{"error":false,"id":["166335"],"data":{"IVOD_ID":166335,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/166335","日期":"2025-12-10","會議資料":{"會議代碼":"委員會-11-4-26-15","會議代碼:str":"第11屆第4會期社會福利及衛生環境委員會第15次全體委員會議","屆":11,"會期":4,"會次":15,"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4會期社會福利及衛生環境委員會第15次全體委員會議"},"影片種類":"Clip","開始時間":"2025-12-10T12:32:19+08:00","結束時間":"2025-12-10T12:53:14+08:00","影片長度":"00:20:55","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/a128e1119a2c25c06c2b9ecae5a02196ff56a78bd28eb1224f1120d908022d4d2a31a243c72cc49e5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"陳瑩","委員發言時間":"12:32:19 - 12:53:14","會議時間":"2025-12-10T09:00:00+08:00","會議名稱":"立法院第11屆第4會期社會福利及衛生環境委員會第15次全體委員會議（事由：邀請衛生福利部部長、勞動部及教育部就「身心障礙者特教融合、就業服務及自立生活現況」進行專題報告，並備質詢。\n(討論事項)\n一、繼續審查\n(一) 委員范雲等17人、委員何欣純等17人、委員羅廷瑋等16人、委員廖偉翔等19人、委員陳菁徽等16人、委員羅美玲等16人及委員劉建國等17人分別擬具「身心障礙者權益保障法部分條文修正草案」案。\n(二) 委員郭昱晴等19人擬具「身心障礙者權益保障法第十六條條文修正草案」案。\n(三) 委員陳冠廷等16人擬具「身心障礙者權益保障法第三十八條條文修正草案」案。\n(四) 委員陳冠廷等20人擬具「身心障礙者權益保障法第二條、第五十三條及第九十九條條文修正草案」案。\n(五) 委員徐富癸等18人擬具「身心障礙者權益保障法第十條條文修正草案」案。\n(六) 委員黃捷等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(七) 委員王鴻薇等20人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(八) 委員柯志恩等18人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(九) 委員柯志恩等17人擬具「身心障礙者權益保障法第六十條之一條文修正草案」案。\n(十) 委員馬文君等19人擬具「身心障礙者權益保障法第三十條之一、第五十條及第五十二條條文修正草案」案。\n(十一) 委員廖偉翔等21人擬具「身心障礙者權益保障法增訂第五十條之一條文草案」案。\n(十二) 委員林楚茵等20人擬具「身心障礙者權益保障法第十條條文修正草案」案。\n(十三) 委員洪孟楷等18人擬具「身心障礙者權益保障法增訂第四十條之一條文草案」案。\n(十四) 委員陳俊宇等18人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十五) 委員林楚茵等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十六) 委員劉建國等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n(十七) 委員邱若華等17人擬具「身心障礙者權益保障法第七十一條條文修正草案」案。\n二、審查\n(一) 委員林月琴等18人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(二) 委員伍麗華Saidhai Tahovecahe等18人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(三) 委員王育敏等17人擬具「身心障礙者權益保障法部分條文修正草案」案。\n(四) 台灣民眾黨黨團擬具「身心障礙者權益保障法部分條文修正草案」案。\n【第二(四)案，如經復議，則不予審查】\n【專題報告及討論事項，綜合詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_02","start":2.86596875,"end":4.35096875},{"speaker":"SPEAKER_01","start":4.6040937500000005,"end":4.620968749999999},{"speaker":"SPEAKER_00","start":4.620968749999999,"end":4.63784375},{"speaker":"SPEAKER_01","start":4.63784375,"end":4.6715937499999995},{"speaker":"SPEAKER_00","start":4.6715937499999995,"end":4.840343750000001},{"speaker":"SPEAKER_02","start":4.840343750000001,"end":5.177843750000001},{"speaker":"SPEAKER_00","start":5.177843750000001,"end":5.19471875},{"speaker":"SPEAKER_01","start":8.535968750000002,"end":9.379718750000002},{"speaker":"SPEAKER_02","start":9.801593750000002,"end":36.73409375},{"speaker":"SPEAKER_02","start":36.80159375,"end":48.29346875},{"speaker":"SPEAKER_02","start":48.462218750000005,"end":55.195343750000006},{"speaker":"SPEAKER_01","start":55.34721875,"end":56.595968750000004},{"speaker":"SPEAKER_02","start":56.00534375,"end":56.44409375},{"speaker":"SPEAKER_01","start":56.71409375,"end":95.08784375},{"speaker":"SPEAKER_02","start":95.52659375,"end":96.80909375},{"speaker":"SPEAKER_02","start":96.97784375,"end":99.13784375},{"speaker":"SPEAKER_02","start":99.57659375,"end":101.53409375000001},{"speaker":"SPEAKER_02","start":102.25971875,"end":112.45221875},{"speaker":"SPEAKER_02","start":112.97534375000001,"end":114.91596875},{"speaker":"SPEAKER_02","start":115.10159375,"end":149.96534375000002},{"speaker":"SPEAKER_02","start":150.03284375,"end":171.97034375},{"speaker":"SPEAKER_02","start":172.05471875,"end":174.87284375000002},{"speaker":"SPEAKER_02","start":175.22721875000002,"end":180.98159375},{"speaker":"SPEAKER_02","start":181.21784375000001,"end":191.35971875},{"speaker":"SPEAKER_02","start":192.03471875000002,"end":197.36721875},{"speaker":"SPEAKER_02","start":198.31221875,"end":213.02721875},{"speaker":"SPEAKER_02","start":213.73596875,"end":215.23784375000002},{"speaker":"SPEAKER_02","start":215.84534375,"end":216.19971875000002},{"speaker":"SPEAKER_02","start":216.72284375,"end":225.37971875000002},{"speaker":"SPEAKER_02","start":225.70034375,"end":230.20596875},{"speaker":"SPEAKER_02","start":230.27346875,"end":278.33346875},{"speaker":"SPEAKER_02","start":278.62034375,"end":285.70784375},{"speaker":"SPEAKER_02","start":286.24784375,"end":287.39534375},{"speaker":"SPEAKER_02","start":287.47971875,"end":292.60971875},{"speaker":"SPEAKER_02","start":292.67721875,"end":293.18346875000003},{"speaker":"SPEAKER_02","start":293.92596875000004,"end":299.37659375000004},{"speaker":"SPEAKER_02","start":299.76471875000004,"end":306.76784375},{"speaker":"SPEAKER_02","start":307.62846875,"end":312.69096875},{"speaker":"SPEAKER_01","start":314.24346875000003,"end":314.71596875},{"speaker":"SPEAKER_01","start":315.28971875,"end":320.43659375000004},{"speaker":"SPEAKER_01","start":320.79096875000005,"end":358.48971875},{"speaker":"SPEAKER_02","start":357.84846875,"end":360.36284375},{"speaker":"SPEAKER_01","start":360.71721875000003,"end":374.38596875},{"speaker":"SPEAKER_02","start":363.28221875,"end":363.70409375},{"speaker":"SPEAKER_02","start":373.96409375,"end":380.69721875000005},{"speaker":"SPEAKER_01","start":374.52096875,"end":376.32659375000003},{"speaker":"SPEAKER_01","start":379.54971875,"end":381.86159375},{"speaker":"SPEAKER_02","start":382.06409375000004,"end":383.34659375},{"speaker":"SPEAKER_02","start":384.08909375,"end":386.51909375},{"speaker":"SPEAKER_02","start":387.12659375000004,"end":397.57221875000005},{"speaker":"SPEAKER_00","start":392.61096875000004,"end":392.77971875000003},{"speaker":"SPEAKER_01","start":392.77971875000003,"end":392.96534375000005},{"speaker":"SPEAKER_00","start":392.96534375000005,"end":393.04971875},{"speaker":"SPEAKER_00","start":396.20534375,"end":396.22221875},{"speaker":"SPEAKER_00","start":396.25596875,"end":396.49221875},{"speaker":"SPEAKER_02","start":397.75784375,"end":400.59284375000004},{"speaker":"SPEAKER_02","start":401.58846875,"end":406.63409375000003},{"speaker":"SPEAKER_02","start":407.17409375000005,"end":410.63346875},{"speaker":"SPEAKER_02","start":411.71346875,"end":413.28284375000004},{"speaker":"SPEAKER_02","start":413.67096875000004,"end":418.64909375},{"speaker":"SPEAKER_02","start":419.29034375000003,"end":422.64846875},{"speaker":"SPEAKER_01","start":424.60596875000005,"end":424.82534375},{"speaker":"SPEAKER_01","start":425.21346875,"end":442.24034375},{"speaker":"SPEAKER_02","start":441.73409375000006,"end":445.42971875},{"speaker":"SPEAKER_01","start":444.07971875000004,"end":444.43409375000005},{"speaker":"SPEAKER_02","start":445.61534375,"end":447.50534375},{"speaker":"SPEAKER_01","start":447.50534375,"end":448.56846875},{"speaker":"SPEAKER_02","start":448.90596875000006,"end":458.33909375},{"speaker":"SPEAKER_02","start":459.04784375,"end":466.40534375000004},{"speaker":"SPEAKER_00","start":461.95034375,"end":462.18659375000004},{"speaker":"SPEAKER_02","start":466.81034375,"e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部長陳委員好"},{"start":10.061,"end":35.568,"text":"部長好那近幾年呢這個早期療癒的服務是逐漸完善其實台灣也算做得不錯那但是呢本席也看到一個越來越明顯的問題那現在有這個各縣市的這個早療服務大部分都是在6歲前政府大量投入這個人力跟資源但是進入國小之後那邁入這個青少年"},{"start":37.969,"end":54.762,"text":"這個青年甚至成年之後呢我想了解一下就是衛福部到底做了什麼有哪些支持的這個系統跟持續的訓練然後來協助這些原先有需要幫助的這些孩子們"},{"start":56.923,"end":80.814,"text":"是跟委員說明大概我們一方面去發展這個早期療癒的資源整合中心因為先有這個評估然後這個是由我們國健署主導的這個評估聯合評估中心然後再去按照他的需要去安排後續的早期療癒的相關服務"},{"start":81.354,"end":94.519,"text":"那當然我們現在確實學齡前的是比較多那學齡後的話主要就是在醫院服務醫療機構服務這邊為主 自行它就會回到健保的體系主要在健保體系裡面去執行"},{"start":96.278,"end":112.104,"text":"其實部長這樣回答可能在實務上我們沒有辦法對照得到一些比較具體的答案因為確實我們了解多數的資源就是說在六歲之後"},{"start":113.044,"end":138.541,"text":"看起來都比較集中是在這個中重度障礙或者是攝服認定的高需求的個案但事實上呢有很多完成藻尿之後的特別是高功能的兒童他們的語言跟認知能力因為四肢健全嘛那但是就是說甚至語言認知能力看起來是正常的但是實際上"},{"start":139.922,"end":157.295,"text":"最需要支持的例如说交友社交的互动然后执行的功能还有情绪的调节还有校园跟社会适应我举例比如说孩子们"},{"start":158.616,"end":174.529,"text":"長大了邁入這個青春期他們也開始會對異性會產生興趣那甚至譬如說上大學之後也會很想交女朋友但是或者交男朋友但是呢"},{"start":176.271,"end":195.608,"text":"缺乏對就是說他們不知道怎麼樣用大眾可以接受的方式去互動所以常常會被投訴甚至有的被送去警察局告他們性騷所以這些其實到最後都產生了一些社會的問題"},{"start":199.059,"end":214.827,"text":"這些跨部門的這個銜接幾乎都是由家長們自行在摸索那也因為他們就是說剛剛講的缺乏一般人的這個認知跟辨識能力有時候甚至連對方的喜怒哀樂"},{"start":215.928,"end":238.236,"text":"都沒有辦法很正確的分辨所以更容易造成像最近詐騙集團這個詐騙集團的這個盛行他們也很容易就是說成為被詐騙的目標那當然這些都有實際的案例所以我今天特別也正是這個問題在這邊提出"},{"start":240.157,"end":256.141,"text":"所以針對這個部分 本席在去年也有提出一個組決議要求衛福部針對不同階段高功能者所需要的療癒繳制課程需求的進度調查盤點現有的資源 並且有要求你們在六個月內要提出經濟改善計畫和推動的時程規劃"},{"start":259.002,"end":285.525,"text":"那當時新建司社家署國建署還有健保署都推來推去的跟本席之前推的一些方案都是一樣推來推去最後呢是由新建司來主責我想這也是凸顯了就是說這些高功能的障礙者呢在找療之後的資源其實是被忽略的"},{"start":286.286,"end":312.399,"text":"那因為威福部裡面你們沒有任何一個單位就認為這是自己應該做的業務那我想要請教部長現在已經過了一年了那威福部是否有掌握早療後持續需要服務的這些孩子們的人數跟需求還有資源盤點的到底是怎麼樣的可不可以請你們回答"},{"start":316.027,"end":336.241,"text":"確實像委員提到對於這個早期療癒的部分因為他過去都是比較著重在學齡前確實是這樣因為要早期介入那麼希望他能夠盡量回歸到這個他的後面的這個學習成長能夠跟正常的孩子相當所以都是放在在前面"},{"start":337.122,"end":360.042,"text":"那麼又善在不同的部門所以第一個我們在現在的這個行政院版本要成立的兒少及家庭支持署裡面就會把這個兒少的早期療癒整合在這個單位所以以後事權讓他合一所以這個是第一個第二個剛剛提到你說未來會合一"},{"start":360.783,"end":386.173,"text":"就是说这个早期疗愈现在的相关业务有些可能会上载在社家署或者是这个新建师或者是国建署那以后这个儿少的早期疗愈那部长你可不可以再讲一下儿少儿少还是儿少啊儿少及家庭支持署这样对但是这些人即便他再继续成长"},{"start":387.193,"end":409.63,"text":"已經過了兒少的這個年齡在邁入成年之後一樣他們都還是會需要協助的因為在其實這一群高功能的障礙者你好好的訓練他們 輔佐他們他們是可以成為這社會上有貢獻的人"},{"start":411.752,"end":421.992,"text":"但是如果你們就這樣放生了放生家長 放生這群孩子們那後續就會產生很多社會的問題"},{"start":425.279,"end":447.031,"text":"我了解就是說我們剛剛提到兒少當然我們是到18歲啦那委員關心的是說那成年之後18歲以後那他同樣會有這種社交或者是這個生活上他的需要的協助那我們看看即便上大學在學習上他們也都很需要幫忙"},{"start":448.976,"end":471.534,"text":"所以這個部分不是說只有說接下來教育部接手然後或者是哪個單位接手因為在你們各個單位不管是怎麼接手並沒有連結我要提一個我觀察了一個很奇特的現象在台大的兒童心智科進去我們看到的"},{"start":472.395,"end":492.851,"text":"不是只有兒童其實有更多的青少年甚至已經是成年的大孩子們都還是要去掛兒童心智科那我不知道你們有沒有注意到這個奇特的現象因為他們沒有地方去啊不曉得要掛什麼"},{"start":495.683,"end":519.404,"text":"如果是已经是成人的那他就是挂成人精神科比较不会去儿童精神科我们在医院里面是有分科除非他是因为对这个医师啊长期的性认关系异病关系所以他确实有很多的不然的话是走的是那个成人精神科就不是儿童心不是儿心的"},{"start":520.151,"end":537.679,"text":"但我這樣凸顯並不是說實際上的這樣子的的一些問診治療是不對的不是這樣而是說實際上的需求跟我們整個制度上的規劃其實是產生了很大的問題那這個部分"},{"start":541.121,"end":564.458,"text":"你們剛剛也都還沒有回答剛剛有人上來協助來支援部長但是你給部長什麼答案過了12個月你們有沒有掌握這個早療後持續需求就是到底持續需求服務的這些孩子們的人數你們有沒有盤出來了給你們一年的時間你們算出來了沒有"},{"start":565.939,"end":594.032,"text":"我聽到的我了解的是說還沒有盤點完這個需求啦這個需求調查好像還沒有完成那部長這個一年的時間是您認為太少還是足夠還是業務單位他們不夠積極你們會部長認為說大概這個需要多少時間還是根本盤不出來可以"},{"start":597.895,"end":609.086,"text":"我們還是要找專家學者來委託他們來執行這個計畫這個計畫我們盡可能在未來六個月看能不能把它完成這樣"},{"start":610.37,"end":626.347,"text":"好的孩子們都每天每天都在長大所以我還是希望大家可以跟時間賽跑一下那部長就是說當家長的必須在這個教育醫療還有社政三個系統當中來回奔走"},{"start":627.168,"end":652.219,"text":"每個單位都說這不是我們的業務那衛福部你們是不是就到底有沒有認知到說這樣的制度設計導致說家長長期承擔高壓的照顧跟溝通的成本交通也是啊因為剛剛講說如果長期從小長期我們就是都是固定由一位特定的醫師組織醫師來"},{"start":657.66,"end":682.066,"text":"來診療的話那有些有些因為搬遷那或者有些像在東部地區或者偏鄉就比較少這樣子的早期就比較少這樣的資源的時候那一開始就是固定在北部這種交通往返的成本都是很高的耶所以你們是不是就是說"},{"start":683.551,"end":698.572,"text":"剛剛六個月的盤點我是真的覺得太久了除非除非部長你要不要讓他們講一下他們到底有遇到什麼困難我請那個我們興建師的陳市長說為什麼還需要半年所以前後加起來是一年半搞不好還做不出來"},{"start":700.464,"end":724.883,"text":"跟委員報告這個案子目前已經有委託給國衛院那國衛院跟那個我們有請台大醫院兒童心智就是兒童心神科醫師來做這個調查的確是這個他們在青少年之後的需求包括社區的需求還有長期的這個照顧的需求你們什麼時候委託出去的這個月這個月我體驗過了一年你們這個月才委託出去你這樣會不會太不像話了我們會盡速來做這很誇張欸你們啊"},{"start":731.226,"end":757.712,"text":"所以半年時間這樣有夠嗎 部長我是不怪你啦你剛上任 那個興建師師長你也是剛來嘛所以前面那些都在幹什麼每個案子推來推去都有他們的份耶這一定是不良紀錄在我心裡我會督促那個儘早把這個需求調查看能不能盡快的完成這樣"},{"start":759.005,"end":788.409,"text":"好因為我要講一下就是說其實因為我真的遇到很多案例我們服務處也接到過陳情就是這些高功能的孩子們長大之後真的就好幾個就我們常常要去派出所去把這些人安撫帶回來因為大家不了解你們又推來推去的所以這個部分拜託等於從零開始嘛就半年半年"},{"start":791.726,"end":810.094,"text":"不好意思我就再多問一個問題就結束我們看一下上個月的內政部公佈的原住民族檢疫生意表題要分析依照111年的統計原住民族與全體國民的平均餘命差距為6.19歲113年已經擴大到7.54歲"},{"start":813.996,"end":830.749,"text":"所以這個原住民族與這個全體國民平均一命的差距在這幾年已經不再呈現這個縮小的差距那部長你怎麼看這個圖表本來好好的103到111都下降我們的所有的統計數字那麼在這幾年因為這個疫情的影響都產生了"},{"start":837.935,"end":861.338,"text":"偏離趨勢的情形在Covid這三年當中我們各項數字都一樣包含其他的死因統計也都受到影響像十大死因在過去這幾年Covid就跑進來了變成十大死因當中的一項過去是沒有的所以各項的統計數字在這一段期間內都受到影響"},{"start":862.679,"end":887.044,"text":"所以我們現在看到的113年的數字確實是這樣我們必須要認識這個數字但是未來的趨勢是怎樣呢我們會去細部去分析到底這個死因有沒有什麼變化就是死亡人數上去回溯看看他的死因上有沒有什麼不同那麼我們再來看看需不需要有一些介入的措施"},{"start":887.484,"end":903.122,"text":"我想這樣子的趨勢不是我們樂見的情形不管是什麼樣的原因我們都要再想辦法趕快再恢復到讓它是一個下降的趨勢那在2023年通過原住民族健康法之後衛福部到底做了哪些"},{"start":903.923,"end":923.085,"text":"努力好因為看起來這兩年多好像都是在開會而已比較沒有具體的這個健康政策來確定在推動好那而且國衛院目前為止還是只有在這個健康資料庫的建置而已所以這部分部長不曉得有沒有什麼回應"},{"start":923.926,"end":938.181,"text":"已經有一些具體要進行的方向那麼包含那個國衛院的主題也已經把它設定出來未來的原住民族研究的重點議題"},{"start":939.082,"end":963.071,"text":"也把它如列出來了那另外呢相關的計畫也陸續會去徵求而且呢都會要求主持人或者是協同主持人也必須具有這個原住民族的身份那其次呢也有這個責定一些醫院我們的醫院來辦理這個原住民族的友善醫院"},{"start":963.891,"end":987.262,"text":"做一個示範那麼大概有這一些陸陸續續在推動的好 謝謝因為原住民族健康法其實石部長當年其實真的是這部法案的一個很重要的一個推手追隨委員推動這個立法"},{"start":988.622,"end":1007.772,"text":"你也追得很好啦這個部分就是說我們好 我們再繼續努力這樣子對 但重要的是這個台東成功跟長濱的這個智慧手環的這個事辦計畫兩年已經今天剩下幾天就到齊了"},{"start":1009.993,"end":1028.892,"text":"因為我請衛福部研議就是說能不能再延長這個部分請教你們研議的結果會 會 還再延長一年來收集這個更多的資料來做評估好 那這是個好消息因為我前天到"},{"start":1029.893,"end":1043.669,"text":"到成功去跟那些老人家講說你們的手錶只會動到今年的12月31號的凌晨就還會再繼續好那因為那個就是說針對獨居老人的問題"},{"start":1044.95,"end":1060.193,"text":"台東的獨居老人他其實在比例是全國最高已經是百分之二十幾了所以這關懷及服務獨居老人的措施在我們台東是很重要的一環那我"},{"start":1060.814,"end":1085.921,"text":"就是說目前那個縣府他們有的這個獨居老人智能守護緊急救護的服務就是說他們是這個部分就是說獨居長者佩戴急救呼叫跟定位的手環其實只限於經濟弱勢跟行動不便的長者但本席認為因為台東的整個它是地形是很狹長有緊急狀況的時候"},{"start":1088.522,"end":1110.544,"text":"就是说你如果发现太慢他往北送往南送或往中古县那边送其实都会花很多时间都会耽误到那再来我们的这个医护比比例也是比其他的这个县市比这个都会区要要这个少很多低很多所以这个部分我们是不是就可以"},{"start":1111.846,"end":1126.079,"text":"在之前我有特別呼籲嘛有要求說希望針對這個照顧獨居老人的部分中央可以提出相關的政策那這個部分請問衛福部你們規劃怎麼樣那是不是也可以擴大"},{"start":1127.22,"end":1144.896,"text":"跟委員報告說我們特別在行政院有這個撥了這個特別條例那個任性特別條例的特別預算有有我們衛福部有爭取到62億專門要放在這個獨居老人那這裡面"},{"start":1145.717,"end":1168.391,"text":"的這個項目工作項目裡面就包含緊急救援裝置所以不再會限制在中低收入戶或行動不便者而是有需求的長者特別是獨居的所以這個對象上已經有放寬有放寬擴大老老算老老算兩個都是老的算"},{"start":1168.911,"end":1180.456,"text":"那第二個我們會去成立一個專案辦公室的輔導團隊因為怕這個各縣市在執行上有它的不一致性或者是不夠專業的協助那我們會有一個計畫來做輔導"},{"start":1187.439,"end":1206.459,"text":"專家的這個團隊那會從這個特別會去關懷這個在花東或者是醫療資源比較欠缺的基金會列為我們優先輔導的這個對焦緯的縣市也是相當有幫助的他今天有在場也可以算他一份有有一定算一定算所以"},{"start":1210.43,"end":1230.042,"text":"就是但因為回到剛剛那個原住民那個平均餘命的那個差距我們目前還是沒有跟上所以在這個原住民獨居老人的適用年齡的部分目前是65嘛就是說我們新的那個方案那這個部分是不是你們可以再研議再把它"},{"start":1230.882,"end":1249.821,"text":"下降在我們平均餘命這個還沒有縮短到一個很很接近的一個標準之前我們是不是還可以延續這個55歲的部分我們可以來演繹可以來演繹在原住民的部分看看是不是有比較寬鬆的那你們是不是一個月的時間演繹再回報好謝謝謝謝謝謝謝謝趙偉謝謝"}]}},"supported_relations":[],"relations":[]}