{"error":false,"id":["152186"],"data":{"IVOD_ID":152186,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/152186","日期":"2024-05-06","影片種類":"Clip","開始時間":"2024-05-06T09:50:57+08:00","結束時間":"2024-05-06T09:57:29+08:00","影片長度":"00:06:32","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6319d5f220c85a68402a7785856a556e310b11d8215eda9ed65503e05c7869ecd3fd2c7e8cb69e775ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林月琴","委員發言時間":"09:50:57 - 09:57:29","會議時間":"2024-05-06T09:00:00+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（事由：舉行「全民健康保險醫療給付費用總額之現況與展望」公聽會）","transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":0.03096875,"end":0.85784375},{"speaker":"SPEAKER_00","start":10.797218750000003,"end":15.083468750000002},{"speaker":"SPEAKER_00","start":15.302843750000001,"end":20.027843750000002},{"speaker":"SPEAKER_00","start":20.26409375,"end":47.820968750000006},{"speaker":"SPEAKER_00","start":48.02346875,"end":81.21659375},{"speaker":"SPEAKER_00","start":81.41909375,"end":87.71346875},{"speaker":"SPEAKER_00","start":89.53596875000001,"end":89.99159375},{"speaker":"SPEAKER_00","start":90.49784375,"end":103.44096875000001},{"speaker":"SPEAKER_00","start":103.55909375,"end":121.10909375000001},{"speaker":"SPEAKER_00","start":121.46346875,"end":128.75346875},{"speaker":"SPEAKER_00","start":129.37784375,"end":149.88096875000002},{"speaker":"SPEAKER_00","start":150.60659375,"end":157.40721875},{"speaker":"SPEAKER_00","start":157.49159375000002,"end":159.44909375},{"speaker":"SPEAKER_00","start":159.85409375,"end":183.68159375000002},{"speaker":"SPEAKER_00","start":183.86721875,"end":196.01721875},{"speaker":"SPEAKER_00","start":196.33784375000002,"end":206.24346875},{"speaker":"SPEAKER_00","start":206.53034375000001,"end":207.03659375},{"speaker":"SPEAKER_00","start":207.52596875,"end":208.01534375},{"speaker":"SPEAKER_00","start":208.36971875,"end":217.75221875000003},{"speaker":"SPEAKER_00","start":218.29221875000002,"end":226.99971875000003},{"speaker":"SPEAKER_00","start":227.20221875000001,"end":228.85596875000002},{"speaker":"SPEAKER_00","start":229.09221875,"end":233.73284375000003},{"speaker":"SPEAKER_00","start":234.30659375000002,"end":255.92346875},{"speaker":"SPEAKER_00","start":256.02471875000003,"end":257.22284375000004},{"speaker":"SPEAKER_00","start":257.54346875,"end":260.83409375},{"speaker":"SPEAKER_00","start":261.22221875,"end":263.34846875},{"speaker":"SPEAKER_00","start":263.58471875000004,"end":268.37721875},{"speaker":"SPEAKER_00","start":269.55846875000003,"end":275.04284375000003},{"speaker":"SPEAKER_00","start":275.51534375,"end":275.97096875},{"speaker":"SPEAKER_00","start":276.76409375000003,"end":277.23659375},{"speaker":"SPEAKER_00","start":278.45159375000003,"end":337.75034375},{"speaker":"SPEAKER_00","start":338.07096875,"end":348.14534375},{"speaker":"SPEAKER_00","start":348.48284375000003,"end":356.46471875000003},{"speaker":"SPEAKER_00","start":356.83596875,"end":360.12659375000004},{"speaker":"SPEAKER_00","start":360.48096875000005,"end":367.07909375},{"speaker":"SPEAKER_00","start":367.23096875000005,"end":388.18971875},{"speaker":"SPEAKER_00","start":389.38784375,"end":392.45909375}],"whisperx":[{"start":0.069,"end":27.502,"text":"委員發言感謝我們的與會的各界專家學者前來本院一起關心我們全民健康保險改革的大議題那像根據衛福部我們的統計大概全民健保剛剛前面有講就是說有高達九成的滿意度"},{"start":28.147,"end":54.609,"text":"這也大概就是過去我們醫界來成就這件事情可是這套制度一直備受質疑所以現行我們的總額支付上限制度是不是過度壓縮醫院的利潤那這時候要來檢討我覺得也是必須性的那可是我是來自社福界因為過去一直在服務的是弱勢家庭的兒少那面對這樣的一個議題我馬上聯想到107年"},{"start":58.372,"end":65.819,"text":"民間團體沒有辦法去標因為加了很多項目之後大家沒有辦法做那一樣的我想健保也是這樣"},{"start":81.502,"end":86.227,"text":"因為我們的病患過多跟項目過多擠加進去之後那當然就會影響到總額"},{"start":89.737,"end":90.578,"text":"林月琴議員"},{"start":119.497,"end":119.797,"text":"主席"},{"start":144.571,"end":144.991,"text":"林月琴議員"},{"start":162.788,"end":178.364,"text":"國家社會福利預算總支出的1.7倍所以健保的占比比較大的時候跟其他各項支出的聯動性就會比較強所以如果比例減少一點點這其他各類的支出就會有些空間可是相反的"},{"start":178.724,"end":178.864,"text":"林月琴議員"},{"start":208.43,"end":208.63,"text":"林月琴議員"},{"start":234.326,"end":234.546,"text":"林月琴議員"},{"start":263.643,"end":263.683,"text":"主席"},{"start":284,"end":285.301,"text":"今天就還望大家給出一個更好的"},{"start":313.44,"end":313.62,"text":"李慧琼議員"},{"start":334.819,"end":335.92,"text":"衛福部在長照這個用我們的論案件計酬的架構底下"},{"start":362.964,"end":363.364,"text":"林月琴委員"}]}},"supported_relations":[],"relations":[]}