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去通過的"},{"start":255.526,"end":276.265,"text":"而且人工生育的補助本來就健保沒有這一部分嘛他是要自費那自費當然人家民眾自然是自費他就針對隱私性跟就醫的方便性民眾當然會選擇自費診所嘛"},{"start":279.241,"end":290.419,"text":"所以對於自費診所或者醫院他是不是報稅紀錄完備財政部應該自己去查查就如同"},{"start":291.707,"end":319.22,"text":"就如同財政部現在我們針對民眾你如果租屋租金你可以來抵稅報這個你要求的也只是說你那個租金是不是你實質有租金的支出的這個憑證這樣就好嘛你會去要求說你要提出你的房東他報稅紀錄是否完備嗎沒有嘛"},{"start":320.134,"end":342.275,"text":"不是嗎所以我不懂我不懂那個部長我到現在一直不懂你們為什麼這麼執著這一點啦要獎勵我們國人同胞要獎勵大家聲譽這個是國安問題國家的政策我希望你能夠配合而且喔部長我"},{"start":347.452,"end":371.94,"text":"看你這一年多來吼 我的看法 我認為你確實你是奉公守法啦 但是奉公守法只是部長們 只是官員們你們該做的第一步而已耶那如果我看你這一年多來的表現 我八個字形容你是墨守成規 便宜行事"},{"start":373.086,"end":395.904,"text":"不是這樣嗎我一再的 一再多次質詢裡面我一再的說希望財政部在你的領導下能夠四個字 與時俱進各項的稅法我們該用綠色稅制的就用綠色稅制不合一的娛樂稅"},{"start":399.874,"end":411.74,"text":"這個印花稅包括昨天我們討論半天那個小家電那個近乎擾民我們列舉了這些小家電一年這個貨物稅收11億"},{"start":414.199,"end":430.53,"text":"結果不但擾民過去我們要收的部分是因為說這些小家電是奢侈品現在時代這麼進步啦這些小家電是家家戶戶必備的結果昨天討論了半天 一樣"},{"start":432.432,"end":449.557,"text":"你確實是規規矩矩你就是死不讓步昨天討論了一整天半天十億多我們大概好像只減了三千多萬你真的這個部分我希望"},{"start":452.13,"end":475.028,"text":"能夠與時俱進 十一億元去擾民我們一年收入是 國家稅收是三兆一千億耶 天啊那連尾數的尾數的尾數 好不好我希望你四個字 與時俱進然後 我今天繼續質詢你的這件事情就是說"},{"start":477.7,"end":505.747,"text":"這個診所是不是報稅紀錄完備這個不應該列為我們民眾生育支出那麼去抵稅不應該列為這個裡面的條件可不可以不鼓勵都來不及了嘛好不好謝謝委員的指教我想這個部分的生育跟因為他是跟醫療是一起在裡面的所以他有一定的一個"},{"start":506.587,"end":507.974,"text":"部分的處理 是"},{"start":509.893,"end":537.022,"text":"那你我希望你還是給我答覆啦你不能推給說啊這個法令啊這個什麼法令你可以欸財政部一天到晚自己主動提出修法的太多啦你們主動提出由行政院提出來這個很簡單就解決啦好不好我希望你重新給我一份答覆好謝謝委員謝謝你請你請回抱歉時間在我請那個衛福部邱部長來邱部長請"},{"start":544.046,"end":563.818,"text":"邱院長邱部長兩個問題第一個問題就是說最近這個毒品氾濫透過電子菸那麼更滲入到青少年朋友尤其有一種新的這個伊朵米子就是喪屍煙彈那這個部分我們"},{"start":567.93,"end":582.984,"text":"教育部統計我們高中職學生我們以一百一十二學年度來講五十五萬八千位那麼國建署也有統計說大概大概初高中生有六點三個Percent那會使用這個電子菸"},{"start":585.166,"end":608.212,"text":"那電子煙我們現在嚴禁因為它的煙油裡面會參入這一些會毒害青少年朋友的所以如果照6.3%55萬8千位光高中職生喔那應該會有3.5萬極可能使用電子煙的我們的青年朋友但是"},{"start":610.25,"end":620.418,"text":"我查了一下你們兩年來衛福部中央跟地方衛生局我們所查獲開立處分數的這1021件我認為這個比例過低我們已是會使用電子菸這個數字已經是少估"},{"start":631.886,"end":650.479,"text":"然後你兩年只查緝一千零二十一件我認為這個查緝不夠徹底所以我希望在這個部分可以加強可不可以因為你像菸娟我們收了兩百六十四億那你有九成用在我們醫療保健這是對的但是"},{"start":653.786,"end":670.879,"text":"用在要對青少年朋友的這個宣導的部分我認為應該提升也就是說我們要進校園去宣導而且要加強查緝好不好你要通靈我們加強查緝好 謝謝各市"},{"start":673.902,"end":681.386,"text":"各地方政府衛生局請他們大家一起通力合作我們中央地方會一起努力"}]},"gazette":{"lineno":1013,"blocks":[["王委員世堅：（11時55分）謝謝主席，我請財政部莊部長。"],["主席：請財政部莊部長。"],["莊部長翠雲：委員好。"],["王委員世堅：部長，我還是要問前幾天的問題，為什麼民眾實際支出生育的手術費，他可否抵稅還要取決於這個診所是不是報稅完備，是不是會計紀錄完備？","我前幾天就講過，臺灣已經躍升為全世界生育率最低的國家，4月生不到1萬人，只有生8,600人，比去年同期少了20%，我們平均每一位女性國人同胞平均生育0.8位，這已經低於那麼低生育率的日本，日本平均生育1.3位，我們平均生育0.8位，所以現在生育率過低已經是我們的國安問題，也就是說，提高生育率是我們國家政策，也是各部會機關應該積極配合去促成的。結果，各單位包含衛福部國健署、教育部，他們都在配合宣導、鼓勵，獨獨財政部，我不懂為什麼啦，你們財政部用不給予抵稅來逼生育的國人同胞去幫財政部查稅，看看這個診所、這家醫院是不是報稅紀錄完備？這很奇怪，該查診所或醫院是不是有完整的會計紀錄、完整的報稅，這是財政部的職責，但是不能便宜行事，不是嗎？財政部竟然駕馭各個機關部會幫你們去查稅，用不能抵稅、用懲罰民眾來達成你們的目的，這很奇怪！","我前幾天質詢之後，你給我的公文答復，我才發現糟糕，還更慘。在答復我的公文裡面，你自己還從實招來，說去年4月份你們就發文給衛福部，要求人工生殖補助方案應該限縮在向你們財政部申請會計紀錄完備的診所。天啊！還好當時衛福部的答復很好，衛福部說：縮小補助範圍會影響民眾就醫的可近性。他用這個理由把你拒絕掉，他們是正確的，而且人工生殖補助這件事，這個診所是不是合格、合規，這是國健署他們去核可的，他們以醫療專業去看這個醫師技術夠不夠、是不是達到水準、設備規模是不是沒問題，他們就專業的評估去通過的，而且人工生育補助本來健保就沒有這部分嘛，他是要自費，既然是自費，針對隱私性及就醫的方便性，民眾當然會選擇自費診所嘛！所以對於自費診所或者醫院是不是報稅紀錄完備，財政部應該自己去查察，就如同財政部現在針對民眾，如果有租屋在報稅時，租金可以來抵稅，你們要求的也只是那個租金是不是實質有租屋，並且有租金支出的憑證，這樣就好了，難道你們會去要求他要提出房東的報稅紀錄是否完備嗎？沒有嘛，不是嗎？所以我不懂、我不懂，部長，我到現在一直不懂你們為什麼這麼執著這一點啦！要獎勵我們國人同胞、要獎勵大家生育，這個是國安問題及國家政策，我希望你們能夠配合。","部長，我看你這一年多來，我的看法認為你確實是奉公守法啦！但是奉公守法只是部長們、只是官員們該做的第一步而已，我看你這一年多來的表現，我8個字形容，你是「墨守成規，便宜行事」，不是這樣嗎？我在多次質詢裡一再的說，希望財政部在你的領導下能夠做到4個字「與時俱進」，針對各項的稅法，你們該用綠色稅制的，就用綠色稅制，不合宜的娛樂稅及印花稅，包括昨天我們討論半天的小家電，那個近乎是擾民耶！我們列舉了這些小家電一年的貨物稅徵收了11億，結果不但擾民，過去我們要收的原因是因為這些小家電是奢侈品，唉！現在時代這麼進步了，這些小家電是家家戶戶必備的，結果昨天討論了半天還是一樣，你確實是規規矩矩啦！你就是死不讓步，昨天討論了一整個半天，11億多大概好像只減了三千多萬，我希望能夠與時俱進，收這11億元去擾民，我們國家一年稅收是3兆1,000億耶，天啊！那是尾數的尾數的尾數，好不好？我希望你能做到4個字「與時俱進」，然後我今天繼續質詢你的這件事情，就是診所是不是報稅紀錄完備，不應該列為我們民眾生育支出能否抵稅的條件，可不可以？鼓勵都來不及了嘛，好不好？"],["莊部長翠雲：謝謝委員的指教。有關這個部分，因為生育是跟醫療一起在裡面的，所以它有一定的處理。"],["王委員世堅：好，我希望你還是要給我答復啦！"],["莊部長翠雲：好。"],["王委員世堅：你不能推到這個法令啊，這個什麼的。法令你可以……財政部自己一天到晚主動提出的修法太多啦！你們主動提出，由行政院提送來，這個很簡單就解決啦，好不好？"],["莊部長翠雲：好，我們會提出。"],["王委員世堅：我希望你重新給我一份答復。"],["莊部長翠雲：好，謝謝委員。"],["王委員世堅：謝謝，你請回。抱歉，時間暫停，我請衛福部邱部長。"],["主席：請邱部長。"],["邱部長泰源：委員好。"],["王委員世堅：邱部長，我有兩個問題：第一個問題是最近毒品氾濫是透過電子煙，更滲入到青少年朋友，尤其有一種新的毒品叫「依托咪酯」，就是「喪屍煙彈」。根據教育部統計我們高中職學生人數，以112學年度來講是55萬8,000位，國健署也有統計大概粗估高中生有6.3%會使用這種電子煙，我們現在針對電子煙是嚴禁的，因為它的煙油裡面會摻入這一些尼古丁會毒害青少年朋友的，所以如果照6.3%來計算，光在55萬8,000位的高中生中，應該就有3.5萬的青年朋友極可能使用電子煙，但是我查了一下，你們衛福部兩年來，中央跟地方衛生局所查獲開立處分書的只有1,021件，我認為這個比例過低，疑似會使用電子煙的，這個數字已經是少估。你們兩年只查緝1,021件，我認為這個查緝不夠澈底，所以我希望在這個部分可以加強，可不可以？因為像菸捐，我們收了264億，有九成用在我們醫療保健，這是對的，但是用在對青少年朋友宣導的部分，我認為應該要提升，也就是你們要進校園去宣導，而且要加強查緝，好不好？"],["邱部長泰源：好，是的。我們會加查緝……"],["王委員世堅：你要通令你們衛福部及各地方政府衛生局，請他們大家一起通力合作，好不好？"],["邱部長泰源：我們中央跟地方會一起努力，謝謝。"],["王委員世堅：謝謝。"],["主席：謝謝王委員的質詢。","下一位請葉元之委員質詢。"]],"agenda":{"page_end":266,"meet_id":"委員會-11-3-20-18","speakers":["賴士葆","林德福","吳秉叡","郭國文","鍾佳濱","賴惠員","李坤城","顏寬恒","李彥秀","陳玉珍","林思銘","黃珊珊","王世堅","葉元之","林月琴","王育敏","羅明才","陳昭姿","翁曉玲","張啓楷","麥玉珍","蘇清泉","謝龍介","徐欣瑩"],"page_start":197,"meetingDate":["2025-06-19"],"gazette_id":"1146101","agenda_lcidc_ids":["1146101_00006"],"meet_name":"立法院第11屆第3會期財政委員會第18次全體委員會議紀錄","content":"邀請財政部莊部長翠雲、衛生福利部邱部長泰源、法務部、海洋委員會海巡署就「近三年菸酒管\n理法對於私菸（含電子菸 加熱菸）查緝成效與菸品健康捐經費分配及運作使用情形」進行專題\n報告，並備質詢","agenda_id":"1146101_00005"}}},"supported_relations":[],"relations":[]}