{"error":false,"id":["161979"],"data":{"IVOD_ID":161979,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/161979","日期":"2025-05-28","會議資料":{"會議代碼":"委員會-11-3-26-14","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14次全體委員會議","屆":11,"會期":3,"會次":14,"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14次全體委員會議"},"影片種類":"Clip","開始時間":"2025-05-28T10:26:14+08:00","結束時間":"2025-05-28T10:42:27+08:00","影片長度":"00:16:13","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/75aba70f567c6f24ea92e0b63a8a44b6e795f59f7b69f6aeb291a8f6a096732c286f51d77010decd5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"蘇清泉","委員發言時間":"10:26:14 - 10:42:27","會議時間":"2025-05-28T09:00:00+08:00","會議名稱":"立法院第11屆第3會期社會福利及衛生環境委員會第14次全體委員會議（事由：一、處理114年度中央政府總預算決議有關衛生福利部主管預算凍結報告案64案(含報告事項51案及討論事項13案)。\n二、審查\n（一）行政院函請審議「兒童托育服務法草案」案。\n（二）委員林月琴等16人擬具「兒童托育服務法草案」案。\n（三）委員何欣純等16人擬具「兒童托育服務法草案」案。\n（四）委員王育敏等24人擬具「兒童托育服務法草案」案。\n（五）委員邱若華等16人擬具「兒童托育服務法草案」案。\n（六）委員黃捷等21人擬具「兒童托育服務法草案」案。\n（七）委員蔡易餘等17人擬具「兒童托育服務法草案」案。\n（八）委員李坤城等22人擬具「兒童托育服務法草案」案。\n（九）委員陳培瑜等19人擬具「兒童托育服務法草案」案。\n（十）委員郭昱晴等21人擬具「兒童托育服務法草案」案。\n（十一）委員陳素月等16人擬具「兒童托育服務法草案」案。\n（十二）委員鄭天財SraKacaw等18人擬具「兒童托育服務法草案」案。\n（十三）委員王美惠等19人擬具「兒童托育服務法草案」案。\n（十四）委員林淑芬等25人擬具「兒童托育服務法草案」案。\n（十五）委員王正旭等18人擬具「兒童托育服務法草案」案。\n（十六）委員吳沛憶等18人擬具「兒童托育服務法草案」案。\n三、\n（一）繼續審查委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案。\n（二）繼續審查委員劉建國等16人擬具「病人自主權利法部分條文修正草案」案。\n（三）繼續審查委員邱志偉等19人擬具「病人自主權利法第八條、第九條及第十五條條文修正草案」案。\n（四）審查委員李柏毅等16人擬具「病人自主權利法第九條條文修正草案」案。\n（五）審查委員羅廷瑋等16人擬具「病人自主權利法增訂第十六條之一條文草案」案。\n【第一案及第二案，綜合詢答】\n【二、第（一）、（六）及（七）案，如經復議則不予審查；第（八）至（十六）案，如未經各黨團簽署不復議同意書，則不予審查】\n【三、（四）及（五）案，如經復議，則不予審查】\n【5月28日及29日二天一次會】）","transcript":{"pyannote":[{"speaker":"SPEAKER_00","start":0.45284375,"end":3.42284375},{"speaker":"SPEAKER_00","start":3.72659375,"end":10.51034375},{"speaker":"SPEAKER_00","start":11.77596875,"end":12.029093750000001},{"speaker":"SPEAKER_03","start":17.61471875,"end":19.67346875},{"speaker":"SPEAKER_00","start":19.926593750000002,"end":20.80409375},{"speaker":"SPEAKER_03","start":24.36471875,"end":35.924093750000004},{"speaker":"SPEAKER_03","start":36.95346875,"end":47.65221875},{"speaker":"SPEAKER_00","start":40.37909375,"end":40.547843750000006},{"speaker":"SPEAKER_00","start":43.197218750000005,"end":43.821593750000005},{"speaker":"SPEAKER_00","start":46.42034375,"end":47.415968750000005},{"speaker":"SPEAKER_00","start":47.65221875,"end":47.66909375},{"speaker":"SPEAKER_00","start":47.75346875,"end":47.820968750000006},{"speaker":"SPEAKER_03","start":47.820968750000006,"end":48.19221875},{"speaker":"SPEAKER_00","start":47.97284375,"end":48.17534375},{"speaker":"SPEAKER_00","start":48.19221875,"end":48.83346875},{"speaker":"SPEAKER_03","start":48.83346875,"end":53.541593750000004},{"speaker":"SPEAKER_00","start":48.884093750000005,"end":49.086593750000006},{"speaker":"SPEAKER_03","start":54.351593750000006,"end":56.22471875},{"speaker":"SPEAKER_03","start":57.000968750000006,"end":58.03034375},{"speaker":"SPEAKER_03","start":58.82346875,"end":59.61659375000001},{"speaker":"SPEAKER_03","start":60.20721875,"end":64.51034375},{"speaker":"SPEAKER_03","start":64.79721875,"end":65.15159375},{"speaker":"SPEAKER_03","start":65.62409375,"end":66.90659375},{"speaker":"SPEAKER_03","start":66.97409375000001,"end":68.40846875},{"speaker":"SPEAKER_03","start":69.01596875,"end":70.63596875},{"speaker":"SPEAKER_03","start":71.64846875,"end":74.02784375},{"speaker":"SPEAKER_03","start":74.43284375,"end":81.18284375},{"speaker":"SPEAKER_03","start":81.87471875,"end":85.16534375},{"speaker":"SPEAKER_03","start":85.89096875,"end":89.85659375},{"speaker":"SPEAKER_03","start":90.16034375000001,"end":99.61034375000001},{"speaker":"SPEAKER_03","start":100.15034375,"end":101.71971875000001},{"speaker":"SPEAKER_03","start":102.64784375,"end":103.30596875},{"speaker":"SPEAKER_03","start":104.16659375,"end":114.74721875},{"speaker":"SPEAKER_03","start":115.18596875,"end":130.84596875},{"speaker":"SPEAKER_03","start":130.93034375000002,"end":135.36846875},{"speaker":"SPEAKER_03","start":135.82409375,"end":137.98409375},{"speaker":"SPEAKER_03","start":139.21596875,"end":139.94159375},{"speaker":"SPEAKER_03","start":140.73471875,"end":141.03846875000002},{"speaker":"SPEAKER_00","start":140.85284375,"end":141.00471875},{"speaker":"SPEAKER_00","start":141.03846875000002,"end":144.59909375},{"speaker":"SPEAKER_03","start":141.74721875,"end":141.76409375},{"speaker":"SPEAKER_00","start":145.03784375,"end":159.09471875},{"speaker":"SPEAKER_03","start":153.82971875,"end":154.03221875},{"speaker":"SPEAKER_01","start":154.03221875,"end":154.26846875},{"speaker":"SPEAKER_03","start":154.26846875,"end":155.19659375},{"speaker":"SPEAKER_01","start":155.19659375,"end":155.21346875},{"speaker":"SPEAKER_01","start":159.09471875,"end":173.21909375},{"speaker":"SPEAKER_03","start":171.02534375000002,"end":172.08846875},{"speaker":"SPEAKER_03","start":173.05034375000002,"end":177.50534375},{"speaker":"SPEAKER_03","start":179.80034375000002,"end":180.89721875},{"speaker":"SPEAKER_03","start":181.26846875,"end":187.52909375000002},{"speaker":"SPEAKER_03","start":187.73159375,"end":189.35159375},{"speaker":"SPEAKER_00","start":189.35159375,"end":189.45284375},{"speaker":"SPEAKER_03","start":189.45284375,"end":192.30471875},{"speaker":"SPEAKER_03","start":193.50284375,"end":195.37596875},{"speaker":"SPEAKER_00","start":194.46471875,"end":195.76409375},{"speaker":"SPEAKER_03","start":195.76409375,"end":196.65846875000003},{"speaker":"SPEAKER_00","start":196.65846875000003,"end":199.99971875},{"speaker":"SPEAKER_03","start":197.51909375000002,"end":198.31221875},{"speaker":"SPEAKER_03","start":199.66221875000002,"end"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謝謝主席 我請部長來 我請部長"},{"start":24.563,"end":52.903,"text":"市長好部長辛苦了是 謝謝日內瓦我已經開過三次了喔 辛苦辛苦那很難啦是 又去博恩 又去堆每一個人都盡他的本分做得非常好我看你 我都有每天在跟人追蹤謝謝謝謝第一個 兒童托育服務法這個把它整理出來"},{"start":58.89,"end":70.004,"text":"提高居家托育未接保母職業的資格第二個就是違規祭典托育人員救責"},{"start":72.107,"end":84.859,"text":"終身不得任用等等透明化的機構管理查賬、查核我這邊先打住我是覺得我們的托育人員待遇太多了"},{"start":86.276,"end":114.371,"text":"要求一大堆,薪水這麼多,我一再的講那天在屏東農總也是一樣,那天找不到婦女人員,大家都貼貼有檢報所以市總理就比較衰,大家都亂這樣結果真的是我們這些醫事相關人員、托醫人員我是覺得要寬列預算,真的寬列很多預算,提高他們的待遇,才能去給他要求嘛"},{"start":115.273,"end":137.469,"text":"人家說不叫而殺為之虐那你這個薪水給太少要吃飯那什麼問題啊要求幾大堆還要給他公佈還要給他終身不得任用每一個人都有他家裡的經濟因素每一個人都有他的壓力所以我是覺得讓這些人員能夠待遇好現在三三萬幾口水要省下了現在多少現在推人員薪水跟 稍微報告一下齁其實在這一方面"},{"start":145.208,"end":163.478,"text":"政府這些年來也在立法院的督促之下其實一直在努力往整個工作環境跟尊嚴當然有改善很多啦都有改善跟委員報告目前公托的部分原則上是在三萬八"},{"start":164.238,"end":191.872,"text":"那準公托的部分一年資可以從三萬二到三萬九那目前這個薪資水準大體上和幼教是相當的你現在還把那個小孩子從十五個減到十二個嗎那是幼兒園因為跑到東港去跟我陳情說在這樣裡面一個人頭才補助多少錢我那個都太少了啦特別希望用到兩千塊等等"},{"start":193.561,"end":218.551,"text":"那是夠薄的喔政府是一體的我們會努力對啦那個都要給他們搞不然讓他們連機構都維持不下去那是要怎麼做我都一再的講你健保金一年兩年三年你寬了很多預算部長很厲害 市長也很厲害你弄很多錢來你都把台北都站在那裡調遷去醫事人員"},{"start":222.97,"end":250.31,"text":"讓你心情比較寬 讓你心情寬讓人家老下來 老下來後來再找外面的人醫生已經犧牲很久了繼續犧牲幾年 不用啦所以把醫事人員的心智能夠拉起來讓他們能安心的上班好 那第四個錄影三十天上雲端嘛要 這個是堅持要做"},{"start":252.114,"end":267.55,"text":"還是他們是說儲存因為他很怕被那個機構說他很怕被有心人士就去網路抓下來然後就去做廣告做什麼的或是渲染這個是很要不得的很多這個你也無法可管"},{"start":269.191,"end":277.593,"text":"這個當然我們會...這個是很嚴重,他們很擔心的就是這裡,電視都完全沒有訊號嘛完全沒有訊號,叫人去雲端讓他們自己隨時可以看這對那些從業人員是很大的一個侮辱啦,我是覺得這個要...報告委員,這個就是我剛剛講的,我們共同如果為"},{"start":292.398,"end":306.909,"text":"把孩子的健康共同來思考只要對孩子的安全照顧是好的不管你是推的機構的人員不管是家長大家共同往這個目標你就不會覺得有時候好像"},{"start":308.75,"end":318.795,"text":"叫做動作什麼這樣我們醫生在診療的過程當中也常常一直被要求很多就包括健保署也給我們監督嘛對不對我們也覺得如果你想說讓製度可以完整"},{"start":326.199,"end":349.818,"text":"路鏡比較長的,能夠符合民眾、人民的需求、期望,也許我們這樣子心裡就會比較像醫療院所公共走道,你有monitor,那當然那你說在病房裡面也有monitor,然後那些東西要上網,那得了啊所有醫護人員全部不幹啦"},{"start":350.939,"end":371.652,"text":"那個是很糟糕的事情當然這不是馬上就可以隨便就可以查啦這還是有很嚴謹的就好像警察派出所在很多地方錄影他也不是隨便可以人家去看那個也是有特別原因但是那個是說將來萬一有什麼狀況的時候我也是希望預防醫學啦有一點點"},{"start":378.926,"end":403.256,"text":"有在注意的時間我們就抽一下最後一個是那些場地啊學校有現在很多學校都都沒得升啊所以可以轉型這是很好讓大家或是法人機構可以來使用好那下一個這個ACP這兩天很多人打電話來跟我討論那現在的重點就是說來下一張"},{"start":408.16,"end":412.062,"text":"現在在3千多元3千多元是輸贏立場所以簽署率很低那這個3千5是不是由政府來付"},{"start":423.752,"end":439.097,"text":"那支持的理由就是說這樣可以提高它的普遍性那反對的理由是說全民健保支援...這要健保出了嗎?如果要出,是健保會出嗎?不,我們的條件是健保出,這個時事長要說出來是殘障的"},{"start":443.878,"end":459.982,"text":"跟委員報告,目前我們5月1號開始是針對65歲以上有重大傷病的另外就是這個在那個加1計畫裡面65歲以上有多重慢性病的所以已經開始,你們開始付了?5月1號開始這些對象就是已經開始要注意到未來準備了"},{"start":469.457,"end":488.529,"text":"我常常在講醫療做得比較好、比較久的,我們死亡之前五、六年都在臥床,是真的那麼嚴重嗎?我是不知道啦那個就是要推展安寧環合醫療的概念啦對啦,不過我們的國民平均壽命也不是很長啊"},{"start":490.597,"end":502.681,"text":"自己說要在場地下去判定 現在是在醫療院所現在放寬到安養中心 護理職業都可以部長你有看過嗎這樣醫界是反對的八大醫師團體都跳出來說暫緩暫緩暫緩"},{"start":516.284,"end":529.639,"text":"這種有生命教育的成分跟未來醫療成分的一個綜合體所以它當然要容納各社會各角度的意見雖然我是說實在這個法的過程當中"},{"start":532.202,"end":549.334,"text":"當然趙偉霖也有付出很大的心意我有一點點參與所以大概知道他的用意就是看看這個法的走向會偏向於生命教育或者是在於實際上他末期的時候醫療的一個狀況"},{"start":551.807,"end":566.972,"text":"不然他怎麼樣去撐這個疫苗其實他面臨到真正十年後五年後十年後的一個狀況我相信那個團隊照顧的團隊還是需要再重新因為當時的科技很不一樣"},{"start":568.292,"end":594.157,"text":"可能個人的觀念也會有一點改變那個面臨還是需要再做好好的一個專家來針對他的病情來討論說怎麼做才是對於這個老人家這個病人最好的一個照顧模式臨床醫的時候還是要好好的去解釋所以還是要跟主席報告"},{"start":596.243,"end":612.304,"text":"我是覺得平定的人,這個人的成員不能夠更簡化,更簡化真的會失教至於場所,要在護理之間要在哪裡,是由這組人過去"},{"start":614.505,"end":616.568,"text":"這組人的配備跟結構是要嚴謹的 不能說讓你自己一個兩個人 太草率"},{"start":627.959,"end":637.346,"text":"所以這個條文如果要出委員會我們還是要好好的來討論所以祝聖祝賀今天是我們隊現在是可以來討論主要我們開這個會的目標就是要去簽簽這個醫療書這裡面有幾個選項是維持生命的"},{"start":655.648,"end":657.251,"text":"治療 測試 裡面有幾種 訂令雖然它不是醫療行為"},{"start":664.715,"end":685.41,"text":"但是它是在做的時候當然是醫療新聞在講當然不是醫療新聞這個是很專業的我等一下可以說因為我這個是做了三四十年十個醫師都恐怕沒有兩三個醫師有辦法去把這個講得很準確所以各個醫院在成立這個屹立醫族的團隊的時候"},{"start":692.715,"end":713.124,"text":"對醫師都一定是選擇有經驗的阿不然你叫一下,他還在好,時間到了所以我想問一條跟你們問醫師法42條實行細則,現在上來立法院阿,裡面整間很多很多很多阿,裡面最有爭議的就是壓抑那部分阿,你不要上來了喔我們到六月中就要,如果有意見就要審查"},{"start":720.612,"end":724.194,"text":"那結果我們因為現在都忙於結帳所以劉建國、劉朝偉到我都很忙現在整個媒體、網絡都在罵罵說劉建國、朝偉跟蘇清漣是擺爛裝死連部長也被罵了"},{"start":740.763,"end":760.347,"text":"所以這個你現在的看法我們先再延三個月我下個禮拜要排委員會的公聽會我們再把他全部都找,尤其是亞裔界的亞裔界真的是我不知道你有沒有買,我是三不五時都要給你買一個我們留見國有招人有沒有買"},{"start":768.024,"end":776.091,"text":"我想我們一切都按規定在處理啦那至於說所謂細則的部分我相信不管是醫師師"},{"start":778.254,"end":798.788,"text":"口香師都已經做過很多很多的溝通,真的大家我想所擔心的幾點,那個也都是按照原來的一個原來的辦法,不管是教考選部或教育部的辦法去做處理,我們完全沒有做任何的一個"},{"start":801.069,"end":820.334,"text":"放鬆的一個做法啦這個真的也是溝通了很多次啦那如果要再討論我覺得也可以來討論下禮拜五我再拜會議員會議再講一下不然我們受不了 不然太沉重"},{"start":825.155,"end":853.414,"text":"本土的牙醫,日本的牙醫,歐洲牙醫,講不清啦,所以部裡面的還是請Frank來透露像我個人的話,我家裡至少有20個鏈醫學系、牙醫系都是本土的我完全是站在希望一種按照規定的一個狀況來"},{"start":855.85,"end":873.683,"text":"來做處理,但是真的有疑慮,我們願意大家來討論我們所有的下一代,因為父母親婚姻遷徙、職務的關係他在國外受教育,他是中華民國的國民,他回來台灣"},{"start":874.764,"end":900.143,"text":"他是中華民國國民他當然受憲法的保障他可以在這邊考執照考什麼你要怎麼考多嚴格那是另外一回事但是你要有條件讓他們考這個是一個國家保護國民我就看到很多外交官你們你這次去外交官的子女爸爸吊來吊去吊來吊去那小孩子就留在某一個地方就一直升學一直受教育那回來台灣要考個律師考個會計師考個醫師執照"},{"start":902.591,"end":911.439,"text":"你不能讓他考,天底下哪有這種事啊你的資格考要多嚴格,那是你要頂日本也是一樣,所以這個不能說他都不能考他都不能參加,沒有這個事情,這個公平爭議也說不完所以讓他們可以考,你要怎麼考,要怎麼寫"},{"start":924.781,"end":948.466,"text":"那個實習,你的PGY要多嚴格,那時候都是可以安排的吳大夫你覺得這樣是怎樣?對啊,我覺得這重點就是要守住人民的一個醫療的品質在這樣之下,這是一個還有公平性所以他的不管是入學啦、考試啦,對他真的是要嚴格的規定"},{"start":949.745,"end":969.523,"text":"每個學校都是一樣在哈佛念也是一樣在哪裡念我們都要檢視它是不是真的有好好的接受過一個信念當然我們在名額上也做了最大的一個限制也會做限制好 謝謝"}]},"gazette":{"lineno":1138,"blocks":[["蘇委員清泉：（10時26分）謝謝主席，我請部長。"],["主席：有請部長。"],["邱部長泰源：召委好！"],["蘇委員清泉：部長辛苦了！"],["邱部長泰源：謝謝。"],["蘇委員清泉：日內瓦我已經去過3次……"],["邱部長泰源：辛苦！辛苦！"],["蘇委員清泉：他們很硬……"],["邱部長泰源：是。"],["蘇委員清泉：又去伯恩，又去哪裡。我看每一個人都盡自己的本分，做得非常好，我每天都有在追蹤你們……"],["邱部長泰源：多謝委員。"],["蘇委員清泉：我還有發LINE給你鼓勵，對不對？"],["邱部長泰源：對，多謝、多謝，謝謝召委。"],["蘇委員清泉：好。關於兒童托育服務法，我把它整理出來，有這幾點：第一個、提高居家托育位階與保母執業資格；第二個就是違規記點制，違規托育人員究責，嚴重違規者可能終身不得任用等等；第三個是透明化機構的管理內容，包括列帳查核等。","我在這邊先打住，我是覺得我們托育人員的待遇太低了，你對人家要求一大堆，他們的薪水卻這麼低。我一再的講，那天在屏東榮總也是一樣，他們找不到護理人員，大家都推給健保，所以石崇良就比較倒楣，大家樣樣都賴給他。對於醫事相關人員、托育人員，我是覺得要匡列預算，真的，要匡列很多預算，提高他們的待遇，才能去對他要求。人家說不教而殺謂之虐，你們這個薪水給太少，他們連吃飯都成為問題了，還對他們要求一大堆，要給他公布，還要給他終身不得任用。每一個人都有他家裡的經濟因素，每一個人都有他的壓力，所以我是覺得讓這些人員能夠待遇好，現在1個月三萬多塊是要怎麼生活？現在托育人員的薪水是多少？"],["邱部長泰源：跟召委報告一下，在這方面，其實政府這些年來也在立法院的督促之下一直在努力往整個工作環境及尊嚴……"],["蘇委員清泉：當然有改善很多。"],["邱部長泰源：都有改善，至於改善到什麼程度，請同仁說明。"],["周代理署長道君：跟委員報告，目前公托的部分，原則上，是在3萬8，準公托的部分，依年資，可以從3萬2到3萬9，目前這個薪資水準大體上和幼教是相當的。"],["蘇委員清泉：你現在還把小孩子從15個減到12個嘛！"],["周代理署長道君：那個是幼兒園。"],["蘇委員清泉：那是幼兒園。因為有人跑到東港去跟我陳情，說這樣1個人頭才補助多少錢，那個都太少了，他們希望能夠到達2,000塊等等。"],["邱部長泰源：那是教育部的。"],["蘇委員清泉：那是教育部的喔！好，再來……"],["邱部長泰源：政府是一體的，我們會努力。"],["蘇委員清泉：對啦！對啦！那個都要調高，不然他們連機構都維持不下去，要怎麼做？"],["邱部長泰源：是的。"],["蘇委員清泉：我一再的講，健保這1年、2年、3年匡列很多預算，部長很厲害，石崇良也很厲害，弄很多錢來，你就把大部分都拿去調整醫事人員的薪水，讓他的薪水高一點，我們才能夠讓他留下來，讓他留下來，才有辦法照顧病人……"],["邱部長泰源：是、是。"],["蘇委員清泉：醫生已經犧牲很久了，繼續犧牲幾年，不然要怎麼辦？所以把醫事人員的薪資拉起來，讓他們能夠安心的上班。"],["邱部長泰源：是。"],["蘇委員清泉：好。第四個、保存錄影30天並上傳雲端，這個是堅持要做？因為機構說很怕這個被有心人士去網路抓下來，拿去做廣告、做什麼或是渲染，這個是很要不得的！但很多，你也無法可管……"],["邱部長泰源：這個當然我們會很小心來處理。"],["蘇委員清泉：這個是很嚴重，他們很擔心的就是這個。這樣等於都完全沒信任了，完全沒信任，才要他們放上去雲端，讓我們隨時可以看，這對那些從業人員是很大的侮辱，我是覺得這個要……"],["邱部長泰源：報告委員，這個就是我剛剛講的，如果我們共同為孩子的健康來思考，只要對孩子的安全照顧是好的，不管是托育機構的人員，不管是家長，大家共同往這個目標，就不會覺得好像被人當成什麼……"],["蘇委員清泉：對、對、對。"],["邱部長泰源：我們醫生在診療的過程當中也常常一直被要求很多……"],["蘇委員清泉：對、對。"],["邱部長泰源：包括健保署也在監督，對不對？但是如果我們想到讓制度可以完整、路可以走長一點、能夠符合人民的需求期望，也許心裡就會比較能夠……"],["蘇委員清泉：像醫療院所的公共走道有monitor，那是當然，但在病房裡面也要monitor，那些東西還要上網，還得了！所有的醫護人員全部不幹了，那個是很糟糕的事情！"],["邱部長泰源：沒有，當然這不是隨便就可以查，這還是很嚴謹的，就好像派出所在很多地方都有錄影，但也不是人家可以隨便去看的……"],["蘇委員清泉：對、對、對。"],["邱部長泰源：那個也是有特殊原因。這個是將來萬一有什麼狀況的時候，當然我也是希望預防醫學，當有在注意的時候，我們就會笑一下，有那種意思。"],["蘇委員清泉：最後一個是釋出場地，現在很多學校都沒有學生了，所以可以轉型，這個是很好，讓大家或是法人機構可以來使用。"],["邱部長泰源：是。"],["蘇委員清泉：好。下一個，講到ACP，這兩天有很多人打電話來跟我討論，現在的問題出在這裡，目前這要三千多塊，是自費，所以簽署率很低，這個3,500是不是由政府來付？支持的理由就是這樣可以提高它的普遍性，反對的理由是全民健保的資源有限。請問這個費用是健保出嗎？如果要出，是健保出嗎？"],["邱部長泰源：有部分的條件是健保出，這個部分石署長要說明嗎？"],["蘇委員清泉：是殘障的、生病的……"],["石署長崇良：跟委員報告，目前我們5月1日開始是針對65歲以上有重大傷病的，另外就是在家醫計畫裡面，65歲以上有多重慢性病的……"],["蘇委員清泉：所以你們已經開始付了？"],["石署長崇良：對，5月1日開始。"],["邱部長泰源：這些對象就是已經開始要注意到為未來準備了。"],["蘇委員清泉：我常常在說，醫療做好一點，讓國民活久一點，不要只能臥床，臥床少一點……"],["邱部長泰源：當然、當然、當然。"],["蘇委員清泉：我們的國民在死亡之前5、6年都在臥床，是真的那麼嚴重嗎？我是不知道啦！"],["邱部長泰源：那個就是要推展安寧緩和醫療的概念。"],["蘇委員清泉：對，不過我們國民的平均壽命也不是很長。至於要在什麼場地下去判定，現在是在醫療院所，要放寬到安養中心、護理之家都可以，部長，你的看法是怎樣？這樣醫界是反對的喔！八大醫事團體都跳出來說暫緩、暫緩、暫緩。"],["邱部長泰源：這種是有生命教育的成分跟未來醫療成分的綜合體，所以當然要容納社會各角度的意見，這個法討論的過程當中召委也付出很大的心力，我也有一點點參與，所以大概知道他的用意，那就是看看這個法的走向會偏向於生命教育，或者是在於實際上末期時醫療的狀況。不然他簽了預立醫療書以後，其實他真正面臨到五年後、十年後的狀況，我相信那個照顧的團隊還是需要再重新詢問，因為當時的科技會不一樣，可能個人的觀念也會有一點改變，當面臨的時候還是需要好好的由專家針對他的病情來跟他討論怎麼做才是對於這個老人家、這個病人最好的一個照顧模式，所以在臨床場域還是要好好的去解釋。"],["蘇委員清泉：對，所以還是要跟主席報告，主席，我是覺得這些評定的成員不能再簡化了，再簡化真的會失焦，至於場所是要在護理之家或是要在哪裡，是由這組人過去判定，但是這組人的配備跟結構要嚴謹，不能因為住在護理之家，只要一個、兩個人就能做決定，這個太草率，所以這個條文如果要出委員會，我們還是要好好的來討論，跟主席報告，我本來是反對，現在是可以來討論，這樣好不好？"],["邱部長泰源：報告召委，我們開這個會的目標就是要去簽預立醫療書，這裡面有幾個選項，是維持生命的治療措施，裡面有好幾種，這些在做的時候是醫療行為，但在講的時候當然不是醫療行為，這個是很專業的，因為我做了三、四十年，我在這裡可以說，10個醫師中恐怕沒有兩、三個醫師有辦法去把這個講得很準確。"],["蘇委員清泉：對、對、對。"],["邱部長泰源：所以各個醫院在成立預立醫療諮商團隊的時候，醫師一定是選擇有經驗的，不然你隨便叫一個他哪裡知道。"],["蘇委員清泉：好，時間到了，我問最後一個問題，醫師法第四十二條規定的施行細則現在送來立法院，裡面規定很多、很多，其中最有爭議的就是牙醫的部分，現在你送來之後，我們到6月中如果有意見就要審查，但因為我們現在都忙於預算解凍，劉建國召委跟我都很忙，不過現在整個媒體、網路都在罵，罵劉建國召委跟蘇清泉召委是擺爛、裝死，連部長也被罵了，對此你現在的看法為何？我們先再延三個月，我下個禮拜要排委員會的公聽會，我們再把他們全部都找來，尤其是牙醫界的，牙醫界真的是……我不知道你有沒有被罵，我是三不五時都常常要被罵一下，我也不知道劉建國召委有沒有被罵。"],["邱部長泰源：我想我們一切都按規定在處理，至於所謂細則的部分，我相信不管是醫事司、口腔司都已經做過很多的溝通，大家所擔心的幾點，那個也都是按照原來考選部的或教育部的辦法去做處理，我們完全沒有做任何放鬆的作法，而且真的也是溝通了很多次，如果要再討論，我覺得也可以來討論。"],["蘇委員清泉：下個禮拜我再排委員會的公聽會，再來說一下，不然我們受不了，太沉重了，整個牙醫……"],["邱部長泰源：我們尊重立法院。"],["蘇委員清泉：日本的牙醫還有歐洲牙醫大家……喔！那個講不清楚啦！所以部的原則還是……"],["邱部長泰源：像我個人的話，我家裡至少有20個唸醫學系、牙醫系，都是本土的，我完全是站在希望按照規定來做處理，但是如果真的有疑慮，我們也願意大家來討論。"],["蘇委員清泉：我們所有的下一代，因為父母親婚姻、遷徙、職務的關係，他在國外受教育，他是中華民國的國民，他回來臺灣，他是中華民國的國民，他當然受憲法的保障可以在這邊考執照、考什麼，你要怎麼考、多嚴格，那是另外一回事，但是你要有條件讓他們考，這個是一個國家保護國民應該做的，我就看到很多外交官的子女，爸爸調來調去、調來調去，那個小孩子就留在某一個地方一直升學、一直受教育，回來臺灣要考個律師、考個會計師、考個醫師執照，你不讓他考，天底下哪有這種事？你的資格考要多嚴格，那是你決定的，日本也是一樣，所以這個不能說他都不能考、他都不能參加，沒有這種事情，這樣也沒有公平正義，所以讓他們可以考，至於你要怎麼考、要怎麼實習，還有實習、PGY要多嚴格，那都是可以安排的，部長，你覺得怎樣？"],["邱部長泰源：對啊！我覺得最重要的就是要守住人民的醫療品質，還有公平性，所以他不管是入學、考試，或者是其他，都真的是要嚴格的規定，每一個學校都是一樣，在哈佛唸也是一樣，不管在哪裡唸，我們都要檢視他是不是真的有好好的接受過訓練，當然我們在名額上也會做限制。"],["蘇委員清泉：好，謝謝。"],["邱部長泰源：謝謝。"],["主席：謝謝蘇召委、謝謝邱部長，兩位醫療界的上人在溝通的時候，一般世俗之人只有可以冥想的份而已，所以剛剛去冥想了。","請王正旭委員做詢答。"]],"agenda":{"page_end":548,"meet_id":"委員會-11-3-26-14","speakers":["劉建國","林淑芬","王育敏","何欣純","王正旭","林月琴","黃捷","陳菁徽","蘇清泉","邱鎮軍","黃秀芳","陳培瑜","李彥秀","楊瓊瓔","張雅琳","伍麗華Saidhai‧Tahovecahe","郭昱晴","陳瑩","楊曜","陳昭姿","張嘉郡","林德福","廖偉翔","涂權吉","李坤城"],"page_start":1,"meetingDate":["2025-05-28"],"gazette_id":"1145502","agenda_lcidc_ids":["1145502_00002","1145502_00003"],"meet_name":"立法院第11屆第3會期社會福利及衛生環境委員會第14次全體委員會議紀錄","content":"一、處理114年度中央政府總預算決議有關衛生福利部主管預算凍結報告案 64案（含報告事項51\n案及討論事項13案）；二、審查(一)行政院函請審議「兒童托育服務法草案」案、(二)委員林月\n琴等16人擬具「兒童托育服務法草案」案、(三)委員何欣純等16人擬具「兒童托育服務法草案」\n案、(四)委員王育敏等24人擬具「兒童托育服務法草案」案、(五)委員邱若華等16人擬具「兒童\n托育服務法草案」案、(六)委員黃捷等21人擬具「兒童托育服務法草案」案、(七)委員蔡易餘等\n17人擬具「兒童托育服務法草案」案、(八)委員李坤城等22人擬具「兒童托育服務法草案」案、\n(九)委員陳培瑜等19人擬具「兒童托育服務法草案」案、(十)委員郭昱晴等21人擬具「兒童托育\n服務法草案」案、(十一)委員陳素月等16人擬具「兒童托育服務法草案」案、(十二)委員鄭天財\nSra Kacaw 等18人擬具「兒童托育服務法草案」案、(十三)委員王美惠等19人擬具「兒童托育服\n務法草案」案、(十四)委員林淑芬等25人擬具「兒童托育服務法草案」案、(十五)委員王正旭等\n18 人擬具「兒童托育服務法草案」案、( 十六) 委員吳沛憶等18 人擬具「兒童托育服務法草案」\n案；三、(一)繼續審查委員王育敏等18人擬具「病人自主權利法部分條文修正草案」案、(二)繼\n續審查委員劉建國等16人擬具「病人自主權利法部分條文修正草案」案、(三)繼續審查委員邱志\n偉等19人擬具「病人自主權利法第八條、第九條及第十五條條文修正草案」案、(四)審查委員李\n柏毅等16 人擬具「病人自主權利法第九條條文修正草案」案、 ( 五) 審查委員羅廷瑋等16 人擬具\n「病人自主權利法增訂第十六條之一條文草案」案","agenda_id":"1145502_00001"}}},"supported_relations":[],"relations":[]}