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10:52:37","會議時間":"2025-06-05T10:00:00+08:00","會議名稱":"立法院第11屆第3會期財政委員會第15次全體委員會議（事由：邀請審計部陳審計長瑞敏、衛生福利部就「最近疫情再起，有關衛生福利部過去所準備的快篩試劑、疫苗、各式藥品及相關醫療機構因應措施」進行專題報告，並備質詢。）","transcript":{"pyannote":[{"speaker":"SPEAKER_03","start":4.31721875,"end":6.32534375},{"speaker":"SPEAKER_03","start":6.915968750000001,"end":8.78909375},{"speaker":"SPEAKER_03","start":9.869093750000001,"end":10.40909375},{"speaker":"SPEAKER_01","start":15.285968750000002,"end":16.24784375},{"speaker":"SPEAKER_03","start":16.46721875,"end":51.06096875},{"speaker":"SPEAKER_01","start":52.157843750000005,"end":54.73971875},{"speaker":"SPEAKER_03","start":54.73971875,"end":54.75659375},{"speaker":"SPEAKER_01","start":54.75659375,"end":55.68471875},{"speaker":"SPEAKER_03","start":55.68471875,"end":55.70159375},{"speaker":"SPEAKER_01","start":55.70159375,"end":55.735343750000006},{"speaker":"SPEAKER_03","start":55.735343750000006,"end":55.853468750000005},{"speaker":"SPEAKER_01","start":55.853468750000005,"end":55.90409375},{"speaker":"SPEAKER_03","start":55.90409375,"end":55.937843750000006},{"speaker":"SPEAKER_01","start":55.937843750000006,"end":55.971593750000004},{"speaker":"SPEAKER_03","start":55.971593750000004,"end":76.40721875},{"speaker":"SPEAKER_01","start":56.76471875,"end":57.625343750000006},{"speaker":"SPEAKER_01","start":68.18909375,"end":68.77971875},{"speaker":"SPEAKER_01","start":76.49159375,"end":77.48721875000001},{"speaker":"SPEAKER_03","start":77.47034375,"end":123.08346875000001},{"speaker":"SPEAKER_01","start":85.48596875000001,"end":85.70534375000001},{"speaker":"SPEAKER_00","start":85.70534375000001,"end":85.75596875000001},{"speaker":"SPEAKER_00","start":96.38721875,"end":96.42096875},{"speaker":"SPEAKER_01","start":96.42096875,"end":96.72471875000001},{"speaker":"SPEAKER_00","start":96.72471875000001,"end":96.74159375},{"speaker":"SPEAKER_01","start":96.74159375,"end":96.75846875},{"speaker":"SPEAKER_01","start":123.65721875000001,"end":135.03096875},{"speaker":"SPEAKER_03","start":128.21346875,"end":128.55096875},{"speaker":"SPEAKER_03","start":130.47471875000002,"end":131.38596875000002},{"speaker":"SPEAKER_01","start":135.36846875,"end":148.07534375},{"speaker":"SPEAKER_03","start":137.03909375,"end":137.17409375},{"speaker":"SPEAKER_03","start":138.06846875000002,"end":140.14409375},{"speaker":"SPEAKER_00","start":141.66284375,"end":141.67971875},{"speaker":"SPEAKER_03","start":141.67971875,"end":143.08034375},{"speaker":"SPEAKER_03","start":144.53159375,"end":145.03784375},{"speaker":"SPEAKER_03","start":145.25721875000002,"end":145.83096875},{"speaker":"SPEAKER_03","start":147.77159375000002,"end":158.79096875000002},{"speaker":"SPEAKER_01","start":149.59409375,"end":151.21409375000002},{"speaker":"SPEAKER_03","start":160.61346875,"end":162.09846875000002},{"speaker":"SPEAKER_02","start":160.84971875000002,"end":162.30096875},{"speaker":"SPEAKER_03","start":162.60471875000002,"end":166.35096875000002},{"speaker":"SPEAKER_02","start":164.66346875000002,"end":165.33846875},{"speaker":"SPEAKER_03","start":166.57034375,"end":168.35909375},{"speaker":"SPEAKER_03","start":170.38409375,"end":170.80596875},{"speaker":"SPEAKER_02","start":170.80596875,"end":170.83971875},{"speaker":"SPEAKER_02","start":171.05909375000002,"end":171.10971875},{"speaker":"SPEAKER_03","start":171.10971875,"end":171.14346875},{"speaker":"SPEAKER_02","start":171.14346875,"end":172.18971875},{"speaker":"SPEAKER_02","start":172.59471875,"end":172.69596875000002},{"speaker":"SPEAKER_03","start":172.69596875000002,"end":172.88159375},{"speaker":"SPEAKER_02","start":172.71284375000002,"end":172.83096875},{"speaker":"SPEAKER_02","start":172.88159375,"end":175.58159375000002},{"speaker":"SPEAKER_03","start":175.58159375000002,"end":184.12034375000002},{"speaker":"SPEAKER_02","start":184.39034375,"end":185.21721875},{"speaker":"SPEAKER_03","start":185.25096875,"end":188.25471875000002},{"speaker":"SPEAKER_03","start":188.71034375000002,"end":191.32596875000002},{"speaker":"SPEAKER_03","start":192.38909375,"end":192.79409375},{"speaker":"SPEAKER_03","start":194.27909375000002,"end":201.40034375000002},{"speaker":"SPEAKER_03","start":202.53096875,"end":203.39159375000003},{"speaker":"SPEAKER_01","start":203.39159375000003,"end":203.40846875000003},{"speaker":"SPEAKER_01","start":203.94846875000002,"end":209.73659375000003},{"speaker":"SPEAKER_03","start":208.33596875,"end":218.73096875000002},{"speaker":"SPEAKER_03","start":219.69284375,"end":223.70909375000002},{"speaker":"SPEAKER_03","start":224.70471875,"end":230.05409375000002},{"speaker":"SPEAKER_01","start":228.99096875,"end":231.30284375000002},{"speaker":"SPEAKER_03","start":230.96534375000002,"end":236.82096875000002},{"speaker":"SPEAKER_01","start":233.49659375000002,"end":233.88471875000002},{"speaker":"SPEAKER_02","start":237.58034375000003,"end":238.06971875000002},{"speaker":"SPEAKER_02","start":238.44096875000002,"end":238.72784375},{"speaker":"SPEAKER_03","start":238.98096875000002,"end":239.4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有請沈記長還有安修部長安修部長"},{"start":17.301,"end":36.195,"text":"其實我看到今天的這個題目其實相當的熟悉因為在一百一十年的時候十月的時候十一月的時候我們有接連兩次找了審計部來做專案報告主要也是針對這個衛福部的整個採購流程那當初你就提出這個採購流程預算執行的建議當中有八個審核意見"},{"start":37.136,"end":50.883,"text":"那後來衛福部有一定程度的這個改善即便是在非常緊急的情況底下衛福部會做這些改善那現在相對沒有那麼緊急的情況底下就你所吃的部分衛福部還沒有其他的問題還沒有進行改善的"},{"start":52.23,"end":68.894,"text":"目前我們提出了一件 衛福部都有回應都有嘛 所以今天的主題其實基本上應該審計這邊應該沒有什麼太大的問題嘛那既然如此的話 我覺得不是缺貨的問題可能是缺人打的問題比較多啦那個部長 區部長我去查過JN1的這個疫苗呢 去年交貨是550萬劑你知道目前剩下還有多少劑嗎"},{"start":76.576,"end":97.76,"text":"三百萬劑左右我看到的是三百零五萬劑之所以會剩下這麼多主要是第一劑的接種的部分只有九點二九點一二第二劑的部分更只有零點二五高危險成員部分六十五歲以上是十八點八五我覺得去年你們有一個口號還不錯左流右心我聽你們口號我還去打"},{"start":99.021,"end":122.779,"text":"就打完之後我以為你這口號很成功結果想不到這個比例差那麼多流感的部分還有破五成為什麼大家對流感接受這麼高然後呢對這個新冠疫苗的這個部分的接種差這麼多是不是有可能第一個這個有一些這個感冒當然有即時性有壓迫性的問題或第二個聽說要分兩次吃打第二次就沒吃打會不會這樣子 邱部長"},{"start":124.397,"end":140.588,"text":"我想這個的確是需要先導啦 謝謝委員的關心因為變異株還是不一樣 可是很多人都覺得他以前已經打過好多劑了啦或者甚至有的感染過了醫生只要打一次而已嘛 但是其實還是有變異株的問題啦像我大概打了八九次了吧那10月1號走的又新也是有打了"},{"start":147.953,"end":158.12,"text":"對啊 我也都有打咧但是問題不是我們有沒有打問題是很多民眾都沒有打這才是會讓我們緊張的一個原因嘛你305劑我就問嘛你的Daylight到什麼時候保存實現啊到9月底到今年9月底到9月底 對350萬劑價值多少錢 採購金的多少"},{"start":170.421,"end":191.296,"text":"阿賀 你居然不曉得大概三四十億 三十億左右三十億左右 三十億左右就打水漂欸 拜託要加緊宣傳 宣傳發言人有被刪掉嗎 有被刪掉嗎沒有沒有被刪掉 你們加緊宣傳啊 必要的時候找一下院長出來打一下嘛 院長打了沒有部長"},{"start":193.72,"end":217.152,"text":"有 前一陣子有聽到院長在安排前一陣子 我講你就說前一陣子有安排我沒有講就沒有安排那副總統打了沒有副總統打了沒有這個第一個就是要有一定的條件啦當時就是65歲或者慢性病部長你不要偏插去了嘛我現在告訴你 我現在想說如何讓你的業務能夠提升嘛你就要把這一種代表性的人物請出來"},{"start":219.744,"end":236.519,"text":"拜託你三百零五萬劑在那邊打水漂三十億耶拜託到時候詐約長就拿人家出來攻擊你這施打率實在是差太多了嘛我們全力在先導全力在先導用盡各種方法在九月之前目標是多少會不會超過五十"},{"start":239.022,"end":262.808,"text":"包委員自我挑戰一下是因為這個疫苗它本身就是很多人都感染過跟他會覺得你不要跟我講這個啦你竟然設定這個五百你竟然買了五百五十萬就是代表這個需要施打的數目嘛我們全力以赴我們全力以赴不要跟我講那些例外的嘛這就是你要的目標啊不然就不要買那麼多啊應該是說我們現在除了這個全 就是"},{"start":263.488,"end":288.184,"text":"全體的國民的接種另外一個比較順遂是高危險群我們希望能夠超過20%以上20%高危險群的65歲以上20%20%以上現在是18.85因為他剩下只有到六七月只有一個月的時間你下去你下去我不要跟你討論了部長我再跟你講一下癌友的這個復原道路我們現在有健康台灣"},{"start":290.286,"end":303.436,"text":"賴總統非常有心 健康台灣深耕計畫100億用多少補多少但是我看了結果我們心要的引進 老實講過去10年平均全球460個只有16%在一年內拖29%納入這個醫療給付第一個 時間拖了很長"},{"start":308.24,"end":327.627,"text":"第二個呢 因為價格的問題進來之後呢你們限縮對象 限縮療程 限縮時間不得替代 不同替用 等等連這個限縮對象的部分發療無效才能用發療的無效啊 八個月啊還有晚期的這個患者才能用你在用這個有什麼意義這第一個嘛"},{"start":327.947,"end":347.726,"text":"那之所以會這樣子就是因為你價格來限制了這個耽誤時間嘛第三個呢到了這個健保署的時候又限縮一次用適應證來做限縮縮縮縮不外乎就是錢錢錢的問題嘛那現在錢錢錢已經拿了一百億用多少可以補多少你這個問題要什麼時候可以改善部長請回答"},{"start":348.63,"end":377.457,"text":"報告委員我想我們政府尤其是賴總統非常重視癌症的一個防治除了在預防方面投入很多的經費以外在治療的這個部分也給我們癌症百益基金這個是對癌症的病人非常的有幫助這當中當然會讓我們現在健保署一直在開放一直在開放就是希望需要的人癌症需要的人就馬上可以但是感覺上還是慢慢啊對不對你們快快快"},{"start":378.297,"end":400.584,"text":"陳副署長要不要說我們現在已經縮短到謝謝委員的槌詢我們今年在健康台灣裡面的這個癌症新藥基金如同國員剛所說的是100億那我們的總額增加是8.13%712億那關於所謂新藥引進的時間我們在去年新藥引進的時間已經大幅度縮短到一年以內那未來我們會持續一年以內了嗎因為去以前是787天喔"},{"start":402.265,"end":424.204,"text":"你說了一年一年就代表你進步了我再說一個例子好了最近我接到一個什麼寡宿塗膠之流兩都已經 主治醫生都幫他申請了兩次都沒有過他說不符合適應症就我剛剛講的嘛就用盡各種方法來限縮嘛明明一種藥可以治六種癌症你就把它說 喔這只有這一種比較好而已"},{"start":425.631,"end":441.652,"text":"這 我這個個案你拿回去檢討一下好不好 副書長是是 我們會回去身子檢討民怨一大堆啦 從台南打到台北來啦各位委員報告 我們的新藥引進事實上是有個審議委員會那事實上是在審議委員會沒有通過所以我們會回去再盤點這個流程對啦 你要好好地判讀一下啦 要提 要"},{"start":442.293,"end":463.965,"text":"苦民所苦啦那最後問一下那個部長現在到七月的時候高峰嘛要二十萬人嘛那這樣的情況底下你已經啟動了這一個我們的部那個衛福部的所屬的醫院加開門診 夜間門診啦那一般的醫療院所有開始溝通了沒有SOP出來了沒有你剛剛有提到超前部署你可不可以稍微講一下"},{"start":464.721,"end":487.918,"text":"包委員我們在COVID那幾年當中可以說是做好分級分流的一個體系所以我們要再啟動這樣的一個體系是沒有問題的好我相信你這個沒有問題還有包括口罩的部分的宣傳我相信都沒有問題我這條退後過我最後一題問你現在台日之間的水產您也是東大畢業的這個我們之前花了八年的時間讓石斑魚能夠去日本"},{"start":489.099,"end":510.258,"text":"那現在問題對方也花了6年的時間申請讓河豚來到台灣那我問了農業部說卡在衛福部啊那衛福部在去年12月也去實地查核過了那我就問一個簡單的原因到底要等多久有沒有可能年底有沒有可能無毒養殖的先進口"},{"start":511.996,"end":528.513,"text":"這個現在就一直在請專家在會議研議有沒有目標值嘛如果說沒有讀了就讓他進來大家就知道怕河豚你們一定有進度啦不要講那個啦我們會努力讓他盡快盡快我們年底試看看好不好好 我們再努力好 謝謝"}]}},"supported_relations":[],"relations":[]}