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黑的啊因為只要你達到那個條件就達到那個條件就來不及啊就免費啊免費啊"},{"start":475.126,"end":493.251,"text":"對阿 達到那個條件就來不及了 拜託本期告訴你的是預防的這一塊怎麼做我所謂的 那是 我現在在講預防 我們不要再講預防阿誰有條件去做篩檢嘛 不是說我想去做就是當然我們就會設定在比較高危險群我們就請他去做篩檢 這樣比較早的出來啦這個效果相當好"},{"start":497.852,"end":519.079,"text":"對高危險群的你們是不是可以做一個方案我覺得這個一定現在已經在做了對已經在做但是有一些人還是我都沒錢回去對啊所以你那個範圍你到目前還是第一名你那個範圍你已經有成效你那個範圍是不是可以怎樣再擴大"},{"start":519.799,"end":520.7,"text":"主席主席主席"},{"start":537.096,"end":537.697,"text":"現在休息20分鐘"}]},"gazette":{"lineno":1237,"blocks":[["楊委員瓊瓔：（13時17分）謝謝主席，楊瓊瓔發言，邀請部長。"],["邱部長泰源：委員好。"],["楊委員瓊瓔：部長，本週日11月24號反波波大遊行提出三大訴求的方向，我想衛福部在上個禮拜五也宣布，你說要暫緩海外醫學生赴偏鄉實習的規定，是嗎？"],["邱部長泰源：對。"],["楊委員瓊瓔：然後接下來本週二你也又表示，是不是？你也表示說……"],["邱部長泰源：一樣的立場，一樣的狀況。"],["楊委員瓊瓔：你又表示說，優化偏鄉醫療精進計畫將修訂文字內容，你要以這55個無牙醫的偏鄉為限，然後以本國學歷優先納入，是不是？"],["邱部長泰源：對。"],["楊委員瓊瓔：是如此嗎？"],["邱部長泰源：是。"],["楊委員瓊瓔：所以請教部長，這樣子會不會影響到偏鄉民眾的就醫權益？"],["邱部長泰源：應該是增加，因為這55個我們要加強它的設備，鼓勵本國的牙醫師……"],["楊委員瓊瓔：也就是這55個無牙醫的部分，但是你說是要以本國的學歷為優先嘛。"],["邱部長泰源：對，資深醫師也可以去，我們是鼓勵資深醫師能夠去嘛。"],["楊委員瓊瓔：鼓勵，但是人家願不願意來，你有什麼條件讓人家來？"],["邱部長泰源：對，所以我們現在會用各種辦法，第一個，譬如說他願意到衛生所去執業，然後我們就給他買所有相關的設備、儀器，馬上當地無牙醫的問題就解決了。"],["楊委員瓊瓔：我希望做好社會的共識，也就是要聆聽醫界的聲音，你希望他去，他不一定要去，條件不符，他當然不去，所以……"],["邱部長泰源：我們也有保障薪水的一個……"],["楊委員瓊瓔：這是你方的想法，所以本席非常希望能夠落實，你把你的方案，你說如果你要去，我把你設備都做好，這是現在你的理念、理想，你條件要怎麼做嘛，我可以跟你怎麼樣嘛。你也是來自醫界，你應該去盤點這55個偏鄉裡頭，到底怎麼樣去落實才不會影響到民眾的權益，這是本席今天跟你討論的一個重點。"],["邱部長泰源：我跟委員報告一下，我當完總醫師以後就到群體醫療，臺大派我到位於金山的群體醫療執業中心，那個時候是沒有醫師……"],["楊委員瓊瓔：部長，你現在已經是部長，你現在已經是部長了……"],["邱部長泰源：對，我的意思就是說……我是說現在……"],["楊委員瓊瓔：請以你部長的立場，不是講古啦！不是講你的歷程，你要講你現在要怎麼樣讓這55個無牙醫的偏鄉能夠有牙醫，因為你的預算裡頭，你編列了24億的優化偏鄉醫療計畫第二期，對不對？"],["邱部長泰源：24億很多是補助設備各方面嘛，所以……"],["楊委員瓊瓔：當然嘛！好，就這個議題請你……請你……"],["邱部長泰源：沒問題，這個我們盡……"],["楊委員瓊瓔：沒問題，我希望很快可以看到我們每一個地方不會再有無牙醫的偏鄉，對不對？"],["邱部長泰源：那我們也希望多一點牙醫師願意下鄉。"],["楊委員瓊瓔：你要拿出你的對應方案嘛，好不好？"],["邱部長泰源：有，我們給他設備，也給他保障薪資……"],["楊委員瓊瓔：你把方案給本席，我希望達到55個無牙醫的偏鄉能夠弭平這個落差。"],["邱部長泰源：我們也非常希望趕快來解決這個問題。"],["楊委員瓊瓔：對，你把方案給本席，好不好？"],["邱部長泰源：好。"],["楊委員瓊瓔：接下來本席要請教，點值0.95這件事，我們立法院大家決議過了，我也很感謝你，在院會的時候我們在討論，你也拍胸脯說我一定會達成，這個是對的，因為這個是最公平的，人民納稅錢的均用，就是每一家每一戶都有，那你明年的預算怎麼來呢？0.95需要719億嘛，財源你要怎麼來？"],["邱部長泰源：我們增加了不少，增加大概有兩、三百億的公務預算，然後再加上我們這次的健保總額，這個很重要，健保總額我們用高推估大概5.5%，所以我們如果高推估的話，預計可以增加大概五百多億，這樣加起來大概會增加……"],["楊委員瓊瓔：會超過這個719？"],["邱部長泰源：單單健保的資源712億……"],["楊委員瓊瓔：712億？"],["邱部長泰源：增加的健保資源啦。"],["楊委員瓊瓔：對，你講的這兩項來源會有712億？"],["邱部長泰源：對，這個有部分是……這個健保應該是在健保的基金裡面，不是在公務預算這一邊……"],["楊委員瓊瓔：所以換句話說……"],["邱部長泰源：……明年有九千多億的健保總額……"],["楊委員瓊瓔：所以換句話說，也就是114年健保點值補到1點0.95元，這個金額你已經有來源是OK沒問題的？本席要聽到你的這個答案。"],["邱部長泰源：也不是說補啦，而是說我們大家一起工作，自然就到0.95這樣子。"],["楊委員瓊瓔：部長！"],["邱部長泰源：對啊。"],["楊委員瓊瓔：什麼大家一起公布就自然達到0.95，你現在給人家到0.82！"],["邱部長泰源：沒有，就是說……對，所以明年……"],["楊委員瓊瓔：怎麼可以這樣講話，你現在是部長，你不是立法委員，你不是醫師，你不只這個身分，你是部長……"],["邱部長泰源：所以明年我們就會加七百多億，明年會加七百多億……"],["楊委員瓊瓔：你要就政策告訴人家，明年1點的點值0.95是沒問題的，你來源沒問題，我們要聽的是這個，對不對？"],["邱部長泰源：因為這個也牽涉到疾病型態的變化，還有管理的情況，如果這些都穩定的話，我們就可以達到0.95應該是沒有問題。"],["楊委員瓊瓔：部長，最後這一句話算數？我還是聽最後這一句話，部長，所以務必要達到……"],["邱部長泰源：好，我們會努力。"],["楊委員瓊瓔：這是立法院三黨大家的決議……"],["邱部長泰源：當然、當然，我們行政部門就是遵照決議，大家來努力嘛！"],["楊委員瓊瓔：對，這個沒問題嘛。好，最後一個議題，2030年你要減少癌症死亡率三分之一，2030年。"],["邱部長泰源：是。"],["楊委員瓊瓔：我們看到你的醫療保健支出是315.7億，比113年增加了128.46%，你公布了癌症從71年到112年都是全國十大死因之首，而且108年到112年死因排行榜前五名主要就是癌症，當然它的醫療費用一直在增加，所以部長，你說到2030年要減少癌症死亡率三分之一，來達到對國人生命健康的重視，這是對的方向，要怎麼做呢？比如說臺灣的肺癌那麼多，那你的肺癌篩檢是不是要預防重於治療……"],["邱部長泰源：當然，是。"],["楊委員瓊瓔：這樣你可以減少後端很多的醫療支出，我們是不是應該要讓肺癌的篩檢開始納入免費的檢查？"],["邱部長泰源：對，委員的指教非常正確，有。"],["楊委員瓊瓔：你看以往我們推動的子宮頸方面這一些，現在成效都出來了，也保障國人安全，那肺癌的部分呢？"],["邱部長泰源：是。肺癌的部分我們也一直在推，所以也找出……肺癌……除了預防跟治療，治療也精進了不少，像預防方面，我們推出了低劑量的CT篩檢以後，真的是找出了不少，所以我們會陸續來……"],["楊委員瓊瓔：CT篩檢你要怎麼協助？有的人說我沒錢去檢查啊，對吧？"],["邱部長泰源：不會，只要你達到那個條件就……"],["楊委員瓊瓔：達到那個條件就來不及了。"],["邱部長泰源：就免費，因為那個條件，他只要是危險群……"],["楊委員瓊瓔：對啊，達到那個條件就來不及了，拜託！"],["邱部長泰源：不是啦，他危險群……"],["楊委員瓊瓔：本席告訴你的是預防的這一塊怎麼做！"],["邱部長泰源：我知道，我所謂的……但是現在在講預防，我們不要再講預防……"],["楊委員瓊瓔：對啊！"],["邱部長泰源：就是誰有條件去篩檢，不是說我想去做就去做，當然我們就是設定在比較高危險群，我們請他去篩檢，這樣比較早就篩得出來，這個效果相當好。"],["楊委員瓊瓔：對，高危險群的你們是不是可以做一個方案，我覺得這個一定會有幫助……"],["邱部長泰源：現在已經在做了。"],["楊委員瓊瓔：對，已經在做，但是有一些人還是沒辦法，沒錢可以去……"],["邱部長泰源：就免費的啊。"],["楊委員瓊瓔：對啊，所以你那個範圍……你到目前還是第一名，你已經有成效，你那個範圍是不是可以怎樣再擴大？對不對？"],["邱部長泰源：好，我們希望能夠……"],["楊委員瓊瓔：你去研議擴大的對象，好不好？"],["邱部長泰源：需要的人都能夠被篩到，然後篩到以後我們好好的給他治療，這樣才能夠降低死亡率……"],["楊委員瓊瓔：對啊。需要的人都能夠被篩到，那怎麼樣讓需要的人可以篩到啦！部長。"],["邱部長泰源：一定，我們會往這邊努力。"],["楊委員瓊瓔：一定？你把它擴大，好不好？"],["邱部長泰源：會研議，因為這個要有實證……"],["楊委員瓊瓔：你講真話了，你研議啦，好不好？"],["邱部長泰源：要有實證，要根據實證醫學……"],["楊委員瓊瓔：對，你研議嘛，好不好？"],["邱部長泰源：好。感謝、感謝。"],["楊委員瓊瓔：研議方案出來嘛。謝謝。"],["主席：謝謝楊委員，謝謝部長。現在休息20分鐘。","休息（13時26分）","繼續開會（13時47分）"],["主席：現在繼續開會。我們剩下4個本委員會的，請把握時間。我們現在請楊曜委員質詢。"]],"agenda":{"page_end":140,"meet_id":"委員會-11-2-26-10","speakers":["蘇清泉","陳昭姿","林月琴","盧縣一","陳菁徽","王育敏","邱鎮軍","林淑芬","黃秀芳","廖偉翔","黃國昌","賴士葆","邱議瑩","洪孟楷","伍麗華Saidhai‧Tahovecahe","涂權吉","吳春城","羅智強","張雅琳","羅廷瑋","楊瓊瓔","楊曜","王正旭","陳培瑜","劉建國","陳瑩"],"page_start":55,"meetingDate":["2024-11-21"],"gazette_id":"11310501","agenda_lcidc_ids":["11310501_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10次全體委員會議紀錄","content":"審查中華民國 114 年度中央政府總預算案關於衛生福利部主管預算（公務預算及基金）（僅詢\n答）","agenda_id":"11310501_00008"}}},"supported_relations":[],"relations":[]}