{"error":false,"id":["154403"],"data":{"IVOD_ID":154403,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/154403","日期":"2024-07-01","會議資料":{"會議代碼":"委員會-11-1-26-23","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23次全體委員會議","屆":11,"會期":1,"會次":23,"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23次全體委員會議"},"影片種類":"Clip","開始時間":"2024-07-01T09:49:50+08:00","結束時間":"2024-07-01T10:01:04+08:00","影片長度":"00:11:14","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1f04b26fe05fa65ab15d27d45e2e3c8bfe28e669f0977b51132ad209ccdc25714f2bf9e8252050fc5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"邱鎮軍","委員發言時間":"09:49:50 - 10:01:04","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。）","gazette":{"lineno":249,"blocks":[["邱委員鎮軍：（9時49分）主席好，一樣請部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["邱委員鎮軍：部長好。我請問一下，最近看了報導，賴總統設了三個委員會，也一直強調這些委員會的任務必須以國家整體的角度來推動，所以會設在總統府，其中有一個委員會就和衛福部的業務相關。我想請問部長，未來您是聽這個委員會的指揮嗎？"],["邱部長泰源：我想因為總統本身是一個相當優秀的醫師，他也長期關心醫療發展，所以他擔任總統以後很希望……"],["邱委員鎮軍：所以這個委員會凌駕在行政院之上？"],["邱部長泰源：不會，因為我們的政策絕對經過完全的溝通，不管是總統府、行政院以及衛福部，我們在……"],["邱委員鎮軍：我想請問一下，這個委員會包含全民健保、智慧醫療，還有癌症新藥及防治。我看部長今天的報告跟這個範圍是差不多的，以後在您辦事情的時候、在施政的時候、在推展業務的時候會不會受到影響？"],["邱部長泰源：站在我的角度，我非常感恩，感恩在新政府就任之前，全臺灣一千多個醫療專業的同仁開了6次大會，研討國家現在、目前醫療方面的問題……"],["邱委員鎮軍：所以你現在的意思是說，衛福部就是聽命於這些委員會的指揮了，是這樣嗎？他們說什麼就是什麼？"],["邱部長泰源：這是委員制，大家都提供專業的建議……"],["邱委員鎮軍：那要行政院幹什麼呢？"],["邱部長泰源：行政院當然……"],["邱委員鎮軍：要衛福部幹什麼？"],["邱部長泰源：行政院當然就是要幫忙籌備預算……"],["邱委員鎮軍：我希望你還是要堅持，畢竟衛福部負責我們臺灣所有的衛福業務，而您是最高的執行者。如果賴總統有他的想法，當然可以跟你們直接溝通，但他成立這個委員會，怎麼讓我感覺部長只是個傀儡？"],["邱部長泰源：應該不至於，因為在籌備的過程當中我有完全參與。"],["邱委員鎮軍：有完全參與？"],["邱部長泰源：所以包括……"],["邱委員鎮軍：我再請教部長，這個委員會業務涉及全民健保預算、醫療體系跟生技、醫藥產業的發展，不僅涉及龐大預算，也跟產業發展有重大關係，這些都不需要被監督嗎？都不用有法源依據？"],["邱部長泰源：我想這個委員會大概比較屬於專家方向的討論，然後行政院當然就是落實到國家希望的工程來整體運作，而我們衛福部就是落實與健康臺灣相關的議題，所以我想這樣的結合應該會相當順暢，也請委員放心，衛福部絕對會站在……"],["邱委員鎮軍：我很懷疑賴總統的動機，他是不是要把行政院架空？還是想要廢掉衛福部？所以部長要小心！"],["邱部長泰源：請委員放心，應該不會有這種事情！"],["邱委員鎮軍：本席之前就說過，政府也一直強調醫療平權，但在臺灣新藥科技已經變成一種階級門檻，有錢的才有活命的機會。臺灣平均4分19秒就有一人得到癌症，去年平均9分53秒就有一人死於癌症，癌症死亡比前年快轉了14秒！為此，設置百億癌症基金並在合理可被監督檢視的情況下，我相信大家都會支持。我們國民黨幾位立委也提到要修癌症防治法，你們的報告也說要修癌症防治法，請問部長什麼時候會提？"],["邱部長泰源：跟委員報告，癌症的治療，站在醫師的立場，我們真的感覺連一天都不能等了，所以能夠越快上路、越快來幫助這些癌症病人越好！"],["邱委員鎮軍：到底什麼時候？"],["邱部長泰源：像今年就有一個……"],["邱委員鎮軍：部長，你只要講什麼時候就好。"],["邱部長泰源：我們明年會用公務預算來做百億基金的事情，至於修法……"],["邱委員鎮軍：你講到公務預算……"],["邱部長泰源：我也當過立法委員，所以我很清楚，當一個法提出來時，尤其癌症法是一個大法，裡面至少會有三、四個版本以上……"],["邱委員鎮軍：我知道，所以我們希望部裡面儘快提出來，不要只有在野黨的版本。"],["邱部長泰源：沒問題、沒問題。"],["邱委員鎮軍：另外，你剛剛提到百億基金要用公務預算支出，這跟健保總額有沒有關係？"],["邱部長泰源：沒有關係。"],["邱委員鎮軍：沒有關係？"],["邱部長泰源：而且應該可以減輕健保總額的壓力。"],["邱委員鎮軍：我想問一下，這些專款到時候是要編列預算還是怎麼樣？"],["邱部長泰源：當然是公務預算啊！"],["邱委員鎮軍：新的預算？"],["邱部長泰源：新的公務預算。"],["邱委員鎮軍：這些部分哪些新藥可以用？哪些患者符合癌症新藥專款作業的要點？你們什麼時候會訂定？"],["邱部長泰源：這部分我想請健保署具體簡短回答一下。"],["石署長崇良：跟委員報告，目前規劃的方向主要是針對臨床效益跟財務衝擊比較不確定性、多數沒有完成三期臨床試驗的癌症新藥為目標。確實在臨床上病人有這樣的需求，才會納入討論；整個的運作方式，我們會訂出作業要點，在年底前就會發布。"],["邱委員鎮軍：這關係到我們國人的健康，也關乎大家的利益，我希望部長能儘快。除了加速癌症新藥外，還有新科技納入健保，這個問題也是一樣，你要走哪個部分呢？要納入健保嗎？"],["邱部長泰源：這個已經有多年的經驗，我們怎麼樣在不影響健保的總額之下慢慢開放……"],["邱委員鎮軍：什麼叫不影響健保總額？"],["邱部長泰源：如果我們開放得太快，一下子會對健保總額產生衝擊……"],["邱委員鎮軍：我知道大家可能還沒準備好，沒關係，我還是那句話─儘快，好不好？"],["邱部長泰源：好。"],["邱委員鎮軍：不要到時候又讓大家聽了一頭霧水，好不好？最近食藥署吳署長辭職事件引發社會關注，部長與吳前署長的說法存在矛盾；外界傳聞他辭職是因為對政策方向和內部管理的不滿，並與輸液事件發生派系鬥爭有關，部長，是不是這樣子？"],["邱部長泰源：衛福部過去多年來因應了多少醫療跟防疫的困境，也成為國際的驕傲，我想衛福部的團結沒有問題，也沒有任何派系之爭……"],["邱委員鎮軍：我知道你會這樣回答！我再問你，新的莊署長即將接任，可是他半年後就要退休了，所以我想請問部長，對於新署長只有來半年，未來會不會再尋找新的人選？"],["邱部長泰源：跟委員報告，因為食藥署的工作相當繁重，也非常重要，其實這幾個月也徵詢了……"],["邱委員鎮軍：他只來半年……"],["邱部長泰源：也徵詢很多人，各大醫學院、藥學院的院長幾乎都被徵詢了，大部分都拒絕。"],["邱委員鎮軍：我還是要建議部長的就是如果他來只做半年，我不是說他能力不夠，我只是擔心他時間不夠……"],["邱部長泰源：請委員放心，以他的能力……"],["邱委員鎮軍：如果他只能做半年，你們是不是要儘快去尋找個人選，好不好？"],["邱部長泰源：我們是一個AI的團隊，一天可以當三天來做，我相信一定可以給我們很多的貢獻。"],["邱委員鎮軍：好。最後一個，我們苗栗縣基層的醫師嚴重不足，本席對於優化偏鄉醫療精進計畫非常期待，第一期已經補助全臺灣104名偏鄉醫生，可是苗栗還是有許多衛生所缺醫生啦！我看到第二期幾乎都著重在牙醫的培訓，花了二十幾億都是用在培訓外國學歷的牙醫學員。我要講的就是說，其實我們不在乎他是哪一邊的，無論這個牙醫是不是國外或者是不是本地的，我們要的是，尤其是偏鄉，我們要的是有一個醫師來解決他們的問題，部長怎麼看這件事情？"],["邱部長泰源：偏鄉的醫療人力不只是西醫啦，牙醫也是非常缺乏，很多的鄉都還是幾十年的那個老牙醫啦，所以我想衛福部在過去能夠注重到這個……"],["邱委員鎮軍：偏鄉有多少牙醫不足，部長知道嗎？"],["邱部長泰源：全國尚有157個牙醫醫療資源不足的地區，其中54個鄉鎮區無牙醫師執業。"],["邱委員鎮軍：對啊，所以我請部長儘快幫忙，好不好？"],["邱部長泰源：一定、一定。"],["邱委員鎮軍：希望能在越短的時間來把它完成，可以嗎？"],["邱部長泰源：當然，我想我們要幫忙的計畫的原意都是好的，但是其中施行的內容……"],["邱委員鎮軍：我知道啦！"],["邱部長泰源：大家都可以再討論，才不會一直在爭議……"],["邱委員鎮軍：因為大家都講很久了，我想新的部長上任，我也期待部長能有一個新的作為、新的成績，好不好？"],["邱部長泰源：好，一定努力。"],["邱委員鎮軍：好，謝謝部長！"],["邱部長泰源：好，謝謝委員！"],["主席：謝謝邱鎮軍委員的發言。","接下來請王育敏委員發言。"]],"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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因為在籌備的過程當中我是有完全的參與我是有完絕的參與所以那個包括那我再請教 我再請教我們的部長就是說這個委員會涉及全民健保的預算醫療體系跟生技醫藥產業的發展這涉及龐大的預算跟產業的這個重大的發展的關係這個都不需要被監督嗎都不用有法源依據"},{"start":203.973,"end":226.596,"text":"我想這個委員會大概會比較屬於專家的一個方向的一個討論然後行政院當然就要落實到國家希望的工程整體來運作那我們衛福部就是以健康台灣相關的議題來落實所以我想這樣的一個結合是應該是相當的順暢"},{"start":228.021,"end":246.346,"text":"那我也請委員放心,衛福部絕對會戰略以...因為我很懷疑我們賴總統的動機他是不是要把行政院架空還是想要廢掉衛福部所以部長你要小心請委員放心,應該不會有這種事情"},{"start":248.206,"end":268.674,"text":"本席之前就說過政府也說過一直強調醫療平權但在臺灣新藥科技變成一種階級門檻有錢的才有活命的機會臺灣平均4分19秒就有一人得到癌症去年平均9分53秒就有一人死於癌症"},{"start":270.314,"end":291.031,"text":"指望比前年快轉了14秒那設置百億癌症基金在合理可被監督檢視的情況下我相信大家都會支持我們國民黨的幾位立委也有提到要修癌症防治法你們的報告裡也說過要修癌症防治法請問部長什麼時候會提"},{"start":292.726,"end":310.755,"text":"跟委員報告因為癌症的治療真的站在我們醫師的立場我們感覺上一天都不能等了所以能夠越快上路越快幫助這些癌症病人越好所以像今年就有一個部長你只要講什麼時候就好那個我們明年"},{"start":311.815,"end":315.018,"text":"致以修法,我想我也,我也當過那個立法委員發言,我也清楚,當你一個法提出來的話,尤其癌症法是一個大法,"},{"start":329.071,"end":356.193,"text":"所以我們希望部裡面盡快提出來不要只有在野版的版本好沒問題沒問題那另外就是說你剛剛提到百億基金是要用公務預算支出這跟我們的健保總額有沒有關係沒有關係沒有關係啦應該可以減輕健保總額的壓力那我想問一下這些專款是到時候是在便利預算還是怎麼樣"},{"start":358.361,"end":373.4,"text":"新的公務預算那這些部分哪些新藥可以用哪些患者符合癌症的新藥專款作業的要點我們什麼時候會訂定我想請健保署具體檢調回答一下"},{"start":374.02,"end":400.419,"text":"跟委員報告目前的規劃方向呢那主要就是針對在臨床效益跟這個財務衝擊比較有不確定性多數就是沒有完成三期臨床試驗的癌症新藥為目標啦但是確實在臨床上病人有這樣的需求那才會納入這個討論那這個整個的運作方式呢我們會定出一個作業要點在年底前就會發佈"},{"start":402.461,"end":418.394,"text":"關於我們國人的健康也是大家的一個利益我想希望我們的部長不得不盡快那我想加速癌症新藥還有新科技納入健保這個問題是一樣你要走哪一個部分呢?你要納入健保嗎?"},{"start":428.286,"end":443.311,"text":"這個已經有多年的經驗我們怎麼樣來在不影響健保的總額之下然後慢慢的開放什麼叫做不影響健保總額就是說因為如果我們開放的太快一下子"},{"start":445.255,"end":456.943,"text":"對健保總和的一個衝擊影響我知道大家可能還沒準備好啦沒關係啦那我還是那句話我們盡快啦好不好不要說我們到時候又大家聽了一頭霧水好不好"},{"start":458.208,"end":478.728,"text":"那我在想就是說最近我們食藥署我們吳署長辭職的事件引發我們社會的關注部長與吳前署長的說法有存在矛盾但是外界傳聞他辭職是因為對政策和方向內部管理的不滿並與輸液的事件發生派系鬥爭有關部長是不是這樣子"},{"start":483.052,"end":512.219,"text":"我想衛福部那個過去多年來應應了多少醫療跟防疫的困境都成為國際的驕傲我想衛福部的團結是沒有問題所以也沒有任何派系之爭我知道你會這樣回答那我再問你我們莊署長的這個下接任新的莊署長可是他半年後就要退休了"},{"start":512.799,"end":534.414,"text":"那我想請問部長您有沒有對於說新的部長他只有來半年那未來有沒有再尋找新的人選跟委員報告其實我們因為食藥署的工作相當的繁重也非常重要其實這幾個月大概也增刑了很多"},{"start":542.897,"end":563.723,"text":"我還是要建議部長就是說他來半年我不是說他能力不夠我只是說他擔心他時間不夠請委員放心以他的能力我們是一個AI的團隊他一天會比用三天來做我相信一定可以給我們很多的一個貢獻"},{"start":565.263,"end":582.703,"text":"最後一個就是說我們苗栗縣基層的醫師嚴重不足我們本席對於優化偏鄉醫療精進的這個計畫非常的期待那第一期我們已經補助全台灣補助104名偏鄉的醫生可是苗栗還是"},{"start":583.584,"end":601.331,"text":"有許多衛生所還在缺醫生第二期我看幾乎都是重在我們的牙醫的培訓花了20幾億都是用在培訓的外國學歷的牙醫學員那我要講的就是說其實我們不在乎是不是"},{"start":602.694,"end":631.904,"text":"他是哪一邊的因為現在這個牙醫是不是國外是不是本地的那我們要的是尤其是偏鄉我們要的是要有一個醫師來解決他們的一個問題部長怎麼看這件事情我想偏鄉的醫療人力不只是西醫啦牙醫也是非常缺乏很多的鄉都是從還是幾十年那個老牙醫所以我想衛福部在過去能夠注重到偏鄉有多少牙醫不足部長知道嗎"},{"start":636.519,"end":639.564,"text":"全國上有157個牙醫醫療資源不足地區其中54個鄉鎮區五牙醫施執照"},{"start":646.733,"end":670.604,"text":"對阿所以我請部長盡快幫忙好不好一定一定這個我們越短的時間來把它完成當然我想我們要幫忙的計畫原意都是好的但是其中的實施的內容大家都可以再討論因為講大家都講很久了我想部長新的部長我希望我也期待部長有一個新的作為新的一個成績好不好好一定努力謝謝部長好謝謝"}]}},"supported_relations":[],"relations":[]}