{"error":false,"id":["153344"],"data":{"IVOD_ID":153344,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/153344","日期":"2024-05-30","會議資料":{"會議代碼":"委員會-11-1-26-19","會議代碼:str":"第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議","屆":11,"會期":1,"會次":19,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議"},"影片種類":"Clip","開始時間":"2024-05-30T10:27:36+08:00","結束時間":"2024-05-30T10:35:03+08:00","影片長度":"00:07:27","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/bbbc431469b8aeba9c0875d9af240182ea2e07370b40154bbeba37a180c9b1cd9dbcd45e44a4b4e55ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"李彥秀","委員發言時間":"10:27:36 - 10:35:03","會議時間":"2024-05-30T09:00:00+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19次全體委員會議（事由：審查\n一、委員許宇甄等22人擬具「老人福利法增訂第二十二條之一條文草案」案。\n二、委員馬文君等16人擬具「老人福利法第二十五條條文修正草案」案。\n三、委員張嘉郡等20人擬具「老人福利法第二十二條條文修正草案」案。\n四、國民黨黨團擬具「老人福利法第二十二條條文修正草案」案。\n五、委員黃健豪等17人擬具「老人福利法第二十二條條文修正草案」案。\n六、委員王育敏等19人擬具「老人福利法第二十二條條文修正草案」案。\n七、台灣民眾黨黨團擬具「老人福利法第二十二條及第二十五條條文修正草案」案。\n【第七案，如經復議，則不予審查】）","gazette":{"lineno":477,"blocks":[["李委員彥秀：（10時27分）我請次長，謝謝。次長，我剛剛聽到你回答張委員的說法，健保要永續，所以要思考老人福利法。我還是要提醒你，包括勞保政策，偉大的何部長說補貼、撥補也是一個政策，這幾年經濟、景氣非常好，超徵稅收，錢也很多，所以我覺得這也是另外一個思考模式，怎麼樣對高齡化的社會福利照顧得多一點？特別你是留德的社工博士，瞭解社會福利在高齡化、老人化之後，對臺灣來說非常重要，不要成為年輕人、下一代、下下一代的負擔。今天委員會提出這個修法，代表現在各縣市是一國多制，有一些縣市對65歲以上有補助，有一些縣市沒有，我真的不希望各縣市好像開車比賽，大家都不斷加碼，挪來挪去，但是各縣市的錢就這麼多，挪到最後有時候還是會排擠其他的預算，我個人覺得也不是好事。在這個思考的前提下，你又是社工博士，對於社會福利是最清楚的，所以還是要嚴謹地思考。","老人福利政策到這邊，我還是要回過頭問一下最近大家關注整個衛福部的議題。有關輸液的部分，它是寡占市場，原有的廠商因為GMP的關係關廠之後，現在就有缺貨的危機。當然在這一段時間，我看到衛福部有幾項政策要調整，食藥署在5月22號的時候表示，供貨吃緊到10月，每個月依舊有196萬瓶的缺口，衛福部在這一段時間也重新定義缺藥只是供貨吃緊。輸液很重要，沒有輸液開不了刀，病房缺輸液，這是很大的問題，很大的大事，這不是供貨吃緊的問題，這是大事耶！次長，現在到底是怎樣？現在我們市場上的狀況到底是怎麼樣？我們的需求狀況到底是怎麼樣？"],["呂次長建德：非常感謝委員的關心。這個議題是不是可以允許我請同仁來……"],["李委員彥秀：時間暫停。趕快回應，你們現在到底是怎麼樣？"],["吳副組長明美：報告委員，剛剛所提到目前缺口的部分，永豐的話之前就生理水的部分，月供應量確實是196萬袋，我們協調國內的……"],["李委員彥秀：這是缺口，目前我看到的是6月10日第一批可以專案到貨，後面的呢？"],["吳副組長明美：後面陸陸續續每個禮拜也都會到貨，專案輸入的部分，其實國內……"],["李委員彥秀：所以就不缺了？還是吃緊、還是有缺口？"],["吳副組長明美：我們也有請國內的業者持續提高產能，國內業者可以幫忙的是50萬袋。"],["李委員彥秀：搞一條生產線至少要半年以上的時間，拜託！搞一條生產線要半年以上的時間耶！"],["吳副組長明美：目前這些廠商……"],["李委員彥秀：現在市場、醫院大量的需求，這是寡占市場，你們這個不提供出來是大事！"],["吳副組長明美：目前我們都已經協調國內廠商，國內廠商可以增加產能的部分是一個月有50萬袋。"],["李委員彥秀：我知道你有各式各樣的方法，所以這件事情我就調頭回來，無論是輸液的缺口，還有過去幾年你們很多藥品的缺口，我覺得都沒有一個更好的機制。今天林靜儀次長在臉書上貼文講一大堆，同樣的話之前王必勝次長也講過「全力配合臨床端用藥……研擬防缺藥政策以提前預防藥品短缺」，對我來說你們這個都叫做口號，我們的缺藥，包括這次輸液的缺口，我覺得一直不斷地在發生，所以都沒有具體解決的方案和方式，都是同樣的，換一個部長也是同樣的口號啊！換一個政次也是！所以怎麼處理？"],["吳副組長明美：報告委員，其實在去年（112年）3月的時候，藥品供應通報處理中心有建立專人專責、跨司署的一個合作計畫，這些日子以來，我們除了建置藥品供應資訊平臺……"],["李委員彥秀：你們底下的都是同一批人，4年前到現在你們都是同一批人，在我看來都是藉口，寫這些文青式的解決方案和方式都是藉口！但是對民眾端、病人來講，或者對醫院端、需求者端來講，我覺得你們都沒有真正解決缺藥的問題。","最後我再用30秒問一下，我覺得要想出一個真正的對策，而不只是用藉口來回應，這兩天針對50至64歲，你們現在在鼓勵大家施打23價肺炎鏈球菌疫苗，目前有10萬劑庫存，這個效期是到什麼時候？因為我最近接到很多電話，能夠降低施打年齡層當然是好事，但這只是暫時，未來這個政策會不會持續？這是我的第一個問題，也就是針對肺炎鏈球菌疫苗的部分。第二個問題，這個效期是到什麼時候？你們這次突然開放，是因為效期快到了，所以才突然開放嗎？不知道？不會講？"],["呂次長建德：是不是允許我們會後再提供給委員，可以嗎？"],["李委員彥秀：這個民眾想知道耶！","再給我1分鐘的時間。"],["呂次長建德：抱歉，因為今天疾管署沒有來。"],["李委員彥秀：次長，我要提醒你，當然肺炎鏈球菌疫苗降到50歲以上者可以施打，我個人是支持這個政策，希望不是暫時性的，但今年是因為我們庫存過多才鼓勵大家施打。我覺得，庫存過多的這件事情不能提早預防，施打的宣傳效果其實應該有不同的政策及方式。"],["呂次長建德：OK。"],["李委員彥秀：所以我提醒你們，我覺得未來的決策可能要重新調整。"],["呂次長建德：是。"],["李委員彥秀：要不然的話，你們未來就是50歲以上都採公費施打，我支持，但不要等到最後，我不知道這批什麼時候過期，我聽到的是6月底之前就要過期了，所以你們現在叫人家趕快來施打，我覺得這樣不好啦！我提醒你們，這個政策這樣子是有問題的，這個決策有問題，要不然你就提早管控，5月中、5月初可能庫存很多，趕快鼓勵大家、趕快降低年齡層公費施打，這個時候才叫大家來，我覺得你們的決策有問題。"],["呂次長建德：OK，非常感謝委員。"],["主席：謝謝李彥秀委員。","我們現在休息5分鐘。","休息（10時35分）","繼續開會（10時41分）"],["主席：我們繼續開會。","接下來請鄭天財Sra Kacaw委員，鄭天財Sra Kacaw委員、鄭天財Sra Kacaw委員不在。","鄭正鈐、鄭正鈐、鄭正鈐委員不在。","羅明才、羅明才、羅明才委員不在。","張嘉郡、張嘉郡、張嘉郡委員不在。","請林淑芬委員質詢。"]],"agenda":{"page_end":212,"meet_id":"委員會-11-1-26-19","speakers":["王育敏","許宇甄","張嘉郡","陳昭姿","林月琴","廖偉翔","黃秀芳","黃健豪","張智倫","李彥秀","林淑芬","楊瓊瓔","陳瑩","劉建國","徐欣瑩","楊曜","陳菁徽","盧縣一","涂權吉","蘇清泉"],"page_start":149,"meetingDate":["2024-05-30"],"gazette_id":"1135501","agenda_lcidc_ids":["1135501_00003"],"meet_name":"立法院第11屆第1會期社會福利及衛生環境委員會第19次全體委員會議紀錄","content":"審查一、委員許宇甄等22人擬具「老人福利法增訂第二十二條之一條文草案」案；二、委員馬文\n君等16人擬具「老人福利法第二十五條條文修正草案」案；三、委員張嘉郡等20人擬具「老人福\n利法第二十二條條文修正草案」案；四、國民黨黨團擬具「老人福利法第二十二條條文修正草\n案」案；五、委員黃健豪等17人擬具「老人福利法第二十二條條文修正草案」案；六、委員王育\n敏等19人擬具「老人福利法第二十二條條文修正草案」案；七、台灣民眾黨黨團擬具「老人福利\n法第二十二條及第二十五條條文修正草案」案","agenda_id":"1135501_00002"}},"transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":3.79409375,"end":4.3678437500000005},{"speaker":"SPEAKER_01","start":5.38034375,"end":6.56159375},{"speaker":"SPEAKER_01","start":9.902843750000002,"end":63.36284375},{"speaker":"SPEAKER_01","start":63.81846875,"end":131.85846875000001},{"speaker":"SPEAKER_00","start":98.51346875,"end":98.54721875},{"speaker":"SPEAKER_02","start":98.54721875,"end":98.58096875000001},{"speaker":"SPEAKER_01","start":132.33096875,"end":132.60096875000002},{"speaker":"SPEAKER_01","start":133.07346875000002,"end":133.69784375},{"speaker":"SPEAKER_01","start":134.25471875,"end":147.07971875},{"speaker":"SPEAKER_01","start":147.14721875,"end":147.75471875000002},{"speaker":"SPEAKER_01","start":148.48034375,"end":149.84721875},{"speaker":"SPEAKER_01","start":150.69096875,"end":155.95596875},{"speaker":"SPEAKER_00","start":156.09096875,"end":162.09846875000002},{"speaker":"SPEAKER_01","start":161.54159375,"end":162.01409375},{"speaker":"SPEAKER_01","start":162.09846875000002,"end":162.67221875},{"speaker":"SPEAKER_00","start":162.67221875,"end":163.87034375000002},{"speaker":"SPEAKER_01","start":163.87034375000002,"end":164.22471875000002},{"speaker":"SPEAKER_00","start":164.22471875000002,"end":164.29221875000002},{"speaker":"SPEAKER_02","start":165.32159375,"end":176.98221875000002},{"speaker":"SPEAKER_01","start":176.07096875000002,"end":176.89784375000002},{"speaker":"SPEAKER_01","start":176.98221875000002,"end":178.38284375},{"speaker":"SPEAKER_02","start":177.28596875000002,"end":197.11409375000002},{"speaker":"SPEAKER_01","start":186.14534375000002,"end":188.15346875},{"speaker":"SPEAKER_01","start":194.92034375,"end":198.97034375},{"speaker":"SPEAKER_01","start":199.72971875000002,"end":204.23534375000003},{"speaker":"SPEAKER_02","start":203.00346875000002,"end":204.04971875},{"speaker":"SPEAKER_02","start":204.23534375000003,"end":204.26909375000002},{"speaker":"SPEAKER_01","start":204.72471875000002,"end":205.50096875000003},{"speaker":"SPEAKER_01","start":205.78784375,"end":213.75284375},{"speaker":"SPEAKER_02","start":214.84971875000002,"end":222.25784375},{"speaker":"SPEAKER_01","start":220.78971875000002,"end":252.70034375000003},{"speaker":"SPEAKER_01","start":254.43846875000003,"end":255.13034375},{"speaker":"SPEAKER_01","start":256.14284375,"end":262.90971875},{"speaker":"SPEAKER_01","start":263.24721875,"end":265.72784375000003},{"speaker":"SPEAKER_01","start":266.85846875000004,"end":269.20409375},{"speaker":"SPEAKER_01","start":269.77784375000005,"end":269.96346875},{"speaker":"SPEAKER_02","start":269.96346875,"end":272.12346875000003},{"speaker":"SPEAKER_02","start":272.34284375000004,"end":279.05909375000005},{"speaker":"SPEAKER_02","start":279.34596875,"end":282.99096875000004},{"speaker":"SPEAKER_02","start":283.07534375,"end":286.88909375000003},{"speaker":"SPEAKER_02","start":286.97346875,"end":288.82971875000004},{"speaker":"SPEAKER_01","start":287.24346875000003,"end":288.84659375},{"speaker":"SPEAKER_02","start":288.84659375,"end":288.88034375},{"speaker":"SPEAKER_01","start":288.88034375,"end":290.85471875},{"speaker":"SPEAKER_01","start":293.04846875000004,"end":295.12409375000004},{"speaker":"SPEAKER_01","start":295.30971875,"end":296.01846875},{"speaker":"SPEAKER_01","start":296.32221875000005,"end":297.67221875},{"speaker":"SPEAKER_01","start":297.89159375,"end":301.75596875},{"speaker":"SPEAKER_01","start":301.80659375000005,"end":305.09721875},{"speaker":"SPEAKER_01","start":305.72159375,"end":338.08784375000005},{"speaker":"SPEAKER_01","start":338.49284375,"end":347.35221875},{"speaker":"SPEAKER_01","start":347.80784375,"end":351.31784375},{"speaker":"SPEAKER_01","start":351.70596875,"end":358.86096875000004},{"speaker":"SPEAKER_01","start":360.61596875000004,"end":361.17284375},{"speaker":"SPEAKER_00","start":361.81409375000004,"end":366.35346875000005},{"speaker":"SPEAKER_01","start":366.64034375,"end":367.90596875},{"speaker":"SPEAKER_00","start":367.90596875,"end":368.81721875000005},{"speaker":"SPEAKER_01","start":368.32784375,"end":369.91409375},{"speaker":"SPEAKER_00","start":371.48346875000004,"end":375.01034375},{"speaker":"SPEAKER_01","start":375.01034375,"end":375.02721875000003},{"speaker":"SPEAKER_01","start":375.75284375,"end":391.66596875000005},{"speaker":"SPEAKER_01","start":392.13846875,"end":393.21846875},{"speaker":"SPEAKER_01","start":394.12971875000005,"end":395.85096875000005},{"speaker":"SPEAKER_01","start":396.40784375000004,"end":403.29284375000003},{"speaker":"SPEAKER_02","start":403.29284375000003,"end":403.66409375},{"speaker":"SPEAKER_01","start":403.39409375,"end":405.30096875000004},{"speaker":"SPEAKER_00","start":403.66409375,"end":403.68096875000003},{"speaker":"SPEAKER_01","start":405.57096875,"end":406.33034375000005},{"speaker":"SPEAKER_01","start":407.02221875000004,"end":413.80596875000003},{"speaker":"SPEAKER_00","start":410.63346875,"end":411.52784375000005},{"speaker":"SPEAKER_01","start":414.27846875,"end":422.14221875000004},{"speaker":"SPEAKER_01","start":422.47971875,"end":426.12471875},{"speaker":"SPEAKER_00","start":424.03221875,"end":424.40346875},{"speaker":"SPEAKER_01","start":426.58034375000005,"end":427.67721875},{"speaker":"SPEAKER_01","start":428.31846875,"end":442.72971875},{"speaker":"SPEAKER_00","start":443.05034375,"end":443.40471875000003},{"speaker":"SPEAKER_01","start":443.40471875000003,"end":443.53971875},{"speaker":"SPEAKER_00","start":443.53971875,"end":443.60721875},{"speaker":"SPEAKER_00","start":443.77596875,"end":445.56471875000005},{"speaker":"SPEAKER_01","start":445.56471875000005,"end":446.89784375000005}],"whisperx":[{"start":3.853,"end":24.126,"text":"市長,我請市長,謝謝。市長,我剛聽到你回答張委員的說法,就是說健保要永續,所以要去思考這個老人福利法。我還是要提醒你,就是說,其實包括這個老保的政策,"},{"start":24.906,"end":24.946,"text":"﹑李彥秀﹑"},{"start":44.542,"end":62.919,"text":" ﹏社會福利對於高齡化老人化之後對台灣來說是非常的重要。不要成為年輕人我們下一代下下一代的負擔。所以我覺得今天委員會提出來這個修法其實也代表著其實現在各縣市是一國多制。"},{"start":63.78,"end":87.978,"text":"⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯"},{"start":88.078,"end":104.851,"text":" »:所以我覺得還是要去嚴謹做思考。好,這個老人福利政策到這邊,我還是要回過頭來問一下最近大家關注的整個衛福部的議題。有關輸益的部分,它是一個寡占市場,那因為我們原有的廠商因為GMP的關係關廠之後,我們現在就有缺貨的"},{"start":109.014,"end":109.054,"text":"﹚李彥秀﹚"},{"start":133.166,"end":135.087,"text":"市長,現在到底是怎麼回事?"},{"start":150.572,"end":164.275,"text":" ﹏﹏﹏"},{"start":165.539,"end":187.733,"text":"報告委員,有剛剛所提到目前缺口的部分,永豐的話他之前就生理水源水的部分,月供量確實是196萬袋。那我們協調國內的徐主任﹑這是缺口?我目前看是6月10號第一批可以專案到貨,後面勒?後面陸陸續續每個禮拜也都會到貨,專案輸入的部分。那其實﹑所以就不缺了?還是缺口?"},{"start":191.235,"end":213.242,"text":"我們也有請國內的業者呢,持續的提高產能。國內業者有…搞一條生產限制是要半年以上的時間了,拜託!搞一條生產限制要半年以上的時間欸!所以我現在…是在…現在市場、醫院大量的需求,衛福部這個是寡占市場,你們這個不提供出來是大事欸!"},{"start":214.858,"end":214.978,"text":"﹚李彥秀﹚"},{"start":232.31,"end":232.43,"text":"﹚李彥秀﹚李彥秀﹚"},{"start":256.135,"end":266.084,"text":" ﹏﹏﹏"},{"start":266.912,"end":267.012,"text":"﹚李彥秀﹚"},{"start":295.384,"end":315.538,"text":"⋯⋯⋯⋯"},{"start":315.598,"end":315.638,"text":"﹚李彥秀﹚"},{"start":338.61,"end":358.386,"text":"提降低到施打年齡層當然是好事但是這只是暫時未來會不會這個政策會不會持續這是我第一個問題肺炎練球桿菌市長第二個問題這個校旗是到多少到什麼時候你們這一次突然開放是因為校旗快到了所以才突然開放嗎不知道"},{"start":362.52,"end":374.765,"text":"拜託!我們是不是可以允許我們會後再提供給委員,可以嗎?這個民眾想知道捏,給我一分鐘,給我一分鐘。抱歉因為今天期關署他沒有來,抱歉。"},{"start":375.936,"end":392.728,"text":"市長我要提醒你如果是因為我覺得當然肺炎練球桿菌可以降到50歲以上可以施打我個人是支持這個政策我希望不是暫時性的但是今年是因為我們庫存過多才鼓勵大家施打那我覺得"},{"start":394.121,"end":406.715,"text":" ﹏﹏﹏"},{"start":407.056,"end":427.892,"text":"⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯"},{"start":428.359,"end":428.659,"text":"李彥秀委員"}]}},"supported_relations":[],"relations":[]}