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謝謝 謝謝主席 我請部長有請石部長市委員早不錯耶 爐火純青現在...委員過獎"},{"start":21.617,"end":46.184,"text":"我今天要問三個問題先請先我要跟剛剛廖偉祥委員我要跟他肯定一下他是一個學氣管的年輕立委然後對醫療很用心很深入那我記得在剛剛就任的時候總質詢的時候我就在他前面那個時候他質詢陳建仁院長跟薛樂園"},{"start":50.55,"end":64.5,"text":"結果兩個人都給他三兩教旨,都給他說他過行,那時候你在做健保署署長吧?後來我幫他講話,現在看他很多醫事單位都去找他陳情"},{"start":66.101,"end":87.622,"text":"像放射師啊檢驗師,他們認為他們的薪資太低所以這裡要強調的就是我們這幾年都在拉護理人員的薪資他們還是不滿意啦那其他還有14類的醫事相關人力不然你也要面面俱到啦醫生大家垃圾到結屍都沒辦法處理"},{"start":91.482,"end":116.337,"text":"我的感受跟委員一樣啦其實醫生的部分10年沒有調情啦所以我是覺得醫生再扣一下沒關係但是醫事人力你要把它調起來不過也跟委員說明我們去年的點子很好啦到0.977啦所以醫院多數呢營養也都不錯所以希望呢這個醫院都主動的幫所有的醫事人員調情對 這個你要給點壓力要給點要求"},{"start":120.82,"end":137.32,"text":"道德欠收我一定按照委員的指示給一點壓力這很漂亮啦這個一個醫療要賺不是只有醫師其他面面俱到像今天報紙寫台大醫院一個CT要白碰要怕死人"},{"start":139.107,"end":165.705,"text":"那就是做綜合嘛 做個別業綜合做比較多 不然你就要叫那些放肆啊放肆就要加班嘛 加班你給的薪酬又不夠高所以這個要去注意啦 不然就大片 整版的好來 我三個問題第一個 現在我們長照3.0說什麼口腔衰弱啦 口腔什麼因為我們這裡是亞洲病人 去美國診所所以他講的我都很聽啦"},{"start":170.748,"end":193.065,"text":"我們屬於要做口腔檢查的人差不多有五十萬人我們人家差不多十幾%嘛所以有兩三百萬六十五歲這裡面需要去檢查的差不多有五十萬人那我們台灣的牙醫師現在有一萬六千多個嘛裡面有在做偏鄉牙醫啦 什麼的 看起來很飽啊"},{"start":195.245,"end":219.901,"text":"所以這位牙醫師 根本就不夠嘛現在牙醫師每天都忙著 牙醫師每天都請不上牙醫師每天都睡金雞 每天都忙著 智慧的一堆你叫他這些人跑去偏鄉 離島去做這些除非你的誘因很高啦 所以不妙這位牙醫師都沒辦法去 又沒人做現在24%的口腔衰弱"},{"start":223.137,"end":250.916,"text":"你感冒你少講好了,你只要講是,一說要弄我們就好了這位藝術又沒建起,又欠人我們天堅有國外回來託的,託託回來這位你們本來有個案子說要給他們幾百的,去他們三個地方我跟你們講一個例子我們醫院本來有一個王醫師,是馬來西亞的僑臣他要娶台灣人,後來有一天他跟我講說他要回馬來西亞"},{"start":253.38,"end":273.087,"text":"結果他跑去沙巴東馬結果他們馬來西亞是承認台灣回去的醫術執照專科執照都承認但是你必須要去偏鄉六年六年之後你就可以回來都市結果這個傢伙去了就在那邊接了一個地區醫院"},{"start":274.401,"end":303.229,"text":"結果做得很好,又不是要照啊我就覺得馬來西亞會這樣幹就是六年他真的六年就讓你...他本來就承認啦所以我們上一次那個海外牙醫師唸回來的這幾百人你給他搞一個每人只能五十個實習當然本土牙醫師、美日的牙醫師他們的聲音都很大但是這些人是一個人力浪費啦"},{"start":304.059,"end":304.803,"text":"我們也去託了,我們也扣你的判官都扣過了,這裡都沒得處理"},{"start":309.383,"end":336.702,"text":"我們拚了 他們就抗議 你就點點你現在保證人心 心人心氣相你得天下 你要怎麼處理謝謝蘇委員即使講到這個口腔衰弱這真的很重要因為這個不是只有這個營養的問題還有一些全身性疾病也會跟口腔衰弱有關係特別容易產生一些這個吸入性肺炎感染這些都會跟著來"},{"start":338.343,"end":353.191,"text":"所以我們現在口腔師也在示範已經慢慢在示範這個口腔衰弱如何擴大 逐步的擴大這個在高齡化的社會是非常重要這個很多到後頭"},{"start":355.032,"end":375.508,"text":"做五管人生的 擦了這個鼻胃管那個要拔鼠的時候 也跟這個口腔有關係啦所以口腔吞嚥 咀嚼能力這個其實是高齡化社會非常重要的一個意義所以我們會有一個計畫會擴大來推主角齁 主角的話這個臉部跟腦部的血液循環會好"},{"start":377.19,"end":395.19,"text":"比較不會萎縮啦,比較不會痴呆,比較不會好呆,所以是這樣有效的所以你如果水氣不好,就算都用喝的,喝柳子或是都冠冠,都會頭痛啦所以主角是非常非常重要,所以吃的啊,要補給他們,那是真的都很需要"},{"start":395.891,"end":411.878,"text":"所以過去我們的目標是說80歲的時候有20顆牙齒啦這個是我們的目標但是最重要的還是這個口腔的功能這個要能夠繼續強化維持住在謝謝部長有注意到這一塊但是現在的人"},{"start":415.279,"end":420.981,"text":"你還是要處理啦 你也不給他處理都要拚了10年 等10年 我每天想起都有家屬都在外面陳情我說我們現在新的部長我來跟他溝通溝通啦你有擔當嗎 我有理解到這個問題的存在啦那當然我們有這個所有的醫事人力都有一個"},{"start":437.887,"end":463.92,"text":"這個全官就是這個這個全體的人力總人力啦但是也要考慮到這個地域的差異啦這我們來思考這要積極處理啦我們沒有理由把這些人丟在那邊你要像馬來西亞這樣六年不然給他弄十年嘛也可以啊對不對只要你能夠自己支持你就沒問題第二個問題"},{"start":466.727,"end":486.743,"text":"這些口腔衰弱,需要很多牙醫師,牙醫師送不來嘛,變成要口腔、口衛師、Hydrinist,對不對這些口衛師、產官學,每次都要先到旁邊,他們想要立個法,可以來做,你們都直接幫忙,牙醫師前年會"},{"start":488.104,"end":506.966,"text":"一百的理由我看都似是而非啦他們找那些飛本科的然後給他叫做牙科助理牙科助理也沒有證照牙科助理可以到山上可以到偏鄉去做那些口腔的衛教口腔的處理嘛這個是違法的喔所以"},{"start":508.047,"end":522.693,"text":"也到要口腔衛生學系這些人也該他們有一個出路跟證明給他們尊嚴、給他們地位、給他們待遇這比邱郎還難所以我感覺常常聽人家陳情我覺得實在是很辛苦的"},{"start":527.015,"end":547.216,"text":"我想這個口腔醫學的發展要跟這個醫學的發展一樣他要一個完整的人力團隊啦要一個完整就像我們的這個醫學我們有十幾類的醫事人員一樣他需要一個完整的團隊所以我們既然成立了這個口腔師就是想要把這個"},{"start":548.757,"end":571.513,"text":"從這個口腔的醫療網口腔醫學的醫療網跟人才這個人力的團隊應該要一併建立起來所以這個口衛師我們會來思考基本上我們是支持有這個口衛師 口衛師我們也不會做什麼事情啊也不會做什麼亮點出來對喔 保證欸 欸 等一下 等一下這個口衛你叫護士去做口腔衛生 可以"},{"start":572.173,"end":592.383,"text":"但是護署現在都欠到他再去護署他知道要五十萬人耶不是五萬人耶所以該到處理的時候我也去找陳時中政務員他說他不反對口腔衛生是喔還是你誰不反對但是他說他不能死啦說死啦是醫療社會就是說我們要"},{"start":593.243,"end":610.765,"text":"把這個人力 因為我們現在的人口是下降所以我們要把這個人力做最大的發揮不要 這個入學之後到後面的職場學用要能夠把它扣起來部長英明啦 難怪得天下"},{"start":613.945,"end":631.815,"text":"這你同意讓他收這個科系然後讓他訓練讓他培養讓他實習這些人都有我是覺得都不錯我看了好幾個好 最後一個問題0到6歲的小孩子健保是不是衛福部還是總中央來吸收"},{"start":632.998,"end":650.829,"text":"好不好 要不要答應一下兒童節快到了 兒童節的禮物跟委員說明其實在六歲以下很多的這個譬如說三歲以下的兒童他的就醫的部分負擔這個已經也在付了 已經在補了"},{"start":651.73,"end":679.059,"text":"那如果這個健保費這件事情這個事關重大大家可以想一想看現在有的呢縣市在補65歲以上啊這樣跟6歲以下都不用齁啊中間這一群人壓力很大他又要顧小又要顧大這個是有世代成長的問題啊這是減輕年輕人的負擔你不要亂講沒有沒有這減輕年輕人的負擔對健保的財務要整體的思考孩子啊他生孩子就沒關係生孩子就要顧著啊這是兒科醫學會給我提的你說你搞不好講"},{"start":681.44,"end":709.019,"text":"又一往看一面這個是整個健保我們要思考是說我們的健保它是Premium就是說它是一個保險制度啦它不是用Task不是用這個稅來做所以這個中間的整個邏輯跟它的架構這個財務結構要再重新好好思考國民黨的智庫說0到6歲一年要120億我給它算成沒有啦"},{"start":711.32,"end":713.022,"text":"因為現在的孩子很少,都生了這麼十萬而已所以一年到六十萬,六十萬、七十萬,七十億就有了"},{"start":719.031,"end":745.327,"text":"不然國建署怎麼處理所以呢這一塊我想還是要思考因為這個所有的預算都會有排擠的效果國家的錢就是這麼多都有排擠的效果我們還有很多弱勢要優先照顧所以資源如何配置還是請委員三思"},{"start":746.567,"end":748.272,"text":"他說的時間這麼久 所以我沒有抽時間謝謝 部長加油 謝謝委員 謝謝"}],"gazette":[{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:18.265000+08:00","guessed":false,"end":"2026-03-25T10:27:18.886000+08:00","text":"謝謝主席，我請部長。","quality":1},{"speaker":"主席","start":"2026-03-25T10:27:18.886000+08:00","guessed":false,"end":"2026-03-25T10:27:19.206000+08:00","text":"有請石部長。","quality":1},{"speaker":"石部長崇良","start":"2026-03-25T10:27:19.226000+08:00","guessed":false,"end":"2026-03-25T10:27:19.266000+08:00","text":"蘇委員早。","quality":0.75},{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:20.006000+08:00","guessed":false,"end":"2026-03-25T10:27:20.126000+08:00","text":"部長，不錯耶！","quality":0.6},{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:20.206000+08:00","guessed":false,"end":"2026-03-25T10:27:20.266000+08:00","text":"現在爐火純青。","quality":0.667},{"speaker":"石部長崇良","start":"2026-03-25T10:27:20.426000+08:00","guessed":false,"end":"2026-03-25T10:27:20.446000+08:00","text":"委員過獎。","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:33.617000+08:00","guessed":false,"end":"2026-03-25T10:27:37.418000+08:00","text":"我今天要跟你詢問三個問題。","quality":0.75},{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:37.418000+08:00","guessed":false,"end":"2026-03-25T10:27:49.862000+08:00","text":"先對剛剛的廖偉翔委員，我要跟他肯定一下，他是一個學企管的年輕立委，對醫療很用心、很深入。","quality":0.897},{"speaker":"蘇委員清泉","start":"2026-03-25T10:27:50.942000+08:00","guessed":false,"end":"2026-03-25T10:28:13.558000+08:00","text":"我記得剛剛就任在總質詢時，我就排在他前面，那個時候他質詢陳建仁院長跟薛瑞元，結果兩個人都對他「三娘教子」，都跟他說他有多離譜，那個時候你任職健保署署長，就這樣消遣他，後來我有幫他講話。","quality":0.732},{"speaker":"蘇委員清泉","start":"2026-03-25T10:28:13.558000+08:00","guessed":false,"end":"2026-03-25T10:28:28.451000+08:00","text":"現在看他，很多醫事單位的都去找他陳情，像放射師、檢驗師，他們認為薪資太低，所以在這裡要強調的就是我們這幾年都在調升護理人員的薪資，他們還是不滿意啦！","quality":0.94},{"speaker":"蘇委員清泉","start":"2026-03-25T10:28:29.552000+08:00","guessed":false,"end":"2026-03-25T10:28:32.295000+08:00","text":"但其他還有14類的醫事相關人力。","quality":0.923},{"speaker":"蘇委員清泉","start":"2026-03-25T10:28:34.137000+08:00","guessed":false,"end":"2026-03-25T10:28:36.379000+08:00","text":"部長，你也是要面面俱到啦！","quality":0.727},{"speaker":"蘇委員清泉","start":"2026-03-25T10:28:36.379000+08:00","guessed":true,"end":"2026-03-25T10:28:43.482000+08:00","text":"雖然醫生也想要升薪資，但你們都沒有要處理喔！對啦！","quality":0.273},{"speaker":"石部長崇良","start":"2026-03-25T10:28:43.482000+08:00","guessed":false,"end":"2026-03-25T10:28:46.704000+08:00","text":"我的感受跟委員一樣，其實都要把它做好。對！","quality":0.611},{"speaker":"蘇委員清泉","start":"2026-03-25T10:28:46.704000+08:00","guessed":false,"end":"2026-03-25T10:28:54.789000+08:00","text":"醫生的部分，10年沒有調薪了，所以我是覺得醫生再辛苦一點，沒關係，但是你要把醫事人力的薪資調起來。","quality":0.738},{"speaker":"石部長崇良","start":"2026-03-25T10:28:54.789000+08:00","guessed":false,"end":"2026-03-25T10:29:07.817000+08:00","text":"不過也跟委員說明，我們去年的點值很好，到0.977，醫院多數盈餘也都不錯，所以希望醫院都主動幫所有的醫事人員調薪。","quality":0.917},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:07.857000+08:00","guessed":false,"end":"2026-03-25T10:29:12.981000+08:00","text":"對，你要給點壓力、要給點要求，道德勸說。","quality":0.875},{"speaker":"石部長崇良","start":"2026-03-25T10:29:13.501000+08:00","guessed":false,"end":"2026-03-25T10:29:15.644000+08:00","text":"我一定按照委員的指示給一點壓力。","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:18.267000+08:00","guessed":false,"end":"2026-03-25T10:29:18.828000+08:00","text":"這很有需要啦！","quality":0.5},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:19.328000+08:00","guessed":false,"end":"2026-03-25T10:29:29.300000+08:00","text":"一個醫療要賺錢，不是只有醫師，其他要面面俱到，像今天報紙寫臺大醫院連照一個CT都要排半年，這嚇死人了！","quality":0.761},{"speaker":"石部長崇良","start":"2026-03-25T10:29:29.300000+08:00","guessed":true,"end":"2026-03-25T10:29:31.207000+08:00","text":"要分流。","quality":0},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:31.207000+08:00","guessed":false,"end":"2026-03-25T10:29:32.888000+08:00","text":"這就是要做總額嘛！","quality":0.5},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:33.829000+08:00","guessed":false,"end":"2026-03-25T10:29:40.954000+08:00","text":"個別醫院的總額要做比較多點，不然你就是要叫那些放射師加班嘛！","quality":0.643},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:41.454000+08:00","guessed":false,"end":"2026-03-25T10:29:47.898000+08:00","text":"但加班給的薪酬又不夠高，所以這個要去注意，報紙報導得很大篇，整版的！","quality":0.733},{"speaker":"蘇委員清泉","start":"2026-03-25T10:29:48.879000+08:00","guessed":false,"end":"2026-03-25T10:29:57.685000+08:00","text":"我有三個問題，第一個，現在長照3.0說什麼口腔衰弱，因為我太太是牙周病專科，他去美國讀的，所以對他說的我都有認真聽。對、對。","quality":0.673},{"speaker":"蘇委員清泉","start":"2026-03-25T10:30:03.109000+08:00","guessed":false,"end":"2026-03-25T10:30:16.939000+08:00","text":"需要做口腔檢查的人差不多有50萬人，我們的老人家差不多占百分之十幾，所以65歲以上有兩、三百萬人，這裡面需要去檢查的差不多有50萬人。","quality":0.804},{"speaker":"蘇委員清泉","start":"2026-03-25T10:30:18.140000+08:00","guessed":false,"end":"2026-03-25T10:30:43.075000+08:00","text":"臺灣的牙醫師現在有一萬六千多個，其中有在做偏鄉牙醫的我看好像只有一百多個而已，所以這些牙醫師根本就不夠，現在牙醫師大家都跑去開業，醫院都請不到牙醫師，因為稅金低，大家都跑了，自費的一堆，你叫這些人跑去偏鄉、離島做這些，除非你的誘因很高。","quality":0.654},{"speaker":"蘇委員清泉","start":"2026-03-25T10:30:43.856000+08:00","guessed":false,"end":"2026-03-25T10:30:58.839000+08:00","text":"部長，所以這些牙醫師都不願意去，又沒人做，現在有22%、24%的口腔衰弱……你感冒了，你少講話好了，就講Yes or No就好了。好。","quality":0.627},{"speaker":"蘇委員清泉","start":"2026-03-25T10:31:02.522000+08:00","guessed":false,"end":"2026-03-25T10:31:11.268000+08:00","text":"這些牙醫師都不願意去，又缺人，之前有從國外讀書回來的這些人，你們本來有一個案子說要給他們一百多個人去山上服務。","quality":0.49},{"speaker":"蘇委員清泉","start":"2026-03-25T10:31:13.369000+08:00","guessed":false,"end":"2026-03-25T10:31:48.882000+08:00","text":"我跟你講一個例子，我們醫院本來一位感染科王醫師是馬來西亞僑生，他娶了臺灣人，後來有一天他跟我講說他要回馬來西亞，結果他跑去東馬沙巴，他們馬來西亞是承認臺灣回去有醫師執照、專科執照的僑生，但是必須要去偏鄉6年，6年之後就可以回來都市，這個傢伙去了，就在那邊接了一個地區醫院，結果做得很好，他就不想要走了。","quality":0.868},{"speaker":"蘇委員清泉","start":"2026-03-25T10:31:50.122000+08:00","guessed":false,"end":"2026-03-25T10:31:57.424000+08:00","text":"我就覺得馬來西亞可以這樣幹，就是6年，他真的6年就讓你……他本來就承認啦！","quality":0.933},{"speaker":"蘇委員清泉","start":"2026-03-25T10:31:58.424000+08:00","guessed":false,"end":"2026-03-25T10:32:15.209000+08:00","text":"所以上一次海外牙醫師讀書回來的這幾百人，你們給他們搞一個每年只能50個實習，當然本土牙醫師、美日牙醫師他們的聲音都很大，但是這些人是一種人力浪費啦！","quality":0.91},{"speaker":"蘇委員清泉","start":"2026-03-25T10:32:16.099000+08:00","guessed":false,"end":"2026-03-25T10:32:29.028000+08:00","text":"人家也都讀完了，國家醫師考試也都考過了，這些你都不處理，全丟在旁邊，他們抗議，你就安靜了，你現在是部長，新人新氣象，你得天下了，你要怎麼處理？","quality":0.508},{"speaker":"石部長崇良","start":"2026-03-25T10:32:33.632000+08:00","guessed":false,"end":"2026-03-25T10:32:34.312000+08:00","text":"謝謝蘇委員。","quality":1},{"speaker":"石部長崇良","start":"2026-03-25T10:32:34.792000+08:00","guessed":false,"end":"2026-03-25T10:33:25.907000+08:00","text":"其實講到口腔衰弱，這真的很重要，因為這個不是只有營養的問題，還有一些全身性疾病也會跟口腔衰弱有關係，也特別容易產生一些吸入性肺炎、感染等這些都會跟著來，所以現在我們口腔司也在試辦口健師制度，已經慢慢在試辦，預防口腔衰弱如何擴大、逐步擴大，這個在高齡化的社會非常重要，很多到後頭無管人生時，插了鼻胃管，如果要拔除的時候也跟口腔有關係，所以口腔吞嚥、咀嚼能力其實是高齡化社會非常重要的議題，我們有一個計畫會擴大推這個。","quality":0.863},{"speaker":"蘇委員清泉","start":"2026-03-25T10:33:25.907000+08:00","guessed":false,"end":"2026-03-25T10:33:27.488000+08:00","text":"咀嚼對臉部跟腦部的血液循環會好。","quality":0.8},{"speaker":"石部長崇良","start":"2026-03-25T10:33:27.488000+08:00","guessed":true,"end":"2026-03-25T10:33:29.190000+08:00","text":"對，都有關係。","quality":0},{"speaker":"蘇委員清泉","start":"2026-03-25T10:33:29.190000+08:00","guessed":false,"end":"2026-03-25T10:33:32.834000+08:00","text":"比較不會萎縮、比較不會癡呆、比較不會耗呆，所以是真的有效。","quality":0.84},{"speaker":"蘇委員清泉","start":"2026-03-25T10:33:33.595000+08:00","guessed":false,"end":"2026-03-25T10:33:39.702000+08:00","text":"如果沒有牙齒，全都用喝的，喝流質或是管灌，馬上會完蛋啦！","quality":0.458},{"speaker":"蘇委員清泉","start":"2026-03-25T10:33:41.424000+08:00","guessed":false,"end":"2026-03-25T10:33:47.170000+08:00","text":"咀嚼非常非常重要，所以假牙要補助給他們，那真的是都很需要。對。","quality":0.741},{"speaker":"石部長崇良","start":"2026-03-25T10:33:47.891000+08:00","guessed":false,"end":"2026-03-25T10:34:01.437000+08:00","text":"所以過去我們的目標是80歲的時候有20顆牙齒，這是我們的目標，但是最重要的還是口腔的功能要能夠繼續強化並維持住。","quality":0.98},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:02.277000+08:00","guessed":false,"end":"2026-03-25T10:34:03.678000+08:00","text":"感謝部長有注意到這一塊。","quality":0.909},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:03.678000+08:00","guessed":false,"end":"2026-03-25T10:34:10.980000+08:00","text":"但是那些人你還是要處理，你不處理把他丟在旁邊等10年，我常常下鄉去，有的家屬跑來陳情，我說現在是新的部長，我來跟他溝通、溝通。","quality":0.685},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:11.340000+08:00","guessed":false,"end":"2026-03-25T10:34:11.500000+08:00","text":"你有擔當嗎？","quality":0.8},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:11.500000+08:00","guessed":true,"end":"2026-03-25T10:34:12.500000+08:00","text":"你有要處理嗎？","quality":0.167},{"speaker":"石部長崇良","start":"2026-03-25T10:34:11.500000+08:00","guessed":false,"end":"2026-03-25T10:34:42.753000+08:00","text":"我有理解到這個問題的存在，當然我們所有的醫事人力都有一個全觀……就是全體人力、總人力，但是也要考慮到地域差異，這我們會來思考。","quality":0.964},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:42.913000+08:00","guessed":false,"end":"2026-03-25T10:34:53.199000+08:00","text":"你們要積極處理，我們沒有理由把這些人丟在那邊，如果你不要像馬來西亞這樣6年，不然給他弄10年也可以，對不對？","quality":0.891},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:53.199000+08:00","guessed":false,"end":"2026-03-25T10:34:55.720000+08:00","text":"只要立法院支持你，你就沒問題了。","quality":0.643},{"speaker":"蘇委員清泉","start":"2026-03-25T10:34:55.720000+08:00","guessed":false,"end":"2026-03-25T10:35:02.390000+08:00","text":"第二個問題，這些口腔衰弱者需要很多牙醫師，牙醫師做不來嘛！","quality":0.923},{"speaker":"蘇委員清泉","start":"2026-03-25T10:35:03.291000+08:00","guessed":false,"end":"2026-03-25T10:35:09.296000+08:00","text":"變成要口衛師（hygienist），對不對？","quality":0.833},{"speaker":"蘇委員清泉","start":"2026-03-25T10:35:09.296000+08:00","guessed":false,"end":"2026-03-25T10:35:22.227000+08:00","text":"這些口衛師，產、官、學，那麼多學生要畢業，他們想要立個法可以讓他們來從事，你們都一直擋，牙醫師全聯會有100個理由，我看都似是而非啦！","quality":0.673},{"speaker":"蘇委員清泉","start":"2026-03-25T10:35:23.128000+08:00","guessed":false,"end":"2026-03-25T10:35:36.123000+08:00","text":"他們找那些非本科的人來做，叫作牙科助理，牙科助理也沒有證照，牙科助理可以到山上、可以到偏鄉去做那些口腔的衛教、口腔的處理嗎？","quality":0.893},{"speaker":"蘇委員清泉","start":"2026-03-25T10:35:37.304000+08:00","guessed":false,"end":"2026-03-25T10:35:38.505000+08:00","text":"這個是違法的喔！","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:35:38.766000+08:00","guessed":false,"end":"2026-03-25T10:35:54.573000+08:00","text":"所以也到該給口腔衛生學系這些人有一個出路跟證明，給他們尊嚴、地位、待遇，這裡面有不少人，部長，我常常聽他們在陳情，感覺實在是很辛苦。","quality":0.759},{"speaker":"石部長崇良","start":"2026-03-25T10:35:59.015000+08:00","guessed":false,"end":"2026-03-25T10:36:05.662000+08:00","text":"我想口腔醫學的發展要跟醫學發展一樣，它要有一個完整的人力團隊。","quality":0.931},{"speaker":"蘇委員清泉","start":"2026-03-25T10:36:05.662000+08:00","guessed":true,"end":"2026-03-25T10:36:07.524000+08:00","text":"對、對、對。","quality":0},{"speaker":"石部長崇良","start":"2026-03-25T10:36:07.524000+08:00","guessed":false,"end":"2026-03-25T10:36:32.325000+08:00","text":"就像我們的醫學有十幾類醫事人員一樣，它需要一個完整的團隊，我們既然成立了口腔司，就是想要從口腔醫學的醫療網跟人力團隊一併建立起來，所以這個口衛師我們會來思考，基本上我們會支持有口衛師。對啊！","quality":0.943},{"speaker":"蘇委員清泉","start":"2026-03-25T10:36:32.325000+08:00","guessed":false,"end":"2026-03-25T10:36:36.488000+08:00","text":"我看口腔司也沒有做什麼事情，也沒做什麼亮點出來，部長。","quality":0.625},{"speaker":"石部長崇良","start":"2026-03-25T10:36:36.488000+08:00","guessed":true,"end":"2026-03-25T10:36:41.091000+08:00","text":"會，就像我剛說的。","quality":0},{"speaker":"蘇委員清泉","start":"2026-03-25T10:36:41.091000+08:00","guessed":false,"end":"2026-03-25T10:36:43.493000+08:00","text":"你叫護士去做口腔衛生，可以！","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:36:44.173000+08:00","guessed":false,"end":"2026-03-25T10:36:48.915000+08:00","text":"但是護士現在就缺人，你還叫護士去做，是50萬人，不是5萬人。對。","quality":0.5},{"speaker":"蘇委員清泉","start":"2026-03-25T10:36:49.936000+08:00","guessed":false,"end":"2026-03-25T10:37:03.302000+08:00","text":"所以該到處理的時候，我也去找陳時中政務委員，他說他不反對口腔衛生師（hygienist），但是他說他們不能洗牙，說洗牙是醫療行為。","quality":0.69},{"speaker":"石部長崇良","start":"2026-03-25T10:37:04.082000+08:00","guessed":false,"end":"2026-03-25T10:37:19.941000+08:00","text":"我們要把這個人力……因為我們現在的人口數下降，所以我們要把這個人力做最大的發揮，不要入學之後，到後面的職場……學、用要能夠扣起來。","quality":0.982},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:19.941000+08:00","guessed":false,"end":"2026-03-25T10:37:22.744000+08:00","text":"部長英明，難怪會得天下。","quality":0.9},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:22.744000+08:00","guessed":true,"end":"2026-03-25T10:37:25.945000+08:00","text":"沒有啦！","quality":0},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:25.945000+08:00","guessed":false,"end":"2026-03-25T10:37:35.911000+08:00","text":"你同意設這個科系，然後讓他聘任、培養、實習，這些人我是覺得都不錯，我看了好幾個。","quality":0.912},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:37.351000+08:00","guessed":false,"end":"2026-03-25T10:37:45.138000+08:00","text":"最後一個問題，0到6歲小孩子的健保是不是衛福部還是中央來吸收，好不好？","quality":0.967},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:45.678000+08:00","guessed":false,"end":"2026-03-25T10:37:46.239000+08:00","text":"要不要答應一下？","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:37:48.440000+08:00","guessed":false,"end":"2026-03-25T10:37:50.101000+08:00","text":"兒童節快到了，就當兒童節的禮物。","quality":0.857},{"speaker":"石部長崇良","start":"2026-03-25T10:37:51.062000+08:00","guessed":false,"end":"2026-03-25T10:38:02.809000+08:00","text":"跟委員說明，其實在6歲以下很多的……比如說3歲以下兒童就醫的部分負擔已經在付了、已經在補助了。","quality":0.95},{"speaker":"石部長崇良","start":"2026-03-25T10:38:04.350000+08:00","guessed":false,"end":"2026-03-25T10:38:20.076000+08:00","text":"至於健保費這件事情事關重大，大家可以想想看，現在有的縣市在補助65歲以上，如果6歲以下都免的話，會讓中間這一群人壓力很大，他又要顧小，又要顧大，這個有世代正義的問題。","quality":0.833},{"speaker":"蘇委員清泉","start":"2026-03-25T10:38:20.236000+08:00","guessed":false,"end":"2026-03-25T10:38:22.456000+08:00","text":"這是減輕年輕人的負擔，你不能胡說。","quality":0.8},{"speaker":"石部長崇良","start":"2026-03-25T10:38:23.657000+08:00","guessed":false,"end":"2026-03-25T10:38:24.137000+08:00","text":"沒有、沒有。","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:38:24.217000+08:00","guessed":false,"end":"2026-03-25T10:38:25.277000+08:00","text":"這是減輕年輕人的負擔。","quality":0.9},{"speaker":"石部長崇良","start":"2026-03-25T10:38:25.277000+08:00","guessed":false,"end":"2026-03-25T10:38:27.038000+08:00","text":"對健保的財務要整體思考。","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:38:27.418000+08:00","guessed":false,"end":"2026-03-25T10:38:34.201000+08:00","text":"他就不願意生孩子了，你就要鼓勵他，這是兒科醫學會跟我提的，他請我跟部長說，叫他網開一面……","quality":0.487},{"speaker":"石部長崇良","start":"2026-03-25T10:38:36.982000+08:00","guessed":false,"end":"2026-03-25T10:38:57.896000+08:00","text":"這個是整個健保……我們要思考的是，我們的健保是premium，它是一個保險制度，不是用tax，不是用稅來做，所以中間的整個邏輯跟它的財務結構要再重新好好思考。","quality":0.944},{"speaker":"蘇委員清泉","start":"2026-03-25T10:38:58.237000+08:00","guessed":false,"end":"2026-03-25T10:39:00.999000+08:00","text":"國民黨的智庫說0到6歲一年要120億，我算一算沒有啦！","quality":0.9},{"speaker":"蘇委員清泉","start":"2026-03-25T10:39:03.320000+08:00","guessed":false,"end":"2026-03-25T10:39:21.297000+08:00","text":"因為現在的孩子很少，都生差不多10萬而已，所以0到6歲才60萬、70萬，70億就有了，不像你說的120億，那是亂說的，不然國健署來出也可以，所以這一塊，部長，我們會推啦……","quality":0.525},{"speaker":"石部長崇良","start":"2026-03-25T10:39:21.297000+08:00","guessed":false,"end":"2026-03-25T10:39:37.307000+08:00","text":"我想還是要思考，因為所有的預算都會有排擠效果，國家的錢就是這麼多，都有排擠效果，我們還有很多弱勢要優先照顧，所以資源如何配置還是請委員三思。","quality":1},{"speaker":"蘇委員清泉","start":"2026-03-25T10:39:38.567000+08:00","guessed":false,"end":"2026-03-25T10:39:40.111000+08:00","text":"主席，他說的時間占了一半，所以我沒有超過時間，謝謝，部長加油！","quality":0.692},{"speaker":"石部長崇良","start":"2026-03-25T10:39:40.251000+08:00","guessed":false,"end":"2026-03-25T10:39:40.272000+08:00","text":"謝謝委員。","quality":1},{"speaker":"主席","start":"2026-03-25T10:39:40.772000+08:00","guessed":true,"end":"2026-03-25T10:39:42.772000+08:00","text":"謝謝蘇清泉委員。","quality":0.286},{"speaker":"主席","start":"2026-03-25T10:39:43.072000+08:00","guessed":true,"end":"2026-03-25T10:39:45.072000+08:00","text":"接下來休息10分鐘。","quality":0},{"speaker":"主席","start":"2026-03-25T10:39:45.372000+08:00","guessed":true,"end":"2026-03-25T10:39:46.514857+08:00","text":"休息（10時39分）","quality":0},{"speaker":"主席","start":"2026-03-25T10:39:46.814857+08:00","guessed":true,"end":"2026-03-25T10:39:48.529143+08:00","text":"繼續開會（10時49分）","quality":0},{"speaker":"主席","start":"2026-03-25T10:39:48.829143+08:00","guessed":true,"end":"2026-03-25T10:39:50.543429+08:00","text":"我們繼續開會。","quality":0},{"speaker":"主席","start":"2026-03-25T10:39:50.843429+08:00","guessed":true,"end":"2026-03-25T10:39:53.986286+08:00","text":"接下來請王育敏委員發言。","quality":0}]}},"supported_relations":[],"relations":[]}