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麻煩邀請部長好 我這樣請委員好部長好 以前當委員的時候是同事恭喜你當上衛福部部長是 謝謝我們直接進正題大選的時候我們的總統賴清德說他告訴所有一屆的朋友點子不會低於0.9要朝議員努力一開始是這樣講的"},{"start":36.452,"end":59.022,"text":"後來繼續加碼健保點子平均要1.1億元然後有人酸他你做不到來不及他說我最有能力解決我來自醫界我想第一個基本的價值的問題我們要先處理你認為健保的點子1.1億元是不是在浪費公帑"},{"start":61.756,"end":78.551,"text":"報告委員因為這是總額制總額制它的點子就基本上就會有變化所以呢所以你覺得賴清德總統是在亂開支票嗎我想他是希望朝著這一方面來努力不是嘛你一個要選總統的人開了政見就要兌現啊"},{"start":82.543,"end":108.945,"text":"什麼叫做要朝這個方向來努力我們先講價值的問題嘛健保點值1.1元是不是在浪費公帑這個基本概念很重要啊因為我聽到我們的行政院院長卓榮泰啊說行政院編預算不可以浪費公帑啊我聽了覺得啊陣容發聵啊非常的有道理啊所以我們繼續往下走以前啊先處理這個基本價值的問題嘛"},{"start":110.27,"end":133.591,"text":"如果今天有一個臨時任用的人員一年給他一百多萬原來是立委的助理莊角我一定說這是浪費公帑但健保點子1.1億人牽涉到基層醫護全力的保障所以我才請教你健保點子1.1億人是不是在浪費公帑"},{"start":136.584,"end":141.495,"text":"會嗎?您覺得會浪費工廠嗎?您也來自醫界嘛。會不會浪費工廠?"},{"start":143.738,"end":168.234,"text":"有沒有讓位醫療資源這個就是說有沒有管理得當如果他管理得很好醫療需求也是需要我想全民應該體會到醫界是真的很認真很節儉的資源在照顧病人對嘛那民眾應該所以你來自醫界就知道嘛我們醫界是勒緊了孤袋在照顧病人嘛"},{"start":169.741,"end":176.487,"text":"我每次去醫院的時候看見那些醫生護理師那麼辛苦我都希望可以幫他們多講一點話所以啊我們為了要幫賴清德主席貫徹他競選總統的政見我們上個會期簽了組決議這是跨黨派的委員"},{"start":191.653,"end":218.403,"text":"因為在照顧醫護同仁、照顧病患不應該有顏色之分、黨派之分我相信部長絕對有這個高度嘛所以跨黨派的委員拿這個來給我簽的時候我看了完全沒猶豫就簽了啊三個黨團的總召全部都簽了啊114年6月30號以前要達到平均點值0.95元做做得到"},{"start":220.68,"end":245.858,"text":"報告委員因為這兩個分兩個部分簡單報告第一個就是我們在談總額有一個總額的成長率這個我理解今年的成長率是5.5是可能是有史以來最高的是這中間就成長了531億是那另外行政院也預注了336億元那當然有很多的其中有180億元是比較屬於協助健保所以這兩個加起來其實也700多億了那"},{"start":250.27,"end":262.637,"text":"那這700多位當然就是說我們醫療的同仁一定要去做點事情然後再再有收入這樣子沒有關係啊單刀直入一點一點全委員做不做得到"},{"start":265.246,"end":284.762,"text":"我想我們現在的努力對點子一定有很大的幫助但是能夠預期到因為報告委員那個各區在訂他自己的點子其實他們也可以自己訂比如說臺北區他們的臺大醫院農總醫院剛剛楊耀委員在質詢的時候他很客氣啊"},{"start":285.743,"end":312.32,"text":"他說他不要耽誤到後面委員的時間但我知道他該講的話沒講完我也是靜靜的在等他那我希望啦我給你一個問題你就給大家一個明快的答案嘛那要不然的話在那邊拖來拖去其實沒什麼意思啦今年暑假的時候啊衛福部的次長林靜儀說啊說要到0.95元需要挹注700億這個估計對不對"},{"start":315.584,"end":329.057,"text":"這是我們依照這個健保的總額來算所以這個估計對不對?對還是不對?原則上用那個總額來算是差不多要需要這樣的經費這樣子那有編進去嗎?"},{"start":332.155,"end":332.895,"text":"我只問一個關鍵的問題,預算夠不夠?"},{"start":351.799,"end":365.559,"text":"這個預算必須要在醫療體系齁也在盡量改在醫療體系的改革因為現在全國人民聽不懂啊卓院長跟大家說有困難你說你有信心那現在大家到底要聽誰的聽卓榮泰的還聽你的"},{"start":367.654,"end":370.577,"text":"我只要相信醫療體系能夠大家能夠配合政府的努力我相信達到這個目標是不遠"},{"start":388.198,"end":401.127,"text":"我不敢講說一定0.95但是我們一定朝這個目標來部長你是來很厲害的上來質詢要幫你爭取預算然後你可以在那邊歐聯社都可以讓他回報阿部沒有關係啦"},{"start":402.5,"end":402.52,"text":"謝謝王偉"}]},"會議時間":"2024-10-09T09:00:00+08:00","委員發言時間":"12:15:56 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12:22:57","會議名稱":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議（事由：邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所受監察院糾正之檢討」進行專題報告，並備質詢。\n【10月7日及9日二天一次會】）","gazette":{"lineno":796,"blocks":[["黃委員國昌：（12時16分）謝謝主席，有請部長。"],["主席：請部長。"],["邱部長泰源：委員好。"],["黃委員國昌：部長好。以前當委員的時候是同事，恭喜你當上衛福部部長。"],["邱部長泰源：是，謝謝。"],["黃委員國昌：我們直接進入正題，大選的時候，總統賴清德告訴所有醫界朋友，健保點值1點不會低於0.9元，要朝1元努力，一開始是這樣說的。後來繼續加碼，健保點值平均要1.1元，然後有人酸他，你做不到、來不及，但他說我最有能力解決，因為我來自醫界。第一個，這是基本的價值問題，我們要先處理好，你認為健保點值1.1元是不是浪費公帑？"],["邱部長泰源：因為這是總額制，所以點值基本上會有變化。"],["黃委員國昌：所以呢？所以你覺得賴清德總統是在亂開支票嗎？"],["邱部長泰源：我想他是希望朝這個方向努力。"],["黃委員國昌：不是嘛！一個要選總統的人，提出來的政見就要兌現啊！什麼叫朝這個方向努力？我們現在是說價值的問題嘛！健保點值1.1元是不是浪費公帑？這個基本概念很重要，因為本席聽到行政院院長卓榮泰說，行政院編列預算不可以浪費公帑，本席聽了之後覺得振聾發聵，也覺得非常有道理，所以在我們繼續往下走以前，先處理這個基本價值的問題。","如果今天有一個臨時任用人員，一年給他一百多萬元，但他是立委的助理、樁腳，本席一定說這是浪費公帑，但健保點值1.1元牽涉到基層醫護權益的保障，所以本席才請教你，健保點值1.1元是不是浪費公帑？會嗎？您覺得會浪費公帑嗎？因為您也來自醫界嘛！"],["邱部長泰源：是。"],["黃委員國昌：會不會浪費公帑？"],["邱部長泰源：有沒有浪費醫療資源關係到是否管理得當，如果他們管理的很好，也有這樣的醫療需求，我想全民應該都能體會醫界真的很認真、很節儉的使用資源在照顧病人，民眾應該……"],["黃委員國昌：對嘛！因為你來自醫界，知道醫界是勒緊褲帶在照顧病人，本席每次去醫院，看見醫生、護理師那麼辛苦，都希望可以幫他們多說一點話。為了幫賴清德主席貫徹競選總統的政見，我們上個會期簽了主決議，這是由跨黨派委員簽署的，因為照顧醫護同仁、照顧病患不應該有顏色之分、黨派之分，本席相信部長絕對有這個高度。","所以當跨黨派的委員拿這個主決議來給本席簽署，本席看了之後完全沒有猶豫就簽了，三個黨團的總召也全都簽了，114年6月30日以前要達到平均點值0.95元，做不做得到？"],["邱部長泰源：這分兩個部分簡單報告，第一個，我們在談總額時，有一個總額的成長率。"],["黃委員國昌：這個本席理解。"],["邱部長泰源：今年的成長率是5.5%，是有史以來最高的，這樣就成長了531億元。另外行政院也挹注336億元，當然，其中有180億元比較屬於協助健保的部分，所以這兩個加起來也有七百多億元。這七百多億元，當然，我們的醫療同仁一定要做點事情才會有收入，所以對點值……"],["黃委員國昌：沒有關係啦！請你單刀直入的回答，1點0.95元做不做得到？"],["邱部長泰源：我們現在的努力對點值一定有很大的幫助，這是能預期的，但是各區在訂他們自己的點值時，因為他們也可以自己訂，例如臺北區的臺大醫院、榮總醫院……"],["黃委員國昌：剛剛楊曜委員質詢的時候很客氣，他說不要耽誤後面委員的時間，但本席知道他該說的話還沒有說完，所以本席就靜靜的等他。本席希望問你問題時，你就給大家一個明快的答案嘛！在那邊拖來拖去沒有意義啦！今年暑假的時候，衛福部的次長林靜儀說，點值調到0.95元需要挹注700億元，這個估計數對不對？"],["邱部長泰源：這是我們依照健保總額計算的，大概需要這樣。"],["黃委員國昌：所以這個估計數對不對？對，還是不對？"],["邱部長泰源：原則上用總額計算的話，差不多需要這樣的經費。"],["黃委員國昌：有編列進去嗎？有編列在預算裡面嗎？"],["邱部長泰源：我剛剛向委員報告，總額成長率就多了531億元，這筆錢並不是為了增加點值，而是增加所謂……"],["黃委員國昌：沒有關係，本席只問一個關鍵的問題，預算夠不夠？"],["邱部長泰源：醫療體系也在儘量改革……"],["黃委員國昌：不是啦！現在全國人民聽不懂，因為卓院長告訴大家有困難，但你說你有信心，現在大家到底該聽誰的？聽卓榮泰的，還是聽你的？"],["邱部長泰源：行政院已經用最大力量，但是在經費上，的確……"],["黃委員國昌：所以現在編列的預算夠不夠實現這個目標？本席只要這個答案。"],["邱部長泰源：只要醫療體系能夠配合政府的努力，我相信達到這個目標並不遠，我不敢說點值一定調到0.95元，但是我們一定朝這個目標……"],["黃委員國昌：部長，你真的很厲害，我們上來質詢是要幫你爭取預算，結果你在那邊「烏龍踅桌」、顧左右而言它。沒有關係啦！本席質詢的重點，你聽得懂啦！政務官要為政策成敗負責任，只要記得這件事就好，如果錢明明不夠，但你卻說夠，明年夏天我們一定會檢驗，謝謝。"],["邱部長泰源：謝謝委員。"],["主席：謝謝黃委員，謝謝部長。接著請鍾佳濱委員質詢。"]],"agenda":{"page_end":346,"meet_id":"委員會-11-2-26-2","speakers":["蘇清泉","林月琴","陳昭姿","陳菁徽","廖偉翔","盧縣一","林淑芬","邱鎮軍","王育敏","王正旭","黃秀芳","李坤城","楊曜","黃國昌","鍾佳濱","林楚茵","洪申翰","黃捷","吳春城","洪孟楷","楊瓊瓔","何欣純","林宜瑾","羅智強","張雅琳","涂權吉","陳培瑜","劉建國","陳瑩","林倩綺","張嘉郡"],"page_start":257,"meetingDate":["2024-10-09"],"gazette_id":"1138201","agenda_lcidc_ids":["1138201_00006"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第2次全體委員會議紀錄","content":"邀請衛生福利部部長就「我國人工生殖法制化作業進度」、「衛生福利部落實中央政府我國少子\n女化對策計畫之成效與未來規劃」及「衛生福利部本月因疏於督導地方評估特殊需求兒少利益所\n受監察院糾正之檢討」進行專題報告，並備質詢","agenda_id":"1138201_00005"}}},"supported_relations":[],"relations":[]}