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92%大腸癌的篩檢更成長了一倍"},{"start":125.447,"end":149.979,"text":"所以呢為什麼在這一段時間我們在爭取疫苗的費用的時候醫界就反而就一直搖頭探頭疫情過後呢這個包括疫苗處置費呢是不增反減因為我們沒有了那一百塊醫界就最後自嘲說我們的疫苗接種不如一坨大便我說不如一坨大便是大腸癌的篩檢人家還有從兩百塊增加到四百塊"},{"start":153.34,"end":160.563,"text":"我想這個聲音你應該跟我在很多場合都有聽到醫界聲音對不對部長我這樣講沒錯了醫界搖頭說他們的處置費用不如一坨大便就是大腸癌篩檢所有的篩檢都成長了50%以上我們兩個共同參加很多次我們再看下一張表格"},{"start":176.728,"end":201.824,"text":"日本的疫苗處置費從一千一到一六五零一千六百五十塊韓國的處置費是五百到一千塊我們的疫苗處置費多少呢只有一百塊顯然的為什麼人家會編從一千一到一六五零五百到一千塊因為裡面有行政管理疫苗的保存需要冰箱衛教的宣導這些成本部長你同不同意他都不止一百塊你同不同意"},{"start":204.645,"end":207.787,"text":"我們機關署其實也是非常的努力也提出方案來提升部長你是真正醫界出身所以我覺得第一線的醫事人員心灰意冷"},{"start":224.898,"end":228,"text":"那我們現在為不只能苦要求說不要太世俗啦我們一起做功德心中難道默念的賴總統的這個健康台灣那持續的要一切做功德我覺得這不合理啦這不合理"},{"start":240.066,"end":263.505,"text":"所以部長 我要請問你 就是我們到底每一季 目前你的想法到底有沒有要調因為總諮詢的時候你也同意 你也認為應該要調在兒科醫學會的時候 很多場合 我們每次在開會的時候每一區 中區 北區 南區 東區 每次去開會的時候 醫界都說你們都說要調到底每一季 你們有沒有準備要調多少錢那什麼時候要準備調整 會不會編列在明年的預算裡面"},{"start":264.688,"end":291.955,"text":"報告委員我想我還是要說明因為在推行健康台灣的過程當中其實只要需要什麼經費對人民健康有幫助的我覺得政府都一直在努力啦那這一個部分的疫苗處置費我們的機關室也提出了相對的方案因為他要從疫苗基金沒關係部長你直接回應我到底什麼時候要調會不會編入明年的預算當中你目前的想法應該多少你該做多少的認証"},{"start":294.857,"end":315.218,"text":"那我請集團署組長回答一下目前五月上旬有跟行政院來爭取預算當中目前還在程序爭取多少錢應該說這個部分我也不方便回答那你告訴我Range好不好範圍大概多少"},{"start":316.618,"end":330.178,"text":"你覺得多少跟多少你爭取的預算是多少到多少沒關係你告訴我你爭取的預算一季應該是多少到多少才合理如果砍掉就行我們一定盡量爭取啦一定盡量爭取你跟他說就對了因為這以上的事情要看"},{"start":333.362,"end":351.792,"text":"我想當時在我擔任立委的時候也是跟委員一樣在爭取對嘛我們兩個都一樣都關心醫界都關心病人因為我們覺得基層真的是很辛苦是 部長所以你的意思說你已經爭取了你希望別用明年的預算一個小孩在打針有時候真的很難打"},{"start":352.712,"end":376.756,"text":"所以好沒關係部長因為我時間有限我後面還有其他快篩完全了解完全了解也會完全來好你有送上去的就對了你有送上去的就對了有爭取的就對了有是不是有齁有所以不能講不敢講好反正最後你有爭取那我就當作院長部長有爭取砍掉或沒給就是卓院長不肯給好那我聽懂了好來那接下來五月初我們說要"},{"start":380.337,"end":406.068,"text":"我希望我們不要玩兩手策略一邊因為健保署上次又說保持開放的心情然後後面又叫醫院要做功德然後又叫醫界寫什麼協議合作跟健保署提案我覺得不要玩兩手策略部長你這樣講我就很清楚你們有上簽了到行政院去了給不給就是行政院給不給我這樣理解沒有錯吧我們在疫苗基金裡面有去"},{"start":407.348,"end":423.986,"text":"這個部分就是有關疫苗接種儲施費的部分的確在五月五月上旬有向行政院來爭取擴大公務預算的一個波及到疫苗基金裡面那如果要實施的話也會先實施到這個也會在明年明年的部分希望爭取到明年編列預算進去"},{"start":425.438,"end":448.652,"text":"部長署長因為從過去他目前是150點希望增加到300點那我們疫情期間事實上有規劃到300點我們這300塊300塊事實上就早就已經做過成本的評估不然你疫情期間不會亂給到300塊所以這是當時你們預估過在疫情期間衛福部所有當時評估規劃你當時就是規劃300塊"},{"start":452.874,"end":469.14,"text":"用第一個有特別預算第二個不管特別預算你沒有規劃要四百五百沒有說掛號費啦所以當時沒有說掛號費但是我的意思是說你當時規劃三百塊你一定有算出它的成本是三百塊是符合成本我要提醒你三百塊那個數字當時是這樣訂出來的從一百五十點到三百塊是有理由的你不會亂編嘛"},{"start":474.062,"end":491.57,"text":"你疫情其實就是給300塊嘛我提醒你所以快篩的這是第一件事情那第二件事情就是部長我們現在的整個快篩的進度到底是怎麼樣到底夠不夠我們當時的反應現在的從112年快篩當時改而健保給付從150點到現在300點嘛"},{"start":502.034,"end":511.732,"text":"那現在300塊才能滿足服務成本大家都知道所以快篩幾步的調整能不能在這個月之內處理完成"},{"start":513.322,"end":532.152,"text":"有沒有打算給 有沒有打算實施健保署跟委員報告那這個快篩給付現在是健保給付那健保它有一定的程序包含要過專家之意會還要過公理會我叫你不要跟我講那麼多主席已經站起來了你不要告訴我快篩給付的調整我們還是要依照健保的一個程序以上"},{"start":532.312,"end":555.129,"text":"我知道程序但是現在六七月已經是高峰了你現在快篩幾副你沒有大家那個量診所的配合意願度都不高因為你只有給150點的話他就不敷成本使用他就不愛用我就不要用快篩我就不要用醫藥快篩我就不幫你篩你進來有可能你就是得到COVID嘛我就不給你篩因為我做一個賠一個嘛"},{"start":556.69,"end":564.231,"text":"因為你當時的疫情成本上次疫情成本是三百塊嘛他現在一切整數他就不愛用啊我做一個賠一個啊部長我有沒有講錯你聽懂我在講什麼嗎所以你們不能不食肉迷不食人間煙火你們食藥署竟然告訴人家說我們有撲霍啦什麼體感溫度不同這種話不要說這種話說真的是傷害食藥署部長我是你謝謝"},{"start":583.918,"end":590.164,"text":"我們會努力 你了解我的話完全了解 我們會努力趕快修正吧 這個月趕快想辦法"}]}},"supported_relations":[],"relations":[]}