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問國內製藥我們先針對這個問題回答因為大家擔心的是缺藥問題缺藥你是要說缺國內的藥還是說缺國際的"},{"start":226.664,"end":248.907,"text":"我記得嘛我剛講了嘛就是說美國關稅因為他比如說他美中貿易大戰嘛美國的藥他的成本提高嘛提高之後那我們對藥價有控制嘛所以可能就沒有辦法買嘛沒有辦法買就會缺藥那即便是要供應也是供應給大型醫院嘛所以社區醫院跟診所或者是社區藥局會擔心嘛現在是問題在這裡嘛"},{"start":250.27,"end":277.571,"text":"而且因為剛剛部長你提到一些方法並沒有過去曾經並沒有面對到類似這樣的大型的突發事件因為這是一個比較大型的突發事件美國川普他忽然間宣布藥的關稅漲多少就是多少他忽然宣布多少就是多少你剛剛說缺藥的監測是六個月半年你的半年的監測可能沒有辦法應付他忽然出現的突發事件"},{"start":278.231,"end":285.333,"text":"所以你不能用過去的經驗來來沙盤推演未來可能遇見的狀況我現在是提醒這件事關稅進口到台灣是零關稅啦所以我們會預期它會增加是因為美國的原料美國的藥本身變貴了嘛我們就算零關稅它的藥還是變貴啦這個量是會多少那是哪一種種類我們都已經盤點"},{"start":300.976,"end":315.291,"text":"那盤點以後當然我們就會去應應嘛不是啦 總是讓人民需要不是 我問你一個問題啦你現在 你能夠預測說到時候川普他對美國 對中國的要的關稅他會提高多少你可以預測這件事嗎"},{"start":316.209,"end":331.944,"text":"他們現在講的全部的對等關稅是100多%欸那你今天美國的藥跟中國進原料他的成本是提高很多欸不是你想的這樣欸那他的藥的成本提高那麼多以後台灣這邊編的藥價就沒辦法購買嘛沒辦法購買就會缺藥嘛"},{"start":334.827,"end":360.581,"text":"那你現在你剛剛講一堆機制都是過去的經驗嘛我現在問的是說你有沒有針對這個關稅可能會造成的影響你有做因應啊因為你現在講的都是過去的機制比如說藥缺藥用六個月去監測或什麼之類平台或是你現在是如果假設藥變非常貴你是會用補助還是怎麼樣還是說健保之外要叫那些病友自費你的方案到底是什麼嘛"},{"start":361.837,"end":380.226,"text":"我們基本上那個這個因為你講的很模糊嘛對你的方案到底是什麼還是說如果說你不清楚的話請師傅回答也可以方案就是說如果成本成本提高我們健保本來就有機制來幾戶多那我們也有準備剛剛處長有提我們有那個風險基金"},{"start":385.408,"end":411.356,"text":"會一起風險的基金來補這個那另外我們還有安全準備基金所以這個部分都是可以來所以意思是什麼意思是說比如美國的藥它變高了然後第一個你會去調整調漲藥價基準是不是讓那些代理商可以買到比較貴的藥那病友就要花比較多錢去買這個藥都是健保給付健保通通會健保給付然後會補貼"},{"start":414.97,"end":436.62,"text":"全部都健保給付自費都不會受影響跟委員報告因為這些藥品裡面我們剛剛盤點過在美國以美國製造的為例的話72項的必要藥品裡頭大概有24項是癌藥那癌藥呢在我們目前是屬於重大傷病所以是不用部分負擔等於健保全部cover了"},{"start":436.9,"end":441.965,"text":"健保會宣布哈佛然後你們確定就是藥價基準會提高絕對不會因為藥品支付標準34條來調整絕對不會因為美國的藥的成本變高之後然後讓我們的買不到藥沒有藥價絕對不會"},{"start":453.277,"end":468.994,"text":"所以你認為你們在那邊確定說不會有缺藥的標準不會有缺藥確定如果這個是全球性的原料不足而缺藥那當然我們沒有辦法如果是價格的問題我先講價格的問題所以好啦 魏浦浦在這邊有做出保證絕對不會因為價格的關係"},{"start":472.037,"end":497.035,"text":"第二個我再問一個簡單問一個議題啦因為這個蠻嚴重的跟器官捐贈有關最近很多民進黨的人在網路上帶風向我想請衛福部做一個嚴正的澄清下一頁他們的邏輯是這樣就是說以來有一個羅東的不愛醫院因為他的孫女嫁給了薄瓜瓜薄熙來的兒子"},{"start":497.915,"end":523.753,"text":"然後呢好像這個羅東醫院就跟中國大陸有連結啦然後剛好羅東醫院又跟北醫有做一個器官捐贈的平台然後呢再加上剛好陳玉珍委員他們有推一個離島建設條例裡面有說要引進外國資源來解決離島的醫療問題其實外國引進外國資源不包括中國大陸嘛因為按照我們中華民國憲法外國就不包括中國大陸但是"},{"start":524.574,"end":550.484,"text":"民進黨的人就做一個連結就說你看宜蘭羅東醫院搞這個東西然後就有中國醫生進來中國醫生進來之後會不會我們的器官就移植到中國去這幾天在網路上討論很熱烈然後有一個曾經代表民進黨選過立委的一個學者他就說他收到很多媽媽的憂心都很害怕他的小朋友的器官被摘掉"},{"start":551.482,"end":561.817,"text":"我想問部長我們現在台灣包括羅東醫院包括北醫有在做這種事嗎會把我們的器官弄到中國去嗎有這種事嗎"},{"start":564.144,"end":589.145,"text":"我們的一個器官的移植的辦法相當的嚴格而且現在都是AI在做所以怎麼可能 不可能嘛但是你知道他們在網路上帶這種風向會造成什麼結果嗎你知道多少醫護人員他要勸說家屬把器官捐贈出來其實要花很多的心力因為捐贈器官其實是救人的包括賴清德總統在2015年都曾經宣導過請大家捐贈器官"},{"start":590.186,"end":616.661,"text":"我認識的一個朋友他從小心臟不好爸媽都已經簽了急救的放棄書了後來因為等到一顆心臟重獲新生了所以很多人其實在等別人捐器官在重獲新生結果最近居然為了搞政治在網路上帶這種風向請部長嚴正的斥責這樣的行為我覺得是對醫護人員很大的打擊而且是對這些等器官的病人是很大的傷害"},{"start":617.722,"end":643.213,"text":"要搞政治可以啊 為什麼要去傷害醫護咧為什麼要傷害大家健康呢作為健康主管機關的衛福部部長你看到這樣的言論你可以接受嗎我想我們都不能做沒有根據的一種傳言或者論述啦那這第一個 這樣是不好的那第二個 我們台灣的一個器官的管理是相當的嚴格的嚴格嘛 跟中國有關係嗎"},{"start":644.741,"end":667.677,"text":"沒有關係宜蘭羅東醫院跟北醫有在跟中國搞什麼器官捐贈嗎會器官移植有沒有北醫有嗎北醫以前陳時中部長都是北醫出來的北醫有搞這種事嗎有嗎在我們的管理之下應該不可能的事嘛我希望衛福部可以去查這些假消息好不好"},{"start":669.056,"end":695.102,"text":"他在破壞我們好不容易建立的制度啦影響到衛福部我希望衛福部去查這個事啊是真的很不可取啦好不好部長可以去查嗎網路上現在超多在帶這個風向請拿出破例出來叫他們不要破壞我們醫療體系啦可以嗎幫北醫幫宜蘭羅東博愛醫院幫所有辛苦的醫護人員討個公道也幫我們病人"},{"start":696.583,"end":701.708,"text":"幫我們的病人努力維繫他們的健康可以嗎好 我們一起往這方面來努力 謝謝"}]}},"supported_relations":[],"relations":[]}