{"error":false,"id":["160259"],"data":{"IVOD_ID":160259,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/160259","日期":"2025-04-16","會議資料":{"會議代碼":"委員會-11-3-26-6","會議代碼:str":"第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議","屆":11,"會期":3,"會次":6,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議"},"影片種類":"Clip","開始時間":"2025-04-16T12:23:16+08:00","結束時間":"2025-04-16T12:31:41+08:00","影片長度":"00:08:25","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f9d2e74df98279df502273b7daef952bd598beef862d51bb1a52cf64e50924c07a999415d811f7405ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王鴻薇","委員發言時間":"12:23:16 - 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謝謝主席我請我們部長 邱部長請邱部長還有我們石崇良石署長"},{"start":16.834,"end":18.115,"text":"蘇書長 委員好部長好 我先順著剛才楊瓊怡委員講的 我覺得我們確實不需要跟著川普隨之起舞 我覺得"},{"start":32.425,"end":34.546,"text":"WHO WHA這樣的一個國際的這個舞台我們不要放棄所以我覺得剛才那個部長的態度我是覺得是正確的肯定的但是呢針對我們這一次美國要準備對藥品也要可以關稅我們現在雖然不曉得稅率是多少"},{"start":54.952,"end":65.121,"text":"但是我覺得衛福部到現在為止的態度我認為是掩飾太平事實上是偏於事實好譬如說在第一時間我們的林靜儀次長他直接講說這就變成衛福部冒號囉無直接衝擊而且反而對台有利我不曉得為什麼次長常常因為我們這個次長是常常在失言的到底對台灣有利什麼"},{"start":83.416,"end":89.779,"text":"到底沒有衝擊什麼如果一個次長連功課都不做就直接這樣的粉飾太平這完全是錯誤的態度因為珍珠後面我們不管是我們的醫界我們的藥商我們的代理商我們的藥師大家所反映出來的根本不是沒有衝擊而且對台灣本來就有一些影響為什麼我們今天會有專題報告"},{"start":111.849,"end":128.545,"text":"不過我覺得部長您說沒有發生的事情不要擔心我覺得這個態度也是不對因為今天大家都鎖定說未來缺藥會不會是癌症又要會不會是抗生素那對於現在很多的癌症病患病友來說那麼"},{"start":130.527,"end":152.308,"text":"他們可能還在服用就是還在療程之中老師說啦 部長你剛剛講說還沒有發生的事情不要擔心我如果是癌症病患或者我是他的家屬我會非常非常擔心第一個我會擔心會不會缺藥開玩笑 怎麼會不擔心呢第二我擔心這個藥會不會變得很貴"},{"start":155.871,"end":159.234,"text":"第三個我擔心健保的給付夠不夠這都是一般民眾針對這樣的一個衝擊他們會想要問的事情所以部長我還是奉勸我覺得衛福部要直接的跟我們人民說真話這樣的衝擊確實並不操之在我們"},{"start":177.369,"end":184.15,"text":"那麼美國發起風來我怎麼曉得他到時候他要課多少關稅但是我覺得這個態度是不對的接下來我想請問一下剛才有特別提到因為對台灣來說我們事實上在藥品的部分我們是逆差我們的貿易逆差是48.2億美元"},{"start":202.754,"end":204.075,"text":"因為台灣藥品非常的仰賴從國外進口所以現在包含藥師公會這個理事長也說了說藥廠在台灣的利潤過低所以容易會出現缺藥潮"},{"start":218.306,"end":234.599,"text":"那我想請問一下我們的健保署的署長因為你也說你們有去盤點我覺得這是正確的比如說我們對美國進口的藥品的項目有幾項佔我們的健保支出是多少是一成左右"},{"start":235.319,"end":258.557,"text":"好所以呢我想請問一下如果在美國針對好藥品課徵關稅而導致我們的進口的用藥的價格提升的話那麼我們健保會完全的吸收嗎我覺得這是很多的病患關心的事情我可以請教署長"},{"start":259.699,"end":274.519,"text":"在組長講以前我先謝謝委員的指教其實在川普的關稅宣布以後我們當然所有的衛務部所有的司署都針對他們的業務做了很多的盤點跟應用之道這是正確的"},{"start":275.1,"end":286.032,"text":"那我們在缺藥這個部分因為一開始就大家擔心缺藥這會造成一個不好的一個現象因為我們目前的確的一個韌性是相當的夠我們從那個監測到平台你是不是擔心大家認為會缺藥然後進而造成豚藥"},{"start":296.323,"end":316.405,"text":"當然我們也不希望這樣子去做啦所以我的意思有時候他下的標並不是我講的話我的講的話是說我們已經做好準備所以請大家不用擔心這個我先說明一下啦謝謝委員的指教我想我的態度一向都是基安思維"},{"start":317.526,"end":323.549,"text":"對 要居安思維 然後跟民眾說真話絕對是 我們就是照顧民眾的健康當然給民眾的都是最真實的理解但是不要造成無謂的惶恐 這樣也不好我知道 我剛才問部長說你是不是擔心因為擔心大家說缺藥缺藥缺藥我們很多講缺藥之後就會出現囤積但是如果過去也有一些經驗囤積一些貨品的時候我們也應該也有一些非常的手段"},{"start":347.299,"end":364.83,"text":"那個委員過去在防疫規劃面也都幫忙我們意見很多也知道這個大概民眾的怎麼安撫給民眾真實的狀況是很重要的事情好那我請問那個署長就是大家擔心未來第一個大家擔心缺藥第二擔心價格過"},{"start":366.311,"end":385.724,"text":"提高那第三個那我們未來健保還是不是照常給付也就是說屬於我們健保給付的用藥裡面如果未來因為這一次的這個關稅的關係而調高價格我們的健保藥要怎麼樣因應好跟委員報告謝謝您的關心那我們盤點過在健保給付的14000多項裡頭屬於美國製造的大概是176項金額大概一年大概在200億左右啦"},{"start":393.709,"end":412.035,"text":"那這裡面我們再比對的必要品項就必要藥品的話是72項這72項的健保的申報大概在84億所以這個規模我們大概已經列出來了所以未來如果萬一那麼發生有這個成本上漲那麼藥商他是可以依照我們的這個"},{"start":414.016,"end":437.922,"text":"藥價支付標準我們藥品支付標準裡頭的第34條裡面就特別針對罕藥跟這個所謂的特殊藥品就是會沒有可替代性的藥品可以來提這個調升這個藥價所以有這個機制存在至於在費用的部分呢我們在健保的總額裡面特別有一個特別其他部門裡頭有一塊叫做非預期風險的這個預算的調控那我們是編了20億"},{"start":442.703,"end":461.829,"text":"那當然如果不足的部分那麼我們會再繼續的爭取那我們目前的健保的安全準備金也還有1600億可以緊急的支應然後再來跟行政院爭取額外的所以剛才書長講的重點就是非預期風險你現在的準備金是20億那所以因為現在行政院不是在盤點整個去因應"},{"start":464.47,"end":468.131,"text":"整個的這個對等關稅所造成的衝擊我覺得這部分你們應該報到行政院要給我們一些團性我在這邊的質詢其實最主要的目的就是在我們所有的病患他就是可能這些都是他的長期用藥那麼到時候他如果因為關稅關係也是被預期的這個這些因素的影響"},{"start":486.676,"end":503.125,"text":"那麼不要因此而造成我們這些病患沉重的負擔好不好所以這個部分就拜託可能要你們就要報到行政院因為行政院現在可能都是針對外銷廠商的一些紓困嘛好或者勞工的紓困好不好好謝謝好謝謝委員謝謝好謝謝王宏偉委員的發言"}]}},"supported_relations":[],"relations":[]}