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"這個東西今天沒有時間細講好回過來今天的主題我問你這個你講健保現在0.9有多0.9嗎有些醫學中心只有0.8多勒對吧台大多少你告訴我台大台大台大一點多少錢來來講一下現在嗎平均點值都超過台大多少你講基層一點台大一個點一點幾塊錢對啊都超過0.9"},{"start":179.056,"end":185.603,"text":"一彥如以平均點子是有超過0.9啦臺大我知道是0.8多而已龍總也0.8多沒有0.9那個是浮動點子來來來講一下講一下"},{"start":194.657,"end":200.639,"text":"第一季這是臺北區是平均點子嗎?平均點子0.91啦齁?阿北區是0.95阿這中期?醫院醫院的部分喔喔喔來來我看醫院基層基層對不對?基層第三號"},{"start":221.732,"end":244.864,"text":"賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦,就是錢啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要什麼點啦賴總統是需要一塊錢的,不要"},{"start":250.859,"end":252.601,"text":"你告訴我一個努力目標,什麼時候你努力目標?"},{"start":279.432,"end":281.314,"text":"一塊錢不要1.1,一點點一塊就好"},{"start":298.152,"end":314.343,"text":"所以才會有0.但是我是覺得保0.90是一個基本要做的然後從0.90開始我們來想辦法來繼續那你現在看0.86那你0.9是地板什麼時候可以做到0.90.8是這樣子喔"},{"start":321.4,"end":322.721,"text":"什麼時候可以六區全部達到?"},{"start":339.612,"end":366.23,"text":"六七那這個要牽涉到那個不太一樣啦因為各有各的說辭所以你沒辦法給我答案喔零點九都保不到你又幾塊錢聽完預談補你零點九是用負來去補啦去補的啦補下100億齁要把所有的醫院跟基層都給他加零點九啦所以要補加零點九並不是困難的事情"},{"start":367.247,"end":372.508,"text":"好,第二個問題喔,你剛剛有提到,我不知道你有沒有聽錯,請你再講一遍喔,未來兩年內不會漲健保費,是不是這樣?"},{"start":394.172,"end":402.415,"text":"人民的健保會我們盡量堅持不漲的情況之下來努力當然朝這樣來努力啊兩年內不會漲,所以不要說這樣啦不要講兩年,今年一定不會漲啦,明年一定不會漲"},{"start":415.18,"end":440.814,"text":"今年不會漲明年我們全力讓它不要漲明年不會漲因為我們的安全準備金還夠所以大概有兩個月所以基本上應該今年跟明年都不至於漲除非大家在健康投資要多一點的話那當然又另當一回事喔"},{"start":441.314,"end":457.095,"text":"你一年支出多少?一年的健保支出多少?今年是八千七百億,明年大概會一估九千億左右,是有成長率的"},{"start":459.538,"end":487.821,"text":"主委你好我就請教你再生醫療法通過第14條後續的制定相關執法來講的話我們當初在法案在協商的時候有人提到說欸奇怪咧我現在打到豬啊狗啊貓啊身上牛啊都要GMP啊為什麼細胞療法打到人的身上不用GMP啊為什麼這樣子呢現在不是已經有要求了嗎"},{"start":490.331,"end":490.612,"text":"賴士葆"},{"start":493.135,"end":519.567,"text":"根據藥物優良製造以及西藥優良印銷準則,這個其實就是minimum的,全世界都這樣子,我們的再生療法沒有把這個GMP加進來,為什麼?因為目前屬於商品類的東西、產品類的東西都是屬於要走GMP那條路,那如果說目前是自體的部分的話,就是自己"},{"start":520.287,"end":520.988,"text":"GDP就比較低了啊"},{"start":535.918,"end":545.985,"text":"今天部長講了很多種努力目標,要不要把這個當作你未來的努力目標,未來就是通通要GMP,這樣子來講的話,其實在國際跟國際接軌,國際都有GMP啊,同意嗎?努力目標可以吧?"},{"start":563.059,"end":584.525,"text":"這個要看臨床實際上的狀況,臨床就需要,你要要求下去,可能是不是會影響到他用到病人的權利?那就不要做啊,如果這樣就不要做,因為你可以想打到貓狗豬上面都要GMP,打到人要求GMP,這就奇怪了那個是大量的字跡,這是客製化"},{"start":586.525,"end":590.927,"text":"跟委員報告其實日本齁跟我們現在的制度有點相似也就是雙軌制有一些是比較低風險的個人使用自己的細胞自己回輸的阿是客製化少量"},{"start":614.899,"end":615.079,"text":"賴士葆"}]}},"supported_relations":[],"relations":[]}