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現在召委 是不是請我們這個部長 石部長好 有請石部長林委員好好 部長 我今天要跟你討論的是這個授受爭"},{"start":22.896,"end":26.658,"text":"那因為你們食藥署在今年的這個2月7號發布了一個新聞稿把這個近期國際新聞報導裡面美國有數千名GLP-1受體促效劑類品藥品使用者因嚴重副作用提起大規模訴訟而英國疾保健"},{"start":44.888,"end":71.617,"text":"產品管理局亦於近期發布安全警訊提醒該類藥品可能引發嚴重的急性胰臟癌的風險包含罕見的壞死性和致死性的胰臟炎的這個案例那大家都知道我們也有許可那我們最近通報的這個不良反應截至到去年年底為止是21件"},{"start":73.277,"end":95.803,"text":"那都還沒有觀測到大概整體性的藥品安全的問題大概21件而已但你們食藥署發布這個新聞大概是要提醒大家說這個東西部分是可以許可用於12歲以上但大多數都能限成人使用而且要符合需符合BMI等使用條件你們是這樣子提醒"},{"start":98.684,"end":104.809,"text":"所以你們這個新聞稿當然也有另外兩個重點 第一個就是說 網路販售違法第二個 這個全國藥物不良反應通報 兩年間21件那請問部長 你覺得目前你們說網路販售違法 那瘦瘦身在網路販售的猖獗的情形 你覺得嚴重嗎"},{"start":123.184,"end":125.026,"text":"主秘在質詢 抱歉我們暫停一下因為他干擾到我的質詢 抱歉"},{"start":135.741,"end":158.669,"text":"好 來你們告訴大家說網路販售違法那網路販售的問題嚴不嚴重我真的跟委員說明我偶爾也會聽到有朋友在講類似像這種他並不是在我們的藥局或者是診所拿到在藥局就沒有藥局管理的問題了嗎對"},{"start":160.995,"end":181.445,"text":"藥局的部分喔就是說你說在網路上拿到的違法但在藥局就沒有藥局管理的問題了嗎也有也有這個藥是屬於醫師的處方藥所以一定要有醫師的這個處方那你覺得兩年間只有接獲21件疑似不良反應的數字你覺得有沒有黑數的可能存在"},{"start":183.972,"end":201.707,"text":"這個所有的report都是underreport啦所有的通報都是都有低估的可能啦那但是呢就是說我們到目前是還沒有看到那個很嚴重的像這個報章所揭露的所以我們也在提醒臨床的同仁所以你有看到這個報章的媒體的報導囉"},{"start":204.69,"end":208.093,"text":"有有有媒體講得很嚴重你認為媒體講得太過嚴重了是不是不是是要提醒我們的臨床的醫療人員去注意媒體的報導是什麼內容我現在跟你講這個媒體的報導"},{"start":220.686,"end":228.293,"text":"就是說記者分別潛入三個社群名字叫說說真的 簡重的 相關的社群記者潛入三個社群 其中一個LINE的社群人數每個月成長的幅度大概增加500人截至他截稿前 那個社群是2000人的規模"},{"start":244.307,"end":246.29,"text":"那網友大概問說大概多少錢5MG的大概多少錢有沒有推薦北部的比較便宜的診所到處在缺貨跟版主拿的話很快就會拿得到大概都是這種問題要回應"},{"start":260.069,"end":263.891,"text":"那其實表面上好像大家在裡面詢問事實上版主也往往為了求真若可的人告訴大家說我這裡很多優惠的價格提供了購買的管道所以很多不肖業者在裡面滲入違法販售的很隱蔽的就在這個裡面"},{"start":279.94,"end":288.606,"text":"這還是眾多地下流通管道之一一個LINE群組就兩千多人顯然就使用者或是搜尋資訊者或是提供管道給徵者兩千多人一個LINE而已這只是其中一個你說記者寫得太過嚴重有沒有太過嚴重我覺得我是持保留啦"},{"start":303.285,"end":328.21,"text":"但是一般人你只要打開IG、FB、Trade、Dcard所有售售真的廣告都無所不在所以裡面都要詢問然後裡面的帳號真假不知道那些有人問問題有人健康諮詢、價格諮詢回答的人到底是誰也不知道身份是不是專家也不知道但是這些匿名的陌生者"},{"start":330.63,"end":344.064,"text":"還真相當起這種醫師啦回覆他人用藥的疑問從如何減輕副作用到真劑保存的方式來源不明的這一些到底是假醫師這些醫主"},{"start":346.167,"end":361.801,"text":"還經常錯誤擺出然後到底說我針劑已經打了我可以放多久打開的已經使用過的針劑可以再放一個月嗎有人就說我的醫師告訴我可以放三四個月在那裡不斷的分享"},{"start":363.047,"end":365.088,"text":"這樣的方法會不會出問題會喔 這是處方藥大家都知道處方藥要醫師評估 學問病史才能夠取得但是在網路社群上 賣家不去醫師資格那沒有見面 毫無門檻 直接流通成交買賣"},{"start":386.997,"end":408.674,"text":"然後賣家的話術也不是專業性 讓消費者使用的風險增加很多啊可是呢 記者還報導 他透過這個社群接觸到其中一名版主 自稱是職業的藥師所以他有管道可以輕易拿得到這個真品 藥品"},{"start":409.915,"end":427.785,"text":"四年間他從在FB上販售瘦瘦針現在轉向LINE的社群賣猛煎了社群人數破千他說有人38公斤也想買他說我是覺得有點病態不建議他打但是我最後還是賣給他"},{"start":429.686,"end":439.67,"text":"王先生表示現在他也知道因為他藥師嘛他知道這樣子在社群上販賣藥品是違法但他還是希望能趁這個機會趕快多賺一點錢欸 這只是網路平台欸一個社群幾千人每個人都有幾千人啦欸 網路平台那還有沒有其他管道還有沒有其他違法的管道在販賣就你所知部長 還有嗎"},{"start":457.483,"end":460.065,"text":"這個我就不清楚不清楚我告訴你還有去年12月有一個獨家新聞華航的空服員從日本私自夾帶大量的猛劍熱入境沒有申報的12盒回台的時候被松山機場海關查獲然後沒收了全部然後也依要事法移送法辦這個東西是日本代購回來還有一種是真的是代購網頁"},{"start":485.541,"end":504.521,"text":"境外我剛剛講的是除了社群在境內購買以外現在是境外回來的很多耶境外回來的所以你們都沒有掌握有沒有特殊的職業或集團違法的從境外攜帶入境為什麼要去境外攜帶入境為什麼"},{"start":508.404,"end":510.305,"text":"比較便宜因為無獨有 每一個國家定價都不一樣而且包裝也不一樣網路上流傳日本代購售售真更便宜所以"},{"start":525.43,"end":546.659,"text":"平行輸入水貨來了然後呢蒙建勒為例連日本是周拋型的獨立分裝的一支單次使用的台灣是一支分四次嘛所以都看得出來看包裝蒸汽多少量就知道是日本的還是台灣的都看得出來"},{"start":547.899,"end":565.016,"text":"那我們現在看到這樣第一個境外輸入不是只有這樣子還有一個是跨境網站購買售售真日本的但是是跨境的網站代購日本的商品"},{"start":565.68,"end":587.667,"text":"的網站所以這個裡面標榜日本進口的代購網站可以看一下嗎不僅有日本實體店鋪的資訊和公司的簡介還附有完整購買說明和注意事項這些網站試圖將代購流程包裝的好像他們是透明的正規的合法的"},{"start":588.647,"end":603.115,"text":"還有代購的網路賣家毫不避諱地提出沒關係我還可以幫你安排在日本代看診讓日本醫師開藥再把藥寄回台灣你看這個代購網站叫什麼KUWA在這裡代購他會幫你買日本直送你看客戶評價"},{"start":614.255,"end":637.985,"text":"下訂三天就送到台灣了啊這個只有日文以外再來就繁體製他的網頁只有兩個版本日文跟繁體製為台灣專門架設的然後點開門見樂的頁面客戶評價都是台灣消費者看一下全部都是台灣的然後呢然後呢部長他這個"},{"start":644.003,"end":665.629,"text":"從日本就直接輸入進來了以這樣的方式購買藥品郵寄到台灣是合法的嗎這個當然違法那食藥署有沒有在處理呢這很廣泛耶普遍耶食藥署有在處理嗎不合法你說不合法當然不合法有在管理嗎你不知道這個我們要檢討好我現在告訴你"},{"start":671.584,"end":686.453,"text":"你們人家記者去採訪了食藥署藥品組組長王淑芬組長表示該網站監察IP是在國外的境外公司政府沒有管轄權跟調查權難以開罰"},{"start":690.575,"end":713.868,"text":"但是如果一旦接獲通報因為藥物可能的安全疑慮還是會有所以會把 不是 他是說如果未來藥物本身有安全的疑慮你們食藥署就會把相關資訊放在食藥署的食藥碰瘋廣告專區所以會善盡提醒國人注意產品的安全和品質欸 寶丁你剛才這個網站很有名"},{"start":718.971,"end":726.334,"text":"它不是那個第一次 這個網站不是第一次2024年在COVID-19的時候 他們販賣莫拉皮拉韋的藥品 販賣過但食藥署的管理方式就說 好 你們這是碰瘋廣告我把你放在專區給大家知道 就沒了"},{"start":743.166,"end":745.246,"text":"然後2025年我在這裡也質詢過這個網站他們在賣什麼史蒂諾斯然後我在這裡質詢說這個是"},{"start":757.276,"end":773.707,"text":"是問題網路上違法販賣這麼嚴重當時食藥署也是說這境外網站無法可管就蓄以為夷的立委這樣子消極怠惰的態度難怪境外網站行李這家好"},{"start":774.708,"end":783.536,"text":"也賣得很好鑽羊藥也賣得很好安眠藥也賣得很好抗COVID-19抗病毒的莫拉皮拉維當時也賣得很好現在授受針也賣得很好我們現在是沒有政府嗎你們只顧著境外網站沒有辦法管理 開發不到"},{"start":801.601,"end":817.576,"text":"阿的雙手一攤嗎跟委員說明我們也已經關注到這個電商平台或者是這個網路上販賣的這個問題所以我們近期就會提出要事法的修法把它納入管理"},{"start":818.177,"end":823.979,"text":"那不管是用強制下架這句話我已經聽了快一年了因為我在2022年諮詢史蒂諾斯的時候2022年我諮詢史蒂諾斯的時候你們就這樣子講了而且你們本來說都沒有境外網站沒有辦法管結果我去年提了預算凍結案你們就馬上找相關單位來屏蔽了那個網站有一個假的史蒂諾斯台灣官方網站你們就馬上給它屏蔽掉了"},{"start":845.326,"end":865.624,"text":"現在是整個其他的不只是賣這個的還有就是什麼都賣的 哭啊的你們就不敢屏蔽掉如果蝦皮你也不敢屏蔽掉所以呢 容許這樣的跨境網站我覺得政府現在是睜一隻眼閉一隻眼然後說要修法也已經講了一年了版本也沒有拿出來"},{"start":866.665,"end":885.059,"text":"食藥署回答我本來說都沒有辦法管後來怎麼網站就屏蔽掉了只要要給他凍結預算馬上就有效率把那個網頁屏蔽掉了這樣的違法只是這樣子嗎只是這樣子嗎這樣違法的行徑延伸的醫療問題有哪些啊"},{"start":886.74,"end":912.034,"text":"網路上亂購代購境外輸入然後我們的藥局沒有處方籤藥局直接可以買得到然後就是這樣子亂很亂啊所以這個台大醫院內分泌新陳代謝科的主治醫師李洪源質疑同樣的藥物能用更便宜的價格取得其中的原因和風險相當不可控台大醫院"},{"start":912.614,"end":933.284,"text":"嘉義部兼任組織醫師年曉欣也強調這種藥品來源不明無法確認真為P號效期成分也沒有經過食藥署檢測不知道有沒有符合台灣的衛生法規所以這個在這種運送的過程有沒有變質保存是不是完整有沒有被稀釋掉"},{"start":934.384,"end":950.771,"text":"如果這麼容易可以跨國帶來帶去世界級的藥廠為什麼還要耗費資金做冷鏈處理這風險很大我現在講這一段是說所有的很多醫生都出來講即使這樣子的跨國境外輸入風險很大風險很大"},{"start":953.976,"end":972.321,"text":"那為什麼還是這麼大量而政府都沒有管那除跨國網路我剛剛講了藥局和診所的無處方籤販售無處方籤販售的問題真的就這一篇媒體的報導其實也是很嚴重"},{"start":974.023,"end":981.391,"text":"三名記者主動提供自己的BMI他們的BMI是16到19分別致電到藥局的實體諮詢結果發現其中幾間藥局並沒有拒絕販售也沒有按照流程索取處方簽"},{"start":990.581,"end":1002.495,"text":"所以這樣子這樣子在民眾眼中大家認為很專業的為健康把關的也有藥局勢直接就賣了像賣OK棒一樣的賣了那我現在要講說保證保證這個問題真的"},{"start":1013.971,"end":1033.316,"text":"所以我們從兩個方向來跟委員報告第一個我們在上半年我們就會提出修法的版本現在已經我看了差不多了所以我們接下來就會開始來做預告所以上半年我們就會提出那個關於這個網路平台的這個管理的修法網路平台以外的呢代購的呢"},{"start":1034.016,"end":1040.481,"text":"日本代購的呢 日本境外輸入人呢然後沒有處方簽的藥局就販售呢我還沒有講一個 還有一個醫美診所 欸有醫師欸欸你看這醫美診所的廣告醫美診所的廣告 欸你感覺直接就無選醫 你到我這個醫美診所來我就免費送你 馬上打蒙健樂體驗一次"},{"start":1060.963,"end":1085.48,"text":"當然醫美診所大家都知道這個已經有違法了這個要請醫師師交代給衛生局去查處這個已經有違法違反我們醫療法的廣告了這個免費促銷這個不行了就已經這樣醫美診所授受針的流通方式比我們想像中的更彈性沒有一整支的藥可以賣那這個體驗醫治可能是一支打四個人"},{"start":1086.741,"end":1090.725,"text":"一支打四個人欸 換個針頭就繼續打四個人欸醫美診所 然後沒有處方簽就可以施打 贈送 免費體驗在這種 我就想說 我們再這樣下去你會覺得要釋法 就等於是擺著好看的啦"},{"start":1109.008,"end":1136.065,"text":"不是只有你剛剛講的網站上販售日本的怎麼辦醫美這些怎麼辦還有另外一個就是通路就是要去掌握這個藥商供應到哪裡去所以我們會把這個流向掌握出來所以如果他的這個流向是藥商供應給藥局是正常的所以藥局就要有一定的處方簽要能夠讓我們查核不然他就是違法販賣"},{"start":1137.306,"end":1151.713,"text":"你們沒有在稽查量跟處方簽對不對得起來不知道啦醫美診所更難啦但我的意思是說欸這樣大家打圈當然都沒有人出事嘛只有21件一年兩年21件看起來好像都沒出事欸"},{"start":1156.231,"end":1167.017,"text":"不良反應件數只有21件然後我們大家在催上面你隨便搜尋猛健樂不舒服划一分鐘的螢幕都比21件還要多部長你們的查處只有21件我剛剛講的在網路上隨便划一分鐘猛健樂不舒服搜尋都比21件還要多"},{"start":1180.572,"end":1183.753,"text":"這個問題是什麼你知道嗎 這個問題是什麼我剛剛講的 代購進來的委託從日本境外輸入的醫美診所免費體驗的藥局沒有廚房間買的然後在賴群組集體購買的這些人打了出事了請問藥害補償救濟可以去通報嗎他可以去通報不良反應嗎 可以嗎"},{"start":1209.175,"end":1232.535,"text":"他們有資格這些違法管道取得的他們可以去通報不良反應嗎可以嗎不良反應的話都可以通報就是說如果你是在醫療端發現的因為我們的通報是從醫療端通報不是民眾的各自通報所以如果你是因為不舒服去就醫醫療端發現說是因為打這個藥產生的後面他就會通報"},{"start":1236.978,"end":1256.48,"text":"通報以後那個當事人是不是有違法這個就要看後面 因為通報只是處理這個那通報了以未來的醫藥害救濟的話他可以試用嗎醫藥害救濟現在目前是兩種一種是按試印證使用的可以救濟第二個是of label use"},{"start":1257.52,"end":1264.385,"text":"是醫師認為有使用必要的時候那個最先前提要架構合法使用吧這些都不合法的所以你現在把最前提叫要合法使用像off-label use的或者是他適應症的有符合的都可以申請你沒有講最核心第一句要合法取得合法醫師給你使用的才有"},{"start":1279.816,"end":1294.99,"text":"而我剛剛講的一個君主就兩千了每天代購不曉得幾千的違法在藥局買的一枚免費給你體驗的事實上要害就是通通都不能夠申請不能夠申請他還會給你通報嗎不會通報了搞不好還有法律責任要問責"},{"start":1303.271,"end":1315.928,"text":"但是這個問題你們做了什麼我的意思是說2月食藥署的新聞講了說美國數千名嚴重副作用他連嚴重副作用是什麼都沒講"},{"start":1317.25,"end":1332.413,"text":"然後講英國政府發布了安全警訊嚴重異狀炎壞死和致死性的異狀炎這個東西我們的政府都沒有正宗歧視告訴大家多嚴重"},{"start":1333.374,"end":1351.639,"text":"那如果你打了有什麼症狀要怎麼反應那美國這個幾千人4400名的病患去提告從18歲到87歲你知道你知道多嚴重嗎我們政府都沒有告訴人家多嚴重是新聞報導而已"},{"start":1353.579,"end":1371.626,"text":"你們的食藥署跟他說美國數千人使用者因嚴重副作用提起大規模訴訟你們食藥署連告訴大家警告大家這個問題有多嚴重都不願意做75%的人主張有胃麻痺表現為嚴重延緩胃排空有人被診斷為嚴重或永久性的胃麻痺或胃清癱"},{"start":1378.368,"end":1405.098,"text":"然後腸主色腸梗色有人手術有人結腸破裂嚴重嘔吐就不講還有眼睛與神經發生問題包括突發性的視力喪失心的色盲或眼部血流中斷還有其他不良反應包括腎靜脈血栓或肺栓塞有死亡案例這個是可是一般人不會覺得我肺栓塞我血栓"},{"start":1406.639,"end":1416.413,"text":"是跟達蒙建勒有關啊政府也沒有對外公告啊也沒有實證啊但美國的案子是這樣子你們為什麼連這個資訊都這麼的這麼的保守不願意"},{"start":1421.58,"end":1448.67,"text":"這樣子輕輕的帶過一筆帶過都不願意提醒台灣而且台灣有這麼多違法在使用違規在使用的新聞稿輕描淡寫的嚴重副作用是政府的立場還是藥廠的立場你們這麼多問題就只用一個美國這些使用者有嚴重副作用五個字帶過這是要代表政府的立場還是符合藥廠的利益"},{"start":1452.812,"end":1467.504,"text":"還可以這樣做嗎?不行啦我知道是不行啦有一個加醫科醫師王子允因為他媒體有報導所以我就直接就講出來了他說他這些問題讓他聯想到減重手術這個醫生說我常常"},{"start":1474.87,"end":1491.316,"text":"說應該抱著必死的覺悟去接受手術因為死亡對個人或家屬來講只是0跟1那很多人不管用藥或手術都是心存僥倖覺得手術同意書或是訪單上的副作用不會發生在自己身上所以民眾心存僥倖跟醫師淡化風險跟安全保證就是這些悲劇發生的原因"},{"start":1497.338,"end":1503.141,"text":"對藥廠而言他們的工作只有砸錢研究跟研發還有用研究結果申請藥證只負責把可能的副作用寫出來已經有兩個藥廠並不負責民眾的心態跟醫生的話術所以這個王醫師講到說已經有兩個身心科醫師連有他的朋友不斷的反應他們因為身心科嘛所以會有人問求診嘛"},{"start":1524.71,"end":1548.646,"text":"身心科醫生說 又遇到一位達蒙健那一個月發現沒有性慾 沒有活力 然後新發生憂鬱的患者真心建議開瘦瘦針的醫師 要積極追蹤患者的心理狀態所以不是只有生理上的憂鬱症 沒有活力 然後沒有性慾"},{"start":1550.542,"end":1553.003,"text":"我今天這個問題的質詢不是反對民眾去使用也不是政府要不要反對減重治療而是一個本來應該要嚴格管理的處方藥"},{"start":1568.789,"end":1586.631,"text":"正在被醫美化商品化網路化甚至地下化而主管機關卻還停留在被動的提醒零星的通報還有事後回應的層次這個才是我們憂心的廚房要這樣子在社群這樣子賣然後"},{"start":1589.111,"end":1613.96,"text":"醫事管理 醫療倫理 用藥安全的防線全部全面的在鬆動更嚴重的是這樣泛濫的違法的流通和錯誤的使用風險食藥署公布的不良反應通報卻低的不成比例這到底是真的沒問題還是代表我們的整個監督監測的機制根本就沒有真正的反映出這個社會正在發生的醫療風險"},{"start":1618.582,"end":1622.945,"text":"所以國外這樣的潛力 那我們政府到底要怎麼樣你有沒有盤點 這三年授受針違法販售違法輸入沒有處方給藥診所拆分施打 這些醫美診所免費施打這一些查處有沒有 開罰有沒有 我想是沒啦再來"},{"start":1641.056,"end":1658.276,"text":"社群平台跨境網站地下代購以及診所藥局違規違法亂象你們到底要怎麼管理具體上我想你們也還沒有那在這種已經發生問題了真的有副作用了違法使用他真的有副作用了他要怎麼辦"},{"start":1659.517,"end":1680.552,"text":"他能怎麼辦 那政府該怎麼辦我們應該要怎麼辦我今天是提醒大家啦因為授受真的商品這些藥品藥品商品化跟處方要把關失靈喔不是因為只有民眾有需求也不是因為只有社群平台助長了這個風潮其實背後很明確就是一個商業的結構"},{"start":1685.876,"end":1687.437,"text":"高單價高討論度而且要持續不斷回購的自費藥品當這個收益這麼可觀的時候市場自然就會傾向擴大它的消費傾向淡化它的風險包裝它的便利性"},{"start":1702.521,"end":1723.272,"text":"所以今天最需要被追究的不是業者賣得太過頭而已而是主管機關你在這個過程裡面有沒有扮演了一個消極縱容的角色如果政府沒有及時介入這些高風險的處方藥沒有主動查查 沒有清楚的揭露風險沒有對不當的行銷和灰色的流通"},{"start":1727.334,"end":1749.226,"text":"設下明確的界線那麼這種行政上的消極跟怠惰本身就成為藥品商品化的推手所以換句話說售售真不是自然成為變成商品化的而是在市場強力推動下政府消極怠惰的管理這狀況下一步一步的變成暢銷商品藥品變商品"},{"start":1752.87,"end":1755.935,"text":"這個顯然管理的強度都沒有了 促漲了藥品商品化我今天是要講這個"},{"start":1760.852,"end":1787.03,"text":"這樣你要怎麼做跟委員說明我們一個月會提出整個強化的管理措施出來請您放心措施要有行動要管理藥廠賺得很爽可是他們對風險其實是不在乎的而我們是在乎風險的但我們政府連掌握風險的能力都沒有企圖都沒有這才是大問題謝謝好 謝謝委員我們一個月內會提出強化的措施"},{"start":1791.536,"end":1791.979,"text":"謝謝林斯芬委員"}],"gazette":[{"speaker":"林委員淑芬","start":"2026-03-18T11:37:28.052000+08:00","guessed":false,"end":"2026-03-18T11:37:28.312000+08:00","text":"謝謝召委！","quality":0.5},{"speaker":"林委員淑芬","start":"2026-03-18T11:37:29.553000+08:00","guessed":false,"end":"2026-03-18T11:37:31.094000+08:00","text":"請石部長。","quality":1},{"speaker":"主席","start":"2026-03-18T11:37:31.414000+08:00","guessed":false,"end":"2026-03-18T11:37:31.674000+08:00","text":"有請石部長。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:37:31.674000+08:00","guessed":false,"end":"2026-03-18T11:37:31.734000+08:00","text":"林委員好。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:37:31.874000+08:00","guessed":false,"end":"2026-03-18T11:38:17.212000+08:00","text":"部長，我今天要跟你討論的是瘦瘦針，因為你們食藥署在今年2月7號發布的一個新聞稿裡提到近期國際新聞報導，美國有數千名GLP-1受體促效劑類藥品（俗稱瘦瘦針）使用者因嚴重副作用提起大規模訴訟，而英國藥物及保健產品管理局亦於近期發布安全警訊，提醒該類藥品可能有引發嚴重急性胰臟炎的風險，包含罕見的壞死性和致死性胰臟炎案例。","quality":0.883},{"speaker":"林委員淑芬","start":"2026-03-18T11:38:19.493000+08:00","guessed":false,"end":"2026-03-18T11:38:55.683000+08:00","text":"大家都知道，我們也有許可，我們最近通報的不良反應，截至去年年底為止是21件，還沒有觀測到整體性的藥品安全問題，你們食藥署發布這個新聞當然是要提醒大家這個東西部分是可以許可用於12歲以上青少年，但大多數都限成人使用，而且需符合BMI等使用條件。","quality":0.954},{"speaker":"林委員淑芬","start":"2026-03-18T11:38:58.964000+08:00","guessed":false,"end":"2026-03-18T11:39:02.027000+08:00","text":"你們這個新聞稿當然也有另外兩個重點，第一個是網路販售違法，第二個是全國藥物不良反應通報，兩年間21件。","quality":0.978},{"speaker":"林委員淑芬","start":"2026-03-18T11:39:02.107000+08:00","guessed":false,"end":"2026-03-18T11:39:04.809000+08:00","text":"請問部長，你們說網路販售違法，那你覺得目前網路販售瘦瘦針猖獗的情形嚴重嗎？","quality":0.765},{"speaker":"林委員淑芬","start":"2026-03-18T11:39:36.762000+08:00","guessed":false,"end":"2026-03-18T11:39:41.303000+08:00","text":"你們告訴大家說網路販售違法，那網路販售的問題嚴不嚴重？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:39:43.344000+08:00","guessed":false,"end":"2026-03-18T11:39:55.408000+08:00","text":"跟委員報告，我偶爾會聽到有朋友在講類似像這種，他並不是在我們的藥局或是診所拿到。","quality":0.946},{"speaker":"石部長崇良","start":"2026-03-18T11:39:55.408000+08:00","guessed":true,"end":"2026-03-18T11:39:56.408000+08:00","text":"所以這個……","quality":0},{"speaker":"林委員淑芬","start":"2026-03-18T11:39:56.389000+08:00","guessed":false,"end":"2026-03-18T11:39:58.669000+08:00","text":"在藥局就沒有藥局管理的問題嗎？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:40:00.995000+08:00","guessed":false,"end":"2026-03-18T11:40:01.516000+08:00","text":"藥局的部分……","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:02.296000+08:00","guessed":false,"end":"2026-03-18T11:40:08.539000+08:00","text":"你說在網路上拿到的不違法，但在藥局就沒有藥局管理的問題嗎？也有。","quality":0.966},{"speaker":"石部長崇良","start":"2026-03-18T11:40:09.459000+08:00","guessed":false,"end":"2026-03-18T11:40:13.681000+08:00","text":"這個藥是屬於醫師的處方藥，所以一定要有醫師的處方才可以。","quality":0.885},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:14.682000+08:00","guessed":false,"end":"2026-03-18T11:40:21.425000+08:00","text":"兩年只接獲21件疑似不良反應，這個數字你覺得有沒有可能存在黑數？","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-18T11:40:23.972000+08:00","guessed":false,"end":"2026-03-18T11:40:26.234000+08:00","text":"所有的report都是underreport啦！","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:40:26.855000+08:00","guessed":false,"end":"2026-03-18T11:40:40.627000+08:00","text":"所有的通報都有低估的可能，但是我們到目前還沒有看到很嚴重像報章所揭露的情況，所以我們也有提醒臨床同仁注意這個事情。","quality":0.833},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:40.767000+08:00","guessed":false,"end":"2026-03-18T11:40:41.707000+08:00","text":"所以你有看到媒體的報導囉？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:40:41.707000+08:00","guessed":true,"end":"2026-03-18T11:40:45.571000+08:00","text":"有，這個很嚴重。","quality":0.167},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:45.571000+08:00","guessed":false,"end":"2026-03-18T11:40:46.312000+08:00","text":"媒體講得很嚴重，你認為媒體講得太過嚴重了，是不是？不是。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:40:46.472000+08:00","guessed":false,"end":"2026-03-18T11:40:47.012000+08:00","text":"是要提醒我們臨床醫療人員注意，很可能有這樣的相關聯繫。","quality":0.56},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:47.072000+08:00","guessed":false,"end":"2026-03-18T11:40:47.213000+08:00","text":"媒體報導什麼內容？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:40:47.353000+08:00","guessed":false,"end":"2026-03-18T11:40:48.093000+08:00","text":"我現在跟你講媒體的報導。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:01.547000+08:00","guessed":false,"end":"2026-03-18T11:41:08.273000+08:00","text":"記者分別潛入三個社群，名字叫瘦瘦針減重的相關社群，其中一個LINE的社群，每個月人數的成長幅度大概是增加500人，截至他截稿前，那個社群是2,000人的規模。","quality":0.864},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:24.427000+08:00","guessed":false,"end":"2026-03-18T11:41:24.868000+08:00","text":"網友問5mg的大概多少錢？","quality":0.818},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:24.868000+08:00","guessed":false,"end":"2026-03-18T11:41:25.128000+08:00","text":"有沒有推薦北部比較便宜的診所？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:25.148000+08:00","guessed":false,"end":"2026-03-18T11:41:26.290000+08:00","text":"現在到處缺貨，跟版主拿的話，很快就會拿到，大概都是這種問題的回應。","quality":0.897},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:41.110000+08:00","guessed":false,"end":"2026-03-18T11:41:43.591000+08:00","text":"表面上好像是大家在裡面詢問，事實上版主往往也是為了這些求針若渴的人，告訴大家我這裡有優惠的價格，提供了購買的管道，所以有很多不肖業者滲入裡面，在這裡面很隱蔽的違法販售。","quality":0.756},{"speaker":"林委員淑芬","start":"2026-03-18T11:41:59.940000+08:00","guessed":false,"end":"2026-03-18T11:42:06.124000+08:00","text":"這還是眾多地下流通管道之一，一個LINE群組就有二千多人，顯然就是使用者或是搜尋資訊者、提供管道給針者人數就有二千多人，一個LINE而已！","quality":0.859},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:06.144000+08:00","guessed":false,"end":"2026-03-18T11:42:06.664000+08:00","text":"這只是其中一個！。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:06.664000+08:00","guessed":false,"end":"2026-03-18T11:42:08.586000+08:00","text":"你說記者寫得太過嚴重，但有沒有太過嚴重，我是持保留的態度啦！","quality":0.852},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:23.285000+08:00","guessed":false,"end":"2026-03-18T11:42:31.547000+08:00","text":"但是一般人只要打開IG、FB、Threads、Dcard，瘦瘦針的廣告無所不在。","quality":0.829},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:32.707000+08:00","guessed":false,"end":"2026-03-18T11:42:36.687000+08:00","text":"在這些社群裡面，大家都在詢問，但這些帳號的真假，我們不知道。","quality":0.462},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:38.308000+08:00","guessed":false,"end":"2026-03-18T11:42:44.829000+08:00","text":"有人問問題、有人健康諮詢、價格諮詢，回答的人到底是誰？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:44.969000+08:00","guessed":false,"end":"2026-03-18T11:42:45.229000+08:00","text":"不知道！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:45.509000+08:00","guessed":false,"end":"2026-03-18T11:42:46.529000+08:00","text":"身分是不是專家？","quality":0.857},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:46.729000+08:00","guessed":false,"end":"2026-03-18T11:42:47.289000+08:00","text":"也不知道！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:42:47.910000+08:00","guessed":false,"end":"2026-03-18T11:43:07.127000+08:00","text":"但是這些匿名的陌生者爭相當起醫師回覆他人用藥的疑問，從如何減輕副作用到針劑保存的方式，這些來源不明的人是假醫師，這些醫囑還經常錯誤百出。","quality":0.891},{"speaker":"林委員淑芬","start":"2026-03-18T11:43:09.590000+08:00","guessed":false,"end":"2026-03-18T11:43:11.792000+08:00","text":"提問包括針劑已經打了，我可以放多久？","quality":0.75},{"speaker":"林委員淑芬","start":"2026-03-18T11:43:12.312000+08:00","guessed":false,"end":"2026-03-18T11:43:17.757000+08:00","text":"打開的、已經使用過的針劑可以再放一個月嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:43:17.757000+08:00","guessed":false,"end":"2026-03-18T11:43:23.227000+08:00","text":"有人說我的醫師告訴我可以放三、四個月，大家在那裡不斷分享，這些方法會不會出問題？會喔！","quality":0.921},{"speaker":"石部長崇良","start":"2026-03-18T11:43:23.347000+08:00","guessed":false,"end":"2026-03-18T11:43:23.407000+08:00","text":"這個是處方藥。","quality":0.833},{"speaker":"林委員淑芬","start":"2026-03-18T11:43:23.407000+08:00","guessed":false,"end":"2026-03-18T11:43:53.642000+08:00","text":"大家都知道處方藥要醫師評估、詢問病史才能夠取得，但是在網路社群上，賣家不具醫師資格，沒有見面、毫無門檻，直接流通買賣、成交，賣家的話術也不具專業性，讓消費者增加很多使用風險。","quality":0.883},{"speaker":"林委員淑芬","start":"2026-03-18T11:43:54.583000+08:00","guessed":false,"end":"2026-03-18T11:44:08.654000+08:00","text":"可是記者還報導，他透過這個社群接觸到其中一名版主自稱是執業的藥師，所以他有管道可以輕易拿到真的藥品。","quality":0.957},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:09.915000+08:00","guessed":false,"end":"2026-03-18T11:44:19.180000+08:00","text":"四年間，他從在FB販售瘦瘦針，現在轉向LINE的社群賣猛健樂，而且社群人數破千。","quality":0.889},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:19.661000+08:00","guessed":false,"end":"2026-03-18T11:44:27.765000+08:00","text":"他說有人才38公斤也想買，雖然他覺得有點病態，不建議對方打，但是最後還是賣給對方。","quality":0.8},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:29.686000+08:00","guessed":false,"end":"2026-03-18T11:44:30.426000+08:00","text":"王先生表示，因為他是藥師嘛！","quality":0.417},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:31.407000+08:00","guessed":false,"end":"2026-03-18T11:44:37.629000+08:00","text":"他也知道在社群上販賣藥品是違法的，但他還是希望能趁這個機會趕快多賺一點錢。","quality":0.971},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:37.629000+08:00","guessed":false,"end":"2026-03-18T11:44:38.269000+08:00","text":"這只是網路平台，一個社群就有幾千人啊！","quality":0.824},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:38.349000+08:00","guessed":false,"end":"2026-03-18T11:44:39.490000+08:00","text":"除了網路平台，就你所知，還有沒有其他違法的管道在販賣？","quality":0.708},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:39.630000+08:00","guessed":false,"end":"2026-03-18T11:44:39.670000+08:00","text":"部長，還有嗎？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:44:57.483000+08:00","guessed":false,"end":"2026-03-18T11:44:57.643000+08:00","text":"這個我就不清楚了。","quality":0.875},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:57.723000+08:00","guessed":false,"end":"2026-03-18T11:44:57.763000+08:00","text":"不清楚？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:57.783000+08:00","guessed":false,"end":"2026-03-18T11:44:57.843000+08:00","text":"我告訴你，還有。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:57.883000+08:00","guessed":false,"end":"2026-03-18T11:44:59.804000+08:00","text":"去年12月有一個獨家新聞，華航的空服員從日本私自夾帶大量猛健樂入境，沒有申報的就有12盒，回臺的時候被松山機場海關查獲，沒收全部，也依藥事法移送法辦，這是從日本代購回來。","quality":0.919},{"speaker":"林委員淑芬","start":"2026-03-18T11:44:59.804000+08:00","guessed":false,"end":"2026-03-18T11:45:36.512000+08:00","text":"還有一種是代購網頁，我剛剛講的，除了加入社群在境內購買以外，現在也有很多從境外帶回來，你們都沒有掌握。","quality":0.826},{"speaker":"林委員淑芬","start":"2026-03-18T11:45:37.013000+08:00","guessed":false,"end":"2026-03-18T11:45:42.859000+08:00","text":"有沒有特殊的職業或集團違法從境外攜帶入境？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:45:43.300000+08:00","guessed":false,"end":"2026-03-18T11:45:44.461000+08:00","text":"為什麼要從境外攜帶入境？","quality":0.909},{"speaker":"石部長崇良","start":"2026-03-18T11:45:48.404000+08:00","guessed":false,"end":"2026-03-18T11:45:48.464000+08:00","text":"比較便宜。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:45:48.464000+08:00","guessed":true,"end":"2026-03-18T11:45:49.464000+08:00","text":"比較便宜嘛！","quality":0},{"speaker":"林委員淑芬","start":"2026-03-18T11:45:48.504000+08:00","guessed":false,"end":"2026-03-18T11:45:49.504000+08:00","text":"無獨有偶，每一個國家的定價都不一樣，而且包裝也不一樣。","quality":0.917},{"speaker":"林委員淑芬","start":"2026-03-18T11:45:49.504000+08:00","guessed":false,"end":"2026-03-18T11:46:17.775000+08:00","text":"網路上流傳日本代購瘦瘦針更便宜，所以平行輸入、水貨來了，以猛健樂為例，日本是週拋型的，獨立分裝一支單次使用，臺灣是一支分四次嘛！","quality":0.86},{"speaker":"林委員淑芬","start":"2026-03-18T11:46:18.735000+08:00","guessed":false,"end":"2026-03-18T11:46:26.659000+08:00","text":"所以這些都看得出來，看包裝、針劑是多少量，就知道是日本的還是臺灣的，這些都看得出來。","quality":0.811},{"speaker":"林委員淑芬","start":"2026-03-18T11:46:28.159000+08:00","guessed":false,"end":"2026-03-18T11:46:44.996000+08:00","text":"我們現在看到的是，第一個是境外輸入，但不是只有這樣，還有一個是在跨境網站購買瘦瘦針，商品在日本，由跨境的網站代購日本商品。","quality":0.782},{"speaker":"林委員淑芬","start":"2026-03-18T11:46:48.381000+08:00","guessed":false,"end":"2026-03-18T11:46:52.442000+08:00","text":"這是標榜日本進口的代購網站，可以看一下嗎？","quality":0.947},{"speaker":"林委員淑芬","start":"2026-03-18T11:46:52.442000+08:00","guessed":false,"end":"2026-03-18T11:47:07.647000+08:00","text":"不僅有日本實體店鋪的資訊和公司簡介，還附有完整購買說明和注意事項，這些網站試圖包裝代購流程，好像他們是透明的、正規的、合法的。","quality":0.965},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:08.647000+08:00","guessed":false,"end":"2026-03-18T11:47:21.034000+08:00","text":"還有代購的網路賣家毫不避諱的提出，沒關係，我也可以幫你安排在日本代看診，讓日本醫師開藥，再把藥寄回臺灣。","quality":0.957},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:21.034000+08:00","guessed":false,"end":"2026-03-18T11:47:22.895000+08:00","text":"你看這個代購網站叫KUWA，可以在這裡代購，他會幫你買，從日本直送。","quality":0.9},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:23.055000+08:00","guessed":false,"end":"2026-03-18T11:47:37.236000+08:00","text":"你看客戶評價，下訂三天就送到臺灣了。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:38.937000+08:00","guessed":false,"end":"2026-03-18T11:47:46.720000+08:00","text":"這個網站除了日文以外，就只有繁體字，它的網頁只有兩個版本，日文和繁體字，是專門為臺灣架設的。","quality":0.683},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:48.901000+08:00","guessed":false,"end":"2026-03-18T11:47:54.984000+08:00","text":"點開猛健樂的頁面，留客戶評價的都是臺灣消費者，看一下，全部都是臺灣的。","quality":0.871},{"speaker":"林委員淑芬","start":"2026-03-18T11:47:57.945000+08:00","guessed":false,"end":"2026-03-18T11:48:12.045000+08:00","text":"部長，這是從日本直接輸入，以這樣的方式購買藥品郵寄到臺灣，這是合法的嗎？","quality":0.938},{"speaker":"石部長崇良","start":"2026-03-18T11:48:12.045000+08:00","guessed":false,"end":"2026-03-18T11:48:12.306000+08:00","text":"這個當然違法。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:13.266000+08:00","guessed":false,"end":"2026-03-18T11:48:14.766000+08:00","text":"食藥署有沒有處理呢？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:15.406000+08:00","guessed":false,"end":"2026-03-18T11:48:18.607000+08:00","text":"這很廣泛普遍耶！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:19.208000+08:00","guessed":false,"end":"2026-03-18T11:48:21.288000+08:00","text":"食藥署有在處理嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:21.928000+08:00","guessed":false,"end":"2026-03-18T11:48:23.589000+08:00","text":"你說不合法，當然不合法！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:24.049000+08:00","guessed":false,"end":"2026-03-18T11:48:25.169000+08:00","text":"但是有在管理嗎？","quality":0.714},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:25.169000+08:00","guessed":false,"end":"2026-03-18T11:48:25.249000+08:00","text":"你不知道？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:48:25.489000+08:00","guessed":false,"end":"2026-03-18T11:48:25.529000+08:00","text":"這個我們要檢討。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:25.529000+08:00","guessed":false,"end":"2026-03-18T11:48:46.453000+08:00","text":"好，我現在告訴你，記者去採訪食藥署藥品組組長王淑芬，組長表示，該網站經查IP是在國外的境外公司，政府沒有管轄權和調查權，難以開罰。","quality":0.948},{"speaker":"林委員淑芬","start":"2026-03-18T11:48:58.179000+08:00","guessed":false,"end":"2026-03-18T11:49:13.628000+08:00","text":"他說如果未來藥物本身有安全的疑慮，食藥署就會把相關資訊放在食藥署的食藥膨風廣告專區，會善盡提醒國人注意產品的安全和品質。","quality":0.965},{"speaker":"林委員淑芬","start":"2026-03-18T11:49:13.668000+08:00","guessed":false,"end":"2026-03-18T11:49:13.848000+08:00","text":"部長，你知不知道這個網站很有名？","quality":0.571},{"speaker":"林委員淑芬","start":"2026-03-18T11:49:22.753000+08:00","guessed":false,"end":"2026-03-18T11:49:26.314000+08:00","text":"這個網站不是第一次出現，2024年COVID-19流行的時候，他們販賣過莫納皮拉韋的藥品，但是食藥署的管理方式是這些膨風廣告就放在專區讓大家知道，然後就沒了。","quality":0.776},{"speaker":"林委員淑芬","start":"2026-03-18T11:49:43.606000+08:00","guessed":false,"end":"2026-03-18T11:49:44.526000+08:00","text":"2025年我在這裡也針對這個網站質詢過，他們在賣什麼？","quality":0.762},{"speaker":"林委員淑芬","start":"2026-03-18T11:49:44.526000+08:00","guessed":false,"end":"2026-03-18T11:49:44.786000+08:00","text":"史蒂諾斯！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:49:58.417000+08:00","guessed":false,"end":"2026-03-18T11:50:05.081000+08:00","text":"網路上違法販賣情形這麼嚴重，當時食藥署也是說這是境外網站無法可管。","quality":0.903},{"speaker":"林委員淑芬","start":"2026-03-18T11:50:06.883000+08:00","guessed":false,"end":"2026-03-18T11:50:20.313000+08:00","text":"對立委虛與委蛇，這樣消極怠惰的態度，難怪境外網站生意做得這麼好，藥賣得這麼好，壯陽藥也賣得很好、安眠藥史蒂諾斯也賣得很好、抗COVID-19病毒的莫納皮拉韋當時也賣得很好，現在瘦瘦針也賣得很好。","quality":0.733},{"speaker":"林委員淑芬","start":"2026-03-18T11:50:20.614000+08:00","guessed":false,"end":"2026-03-18T11:50:22.115000+08:00","text":"我們現在沒有政府了嗎？","quality":0.9},{"speaker":"林委員淑芬","start":"2026-03-18T11:50:22.115000+08:00","guessed":false,"end":"2026-03-18T11:50:23.516000+08:00","text":"你們就說一句：境外網站沒有辦法管理，開罰不到！","quality":0.75},{"speaker":"林委員淑芬","start":"2026-03-18T11:50:42.602000+08:00","guessed":false,"end":"2026-03-18T11:50:44.204000+08:00","text":"然後雙手一攤嗎？","quality":0.714},{"speaker":"石部長崇良","start":"2026-03-18T11:50:45.144000+08:00","guessed":false,"end":"2026-03-18T11:50:59.377000+08:00","text":"我們已經關注到電商平台或者網路販賣的問題，所以近期就會提出藥事法的修法，把它納入管理，不管是強制下架或者是遮蔽告示。","quality":0.833},{"speaker":"林委員淑芬","start":"2026-03-18T11:50:59.537000+08:00","guessed":false,"end":"2026-03-18T11:51:01.418000+08:00","text":"這句話我已經聽了快一年，因為我在2025年質詢史蒂諾斯問題的時候你們就這樣講了。","quality":0.912},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:01.438000+08:00","guessed":false,"end":"2026-03-18T11:51:03.959000+08:00","text":"而且你們本來說境外網站沒有辦法管，結果我去年提了預算凍結案，你們就馬上找相關單位屏蔽那個網站，有一個假的史蒂諾斯臺灣官方網站，你們馬上就把它屏蔽掉了。","quality":0.971},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:25.326000+08:00","guessed":false,"end":"2026-03-18T11:51:41.961000+08:00","text":"現在不只是賣這個，其他什麼都賣的，例如KUWA，你們就不敢屏蔽掉，如果是蝦皮，你們也不敢屏蔽，還是容許這樣的跨境網站存在，我覺得政府現在是睜一隻眼、閉一隻眼。","quality":0.8},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:42.802000+08:00","guessed":false,"end":"2026-03-18T11:51:45.624000+08:00","text":"你們說要修法已經講了一年，版本也沒有拿出來。","quality":0.9},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:46.665000+08:00","guessed":false,"end":"2026-03-18T11:51:51.008000+08:00","text":"食藥署回答我，本來是說沒有辦法管，後來網站怎麼會被屏蔽掉？","quality":0.808},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:51.469000+08:00","guessed":false,"end":"2026-03-18T11:51:56.272000+08:00","text":"因為要凍結他們的預算，馬上就有效率的把那個網頁屏蔽掉。","quality":0.76},{"speaker":"林委員淑芬","start":"2026-03-18T11:51:57.754000+08:00","guessed":false,"end":"2026-03-18T11:52:02.057000+08:00","text":"對於這樣的違法，只做這樣的處理嗎？","quality":0.6},{"speaker":"林委員淑芬","start":"2026-03-18T11:52:02.057000+08:00","guessed":false,"end":"2026-03-18T11:52:04.779000+08:00","text":"這種違法行徑所延伸的醫療問題有哪些？","quality":0.882},{"speaker":"林委員淑芬","start":"2026-03-18T11:52:06.740000+08:00","guessed":false,"end":"2026-03-18T11:52:18.206000+08:00","text":"網路上亂購、代購、境外輸入，藥局沒有處方箋就可以直接買到，現在就是這樣混亂。","quality":0.788},{"speaker":"林委員淑芬","start":"2026-03-18T11:52:19.687000+08:00","guessed":false,"end":"2026-03-18T11:52:30.693000+08:00","text":"所以臺大醫院內分泌及新陳代謝科主治醫師李弘元質疑，同樣的藥物能用更便宜的價格取得，其中的原因和風險相當不可控。","quality":0.942},{"speaker":"林委員淑芬","start":"2026-03-18T11:52:31.293000+08:00","guessed":false,"end":"2026-03-18T11:52:53.264000+08:00","text":"臺大醫院家庭醫學部兼任主治醫師粘曉菁也強調，這種藥品來源不明，無法確認真偽、批號、效期、成分，也沒有經過食藥署檢測，不知道有沒有符合臺灣的衛生法規，運送的過程有沒有變質、保存是不是完整、有沒有被稀釋？","quality":0.888},{"speaker":"林委員淑芬","start":"2026-03-18T11:52:54.384000+08:00","guessed":false,"end":"2026-03-18T11:52:59.346000+08:00","text":"如果這麼容易可以跨國帶來帶去，世界級的藥廠為什麼還要耗費資金做冷鏈處理？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:53:00.347000+08:00","guessed":false,"end":"2026-03-18T11:53:00.647000+08:00","text":"這個風險很大。","quality":0.833},{"speaker":"林委員淑芬","start":"2026-03-18T11:53:01.007000+08:00","guessed":false,"end":"2026-03-18T11:53:16.657000+08:00","text":"我現在講這一段，是因為很多醫生都說過，其實這樣的跨國境外輸入風險很大，但為什麼還是有這麼大量的違法輸入，而政府都沒有管？","quality":0.764},{"speaker":"林委員淑芬","start":"2026-03-18T11:53:18.037000+08:00","guessed":false,"end":"2026-03-18T11:53:32.301000+08:00","text":"除了跨國、網路販售，我剛剛講了，還有藥局和診所無處方箋販售的問題，就是這一篇媒體的報導，其實狀況很嚴重。","quality":0.804},{"speaker":"林委員淑芬","start":"2026-03-18T11:53:34.023000+08:00","guessed":false,"end":"2026-03-18T11:53:41.371000+08:00","text":"三名記者主動提供自己的BMI，他們的BMI是16到19，分別致電藥局做實體諮詢，結果發現其中幾間藥局並沒有拒絕販售，也沒有按照流程索取處方箋。","quality":0.968},{"speaker":"林委員淑芬","start":"2026-03-18T11:53:52.664000+08:00","guessed":false,"end":"2026-03-18T11:54:02.215000+08:00","text":"在民眾眼中，這是大家認為很專業的，為健康把關的地方，但是有藥局直接就賣了，像賣OK繃一樣的賣了。","quality":0.837},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:02.355000+08:00","guessed":false,"end":"2026-03-18T11:54:02.475000+08:00","text":"我現在要講的是，部長，這個問題真的很嚴重。","quality":0.611},{"speaker":"石部長崇良","start":"2026-03-18T11:54:02.475000+08:00","guessed":true,"end":"2026-03-18T11:54:13.971000+08:00","text":"很嚴重。","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T11:54:13.971000+08:00","guessed":false,"end":"2026-03-18T11:54:31.395000+08:00","text":"所以我從兩個方向向委員報告，第一個，我們上半年就會提出修法的版本，我看已經差不多了，接下來就會開始預告，上半年我們就會提出關於網路平台管理的修法。","quality":0.537},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:31.535000+08:00","guessed":false,"end":"2026-03-18T11:54:32.536000+08:00","text":"網路平台以外的呢？","quality":0.875},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:32.756000+08:00","guessed":false,"end":"2026-03-18T11:54:34.917000+08:00","text":"例如代購，像日本代購呢？","quality":0.7},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:35.417000+08:00","guessed":false,"end":"2026-03-18T11:54:36.218000+08:00","text":"日本境外輸入呢？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:36.278000+08:00","guessed":false,"end":"2026-03-18T11:54:36.838000+08:00","text":"沒有處方箋，藥局就販售呢？","quality":0.909},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:37.319000+08:00","guessed":false,"end":"2026-03-18T11:54:37.759000+08:00","text":"我還沒有講完，還有一個，就是醫美診所，他們有醫師耶！","quality":0.727},{"speaker":"林委員淑芬","start":"2026-03-18T11:54:37.759000+08:00","guessed":false,"end":"2026-03-18T11:54:40.461000+08:00","text":"你看這個醫美診所的廣告，直接五選一，到醫美診所就免費送，馬上打猛健樂體驗一次。","quality":0.771},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:00.963000+08:00","guessed":false,"end":"2026-03-18T11:55:03.325000+08:00","text":"當然，大家都知道醫美診所……","quality":0.636},{"speaker":"石部長崇良","start":"2026-03-18T11:55:03.945000+08:00","guessed":false,"end":"2026-03-18T11:55:04.966000+08:00","text":"這個已經違法了啦！","quality":0.875},{"speaker":"石部長崇良","start":"2026-03-18T11:55:05.486000+08:00","guessed":false,"end":"2026-03-18T11:55:15.754000+08:00","text":"這個要請醫事司交代衛生局去查處，它已經違反醫療法的廣告，免費促銷是不行的，這個已經違法了。","quality":0.756},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:15.754000+08:00","guessed":false,"end":"2026-03-18T11:55:19.276000+08:00","text":"現在已經是這樣，醫美診所瘦瘦針的流通方式比我們想像中更彈性。","quality":0.75},{"speaker":"石部長崇良","start":"2026-03-18T11:55:19.276000+08:00","guessed":true,"end":"2026-03-18T11:55:20.276000+08:00","text":"這個涉及到不當……","quality":0},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:19.936000+08:00","guessed":false,"end":"2026-03-18T11:55:25.460000+08:00","text":"他們沒有一整支的藥可以賣，但是這個體驗一次，可能是一支打四個人耶！","quality":0.767},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:27.902000+08:00","guessed":false,"end":"2026-03-18T11:55:28.062000+08:00","text":"換個針頭就打四個人耶！","quality":0.9},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:28.262000+08:00","guessed":false,"end":"2026-03-18T11:55:28.282000+08:00","text":"醫美診所……","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:55:28.282000+08:00","guessed":true,"end":"2026-03-18T11:55:29.282000+08:00","text":"這個要查。","quality":0},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:28.503000+08:00","guessed":false,"end":"2026-03-18T11:55:30.705000+08:00","text":"沒有處方箋就可以施打、贈送、免費體驗，再這樣下去，你會覺得藥事法等於是擺著好看的啦！","quality":0.919},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:49.008000+08:00","guessed":false,"end":"2026-03-18T11:55:55.532000+08:00","text":"不是只有你剛剛講的網站上販售，日本代購的怎麼辦？","quality":0.909},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:55.532000+08:00","guessed":false,"end":"2026-03-18T11:55:56.593000+08:00","text":"這些醫美診所怎麼辦？","quality":0.556},{"speaker":"石部長崇良","start":"2026-03-18T11:55:56.593000+08:00","guessed":false,"end":"2026-03-18T11:55:57.714000+08:00","text":"剛剛我還沒有講完，還有另外一個就是通路啦！","quality":0.526},{"speaker":"林委員淑芬","start":"2026-03-18T11:55:57.714000+08:00","guessed":true,"end":"2026-03-18T11:55:58.714000+08:00","text":"對，通路。","quality":0},{"speaker":"石部長崇良","start":"2026-03-18T11:55:58.614000+08:00","guessed":false,"end":"2026-03-18T11:56:02.677000+08:00","text":"就是要去掌握藥商供應到哪裡。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:56:03.337000+08:00","guessed":false,"end":"2026-03-18T11:56:08.020000+08:00","text":"所以我們會掌握流向，如果它的流向是流到……","quality":0.722},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:08.901000+08:00","guessed":false,"end":"2026-03-18T11:56:10.662000+08:00","text":"藥商供應給藥局是正常的啊！","quality":0.917},{"speaker":"石部長崇良","start":"2026-03-18T11:56:11.222000+08:00","guessed":false,"end":"2026-03-18T11:56:14.805000+08:00","text":"對，所以藥局就要有一定的處方箋能夠讓我們查核啊！","quality":0.864},{"speaker":"石部長崇良","start":"2026-03-18T11:56:15.265000+08:00","guessed":false,"end":"2026-03-18T11:56:16.065000+08:00","text":"不然他就是違法販賣，這個就有辦法處理。","quality":0.529},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:17.306000+08:00","guessed":false,"end":"2026-03-18T11:56:21.268000+08:00","text":"你們沒有在稽查，藥品的量和處方箋是否對的起來？","quality":0.619},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:21.268000+08:00","guessed":false,"end":"2026-03-18T11:56:21.888000+08:00","text":"不知道啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:22.488000+08:00","guessed":false,"end":"2026-03-18T11:56:23.849000+08:00","text":"醫美診所更難啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:24.569000+08:00","guessed":false,"end":"2026-03-18T11:56:29.031000+08:00","text":"但我的意思是說，這樣打針，全臺灣都沒有人出事嘛！","quality":0.81},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:29.552000+08:00","guessed":false,"end":"2026-03-18T11:56:31.693000+08:00","text":"兩年只有21件，看起來好像都沒出事耶！","quality":0.8},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:36.231000+08:00","guessed":false,"end":"2026-03-18T11:56:38.072000+08:00","text":"不良反應件數只有21件。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:39.533000+08:00","guessed":false,"end":"2026-03-18T11:56:44.035000+08:00","text":"你在Threads上面隨便搜尋「猛健樂、不舒服」，滑一分鐘的螢幕就能發現比這21件還要多。","quality":0.632},{"speaker":"林委員淑芬","start":"2026-03-18T11:56:44.055000+08:00","guessed":false,"end":"2026-03-18T11:56:46.997000+08:00","text":"部長，你們只查處21件，但我剛剛講了，在網路上隨便滑一分鐘搜尋「猛健樂、不舒服」，搜尋到的訊息比這21件還要多。","quality":0.75},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:00.572000+08:00","guessed":false,"end":"2026-03-18T11:57:00.712000+08:00","text":"這個問題是什麼，你知道嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:00.812000+08:00","guessed":false,"end":"2026-03-18T11:57:03.373000+08:00","text":"我剛剛講的，代購進來的、委託從日本境外輸入的、醫美診所免費體驗的、藥局沒有處方箋就能買的、在LINE群組集體購買的，這些人打了之後出事了，請問可以通報藥害補償救濟嗎？","quality":0.8},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:03.373000+08:00","guessed":false,"end":"2026-03-18T11:57:03.673000+08:00","text":"他可以去通報不良反應嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:03.673000+08:00","guessed":false,"end":"2026-03-18T11:57:03.753000+08:00","text":"可以嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:29.175000+08:00","guessed":false,"end":"2026-03-18T11:57:29.796000+08:00","text":"他們有資格嗎？","quality":0.833},{"speaker":"石部長崇良","start":"2026-03-18T11:57:29.796000+08:00","guessed":true,"end":"2026-03-18T11:57:30.796000+08:00","text":"違法的……","quality":0},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:30.616000+08:00","guessed":false,"end":"2026-03-18T11:57:36.901000+08:00","text":"這些從違法管道取得的，他們可以去通報不良反應嗎？","quality":0.955},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:36.901000+08:00","guessed":false,"end":"2026-03-18T11:57:38.343000+08:00","text":"可以嗎？","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:57:38.343000+08:00","guessed":false,"end":"2026-03-18T11:57:40.224000+08:00","text":"有不良反應都可以通報啦！","quality":0.818},{"speaker":"石部長崇良","start":"2026-03-18T11:57:40.705000+08:00","guessed":false,"end":"2026-03-18T11:57:47.430000+08:00","text":"如果是在醫療端發現，因為我們是從醫療端通報，不是由民眾各自通報啦！","quality":0.933},{"speaker":"石部長崇良","start":"2026-03-18T11:57:47.430000+08:00","guessed":false,"end":"2026-03-18T11:57:52.535000+08:00","text":"所以如果是因為不舒服去就醫，醫療端發現是因為打這個藥產生的，他們就會通報。","quality":0.971},{"speaker":"林委員淑芬","start":"2026-03-18T11:57:56.978000+08:00","guessed":false,"end":"2026-03-18T11:57:59.741000+08:00","text":"是，通報以後，那個當事人是不是有違法？","quality":0.938},{"speaker":"石部長崇良","start":"2026-03-18T11:58:01.403000+08:00","guessed":false,"end":"2026-03-18T11:58:03.726000+08:00","text":"這個就要看後面的狀況，因為通報只是處理這個……","quality":0.85},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:04.266000+08:00","guessed":false,"end":"2026-03-18T11:58:09.612000+08:00","text":"通報了，以未來的醫藥害救濟辦法，他可以適用嗎？","quality":0.85},{"speaker":"石部長崇良","start":"2026-03-18T11:58:09.612000+08:00","guessed":false,"end":"2026-03-18T11:58:19.422000+08:00","text":"藥害救濟現在是兩種，一種是按適應症使用的可以救濟，第二個是off-label use，是醫師認為有使用必要的時候，這個就可以救濟。","quality":0.81},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:19.802000+08:00","guessed":false,"end":"2026-03-18T11:58:20.483000+08:00","text":"那個前提是合法使用吧？對。","quality":0.818},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:20.503000+08:00","guessed":false,"end":"2026-03-18T11:58:20.783000+08:00","text":"這些都不合法。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T11:58:20.783000+08:00","guessed":true,"end":"2026-03-18T11:58:21.783000+08:00","text":"不合法的就不適用。","quality":0.125},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:20.863000+08:00","guessed":false,"end":"2026-03-18T11:58:23.985000+08:00","text":"所以現在前提就是要合法使用，像off-label use或者是適應症，只要符合的都可以申請，但你沒有講到最核心的第一句，就是要合法取得。","quality":0.852},{"speaker":"石部長崇良","start":"2026-03-18T11:58:24.065000+08:00","guessed":false,"end":"2026-03-18T11:58:24.165000+08:00","text":"要合法。","quality":0.667},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:24.185000+08:00","guessed":false,"end":"2026-03-18T11:58:24.365000+08:00","text":"合法的醫師給你使用的才有。","quality":0.75},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:39.816000+08:00","guessed":false,"end":"2026-03-18T11:58:52.588000+08:00","text":"而我剛剛講的，一個群組就有2,000人，每天代購的不曉得有幾千人，違法在藥局買的、醫美診所免費體驗的，事實上藥害救濟通通都不能申請。","quality":0.732},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:52.588000+08:00","guessed":false,"end":"2026-03-18T11:58:54.249000+08:00","text":"不能夠申請，他還會給你通報嗎？不會！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:58:54.249000+08:00","guessed":false,"end":"2026-03-18T11:58:54.990000+08:00","text":"通報了搞不好還有法律責任，要問責。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:03.271000+08:00","guessed":false,"end":"2026-03-18T11:59:06.576000+08:00","text":"但是針對這個問題，你們做了什麼？","quality":0.857},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:06.576000+08:00","guessed":false,"end":"2026-03-18T11:59:15.928000+08:00","text":"我的意思是說，2月食藥署的新聞講了，美國數千人產生嚴重副作用，但他連嚴重副作用是什麼都沒講耶！","quality":0.881},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:17.731000+08:00","guessed":false,"end":"2026-03-18T11:59:36.275000+08:00","text":"又講英國政府發布安全警訊，會有嚴重胰臟炎，壞死和致死性的胰臟炎，我們的政府沒有慎重其事的告訴大家會有多嚴重，如果你打了有什麼症狀要怎麼反映。","quality":0.769},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:37.935000+08:00","guessed":false,"end":"2026-03-18T11:59:48.518000+08:00","text":"美國這4,400名病患去提告，從18歲到87歲，你知道有多嚴重嗎？","quality":0.909},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:48.518000+08:00","guessed":false,"end":"2026-03-18T11:59:51.619000+08:00","text":"我們的政府沒有告訴大家有多嚴重，只有新聞報導而已。","quality":0.783},{"speaker":"林委員淑芬","start":"2026-03-18T11:59:53.579000+08:00","guessed":false,"end":"2026-03-18T12:00:06.644000+08:00","text":"你們食藥署只說美國數千使用者因嚴重副作用提起大規模訴訟，卻連告訴大家、警告大家這個問題有多嚴重都不願意做。","quality":0.96},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:08.004000+08:00","guessed":false,"end":"2026-03-18T12:00:11.626000+08:00","text":"75%的人主張有胃麻痺，表現為嚴重延緩胃排空；有人被診斷為嚴重或永久性胃麻痺或胃輕癱。","quality":0.974},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:18.368000+08:00","guessed":false,"end":"2026-03-18T12:00:24.730000+08:00","text":"然後有腸阻塞、腸梗塞，有人手術、有人結腸破裂，嚴重嘔吐就不講。","quality":0.846},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:24.730000+08:00","guessed":false,"end":"2026-03-18T12:00:34.214000+08:00","text":"還有眼睛與神經發生問題，包括突發性視力喪失、新的色盲或眼部血流中斷。","quality":0.968},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:34.214000+08:00","guessed":false,"end":"2026-03-18T12:00:48.622000+08:00","text":"還有其他不良反應，包括深靜脈血栓或肺栓塞，有死亡案例，可是一般人不會覺得肺栓塞、血栓跟打猛健樂有關啊！","quality":0.891},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:49.182000+08:00","guessed":false,"end":"2026-03-18T12:00:52.507000+08:00","text":"政府沒有對外公告、也沒有實證啊！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:52.948000+08:00","guessed":false,"end":"2026-03-18T12:00:54.650000+08:00","text":"但美國的案子是這樣。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:00:55.191000+08:00","guessed":false,"end":"2026-03-18T12:01:05.622000+08:00","text":"你們為什麼連對這個資訊都這麼保守、連輕輕地一筆帶過都不願意提醒臺灣？","quality":0.906},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:05.622000+08:00","guessed":false,"end":"2026-03-18T12:01:09.923000+08:00","text":"而且臺灣有這多違法使用、違規使用的。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:10.644000+08:00","guessed":false,"end":"2026-03-18T12:01:17.386000+08:00","text":"新聞稿輕描淡寫說有嚴重副作用，這是政府的立場還是藥廠的立場？","quality":0.893},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:17.966000+08:00","guessed":false,"end":"2026-03-18T12:01:28.650000+08:00","text":"對於這麼多問題，你們只用美國這些使用者有「嚴重副作用」五個字帶過，這是要代表政府的立場，還是符合藥廠的利益？","quality":0.917},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:32.812000+08:00","guessed":false,"end":"2026-03-18T12:01:34.633000+08:00","text":"可以這樣做嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:34.633000+08:00","guessed":false,"end":"2026-03-18T12:01:35.274000+08:00","text":"不行啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:35.714000+08:00","guessed":false,"end":"2026-03-18T12:01:38.376000+08:00","text":"我知道是不行的啦！","quality":0.875},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:39.718000+08:00","guessed":false,"end":"2026-03-18T12:01:47.424000+08:00","text":"有一個家醫科醫師王姿允，因為是媒體有報導，所以我就直接講出來了，他說這些問題讓他聯想到減重手術。","quality":0.932},{"speaker":"林委員淑芬","start":"2026-03-18T12:01:47.424000+08:00","guessed":false,"end":"2026-03-18T12:02:11.296000+08:00","text":"這個醫生說：我常常說應該抱著必死的覺悟接受手術，因為死亡對個人或家屬來講只是0跟1，很多人不管用藥或手術都是心存僥倖，覺得手術同意書或是仿單上的副作用不會發生在自己身上，所以民眾心存僥倖與醫師淡化風險跟安全保證就是這些悲劇發生的原因。","quality":0.982},{"speaker":"林委員淑芬","start":"2026-03-18T12:02:17.338000+08:00","guessed":false,"end":"2026-03-18T12:02:21.880000+08:00","text":"對藥廠而言，他們的工作只有砸錢研究跟研發，還有用研究成果申請藥證，只負責把可能的副作用寫出來，並不負責民眾的心態跟醫生的話術。","quality":0.983},{"speaker":"林委員淑芬","start":"2026-03-18T12:02:21.880000+08:00","guessed":false,"end":"2026-03-18T12:03:03.563000+08:00","text":"所以這個王醫師講到，已經有兩個身心科醫師臉友不斷反映，因為是身心科，所以會有人求診，而身心科醫師說：又遇到一位打猛健樂一個月，發現沒有性慾、沒有活力、新發生憂鬱的患者，真心建議開瘦瘦針的醫師要積極追蹤患者的心理狀態。","quality":0.918},{"speaker":"林委員淑芬","start":"2026-03-18T12:03:03.563000+08:00","guessed":false,"end":"2026-03-18T12:03:08.646000+08:00","text":"所以不是只有生理上的影響，還有憂鬱症、沒有活力、沒有性慾。","quality":0.84},{"speaker":"林委員淑芬","start":"2026-03-18T12:03:10.542000+08:00","guessed":false,"end":"2026-03-18T12:03:54.793000+08:00","text":"部長，我今天對這個問題的質詢不是反對民眾使用，也不是針對政府要不要反對減重治療，而是一種本來應該嚴格管理的處方藥正在被醫美化、商品化、網路化，甚至地下化，主管機關卻還停留在被動提醒、零星通報，還有事後回應的層次，這才是我們憂心的─處方藥在社群這樣賣，醫事管理、醫療倫理、用藥安全的防線正在全面鬆動。","quality":0.911},{"speaker":"林委員淑芬","start":"2026-03-18T12:03:54.793000+08:00","guessed":false,"end":"2026-03-18T12:04:13.960000+08:00","text":"更嚴重的是，相較於這樣氾濫、違法流通和錯誤使用的風險，食藥署公布的不良反應通報卻低得不成比例，到底是真的沒問題，還是代表整個監督、監測機制根本就沒有真正反映出這個社會正在發生的醫療風險？","quality":0.93},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:19.022000+08:00","guessed":false,"end":"2026-03-18T12:04:19.743000+08:00","text":"國外已有這樣的前例，我們的政府到底要怎麼樣？","quality":0.75},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:19.743000+08:00","guessed":false,"end":"2026-03-18T12:04:22.765000+08:00","text":"你們要不要盤點這三年瘦瘦針違法販售、違法輸入、沒有處方給藥、診所拆分施打，醫美診所免費施打，對這些的查處有沒有、開罰有沒有？","quality":0.855},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:22.825000+08:00","guessed":false,"end":"2026-03-18T12:04:22.905000+08:00","text":"我想是沒啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:22.925000+08:00","guessed":false,"end":"2026-03-18T12:04:47.624000+08:00","text":"再來，社群平臺、跨境網站、地下代購以及診所藥局違規、違法亂象，具體上你們到底要怎麼管理？","quality":0.921},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:48.865000+08:00","guessed":false,"end":"2026-03-18T12:04:49.866000+08:00","text":"我想你們也還沒有。","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:51.989000+08:00","guessed":false,"end":"2026-03-18T12:04:58.276000+08:00","text":"已經發生問題了、違法使用後真的有副作用了，他要怎麼辦？","quality":0.958},{"speaker":"林委員淑芬","start":"2026-03-18T12:04:59.517000+08:00","guessed":false,"end":"2026-03-18T12:05:00.838000+08:00","text":"他能怎麼辦？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:00.838000+08:00","guessed":false,"end":"2026-03-18T12:05:03.380000+08:00","text":"那政府該怎麼辦？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:03.380000+08:00","guessed":false,"end":"2026-03-18T12:05:04.881000+08:00","text":"我們應該怎麼辦？","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:04.881000+08:00","guessed":false,"end":"2026-03-18T12:05:06.482000+08:00","text":"我今天是提醒大家啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:07.043000+08:00","guessed":false,"end":"2026-03-18T12:05:20.552000+08:00","text":"因為瘦瘦針的藥品商品化跟處方藥把關失靈不是只因為民眾有需求，也不是只因為社群平臺助長了這個風潮，其實背後很明確的就是商業結構。","quality":0.883},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:25.876000+08:00","guessed":false,"end":"2026-03-18T12:05:27.416000+08:00","text":"高單價、高討論度，而且是要持續不斷回購的自費藥品，當收益這麼可觀的時候，市場自然就會傾向擴大它的消費傾向、淡化它的風險、包裝它的便利性。","quality":0.984},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:42.521000+08:00","guessed":false,"end":"2026-03-18T12:05:55.608000+08:00","text":"所以今天最需要被追究的不是業者賣得太過頭而已，而是主管機關在這個過程裡面是不是扮演了消極、縱容的角色？","quality":0.938},{"speaker":"林委員淑芬","start":"2026-03-18T12:05:56.489000+08:00","guessed":false,"end":"2026-03-18T12:06:14.218000+08:00","text":"如果政府沒有及時介入，對於這些高風險處方藥沒有主動查察、沒有清楚地揭露風險、沒有對不當行銷和灰色流通設下明確的界線，那麼這種行政上的消極跟怠惰本身就成為藥品商品化的推手。","quality":0.95},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:15.459000+08:00","guessed":false,"end":"2026-03-18T12:06:29.206000+08:00","text":"換句話說，瘦瘦針不是自然變得商品化的，而是在市場強力推動下，政府消極、怠惰管理的狀況下，一步一步地變成暢銷商品，藥品變商品！","quality":0.891},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:32.870000+08:00","guessed":false,"end":"2026-03-18T12:06:35.675000+08:00","text":"顯然管理的強度都沒有了，助長了藥品商品化啦！","quality":0.85},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:35.715000+08:00","guessed":false,"end":"2026-03-18T12:06:35.935000+08:00","text":"我今天是要說這個啦！","quality":0.778},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:40.852000+08:00","guessed":false,"end":"2026-03-18T12:06:41.973000+08:00","text":"那麼你們要怎麼做？","quality":0.625},{"speaker":"石部長崇良","start":"2026-03-18T12:06:41.993000+08:00","guessed":false,"end":"2026-03-18T12:06:46.016000+08:00","text":"跟委員說明，我們一個月會提出整個強化管理措施。","quality":1},{"speaker":"石部長崇良","start":"2026-03-18T12:06:47.256000+08:00","guessed":false,"end":"2026-03-18T12:06:48.177000+08:00","text":"請您放心，我們會強化。措施？","quality":0.545},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:48.737000+08:00","guessed":false,"end":"2026-03-18T12:06:50.479000+08:00","text":"要有行動、要管理。對。好。","quality":0.778},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:53.461000+08:00","guessed":false,"end":"2026-03-18T12:06:53.861000+08:00","text":"藥廠賺得很爽啦！","quality":0.857},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:54.521000+08:00","guessed":false,"end":"2026-03-18T12:06:57.123000+08:00","text":"可是他們對於風險其實是不在乎的。","quality":0.933},{"speaker":"林委員淑芬","start":"2026-03-18T12:06:57.984000+08:00","guessed":false,"end":"2026-03-18T12:07:05.769000+08:00","text":"而我們是在乎風險的，但政府連掌握風險的能力都沒有、企圖都沒有，這才是大問題啦！謝謝。","quality":0.973},{"speaker":"石部長崇良","start":"2026-03-18T12:07:05.769000+08:00","guessed":false,"end":"2026-03-18T12:07:07.010000+08:00","text":"好，謝謝委員，我們一個月內會提出強化措施。","quality":1},{"speaker":"主席","start":"2026-03-18T12:07:11.536000+08:00","guessed":false,"end":"2026-03-18T12:07:11.979000+08:00","text":"謝謝林淑芬委員。","quality":0.857},{"speaker":"主席","start":"2026-03-18T12:07:12.479000+08:00","guessed":true,"end":"2026-03-18T12:07:23.050429+08:00","text":"待會兒王正旭委員詢答完即處理臨時提案，處理完待謝衣鳯委員質詢過後休息20分鐘用餐。","quality":0},{"speaker":"主席","start":"2026-03-18T12:07:23.350429+08:00","guessed":true,"end":"2026-03-18T12:07:26.207571+08:00","text":"現在請王正旭委員發言。","quality":0}]}},"supported_relations":[],"relations":[]}