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本席請邱部長"},{"start":12.392,"end":40.387,"text":"委員好部長好本席知道今天因為我們在談健保合理支付以及保障醫護人員收入這個議題剛剛這個提早到也聽到前面幾位委員質詢也許有些問題可能您說您講很多次了但可能不一定每個委員這個剛好都有這樣坐著聽那首先本席想就我們今天講健保合理支付"},{"start":41.247,"end":41.467,"text":"徐欣瑩議員"},{"start":57.5,"end":57.56,"text":"主席"},{"start":76.503,"end":76.663,"text":"徐欣瑩"},{"start":98.988,"end":100.269,"text":"您應該也在場吧?您主辦的好像"},{"start":123.025,"end":149.259,"text":"我不是主辦 但是我有在場您在場那當時我們的這個現在的賴總統就說經費方面應該要有健保安定基金還有醫療支出要佔GDP的比例要提高要提高所以呢現在我們賴總統在這個拿到40%左右的選票當選了"},{"start":150.64,"end":159.033,"text":"所以首先本席想請教賴總統就職還有新內閣上路請問你們有就這個部分有共識嗎報告委員那個其實"},{"start":164.167,"end":189.244,"text":"在除了在提白皮書以後當選在賴總統當選了以後馬上召開了六場全國性的那個可以說是健康台灣的這個本席在總諮詢的時候大概有一千兩百多位醫療方面的專家參加了這六場提供了十大策略以及十大建言"},{"start":190.144,"end":215.293,"text":"我問的是總統跟您就我們現在健保的問題還有這個醫事人員合理的薪資的部分你們有共識怎麼解決這個長期的問題嗎?包含醫界四大皆空包含現在醫護人員不夠今天很多委員都提出來然後關病床的關病房的這個問題這個全部在相關的策略裡面可能沒辦法有實驗"},{"start":216.213,"end":227.866,"text":"你們有共識嗎?首先您先回答您跟總統有共識嗎?因為這是一千多個EJ也都是我過去幾十年來的老戰友所以我不是問那個論壇我是問賴總統他當任一個總統他要怎麼解決台灣現況的問題跟您現在受命為衛福部長"},{"start":237.637,"end":239.058,"text":"建保安定基金這個部分是賴總統提出來,現在你們打算怎麼樣?"},{"start":250.838,"end":252.54,"text":"醫療支出佔GDP的比例提高首先本席先我想你也知道本席要在這邊講"},{"start":269.893,"end":293.066,"text":"我們台灣2021年醫療支出佔GDP的比例整個這個我們的健保6.5620227.52023只有6所以我們的賴總統說要提高所有的發達國家都在10%以上我相信你很了解韓國也有8%以上"},{"start":293.746,"end":315.812,"text":"那OECD國家都有8.8%以上 平均啦 平均8.8%那我們的醫界希望我們至少8%以上所以這個共識您跟賴總統的共識是怎麼樣是一樣的 我們非常執政黨必須要 執政黨必須要落實可以做到的只要把公務的預算能夠 健康投資能夠增加"},{"start":316.952,"end":339.758,"text":"公務預算的預注然後健保當然那因為我們體貼到人民的一個負擔所以我們希望在兩年內不要去提升人民的保惠之下我們從大概從公務預算來預注那這些預注我們經過我們合理的努力我相信GDP一定有相當的成長"},{"start":340.518,"end":361.208,"text":"你不能相當啊,你占比例,GDP增長我們是指占GDP的幾%你們有共識是幾%以上,你要提高到多少?你總要有個目標努力吧,或是你們在進行的時候,你說有共識可是我又問不出來"},{"start":363.476,"end":386.375,"text":"好再來再來最後我相信您應該知道我們整個醫療八大團體他們不斷的陳情那一定有向您陳情嘛大家也講到包含我們立法院委員們這個健保的點值的問題固定點值或浮動點值的部分還有健保總額總額點值總額的部分那現在"},{"start":387.316,"end":403.814,"text":"如果不談總額那因為你們要用這個一些公務預算各方面去補嘛那現在想請問我們是不是可以這個健保的浮動點值我們定一個下限然後讓他浮動在這個下限之上可以嗎"},{"start":406.107,"end":429.635,"text":"大家的期望大家的期望就是定底線是1嘛其實我們當時總額的一個概念就是希望就是會有點子的一個起伏啦那當然點子太低的話那我現在問的是我問的是下限我們可不可以把下限定在1嘛下限定在1喔然後你去往上浮動"},{"start":431.923,"end":450.717,"text":"這個這個下限定到1恐怕以現在的情況要增加很多很多的預算喔 恐怕是比較困難啦那你們希望多少我剛好像去年去年有在喊0.95以上下限不要低於0.95去年是這樣啦 去年是補到那個0.9啦齁"},{"start":455.26,"end":471.59,"text":"大概那個時候要花了將近100億所以因為那個時候第二季、第三季、第四季都相當的低那今年的第一季其實也是跟去年差不多所以我們現在就是說天時地利就是因為我們的總統賴總統還有您也是一屆出來的所以有沒有可能我們浮動點值的下限就0.95以上或是一以上嗎"},{"start":487.353,"end":488.574,"text":"我們希望邱部長莫忘初衷也希望我們的賴總統莫忘競選承諾"},{"start":509.016,"end":529.15,"text":"我更期待就是在您以及整個行政院團隊特別我們賴總統領導之下我們醫界的這種各種的情況大家很憂心的我們能夠改善而且臺灣的健保能夠持續永續的讓大家有最好的醫療環境"},{"start":530.051,"end":530.351,"text":"謝謝徐欣瑩委員"}]}},"supported_relations":[],"relations":[]}