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邀請部長請協部長委員好"},{"start":21.456,"end":42.645,"text":"那美國總統川普祭出了對等的關稅政策雖然在第一波沒有藥品跟醫材但是關稅的政策它是變化非常的大那外界也預期藥品可能成為下一波加徵關稅的對象更憂心它會衝擊到我們整個台灣的健保用藥的市場"},{"start":43.745,"end":46.948,"text":"醫界也擔心在製藥成本上漲導致售價也提高那在這種情況之下會不會導致一波缺藥潮那當然部長你昨天受訪的時候你也提到從美國進口的癌症藥品可能會漲價"},{"start":64.423,"end":79.668,"text":"可能會漲價所以在這邊首先來請教部長我們政府要如何的來因應你認為是否有可能會引發的缺藥潮那藥品的這個漲價它是不是就直接會衝擊到我們的這個患者的一個權益請做說明"},{"start":83.689,"end":107.736,"text":"好我先簡略回答那個委員的垂行第一個因為現在關稅這一波還沒有到我們議要的頻所以目前並沒有直接的影響但是我們必須機安思維所以我們來看看檢討我們目前的機制我們從類必要的清單"},{"start":109.156,"end":122.573,"text":"然後有缺藥的平台監測然後如果有漲價的話在健保的部分也有一定的機制來給幾戶更多這樣的一個完整的情況之下目前是沒有缺藥的一個擔心"},{"start":124.275,"end":138.97,"text":"其實沒有 來給己父更多再健保我們依照全民健康保險要務 己父項目以及支付的辦法 支付的標準那麼你們原本是在今年的1月20號就已經預告中止"},{"start":139.611,"end":141.393,"text":"但是為什麼到現在還沒公告呢所以在剛剛的這個臨時提案裡頭本席也聽到那部長說本來應該要該趕快決定的就要決定因為大家現在心很慌健康是不容許打折的"},{"start":158.032,"end":172.022,"text":"所以提案是說希望能夠在4月27號以前正式公告全民健康保險要務給付的項目以及支付的標準這個修正案那是不是會在如期的這個時間來完成"},{"start":174.504,"end":181.07,"text":"報告委員 至少讓大家有一個依據啊對 我們這樣的時程 其實我們還是要感佩健保署的同仁收集了所有的意見 然後預告了兩個月以後所以你在1月份就已經預告終止了嘛因為我們必須要把他的意見 一旦公告我們就是要有好的政策來幫助你"},{"start":199.446,"end":211.635,"text":"當然 我們現在目前應該應該整個健保署已經完成了那時辰什麼時候會公佈那它完成了以後送到我們衛福部我們立即來送這個流程當然行政部本身主要去把它完成4月27號以前就位公告"},{"start":215.978,"end":229.312,"text":"確定4月27號以前會公告4月27號以前會來公告全民健康保險要緊負的項目以及支付的標準因為必須先安內"},{"start":230.473,"end":252.108,"text":"必須先安慰你至少讓大家能夠了解我們現在重新檢討的這個給付標準跟以及項目到底是什麼至少要讓我們的健保能夠穩定下來讓我們的這個患者都能夠安心這個是非常重要所以我們確定在4月27號以前會來做公告這兩個辦法會公告"},{"start":255.13,"end":279.788,"text":"好 謝謝部長那接下來本席要請教那我們安慰了之後那你認為目前是不會有缺藥潮但是如果在關稅啟動的時候大家都很緊張在這樣的情況之下你關稅啟動就陳如寧說的從美國進口的癌症藥一定會漲價那在這樣的情況之下我們要怎麼樣應對"},{"start":281.309,"end":309.504,"text":"我們要怎麼應對要保障讓我們的患者的權利不受打折請做說明報告委員現在藥品進到我們台灣是零關稅所以這個現在目前是如此所有的媒體你每天在看他說下一波所以大家就很緊張我們現在一起的只是一起說在整個世界關稅的一個情況是不是它的在每個花生成本"},{"start":310.373,"end":321.923,"text":"貴一點點所以他進口會賣貴一點點可是他到台灣還是零關稅嘛所以這個基本上的影響我們是覺得有限當然我們絕對不管有限他貴了一點點不管貴多大點他對我們國內的影響因為你是部長必須要盤點一定盤點而且是已經盤點盤點好了盤點好了"},{"start":331.931,"end":337.055,"text":"盤點好了也有應對的措施關於它漲價了進來了以目前來講健保是足夠來應對因為昨天你講了從美國進口的這個海洋藥會增加會漲價你現在改口說可能我也聽到有這個可能"},{"start":355.068,"end":379.923,"text":"因為現在還沒有發生所以我們當然是加可能好有可能就表示你們有在盤點有在應對但是一個結果也就是要而且現在我們盤點是不會有缺藥的現象不會有缺藥而且目前在我們健保的範疇內不會影響到我們的患者的一個權益這是部長您現在可以我們再怎麼樣都不會影響到患者的權益好"},{"start":381.064,"end":405.194,"text":"加油接下來本席要跟你討論的也就是我們護理師人員的問題那之前本席有問過你總統先生在選舉的時候說兩年內要醫病這個這個這個三班護病比要入法當然上一次本席跟你討論你也拿出了誠意你說在你的任內會完成到目前為止是否也是如此呢"},{"start":407.108,"end":435.143,"text":"應該是總統的任內我是總統的任內好沒關係我們理清楚就好總統的任內但是依照我們中華民國護理師公會全國聯合會所提出他們幾點的建議第一個他們說希望用公務預算來補資第二個他們希望提升健保的點子確保醫院用於提升護理人員的薪資所以本席要請教這麼長的時間了我們護理人員的薪資有沒有提升"},{"start":436.072,"end":464.421,"text":"好我想我們政府這邊是用十二大策略譬如說補夜班的啦你現在是用這個補助獎勵嗎那個是夜班就直接到直接到護理人員的身上當然啊那其他的呢那其他的護病比達到譬如說醫學中心現在達到六成他有很多都拿到獎勵那當然就是給醫院去我們希望他能夠"},{"start":464.981,"end":485.226,"text":"多補到護理人員或者給護理人員加薪部長你昨天有沒有看到這個新聞他指出成大醫院因護理人力流失要關閉部分的病房院方預計五月份關病房目前他已經關了四十多床要再關閉三十床左右"},{"start":486.007,"end":502.684,"text":"這也顯示出這個護理人員的一個人力的一個流失所以我在這邊建議你目前是用獎勵用補助的方式但是我們還是要朝著路法讓大家都能夠安心"},{"start":503.865,"end":522.866,"text":"那你剛剛回答的說是原本總統在選舉的時候他說是兩年內那你現在邱部長告訴我們的是說在總統的任內會完成三班互併筆錄法是不是如此你往這個目標現在也都是進行式嘛是不是"},{"start":523.74,"end":530.764,"text":"現在有在推動嗎?有沒有在推動?路法的部分有沒有在推動?當然就是說要先獎勵獎勵先行然後等溝通差不多有共識你預計溝通共識大概在什麼時間開始推動?這個醫療的體系很複雜我們大概小小的醫院那麼多所以你現在給我們的答案就是說總統任內會完成三班互併比的路法是不是?"},{"start":552.998,"end":555.722,"text":"我們會朝這樣來努力而且你們現在是溝通中是不是因為獎勵先行那審理先行如果大家覺得這做得到便宜也能夠調整而且做包括醫學中心區醫院地區醫院還有偏鄉"},{"start":569.501,"end":584,"text":"所以我們也聽到一個答案就是說有兩年改為任內就是四年要完成這是您現在部長告訴我們的那最後一個議題也就是川普上任之後他"},{"start":585.141,"end":608.765,"text":"上個數小時馬上宣布說這個要退出這個這個世衛那聯合國也表示美國在會2026年1月22號會退出WHO那過去美國很積極的協助台灣來加入WHO甚至或者是以觀察員的身份來參與WHA但是如果他真的如果萬一真的退出的時候那我方"},{"start":609.385,"end":632.643,"text":"我們要怎麼辦呢我們是否會失去了最主要的支持者那我們會怎麼樣來努力那我們是不是會加強透過雙邊的合作比如說台美、台日、台歐盟建立國際醫療夥伴的關係來提升整個台灣在全球醫療政策的一個影響力請說明"},{"start":634.332,"end":640.637,"text":"好 謝謝我想美國對於退出WHO這樣的一個"},{"start":642.931,"end":657.623,"text":"一個策略 到底是一個策略或者是暫時的還是永久的 這個我們要小心應應不能說怎麼化解 我們就要不要做了我們照常5月16號WHA開會的時候我們還是照常一位行動團 甚至我們的立委 督導團都還是會去呈行 那像去年總共有大概"},{"start":669.893,"end":679.425,"text":"近百個團體台灣來自海外的華人或是台灣人到那一邊去努力"},{"start":680.475,"end":689.359,"text":"那這個一定要去把握做一個禮拜的時間一定要把握這個重要關鍵時刻跟許許多多的國家跟許許多多做互動對所以怎麼樣建立我們醫療夥伴的關係我想邱部長這個是我們非常關鍵因為台灣的醫療是世界級的我們一定在國際的接軌要好好的去應對去聯繫"},{"start":701.085,"end":711.8,"text":"謝謝委員所以肯定我們醫療的努力那我們一定會把它在國際運用醫療的國際的力量來連結來增加台灣的冷鮮度感謝委員謝謝"}]}},"supported_relations":[],"relations":[]}