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因為有另外一個重要的會議跟趙偉先請個假 謝謝趙偉幫忙 不好意思部長 我這次在野黨的合作在野黨推動的台灣未來帳戶台灣Future Account我們的目的是希望能夠用國家的制度來支持育兒家庭也就是說讓孩子出送的時候就開始累積資源"},{"start":35.885,"end":61.342,"text":"那作为强化家庭的后盾那这个账户的所有权人是孩子本身那一直要到民法成年之后才能去动用去领用所以是让下一代能够铺成更安心更稳定的一个成长环境就是成为我这个标题投资未来投资孩子就是投资台湾的这个未来我先请教部长您简单回答你认为年轻人为什么不敢生养"},{"start":62.142,"end":85.444,"text":"您簡單給我幾個字從過去的調查當然是在他的機會成本跟他的育兒的經濟壓力上面就是經濟育兒的問題這個根據政大勞研所劉教授指出當然除了低薪高房價之外現在年輕人也擔心經濟力會延續到下一代喔部長你說不是只有個人現在面臨經濟壓力"},{"start":87.105,"end":110.701,"text":"包含未來的孩子都可能會繼續承擔這樣的壓力所以他不敢讓孩子出生這是一個很大的理由不是他自己會延續到下一代現行政策是低收入群有社福補助中低收入有部分的支持但是還有一群剛好不夠窮卻不敢生的家庭完全被忽略了其實他們這群人也是少子化的關鍵"},{"start":112.162,"end":140.427,"text":"在野黨所提的台灣未來賬戶某個程度在解決年輕人對育兒的經濟壓力的這個顧慮部長我先請問你你出生那一年我就不洩露你年齡了你出生那一年有多少嬰兒出生超過30萬拜託欸 40萬啦 41萬啦40萬9620人 41萬 部長雖然OK 但不夠精準那你就知道 那去年呢 你背一下去年2025年出生多少小孩"},{"start":141.314,"end":157.029,"text":"就十萬七千多 近八千你算數打一打 兩成六 沒中去年是你出生的那一年兩成六的出生率單看2025年一整年 這幼徒你看看這個死亡人口跟出生人口"},{"start":158.613,"end":181.903,"text":"這個就是生不如死嘛那事實上我們出生人口數下降已經連續60個月那總人口的這個負成長就是生不如死已經24個月請問部長行政院是不是真的有把這個長期這個現象生不如死視為國安問題它是不是國安問題你剛剛就跑到行政院去啦它是不是國安問題對對對它是國安問題這個絕對影響國家未來的發展"},{"start":184.602,"end":190.856,"text":"那國家少子女化到底花了多少錢部長少子女化政府到底花了多少錢"},{"start":191.724,"end":194.646,"text":"我們統計的從這個執政黨開始好了2017開始我們從107到114年我們投入在少子女化對策計畫大概是5913億5931億7年時間假設這個說法是很OK的那部長親口說了台灣的未來賬戶預計13年會花多少錢"},{"start":217.082,"end":245.175,"text":"如果按照我們現在的草案起步是個5萬第一年然後後來每一年是1萬就是到12年就停止但是18歲才能領支領13年的總經費才3841億受益人高達370萬人比起那個虛設的虛假的這個少子女化辦公室這樣這個台灣未來賬戶更省錢請問部長這麼經濟實惠的政策你能夠不支持嗎"},{"start":248.043,"end":269.168,"text":"這個說實在我看不出哪裡經濟實惠因為這個都是要花這麼多錢但是對於我們的目標是少子女化的問題來講能夠有多少的注意我真的是有很大的問號你花了5931億來處理少子女化症結果看到的數字是什麼"},{"start":270.596,"end":299.449,"text":"這個勤政運動衛福部一再用資源有限優先照顧弱勢這是一個這個錯解社會投資錯解台灣未來政府不是社會救助而是一個普及型的普及型的這個制度設計目的是讓每一個孩子建立一個基本起點他不是針對特定的族群補助發放補助衛福部一直拿這個兒少兒少的發育跟發展帳戶做對比我先請教部長這個政策推行多久了"},{"start":300.129,"end":307.163,"text":"儿少未来教育的发展这106年开始推的他8年的吗8年的这8年来实际服务了多少小孩"},{"start":308.308,"end":327.834,"text":"目前開戶的是三萬九千多多位部長你又說得出來開幾六千億結果呢目前總共服務三萬九千多個孩子部長認為這個覆蓋率足以回應全國性的少子化嗎我想這個是兩回事啦少子女化的對策那個5931說實在話84%都是在0到6歲國家一起養"},{"start":332.415,"end":358.031,"text":"直接都是补贴到这些家庭所以那些预算说实在话没有一毛钱应该要但是你看到没有一毛钱是拿来做什么行政啊什么都没有那个都实质上是到家庭的身上我觉得那个也不应该少钱少到哪里去这个我们都可以去追究但是结果呢成效不脏嘛不叫不脏嘛所以对这样的成效那么到底我们应该要加大力度"},{"start":358.311,"end":373.367,"text":"我再告訴部長去年有一篇報導就指出你剛剛講的那個賬戶那個兒少的未來發展賬戶即便符合資格家庭當中開戶率只有六成而且人均每個月儲蓄金額不升"},{"start":374.048,"end":401.469,"text":"反降 近半數的限制限市越來越多家庭只能選擇最低的500塊每個月大概就500塊很多家庭甚至沒有辦法維持每個月固定的儲蓄我要談的是說你利益良善去建立這樣制度2018年陳時中部長就承認弱勢家庭能力不足是主因資深志工社工也指出低社經家庭未來的這個用錢規劃因為他沒有確定性很高嘛"},{"start":401.909,"end":413.986,"text":"所以民進黨等於從8年前喔你8年就知道這個制度推行困難結果你還是選擇用8年來證明是不成功的8年前就知道困難8年後證明就是不成功啊"},{"start":414.726,"end":438.1,"text":"對 所以對這個兒少的教育還有未來發展我們值得再來檢討看看如何調整這個我們倒是應該要積極來做的現在你們都承認現在制度跟規模跟效果都很有限那麼為什麼當有新的制度構想出現時行政院跟維護部還是留在資源有限制照顧弱勢部長你的專業你的角色你就只能做配合嗎"},{"start":438.76,"end":447.17,"text":"沒有 從弱勢優先的角度當然應該要優先對一般的兒少我們用怎麼樣的方式來幫忙這個也可以討論"},{"start":448.203,"end":473.714,"text":"部長我希望你就是再回去就是把我們的這個計劃好好看一看剛剛這個鍾嘉明講錯了這個對存的每個月頂多是1萬塊沒有什麼對存要存多少錢然後去致富了沒有不是這樣設計的部長上週中榮傳出疑似非醫事人員進入手術台甚至操作這個手術器械的爭議那院方跟醫護人員回應說這只是廠商協助排除機械故障"},{"start":475.035,"end":492.096,"text":"並不是實際的醫療作為部長我們長期都在醫界我想你很清楚問題的核心不是影片是否真假而是說制度長期有存在灰色地帶許多第一線的醫護都公開指出廠商進入手術室協助操作這在臨床不是個案"},{"start":492.677,"end":504.307,"text":"不是個案 而是多年來默許的一個現象 請問部長第一 現行法對非醫事人員在手術內可以做到哪個步驟是否有清楚執行的一個界線 有沒有 你有沒有清楚的界線"},{"start":505.835,"end":532.924,"text":"跟委員說明在醫師法28條本來醫療有分為核心業務跟輔助業務醫療核心業務包含手術那麼這個就是要由醫師親自執行這個是沒有模糊的空間有清楚的界線那當制度跟臨床需求明顯脫鉤脫節卻只在世界上曝光後用個案處理那是否等同默許這個灰色地帶的繼續存在呢 部長"},{"start":533.663,"end":559.476,"text":"我想隨著科技的進步啊那確實有一些新的儀器這個要導入的時候需要一些技術人員的協助不過也僅止於協助在手術執行的本身還是要由醫師親自執行部長這就是您講的我都理解我理解但是事實上就是說你還是要去做規範嘛因為這個是一個就是房間醫師大象一樣啊就是你知道它曾經存在"},{"start":560.296,"end":576.07,"text":"那你如果沒有去就醫療安全不能用用一種公開的秘密去維持它是秘密要公開然後不能用這個方式去維持那主管機關也不能說當作不知道我們大概就當作不知道那希望部長你好好正視這一件事情"},{"start":577.091,"end":603.42,"text":"这个有关于这个技术人员进入到这个手术房可能还超过技术人员可能还甚至技术人都不是他应该是技术人员归类在技术人员他提供这些设备如何安装那么摆设等等这些技术人员那么应该要有什么样的规范甚至有一些这个什么指引等等的我们会来研究让大家有一个遵循"},{"start":605.2,"end":623.708,"text":"醫師的那個指導的範圍的內容您做了一個這個我們相當滿意的一個規範那很多重大的手術其實協助是一件事真的在執行要負上醫療責任的主刀的醫師他根本沒有界限這就是很清楚嘛部長這件事情你敢面對嗎"},{"start":624.859,"end":633.114,"text":"這個一樣 這個依法行政這個沒有模糊的空間那請部長注意一下這是在房間裡的大象好 謝謝 謝謝委員謝謝主席"}]}},"supported_relations":[],"relations":[]}