部分\n\n05:04.231 --> 05:25.025\n就是他們低頻造成的所以這個概念就是要有所以他國外的研究說希望是五百公尺以上是有依據的而不是隨便亂說的現在就是五百公尺距離這個建築物五百公尺都必須要還品接下來請我們衛生部長謝謝環境部長麻煩請衛福部長請備詢\n\n05:36.605 --> 05:53.841\n因為每次看到我的話應該還是要想到原建法原建法再過一個月就要兩年了所以我們再講一次專責單位的重要性那為什麼一直要這麼說因為原住民地區確實是非常的辛苦然後每次我們都在講就是衛生所在幾乎承接了所有的\n\n05:54.361 --> 06:16.696\n所謂的醫療的照顧那其實我在選舉期間我一直都在說希望能夠衛生所能夠升級升級呢就是比如說變成小醫院或者是醫院的層級規模的時候裡面的醫生的科別才會多護理人員才會增加不然每次都是固定一個地段一個護士所以六個村就是六個護士可是現在的問題五花八門\n\n06:18.220 --> 06:39.212\n那個防疫的時候要做防疫有個案死亡的時候要去做香菸這些事情或者說打疫苗的時候全部都要其實都是這幾個人在輪流做嘛所以其實如果說把你有專責單位的話去研究我們原鄉地區的衛生所能不能做一個升級以後呢我們才有下一步的可能不然人力永遠都是緊繃在那裡\n\n06:41.547 --> 06:43.889\n所以委員的意思是要提升原鄉衛生所的人力\n\n07:12.067 --> 07:29.694\n不然你永遠都是12個人的編制做那麼多事情我想委員長期在基層的衛生所服務很了解到他的服務他可以說是前往位的一個一健康一體的概念在服務的整個社區那我想這個部在人力上的確\n\n07:30.435 --> 07:54.736\n不管是醫護相關工位的人才都相當的辛苦是不是我們可以先這個部分我們一般都是先協調縣市衛生局能夠給予資源不管是在人員或者是在醫院的協助之下因為衛生所一般來講都會跟醫院合作所以這個部分如果能夠充分的來合作相信可以解決\n\n07:56.102 --> 08:12.897\n目前的問題其實這個也不只在原鄉連在雲林的鄉下哪裡都是這個問題所以應該可以盤點全國特偏地區或是偏遠地區衛生所的人力編制不是每個地區都一樣然後上次提到救護車的事情就是說\n\n08:13.577 --> 08:38.161\n明明就是有看到救護車可是沒有救護車司機備請嘛那其實以後可以把衛生所跟消防隊能夠蓋近一點像以前我在霧台衛生所服務的時候消防隊就在隔壁所以不是有後送的時候是不是很方便那像上次發生那個死亡案件就是因為他是衛生所在他前面可是他要叫消防隊是在好幾公里以外來的時候已經超過20分鐘以上\n\n08:38.641 --> 08:59.516\n那就是會造成這樣的一個所謂的一個盲點所以其實如果你要救護車要有人開當然一定要有人沒有司機所以你把衛生所跟消防隊如果蓋近一點說不定以後他們人類可以互相搭配然後就可以輪流休息而不是永遠這批人累死了這邊的人就是可以放假這樣你不覺得這樣比較合理嗎對因為這樣會比較有效力好那\n\n09:06.024 --> 09:30.629\n接下來就是我想問你萊豬的你的態度看到新聞說澳洲的萊豬可以進來了現在的單位是說是法定容許的量嘛對不對部長法定是0.01那現在查驗出來是0.001ppm所以是在我們的法定國際標準的容許量以下對那我跟院長我報告一個\n\n09:32.570 --> 09:54.791\n資訊就是說2022年環境醫學有一個報告就是萊豬的無論你是不是容許範圍就是反正我們現在按照我們現在的法定的容許量好了他會加速動脈周狀硬化高血脂症也就是說增加我們心臟的一些所謂的風險在所以其實我們不要說他我們國家為了\n\n09:56.312 --> 10:14.850\n什麼政策造成說可以容許檢出當然我們還是希望能夠零檢出啦不過還是要告訴說潛在的風險是在這裡不是因為說我們要去完全去block掉這個東西可是你要知道它的危害所以你要告訴國人說這個有這方面的疑慮所以還是要標示可以嗎\n\n10:15.555 --> 10:32.697\n相關的報導也告訴我們說它已經是累積到相當程度的量它才會造成身體的一個反應出來那我們認為現在從國內的實用的狀況來講都不會到達那個量但是我們還是要提醒肉商\n\n10:33.728 --> 10:59.135\n販賣的業者跟國人能夠自力提高經濟畢竟現在是從澳洲來的嘛所以希望標示能夠還是知道他是澳洲所以國人才可以做選擇第二個就是我們原住民就是我們公費養成計畫這個部分跟部長討論現在他們在公費生在分發的時候有七個順序就是說他可以到原住民地區衛生所可以到原住民地區所屬醫院可以到所屬非教學院這些七個\n\n11:00.115 --> 11:26.093\n所以很多選項不過現在有一個陳情就是說他是原住民公費生他想要到診所去服務結果沒有辦法那其實在專科護理師的公費生其實是可以到偏遠地區的診所服務還公費可是醫生卻沒有辦法然後其實我們在這個所謂的七個順序別裡面他有一個第五項就是\n\n11:26.773 --> 11:42.782\n原住民地區長期照顧管理中心或是長期照顧服務機構這第五項是他可以到哪裡服務那如果這個診所是做居家醫療的我覺得這是同類型的所以這個同類型的話我覺得可以開放或者是說我們把它直接設置第八點就是說\n\n11:43.522 --> 11:59.307\n本席說建議設置原住民地區提供基層醫療居家醫療社區整合照護或安寧照護的服務診所應該作為公務生可以作為公費生旅行服務醫務的單位這是我的第八條建議所以希望以後我們有空的時候可以討論這一點\n\n12:00.871 --> 12:27.649\n好謝謝委員我想這個問題我們其實一直都有討論過因為現在的服務型態已經從醫院診所到社區我們所工作已經從居家醫療到全診照顧到安寧的一個照顧但是問題做這些的團隊其實他是很辛苦而且如果在偏遠地區或山地離島那距離更遠所以其實是\n\n12:28.269 --> 12:54.792\n不太有人要做啦所以如果把這個也加進去在裡面在排行七裡面也不一定要第八啦他可能會在前面一點讓更多的這些公會醫師能夠回到其實他醫院裡有時候也沒有位子了但是所以他沒辦法回去服務那如果有願意做居家醫療安寧照顧這種比較辛苦的比較沒人做的\n\n12:55.559 --> 13:16.132\n我相信他的順序是可以把他排在前面部長同意嗎同意就是說因為這種比你你如果只是說我去那邊開業那可能當時當跟當時當初設立的原理就不太一樣而且也會引起其他的一個已經在那邊開業的意思的不同意見\n\n13:17.182 --> 13:34.152\n最後一個問題就是關於那個就是有波波醫師的爭議的很多醫師單位跟我反映然後是要跟部長強烈的建議就是說新修正的醫師法施行細則裡面他有些他覺得他的一律我念給你聽\n\n13:34.992 --> 14:00.972\n也基大學教學品質刊率就是第一個第二個就是說遠距教學他也被承認然後見習時數可以當作實習時數第四個就是說他認為你是圖利特定人士那你可不可以要不要做一些辨別報告委員我想那個細則其實是按照原來的版本把它規劃得更嚴格一點那如果說大家還有誤解的話我想我們都會坐下來談沒有問題\n\n14:03.075 --> 14:26.338\n因為比如說演技但是在特別疫情的時候你如果沒有這一條的話大概就我們大概所有的大學的連高中生當時都不用畢業了因為很多連我兒子連建中差不多兩三年大概有一年半都是在視訊所以你沒有這樣的一個規範讓他完整其實也不行那另外在\n\n14:27.539 --> 14:45.230\n認定的這個部分那是一個國家每一個國家它有不同的制度我們尊重國家如果這個大家還有疑惑我覺得都可以做下來所以你還是要請那些反波波一式的團體可以跟你們一起討論啊沒問題沒問題覺得說他們都沒有被尊重我們非常樂意來討論\n\n14:48.100 --> 15:10.808\n那部長我們有一些養成計畫的公飛生還在外面流浪我想說你還是請特定的就是我們的工作人員或者官員去關心他們去問他們何去何從因為這些沒有被分發的一些公飛畢業生已經超過百位所以希望你可以組一個所謂的小組去協助他們未來怎麼辦可以嗎\n\n15:11.618 --> 15:40.764\n還沒有分發的公會醫師我想這個部分我們政府有責任來瞭解我們訓練這麼多醫生他已經訓練好了可是沒辦法回去服務這個部分我們怎麼樣讓他到適當的地方來服務我們的人民我想我們會很用心來研議謝謝部長好謝謝盧瀉英委員的質詢我們謝謝卓院長衛福部長貝許謝謝接下來我們是李彥秀委員質詢蔓郁真委員請準備\n\n","segments":[{"start":11.147,"end":15.937,"text":"主席有請院長跟環境部長麻煩再請卓院長環保部長備詢"},{"start":28.831,"end":55.606,"text":"部長好今天我們來談談我們再生能源因為越來越多關電或者是風力發電想要在我們原住民地區來做設施我們來看一下現在美國的比例是大概是多少我剛剛資料是美國現在太陽能的話是22%我們台灣現在是5%也就是說可能以後我們會來越多的關電設施我們可以預期"},{"start":56.306,"end":67.904,"text":"那現在考一下彭部長就是說如果一千戶的話大概需要多少的關店面積一千Mega一千戶 一千個家庭"},{"start":68.7,"end":94.002,"text":"一千個家庭這個比較難這樣說沒有查資料他說是32的acre也就是說英畝如果換成甲的話是3.35甲如果我們再這樣算如果以後我們要增加那麼多的關電我們以後要設在哪裡你們想過我們大概以後的maximum要到哪一個多少個公畝還是多少個甲的一個關電設施"},{"start":95.97,"end":117.966,"text":"要到幾萬公頃的確如果要大的話以後原住民地區可能會越來越多所以我們就討論到原基法的第21條就是說政府或私人與原住民土地或部落及周邊一定範圍內的公有土地從事土地開發資源利用生態保育及學術研究因諮商必取的原住民族或部落同意或參與"},{"start":119.187,"end":134.404,"text":"那利益有源民族應該可以共同來分享那現在呢就是公有土地的這個部分跟私有土地這個部分是最受爭議的因為為了業者為了規避很多的一些法令他就是去找了私有地所以在我們"},{"start":135.598,"end":151.525,"text":"那個台東的海端鄉的管理員就拉了白布條說這個私人土地是1.5公頃可是縣政府後來就說他是符合所謂的環保的環評那我是希望部長這邊在環評的部分能不能好好把關"},{"start":152.766,"end":181.705,"text":"報告委員因為目前是針對於山坡地超過15公頃我們現在是訂單環評但是關於原民關切的部分其實我們環評裡面如果大家有意見的話我們可以列入考慮在裡面未來環評來進行修正不過基本上這個還是要跟原住民基本法裡面的諮商的部分因為這個是兩個平行的時空所以我這次我今年有提出一個修法就是說希望私有土地能夠部落統一"},{"start":182.626,"end":201.533,"text":"至少住在這個土地的原住民能夠知道或者是同意這件事情這樣會阻力會比較少可以嗎這個就是可能要在原住民基本法裡面來討論這個東西那我們環評的部分的話我們可以考慮來例如說原民部落這個部分多大的面積要來環評這個部分我們也可以來考慮這個來做這些規劃"},{"start":204.31,"end":218.104,"text":"就風力發電的部分我剛看了就是大概今年的三月就是造成台東縣很多我們無論是縣長議長或者是立委他們都強烈的反對說要在我們東海岸設置風電那部長你的態度呢"},{"start":219.797,"end":242.054,"text":"報告委員因為今年我們環評委員審到好幾個陸域風機的案子大概都非常的因為基本上陸域風機超過500公尺半徑的話其實它對於民眾的生活上的確是受到很大的影響所以今年的確有好幾個陸域風機特別是在彰化還有台東屏東的都沒有通過"},{"start":242.734,"end":257.405,"text":"所以其實關於台東那個案件的話我也主動因為我知道台東的民眾很關心這個問題在我們環境部的臉書不過他還沒有正式開發他是預想要開發所以我們也表示說如果要進行陸域風險的開發一定要"},{"start":258.025,"end":280.845,"text":"特別特別的注意那我們個人來說的話是不鼓勵因為其實這個台灣的土地面積很小如果要有這麼大規模的入域縫隙很難找到地方所以我們基本上一定要相信這邊還是要強烈建議就是說以後如果要設置的話至少要離部落五百公尺以上因為他們設置的地點有些是非常近現在規定就是五百公尺距離就一定要做環評"},{"start":281.784,"end":303.591,"text":"我做一個數字給部長參考就是500公尺以內如果造成所謂的低頻噪音的話每增加7.86個分貝會造成心跳變快就是說如果說10分貝每增加10分貝的話可能他一天的心跳多了一萬多下所以這個部分就會造成以後無論是心血管無論是他的腦神經衰弱這些部分"},{"start":304.231,"end":325.025,"text":"就是他們低頻造成的所以這個概念就是要有所以他國外的研究說希望是五百公尺以上是有依據的而不是隨便亂說的現在就是五百公尺距離這個建築物五百公尺都必須要還品接下來請我們衛生部長謝謝環境部長麻煩請衛福部長請備詢"},{"start":336.605,"end":353.841,"text":"因為每次看到我的話應該還是要想到原建法原建法再過一個月就要兩年了所以我們再講一次專責單位的重要性那為什麼一直要這麼說因為原住民地區確實是非常的辛苦然後每次我們都在講就是衛生所在幾乎承接了所有的"},{"start":354.361,"end":376.696,"text":"所謂的醫療的照顧那其實我在選舉期間我一直都在說希望能夠衛生所能夠升級升級呢就是比如說變成小醫院或者是醫院的層級規模的時候裡面的醫生的科別才會多護理人員才會增加不然每次都是固定一個地段一個護士所以六個村就是六個護士可是現在的問題五花八門"},{"start":378.22,"end":399.212,"text":"那個防疫的時候要做防疫有個案死亡的時候要去做香菸這些事情或者說打疫苗的時候全部都要其實都是這幾個人在輪流做嘛所以其實如果說把你有專責單位的話去研究我們原鄉地區的衛生所能不能做一個升級以後呢我們才有下一步的可能不然人力永遠都是緊繃在那裡"},{"start":401.547,"end":403.889,"text":"所以委員的意思是要提升原鄉衛生所的人力"},{"start":432.067,"end":449.694,"text":"不然你永遠都是12個人的編制做那麼多事情我想委員長期在基層的衛生所服務很了解到他的服務他可以說是前往位的一個一健康一體的概念在服務的整個社區那我想這個部在人力上的確"},{"start":450.435,"end":474.736,"text":"不管是醫護相關工位的人才都相當的辛苦是不是我們可以先這個部分我們一般都是先協調縣市衛生局能夠給予資源不管是在人員或者是在醫院的協助之下因為衛生所一般來講都會跟醫院合作所以這個部分如果能夠充分的來合作相信可以解決"},{"start":476.102,"end":492.897,"text":"目前的問題其實這個也不只在原鄉連在雲林的鄉下哪裡都是這個問題所以應該可以盤點全國特偏地區或是偏遠地區衛生所的人力編制不是每個地區都一樣然後上次提到救護車的事情就是說"},{"start":493.577,"end":518.161,"text":"明明就是有看到救護車可是沒有救護車司機備請嘛那其實以後可以把衛生所跟消防隊能夠蓋近一點像以前我在霧台衛生所服務的時候消防隊就在隔壁所以不是有後送的時候是不是很方便那像上次發生那個死亡案件就是因為他是衛生所在他前面可是他要叫消防隊是在好幾公里以外來的時候已經超過20分鐘以上"},{"start":518.641,"end":539.516,"text":"那就是會造成這樣的一個所謂的一個盲點所以其實如果你要救護車要有人開當然一定要有人沒有司機所以你把衛生所跟消防隊如果蓋近一點說不定以後他們人類可以互相搭配然後就可以輪流休息而不是永遠這批人累死了這邊的人就是可以放假這樣你不覺得這樣比較合理嗎對 因為這樣會比較有效力好 那"},{"start":546.024,"end":570.629,"text":"接下來就是我想問你萊豬的你的態度看到新聞說澳洲的萊豬可以進來了現在的單位是說是法定容許的量嘛對不對 部長法定是0.01那現在查驗出來是0.001ppm所以是在我們的法定國際標準的容許量以下對 那我跟院長我報告一個"},{"start":572.57,"end":594.791,"text":"資訊就是說2022年環境醫學有一個報告就是萊豬的無論你是不是容許範圍就是反正我們現在按照我們現在的法定的容許量好了他會加速動脈周狀硬化高血脂症也就是說增加我們心臟的一些所謂的風險在所以其實我們不要說他我們國家為了"},{"start":596.312,"end":614.85,"text":"什麼政策造成說可以容許檢出當然我們還是希望能夠零檢出啦不過還是要告訴說潛在的風險是在這裡不是因為說我們要去完全去block掉這個東西可是你要知道它的危害所以你要告訴國人說這個有這方面的疑慮所以還是要標示可以嗎"},{"start":615.555,"end":632.697,"text":"相關的報導也告訴我們說它已經是累積到相當程度的量它才會造成身體的一個反應出來那我們認為現在從國內的實用的狀況來講都不會到達那個量但是我們還是要提醒肉商"},{"start":633.728,"end":659.135,"text":"販賣的業者跟國人能夠自力提高經濟畢竟現在是從澳洲來的嘛所以希望標示能夠還是知道他是澳洲所以國人才可以做選擇第二個就是我們原住民就是我們公費養成計畫這個部分跟部長討論現在他們在公費生在分發的時候有七個順序就是說他可以到原住民地區衛生所可以到原住民地區所屬醫院可以到所屬非教學院這些七個"},{"start":660.115,"end":686.093,"text":"所以很多選項不過現在有一個陳情就是說他是原住民公費生他想要到診所去服務結果沒有辦法那其實在專科護理師的公費生其實是可以到偏遠地區的診所服務還公費可是醫生卻沒有辦法然後其實我們在這個所謂的七個順序別裡面他有一個第五項就是"},{"start":686.773,"end":702.782,"text":"原住民地區長期照顧管理中心或是長期照顧服務機構這第五項是他可以到哪裡服務那如果這個診所是做居家醫療的我覺得這是同類型的所以這個同類型的話我覺得可以開放或者是說我們把它直接設置第八點就是說"},{"start":703.522,"end":719.307,"text":"本席說建議設置原住民地區提供基層醫療居家醫療社區整合照護或安寧照護的服務診所應該作為公務生可以作為公費生旅行服務醫務的單位這是我的第八條建議所以希望以後我們有空的時候可以討論這一點"},{"start":720.871,"end":747.649,"text":"好 謝謝委員我想這個問題我們其實一直都有討論過因為現在的服務型態已經從醫院診所到社區我們所工作已經從居家醫療到全診照顧到安寧的一個照顧但是問題做這些的團隊其實他是很辛苦而且如果在偏遠地區或山地離島那距離更遠所以其實是"},{"start":748.269,"end":774.792,"text":"不太有人要做啦所以如果把這個也加進去在裡面在排行七裡面也不一定要第八啦他可能會在前面一點讓更多的這些公會醫師能夠回到其實他醫院裡有時候也沒有位子了但是所以他沒辦法回去服務那如果有願意做居家醫療安寧照顧這種比較辛苦的比較沒人做的"},{"start":775.559,"end":796.132,"text":"我相信他的順序是可以把他排在前面部長同意嗎同意就是說因為這種比你你如果只是說我去那邊開業那可能當時當跟當時當初設立的原理就不太一樣而且也會引起其他的一個已經在那邊開業的意思的不同意見"},{"start":797.182,"end":814.152,"text":"最後一個問題就是關於那個就是有波波醫師的爭議的很多醫師單位跟我反映然後是要跟部長強烈的建議就是說新修正的醫師法施行細則裡面他有些他覺得他的一律我念給你聽"},{"start":814.992,"end":840.972,"text":"也基大學教學品質刊率就是第一個第二個就是說遠距教學他也被承認然後見習時數可以當作實習時數第四個就是說他認為你是圖利特定人士那你可不可以要不要做一些辨別報告委員我想那個細則其實是按照原來的版本把它規劃得更嚴格一點那如果說大家還有誤解的話我想我們都會坐下來談沒有問題"},{"start":843.075,"end":866.338,"text":"因為比如說演技但是在特別疫情的時候你如果沒有這一條的話大概就我們大概所有的大學的連高中生當時都不用畢業了因為很多連我兒子連建中差不多兩三年大概有一年半都是在視訊所以你沒有這樣的一個規範讓他完整其實也不行那另外在"},{"start":867.539,"end":885.23,"text":"認定的這個部分那是一個國家每一個國家它有不同的制度我們尊重國家如果這個大家還有疑惑我覺得都可以做下來所以你還是要請那些反波波一式的團體可以跟你們一起討論啊沒問題沒問題覺得說他們都沒有被尊重我們非常樂意來討論"},{"start":888.1,"end":910.808,"text":"那部長我們有一些養成計畫的公飛生還在外面流浪我想說你還是請特定的就是我們的工作人員或者官員去關心他們去問他們何去何從因為這些沒有被分發的一些公飛畢業生已經超過百位所以希望你可以組一個所謂的小組去協助他們未來怎麼辦可以嗎"},{"start":911.618,"end":940.764,"text":"還沒有分發的公會醫師我想這個部分我們政府有責任來瞭解我們訓練這麼多醫生他已經訓練好了可是沒辦法回去服務這個部分我們怎麼樣讓他到適當的地方來服務我們的人民我想我們會很用心來研議謝謝部長好 謝謝盧瀉英委員的質詢我們謝謝卓院長 衛福部長 貝許謝謝接下來我們是李彥秀委員質詢蔓郁真委員請準備"}]}}},"gazette":{"lineno":264,"blocks":[["盧委員縣一：（15時35分）主席，有請院長跟環境部長。"],["主席：麻煩再請卓院長、環境部長備詢。"],["卓院長榮泰：盧委員好。"],["盧委員縣一：部長好。今天我們來談談再生能源，因為越來越多光電或者是風力發電想要在我們原住民地區做設施。我們來看一下現在美國的比率大概是多少，我看資料美國現在太陽能的話是22%，我們臺灣現在是5%，也就是說，可能以後我們會有越來越多的光電設施，我們可以預期。現在考一下彭部長，如果1,000戶的話，大概需要多少光電面積？"],["彭部長啓明：1,000Mega？"],["盧委員縣一：1,000戶，1,000個家庭。"],["彭部長啓明：1,000個家庭？這個比較難講……"],["盧委員縣一：我有查資料，它說是32acre（英畝），如果換成甲的話是13.35甲，我們再這樣算，如果以後我們要增加那麼多光電，那要設在哪裡？你有沒有想過我們以後maximum要到多少公畝，還是多少甲的光電設施？"],["彭部長啓明：要到幾萬公頃。"],["盧委員縣一：是。"],["彭部長啓明：的確，如果要大的話是要到……"],["盧委員縣一：以後原住民地區可能會越來越多，所以我們就討論到原基法第二十一條：政府或私人於原住民族土地或部落及其周邊一定範圍內之公有土地從事土地開發、資源利用、生態保育及學術研究，應諮商並取得原住民族或部落同意或參與，原住民得分享相關利益。現在就是公有土地這個部分跟私有土地這個部分是最受爭議的，因為業者為了規避很多法令就去找了私有地，所以臺東海端鄉的廣原村就拉了白布條，說這個私人土地是1.5公頃，可是縣政府後來說它符合所謂的環評。部長在環評的部分能不能好好把關？"],["彭部長啓明：報告委員，目前是針對山坡地超過15公頃，我們現在是訂環評，但是關於原民關切的部分，其實環評裡面如果大家有意見的話，我們可以列入考慮，未來環評再進行修正。不過，基本上這個還是要跟原住民基本法裡面諮商的部分，因為這是兩個平行的時空，如果諮商可以來進行。"],["盧委員縣一：是，所以我今年有提出一個修法，希望私有土地能夠經部落同意，至少住在這個土地的原住民能夠知道或者是同意這件事情，這樣阻力會比較少，可以嗎？"],["彭部長啓明：這個可能要在原住民基本法裡面討論這個東西，我們環評的部分可以考慮，例如原民部落多大面積要進行環評，這個部分我們也可以考慮做這些規劃。"],["盧委員縣一：OK！就風力發電的部分，我剛剛看了，今年3月造成臺東縣很多，無論是縣長、議長或者是立委，他們都強烈反對要在我們東海岸設置風電。部長，你的態度呢？"],["彭部長啓明：報告委員，今年我們環評委員審到好幾個陸域風機的案子，大概都非常的……基本上陸域風機超過半徑500公尺的話，其實它讓民眾的生活的確受到很大的影響，所以今年的確有好幾個陸域風機，特別是在彰化，還有屏東的都沒有通過。關於臺東那個案件，我知道臺東的民眾很關心這個問題，在環境部的臉書……不過它還沒有正式開發，是預想要開發。所以我們也表示如果要進行陸域風機的開發一定要特別特別地注意，個人來說的話是不鼓勵，因為其實臺灣的土地面積很小，如果要有大規模的陸域風機很難找到地方，所以基本上一定要詳細評估……"],["盧委員縣一：本席還是要強力建議，如果以後要設置的話，至少要離部落500公尺以上，因為他們設置的地點有些是非常近。"],["彭部長啓明：現在規定就是距離500公尺就一定要做環評。"],["盧委員縣一：對，我拿一個數字給部長參考，500公尺以內如果造成低頻噪音的話，每增加7.86分貝會造成心跳變快，也就是每增加10分貝的話，可能一天的心跳多了一萬多下，以後就會造成無論是心血管、腦神經衰弱，這些部分就是低頻噪音造成的，這個概念你要先有。所以國外研究希望500公尺以上是有依據的，不是隨便亂說。"],["彭部長啓明：對，現在就是距離這個建築物500公尺都必須要環評。"],["盧委員縣一：好，接下來請衛福部長。"],["主席：謝謝環境部長。","麻煩請衛福部長備詢。"],["邱部長泰源：委員好。"],["盧委員縣一：部長，每次看到我應該就要想到原健法，原健法再過一個月就要兩年了，所以我們再講一次專責單位的重要性，為什麼一直要這麼說？因為原住民地區確實是非常的辛苦，每次我們都在講衛生所幾乎承接所有的醫療照顧，其實我在選舉期間一直都在說，希望衛生所能夠升級，譬如變成小醫院或醫院層級規模的時候，裡面的醫生科別才會多、護理人員才會增加，不然每次都是固定1個地段1個護士，所以6個村就是6個護士，可是現在的問題五花八門，防疫的時候要做防疫、有個案死亡的時候要去相驗，或要打疫苗的時候，這些事情全部都要……其實都是那這幾個人在輪流做嘛！如果你有專責單位的話，去研究原鄉地區衛生所能不能升級，升級以後我們才有下一步的可能，不然人力永遠都是緊繃在那裡。部長可以嗎？不要明年再來質詢的時候，專責單位還是沒有成立。"],["邱部長泰源：所以委員的意思是要提升原鄉衛生所的……"],["盧委員縣一：人力，就是要把衛生所升級，升級以後人力才可以進來，不然我每次都說衛生所只有2個醫生，它的編制就是這樣嘛！比如霧台鄉衛生所變成偏遠地區醫院的話，它是不是科別就會變多、護理人員可以相對變多、做長照的人也可以進來，不然永遠都是12人的編制要做那麼多事情。"],["邱部長泰源：是，我想委員長期在基層衛生所服務，可以說是全方位健康一體的概念在服務整個社區，在人力上的確不管是醫護、公衛相關的人才都相當的辛苦，這個部分一般都是先協調縣市衛生局能夠給予支援，不管是在人員或在醫院的協助之下，因為衛生所一般都會跟醫院合作，所以這個部分如果能夠充分的合作，相信可以解決目前的問題，其實這個也不只在原鄉，連在雲林縣鄉下，哪裡都有這個問題。"],["盧委員縣一：是啊！所以應該可以盤點全國特定地區或偏遠地區衛生所的人力編制，不是每一個地區都一樣。"],["邱部長泰源：是。"],["盧委員縣一：上次提到救護車的事情，明明有看到救護車，可是沒有救護車司機備勤。其實以後可以把衛生所跟消防隊蓋近一點，像以前我在霧台衛生所服務的時候，消防隊就在隔壁，所以有後送的時候是不是就很方便？像上次發生死亡案件，就是因為衛生所在他前面，可是要叫消防隊是在好幾公里以外，來的時候已經超過20分鐘以上，就會造成所謂的盲點。其實救護車要有人開，當然一定要有司機，所以衛生所跟消防隊如果蓋近一點，說不定以後人力可以互相搭配、輪流休息，而不是永遠這一批人累死，這邊的人就是可以放假，你不覺得這樣比較合理嗎？"],["邱部長泰源：對，因為這樣會比較有效率。"],["盧委員縣一：好，接下來我想問你對萊豬的態度。看到新聞說澳洲的萊豬可以進來了，現在的單位是法定容許的量嘛？對不對？部長。"],["卓院長榮泰：法定是0.01，現在查驗出來是0.001，所以是在國際標準的法定容許量以下。"],["盧委員縣一：我跟院長報告一個資訊，2022年環境醫學有一個報告說萊豬無論是不是容許範圍，反正按照我們現在的法定容許量好了，它會加速動脈粥狀硬化、高血脂症，也就是會增加我們心臟的風險。所以我們國家不要為了什麼政策造成可以容許檢出，當然我們還是希望能夠零檢出，不過還是要提醒潛在的風險是在這裡，不是我們要完全去block掉這個東西，你要知道它的危害，要告訴國人有這方面的疑慮，所以還是要標示可以嗎？"],["卓院長榮泰：是，相關的報導也告訴我們，它是累積到相當程度的量才會造成身體反應出來，我們認為現在從國內食用的狀況來講都不會到達那個量，但是我們還是要提醒肉商、販賣業者跟國人能夠自律提高警覺。"],["盧委員縣一：畢竟現在是從澳洲來的，所以希望能標示、能知道來自澳洲，國人才可以選擇。","第二個跟部長討論我們原住民公費養成計畫的部分。現在公費生在分發的時候有七個順序，他可以到原住民地區衛生所、可以到原住民地區所屬醫院、可以到非教學醫院等這七個機構，很多選項。不過現在有一個陳情，他是原住民公費生，他想要到診所去服務結果沒有辦法。其實專科護理師的公費生可以到偏遠地區的診所服務還公費，可是醫生卻沒有辦法，然後在這七個順序別裡面的第五項就是原住民地區長期照顧管理中心或是長期照顧服務機構，這第五項是他可以到那裡服務。如果這個診所是做居家醫療，我覺得這是屬於同類型，所以同類型我覺得可以開放或者是我們把它直接設置第八點。本席建議設置原住民地區提供基層醫療、居家醫療、社區整合照護或安寧照護的服務診所應該可以作為公費生履行服務義務的單位，這是我的第八條建議，希望我們有空的時候可以討論這一點。"],["邱部長泰源：好，謝謝委員，這個問題我們其實一直都有討論，因為現在的服務型態已經從醫院、診所到社區，我們的工作已經從居家醫療到全人照護到安寧照護，做這些工作的團隊其實是很辛苦的，而且如果在偏遠地區或山地離島距離更遠，所以其實不太有人要做。"],["盧委員縣一：是。"],["邱部長泰源：如果把這個也加進去排行七裡面，也不一定要到第八，它可能可以在前面一點。其實公費醫師在醫院有時候也沒有位置，所以他沒辦法回去服務，如果有願意做居家醫療、安寧照護這種比較辛苦的、比較沒人做的，我相信它的順序可以排在前面。"],["盧委員縣一：對，所以部長同意嘛？"],["邱部長泰源：我們來研議，因為這總比你如果只是去那邊開業，可能跟當初設立的原意就不太一樣，而且也會引起其他已經在那邊開業的醫師有不同的意見。"],["盧委員縣一：最後一個問題是關於波波醫師的爭議，很多醫師單位跟我反映，也要跟部長強烈地建議。關於新修正的醫師法施行細則，他覺得有些疑慮，我唸給你聽，野雞大學教學品質堪慮，這是第一個；第二個就是遠距教學也被承認，然後見習時數可以當作實習時數；第四個就是他認為你是圖利特定人士。你要不要做一些辨白？"],["邱部長泰源：報告委員，我想那個細則其實是按照原來的版本把它規劃得更嚴格一點，如果大家還有誤解，我想我們都可以坐下來談，沒有問題，因為譬如說遠距，那是特別在疫情的時候，你如果沒有這一條，我們大概所有大學，連高中生當時都不用畢業了，連我兒子念建中，差不多兩、三年中大概有一年半都是在視訊，所以你沒有這樣讓它完整的規範，其實也不行。","另外，在認定的部分，每一個國家有不同的制度，我們是尊重國家制度，如果這個大家還有疑惑，我覺得都可以坐下來再談。"],["盧委員縣一：所以你還是要請那些反波波醫師的團體可以跟你們一起討論。"],["邱部長泰源：沒有問題。"],["盧委員縣一：他們覺得都沒有被尊重。"],["邱部長泰源：我們非常樂意討論。"],["盧委員縣一：部長，我們有一些養成計畫的公費生還在外面流浪，我想你還是請特定的工作人員或是官員去關心他們，問他們何去何從，因為這些沒有被分發的公費畢業生已經超過百位，希望你可以組一個的小組去協助他們的未來，可以嗎？"],["邱部長泰源：還沒有分發的公費醫師？"],["盧委員縣一：對。"],["邱部長泰源：好，這個部分，政府有責任了解。"],["盧委員縣一：不然我們訓練這麼多醫生，沒有……"],["邱部長泰源：看怎麼安排，他已經學好也訓練好了，可是就是沒辦法回去服務。"],["盧委員縣一：是。"],["邱部長泰源：這個部分我們怎麼讓他到適當的地方來服務我們的人民，我們會很用心研議。"],["盧委員縣一：好，謝謝部長。"],["主席：謝謝盧縣一委員的質詢，也謝謝卓院長、衛福部長備詢，謝謝。","接下來請李彥秀委員質詢，麥玉珍委員請準備。"]],"agenda":{"page_end":218,"meet_id":"院會-11-3-10","speakers":["韓國瑜","江啟臣","陳超明","黃建賓","魯明哲","顏寬恒","陳玉珍","林倩綺","林沛祥","黃國昌","林國成","李昆澤","林月琴","賴士葆","黃秀芳","王正旭","盧縣一","李彥秀","楊曜","麥玉珍","廖偉翔","陳菁徽","林淑芬","馬文君","邱若華","蘇巧慧"],"page_start":117,"meetingDate":["2025-05-06"],"gazette_id":"1144201","agenda_lcidc_ids":["1144201_00004","1144201_00005"],"meet_name":"立法院第11屆第3會期第10次會議紀錄","content":"施政質詢\n對行政院院長提出施政方針及施政報告繼續質詢─ 詢答完畢─","agenda_id":"1144201_00004"}}}