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就是說在 當然最近那個美國有宣布他是對這個專利期內的藥跟其原料藥才課稅所以其他的這個學名藥的原料藥還有學名藥那麼到美國還是沒有關稅啦"},{"start":76.994,"end":98.47,"text":"阿川普是公算的,我是要撒謊的阿我們現在的原料藥,台灣也有幾個藥廠在做原料藥阿因為成本很高阿因為我們偉大的施護長跟健保署我們沒有供應到美國的專利藥的原料藥所以對我們沒有影響阿如果是學名藥的原料藥?也沒有課稅"},{"start":99.511,"end":120.041,"text":"那他現在要扣是扣專利藥就是那個新藥啦專利藥集齊原料藥集齊原料藥所以我們台灣沒有在做這個專利藥輸美的只有一個啊這個藥廠已經在美國也要設廠了所以也不受影響所以他在說什麼跟我們沒有關係沒有關係沒有影響好那第二個問題我們"},{"start":127.372,"end":135.821,"text":"最近我們部長有講說因為我們的原料藥大部分都來自印度跟中國大陸對不對原料藥嘛對全球都這樣日本、韓國、台灣是要做一個料"},{"start":140.795,"end":168.042,"text":"聯盟來自己來開發這行得通嗎應該這麼說就是各國現在也都重視到這個多元分散那個原料要來源所以我們也有一個叫做這個國家藥品韌性整備計畫裡面就打算要來鼓勵在台灣開發原料要但是我們也不可能全部的原料要都自己做因為這個是一個高汙染的產業那也沒那麼多"},{"start":169.122,"end":197.008,"text":"所以需要跟其他的友好國家大家建立這個非紅供應鏈所以大概有這樣的構思在努力因為顏料最原始的顏料就是礦區出來然後再去墮碎然後再去分提煉分解那個一定是要國家很大眾生夠因為那是污染還會有時候要爆炸所以"},{"start":198.459,"end":221.436,"text":"一定是那種澳洲、中國大陸、印度這種大國才有辦法我們這裡只能看中間的原料藥的後面那一段我們也有原料藥廠,我們有幾家原料藥廠再來因為時間有限,我不想像王毅民這樣講那麼久第二個問題"},{"start":224.227,"end":238.999,"text":"馬鈴薯因為現在所有的館長大家都很歡樂的馬鈴薯以前是如果化解我們小時候在健康期就知道化解後它會臭香臭香裡面一定有一些化學藥物品"},{"start":239.793,"end":248.418,"text":"那這個叫做ソラリン嘛 它會閃成ソラリン那ソラリン怎麼會翻成龍奎簡這個是誰翻的啊 哪一個天才啊我們這些外來語到底就是喪在翻裂的啊你看日本的外來語是都很有藝術的我們這個ソラリン 這個是什麼東東啊叫做龍奎簡 這是石耀書 江志剛你發明的喔"},{"start":269.827,"end":283.18,"text":"好那這種以前是整批退現在美國要求我們要廠子裡面拿回去然後自己分 把餐廳吃掉就可以做洋芋片 什麼這樣做"},{"start":287.181,"end":314.868,"text":"我們是這樣第一個要先強化這個源頭管理所以在這個美國他在那邊要出口之前他就要去強化檢疫規定包含要噴灑這個叫做那個發芽劑那個發芽的抑制劑他要噴灑然後要去通過我們這個房檢署相關的這個檢疫規定所以說完成OK了之後他才可以上傳"},{"start":316.108,"end":342.43,"text":"那因為如果在這個傳運過程當中有發生這個腐爛的情形的話當然如果你整批太高的比例還是會退運的那如果只是部分的話那它就經過特殊的封裝處理到加工地點再去做剔除啦 是這樣因為我們屏東黃山齁 它仿良那邊的芒果要銷日本那芒果的皮不薄而已啊"},{"start":343.243,"end":359.597,"text":"如果那些藥丟兩下去,就一點點黑掉所以就要烘過,燻煙燻,可能部長也不知道以後有機會帶你去看看啦有的是用那五十五度的水把它燙過,這樣它那兩下去會死去如果不去跟日本,如果有電工,能補出來日本是整個在消費"},{"start":368.064,"end":385.943,"text":"整批的 整貨物就給你銷毀所以沒有地銷的所以你們在把關 你們在把關要 要 要 要 嚴格 不能這樣他美國講什麼 你做什麼不會 因為他進到台灣之後加工處理的這個地點也是要我們許可的"},{"start":386.443,"end":398.999,"text":"所以它的那個加工那個食品加工的那個許可再製的話我們會特別的去強化管理因為這個跟進鏈它如果發芽之後產生那個收納率這個"},{"start":401.383,"end":423.444,"text":"成年人吃了 其實老闆娘嘛 欸 孩子啊 血抽筋欸你神經系統受不了欸 有的翹起來欸所以你做醫 我們都醫生 你就要把關耳神欸不要發生命案 那時候你也受不了囉那第二個就是剛剛有講基改的食品不能進校園 因為現在"},{"start":425.519,"end":446.644,"text":"現在的國中國小現在的營養午餐現在各縣市好像都承諾要免費由政府來支出台北市一餐是75塊我們屏東市57塊我們屏東比較小一點就對了好這些基改的這個食品你剛剛有承諾說不會進嗎不會進校園嗎不會喔那有入華的嗎有入華的嗎對學校衛生法"},{"start":453.689,"end":477.861,"text":"有嘛對 剛剛委員也知道那再來就是含萊克多巴胺的也不能進校園 現在沒有進校園沒有 現在是百分之百用國產豬那這個不要再讓他們進到校園去是的 四年來百分之百百分之百這個很重要 這個不能開玩笑的所以這三樣都要很小心好 來 再來黃田署站起來"},{"start":484.366,"end":512.139,"text":"我們現在的動物用藥跟人的要流用是在我第八屆的時候那個時候部長你現在做醫事司長那個時辰在這裡就在這裡檢討幾行幾行要讓人 人可以養 那些動物可以養我們現在的動物用藥全台灣起 從娘到起到我的毛小孩總共兩百八十幾萬隻 要到三百萬隻三百四"},{"start":516.261,"end":527.566,"text":"所以現在照顧毛小孩的這些年輕人,他們把它當作是家人所以我們健保的可能不是2300萬人,是要2670萬人"},{"start":532.828,"end":557.648,"text":"這樣可以同意嗎這30%是動物用藥 70%都是流用的那現在開放到剛剛講是200多種了是不是現在要開放的話都701項還會再增加我要替這些毛小孩的事主講講話因為"},{"start":560.542,"end":576.061,"text":"簡報是因為石崇洋部長跟健保署強砍一直砍一直壓所以健保的藥價都很合理很低所以大家都這樣犀利現在豆腐用藥進木前時"},{"start":583.342,"end":597.45,"text":"我們醫師是涵蓋中醫、西醫、亞醫那獸醫是農業不發的證照所以獸醫開出來的處方是獸醫師自己調劑、自己給藥、自己收費沒有藥師嘛"},{"start":599.591,"end":617.931,"text":"要是沒有介入嘛,那你現在這些毛小孩的素質,他們的負擔太大嘛,我覺得他們的業務太貴嘛,他們如果像健保這樣搶的,應該很合理的啦,所以現在的問題是出於錢的問題嘛,你一直貴,"},{"start":621.355,"end":641.173,"text":"吸血管用藥 癌症用藥 這些訴訟怎麼負擔得起呢那你現在是想把這些獸醫師開處方因為他的獸醫的診所什麼也好他沒有辦法備那麼多種藥嘛所以他都處方幾個月叫他去藥局尿嘛藥局尿大家都睜一隻眼閉一隻眼嘛所以有時候"},{"start":648.787,"end":661.162,"text":"藥局來跟便宜調約說要給動物用的,我都搞不清楚你現在是怎樣規範所以主席今天提這個題目非常好至少要把它釐清嘛,我認為"},{"start":663.22,"end":679.825,"text":"對 完全 這個委員講的我完全同意啦就是在這個動物的這個治療上面是沒有醫藥分業它就是由這個獸醫師直接就可以提供藥物啦那只不過是因為現在它用到了人用藥"},{"start":680.805,"end":709.528,"text":"那人用藥基於我們是主管機關的立場必須要掌握流向啦那麼一方面也要注意到這些用藥的安全包含不要因為濫用造成抗藥性的問題這個會回過頭來危害到人體健康跟我們未來使用藥物的選擇那另外也有一些比較高風險的藥物的管理像麻醉的用藥啦這些鎮定安眠的用藥那麼也避免人跟動物之間"},{"start":710.709,"end":734.084,"text":"然後老來老去,不知道怎麼回到去啊所以上次我們這個過去健保管得這麼好所以這個是不希望有這個藥品管理的漏洞啦把這一塊納到健保署來管理可以啊可以嗎食藥署來管理啊我真的很擔心,因為我是臨床醫師我是心臟科醫師你是急診科,你腎臟科"},{"start":740.519,"end":747.391,"text":"麻醉的藥FG的藥這些東西是很可怕的如果流用出來"},{"start":749.114,"end":773.203,"text":"報告委員 一支藥品每一顆都歷歷皆清楚 流向絕對掌握的這個我們都要把它管控得很好啦 就是要管控得很好所以我們現在也在跟農業部跟他合作嘛 就讓我們兩邊的這個系統可以解決一方面這個藥商供藥的流向在哪裡 然後使用的量如何"},{"start":774.123,"end":786.032,"text":"這樣我們才能夠供給確保這個不管是動物要用藥還是要人用藥都能夠穩定供應人的用藥的劑量是跟狼犬一樣這個是我念到的啦我們今天要記"},{"start":788.001,"end":813.001,"text":"所以這個動物用藥跟人的用藥會不會流用我比較擔心的是一些管制藥品跟麻酸藥品這個真的會出事而且現在的量那麼大而且不要讓這些迅速負擔太大因為我們到獸醫店去獸醫師那邊去我覺得都很貴那個動物小旅館都要一天多少錢多少錢比健保還貴"},{"start":814.082,"end":838.664,"text":"你知道嗎?所以健保局實際上就是夭壽的所以這一塊一定要好好的管理那你要要嘛就他們開處方簽全部都到健保要求去領藥至少藥師也可以管制一下雖然那事不上這些藥師也去受一些這些的訓練讓他們有本質血能能增加"},{"start":839.545,"end":867.304,"text":"不然的話那我們的藥師這一塊也是沒有沒有所以我們現在初步的規劃方向也是雙軌制啦一方面是可以常用備藥的話可以從藥商或藥局直接供應或者是因為不是常備的部分備不足的部分可以到藥局因為比較方便也可以去拿所以是朝向用雙軌制的方式來重新規劃這樣"},{"start":869.305,"end":888.292,"text":"杜署長我要講,現在我們的健保藥局,如果我看不到很多行,他們會去物流那裡調,調了再栽培過來,然後藥是再發給我們的病人,那這樣是很上軌道的,那你健保藥局如果你"},{"start":889.272,"end":918.075,"text":"你那個獸醫師不可能看那麼多藥嘛他比較有可能他就把燉藥就倒了所以一定拿來藥取 健保藥取這樣釀啊健保藥取這樣阿婆管制阿婆這方面的知識啊一些管制藥 一些麻醉藥那個甚至會出問題然後你們的對獸醫師的管理有那麼嚴格嘛然後他自己開除方 自己調藥 自己配藥然後自己藥藥藥品的副作用 交叉反應那個會不會過量 會不會死掉"},{"start":919.011,"end":940.994,"text":"那個都是因為現在養寵物的人那麼多所以今天沒時間講到經濟動物那個更大一塊但是這些寵物毛小孩這邊很多年輕人這樣我們是要很小心那獸醫師這邊怎麼管理現在獸醫師有幾個目前全台灣的獸醫師大概有6000多位"},{"start":941.334,"end":956.658,"text":"六千多,那跟中醫是差不多啦那有兩千多家的動物醫院,就是獸醫的診療機構,就是動物醫院所以這一塊,暫緩實施,我也不知道是在暫緩實施什麼,是現在這樣繼續?這樣繼續這樣?我皮膚這樣齁?沒中?你是你最高的,你要講話呢?我先..."},{"start":966.511,"end":983.706,"text":"應該是說我們要在最短的時間內重新檢討那個辦法因為那個辦法裡面它涉及到要如何成為這個保護用藥動物保護用藥的程序相關的規定還有使用上的規定要趕快重新檢視我們會盡快的時間內去訂出新的辦法"},{"start":988.97,"end":1007.157,"text":"獸醫師、藥師還要管理辦法還有藥品還有一些危險藥品高菌性藥品都要好好的管理好 署長你跟衛生部的愛好啊 感到和諧是 報告委員就是因為原來的辦法裡面有一些可能沒有規定的細節上會"},{"start":1010.239,"end":1035.13,"text":"沒有辦法也符合到現在目前的一個期待啦所以說我們現在要收回這個辦法的時候都會將社會各界的意見包括雙方相關利害關係人還有我們兩個單位的意見我想大家都會做一個綜合考慮那以及解決到我們現在的寵物就是我們的犬貓跟非激進動物牠們的生命權跟醫療權的保障之下往這個更完善的制度方向來進行以上 謝謝"},{"start":1037.251,"end":1039.073,"text":"時代不一樣啦,我們要面對問題解決問題啦,加油,謝謝"}],"gazette":[{"speaker":"蘇委員清泉","start":"2026-04-15T10:17:57+08:00","guessed":true,"end":"2026-04-15T10:17:58+08:00","text":"謝謝主席，今天排的題目非常非常好，我有三個問題，請石部長。","quality":0},{"speaker":"主席","start":"2026-04-15T10:17:58+08:00","guessed":true,"end":"2026-04-15T10:17:59+08:00","text":"有請石部長。","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:17:59+08:00","guessed":true,"end":"2026-04-15T10:18:00+08:00","text":"還有食藥署。","quality":0},{"speaker":"主席","start":"2026-04-15T10:18:00+08:00","guessed":true,"end":"2026-04-15T10:18:01+08:00","text":"請姜至剛署長。","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:18:01+08:00","guessed":true,"end":"2026-04-15T10:18:02+08:00","text":"等一下也要請問防檢署署長。","quality":0},{"speaker":"主席","start":"2026-04-15T10:18:02+08:00","guessed":true,"end":"2026-04-15T10:18:03+08:00","text":"請杜署長麗華。","quality":0},{"speaker":"石部長崇良","start":"2026-04-15T10:18:03+08:00","guessed":true,"end":"2026-04-15T10:18:04+08:00","text":"蘇委員早。","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:18:03.656000+08:00","guessed":false,"end":"2026-04-15T10:18:36.117000+08:00","text":"第一個問題，我們現在進口美國、歐盟或日本的原廠藥，在進到臺灣時所課的關稅是多少？","quality":0.944},{"speaker":"石部長崇良","start":"2026-04-15T10:18:36.638000+08:00","guessed":false,"end":"2026-04-15T10:18:39.039000+08:00","text":"零，沒有關稅。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:18:39.979000+08:00","guessed":false,"end":"2026-04-15T10:18:41.900000+08:00","text":"學名藥也是零？","quality":0.833},{"speaker":"石部長崇良","start":"2026-04-15T10:18:42.220000+08:00","guessed":false,"end":"2026-04-15T10:18:43.341000+08:00","text":"都一樣，都是零。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:18:44.701000+08:00","guessed":false,"end":"2026-04-15T10:18:51.544000+08:00","text":"對我們出口到美國或歐盟的原料藥，他們課我們多少關稅？","quality":0.958},{"speaker":"石部長崇良","start":"2026-04-15T10:18:54.679000+08:00","guessed":false,"end":"2026-04-15T10:19:12.647000+08:00","text":"應該是這樣子講，最近美國有宣布對專利期內的藥跟其原料藥才課稅，所以其他學名藥的原料藥還有學名藥進到美國還是沒有關稅。","quality":0.982},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:12.647000+08:00","guessed":true,"end":"2026-04-15T10:19:15.075000+08:00","text":"那川普到底在說什麼？","quality":0.222},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:15.075000+08:00","guessed":false,"end":"2026-04-15T10:19:25.963000+08:00","text":"我實在是聽不懂，現在我們臺灣也有幾個藥廠在做原料藥，因為成本很高，我想問石部長跟健保署……","quality":0.7},{"speaker":"石部長崇良","start":"2026-04-15T10:19:26.443000+08:00","guessed":false,"end":"2026-04-15T10:19:33.048000+08:00","text":"我們臺灣沒有供應到美國的專利藥的原料藥，所以對我們沒有影響。","quality":0.929},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:33.189000+08:00","guessed":false,"end":"2026-04-15T10:19:35.170000+08:00","text":"如果是學名藥的原料藥呢？","quality":0.909},{"speaker":"石部長崇良","start":"2026-04-15T10:19:35.170000+08:00","guessed":false,"end":"2026-04-15T10:19:35.470000+08:00","text":"也沒有課稅。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:36.511000+08:00","guessed":false,"end":"2026-04-15T10:19:37.191000+08:00","text":"那他現在是要課……","quality":0.714},{"speaker":"石部長崇良","start":"2026-04-15T10:19:37.852000+08:00","guessed":false,"end":"2026-04-15T10:19:44.735000+08:00","text":"是課專利藥，就是專利藥及其原料藥。","quality":0.8},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:44.735000+08:00","guessed":false,"end":"2026-04-15T10:19:47.636000+08:00","text":"所以我們臺灣沒有在做這個？","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:19:47.636000+08:00","guessed":false,"end":"2026-04-15T10:19:55.120000+08:00","text":"我們輸美的專利藥只有一個，這個藥廠已經也要在美國設廠了，所以也不受影響。","quality":0.788},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:55.120000+08:00","guessed":false,"end":"2026-04-15T10:19:56.640000+08:00","text":"所以他說什麼，跟我們沒有關係？","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:19:56.640000+08:00","guessed":false,"end":"2026-04-15T10:19:56.761000+08:00","text":"沒有關係。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:56.761000+08:00","guessed":false,"end":"2026-04-15T10:19:56.781000+08:00","text":"沒有關係。","quality":0.5},{"speaker":"石部長崇良","start":"2026-04-15T10:19:56.881000+08:00","guessed":false,"end":"2026-04-15T10:19:56.901000+08:00","text":"沒有影響。好。","quality":0.6},{"speaker":"蘇委員清泉","start":"2026-04-15T10:19:56.981000+08:00","guessed":false,"end":"2026-04-15T10:20:10.919000+08:00","text":"第二個問題，最近部長有講，因為我們原料藥大部分都來自印度跟中國大陸，對不對？","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:20:11.419000+08:00","guessed":false,"end":"2026-04-15T10:20:12.320000+08:00","text":"對，全球都這樣。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:20:12.320000+08:00","guessed":false,"end":"2026-04-15T10:20:23.396000+08:00","text":"現在日本、韓國及臺灣想要成立一個聯盟，自己來開發，這行得通嗎？","quality":0.778},{"speaker":"石部長崇良","start":"2026-04-15T10:20:23.396000+08:00","guessed":false,"end":"2026-04-15T10:20:37+08:00","text":"應該這麼說，各國現在也都重視到原料藥來源要多元分散，所以我們也有一個稱為國家藥物韌性整備計畫，該計畫就打算要鼓勵在臺灣開發原料藥啦！","quality":0.774},{"speaker":"石部長崇良","start":"2026-04-15T10:20:37.920000+08:00","guessed":false,"end":"2026-04-15T10:20:44.322000+08:00","text":"但是我們也不可能全部原料藥都自己做，因為這是一個高污染的產業，這也沒辦法！","quality":0.853},{"speaker":"石部長崇良","start":"2026-04-15T10:20:46.122000+08:00","guessed":false,"end":"2026-04-15T10:20:55.844000+08:00","text":"所以需要跟其他友好國家建立非紅供應鏈，大概有這樣的構思在努力。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:20:56.504000+08:00","guessed":false,"end":"2026-04-15T10:21:26.828000+08:00","text":"因為最原始的原料就是從礦區出來後，經過剁碎處理，再提煉分解，那個一定是要國家很大、縱深夠，因為那是污染且有時候還會發生爆炸，所以一定是澳洲、中國大陸、印度等這種大國才有辦法，我們只能開發中間的部分，也就是原料藥後面那一段，是不是？","quality":0.748},{"speaker":"石部長崇良","start":"2026-04-15T10:21:27.268000+08:00","guessed":false,"end":"2026-04-15T10:21:30.750000+08:00","text":"我們也有幾家原料藥廠。好啦！","quality":0.833},{"speaker":"蘇委員清泉","start":"2026-04-15T10:21:33.112000+08:00","guessed":false,"end":"2026-04-15T10:21:35.694000+08:00","text":"時間有限，我不想像王育敏委員講那麼久。","quality":0.765},{"speaker":"蘇委員清泉","start":"2026-04-15T10:21:38.256000+08:00","guessed":false,"end":"2026-04-15T10:21:59.815000+08:00","text":"再來，第二個是有關馬鈴薯的問題，因為現在所有縣市首長都很煩惱，我們以前小時候都知道種植馬鈴薯如果發芽後會有臭腥，臭腥裡一定有一些化學物品，它會產生solanine，這怎麼會翻成「龍葵鹼」，這是誰翻的？","quality":0.522},{"speaker":"蘇委員清泉","start":"2026-04-15T10:21:59.915000+08:00","guessed":false,"end":"2026-04-15T10:22:00.215000+08:00","text":"哪一個天才？","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:00.535000+08:00","guessed":false,"end":"2026-04-15T10:22:01.356000+08:00","text":"我們這些外來語到底是誰在翻譯的？","quality":0.867},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:02.036000+08:00","guessed":false,"end":"2026-04-15T10:22:03.877000+08:00","text":"日本的外來語是都很有藝術的，我們這solanine翻成什麼東西啊！","quality":0.645},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:04.417000+08:00","guessed":false,"end":"2026-04-15T10:22:04.557000+08:00","text":"叫做「龍葵鹼」。","quality":0.6},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:04.557000+08:00","guessed":false,"end":"2026-04-15T10:22:05.398000+08:00","text":"食藥署姜至剛署長，這是你發明的喔？不是。","quality":0.412},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:28.529000+08:00","guessed":false,"end":"2026-04-15T10:22:39.720000+08:00","text":"這種以前是整批退，現在美國要求我們要工廠拿回去，自己分並把臭腥處削掉就可以拿去做洋芋片或其他的。","quality":0.733},{"speaker":"蘇委員清泉","start":"2026-04-15T10:22:39.720000+08:00","guessed":true,"end":"2026-04-15T10:22:45.141000+08:00","text":"部長，你的看法如何？","quality":0},{"speaker":"石部長崇良","start":"2026-04-15T10:22:45.141000+08:00","guessed":false,"end":"2026-04-15T10:23:11.848000+08:00","text":"第一個要先強化源頭管理，所以在美國那邊要出口之前，他就要強化檢疫規定，包含要噴灑抑芽劑，也就是發芽抑制劑，他們要噴灑；另外也要通過我們防檢署相關檢疫規定，所以完成OK了之後，才可以上船。","quality":0.857},{"speaker":"石部長崇良","start":"2026-04-15T10:23:13.609000+08:00","guessed":false,"end":"2026-04-15T10:23:21.635000+08:00","text":"如果在船運過程當中，有發生腐爛情形的話，當然整批比例太高，還是會退運啦！","quality":0.875},{"speaker":"石部長崇良","start":"2026-04-15T10:23:22.216000+08:00","guessed":false,"end":"2026-04-15T10:23:29.141000+08:00","text":"如果只是部分的話，它就經過特殊的封裝處理到加工地點再去剔除。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:23:31.843000+08:00","guessed":false,"end":"2026-04-15T10:23:49.831000+08:00","text":"因為我們屏東枋山、枋寮那邊的芒果要銷往日本，芒果皮是薄薄的而已，如果果實蠅在上面產卵，就會有一點一點的黑點，所以要經過燻蒸處理，可能部長也不知道，以後有機會帶你去看看啦！好。","quality":0.667},{"speaker":"蘇委員清泉","start":"2026-04-15T10:23:49.851000+08:00","guessed":false,"end":"2026-04-15T10:24:09.329000+08:00","text":"有的是用55度的水把它燙過，這樣蟲卵就會死掉，不然如果到了日本，檢查發現有蟲卵孵化出來，日本是整批銷毀，甚至整貨櫃都給你銷毀，他們沒在裝傻的。","quality":0.565},{"speaker":"蘇委員清泉","start":"2026-04-15T10:24:10.249000+08:00","guessed":false,"end":"2026-04-15T10:24:18.518000+08:00","text":"所以你們要嚴格把關，不能美國講什麼，你就做什麼。不會。","quality":0.87},{"speaker":"石部長崇良","start":"2026-04-15T10:24:18.518000+08:00","guessed":false,"end":"2026-04-15T10:24:30.912000+08:00","text":"因為它進到臺灣之後，加工處理的地點也是要經過我們許可，所以那個食品加工的許可……有再製的話，我們會特別去強化管理。","quality":0.922},{"speaker":"蘇委員清泉","start":"2026-04-15T10:24:31.313000+08:00","guessed":false,"end":"2026-04-15T10:24:42.767000+08:00","text":"因為這根莖類如果發芽之後產生的solanine，成年人吃了頂多腹瀉而已，但小孩是會抽筋耶！","quality":0.452},{"speaker":"蘇委員清泉","start":"2026-04-15T10:24:44.289000+08:00","guessed":false,"end":"2026-04-15T10:24:54.299000+08:00","text":"倘若神經系統受不了，有的會死掉，所以我們都是醫生，這要好好把關，不要發生命案，到時候你也受不了。","quality":0.762},{"speaker":"蘇委員清泉","start":"2026-04-15T10:24:56.260000+08:00","guessed":false,"end":"2026-04-15T10:25:16.443000+08:00","text":"第二個，剛剛有講基改的食品不能進校園，因為現在國中及國小的營養午餐，各縣市好像都承諾要免費，由政府來支出，臺北市一餐是75元，我們屏東是57元，我們屏東比較「細漢」就對了。","quality":0.917},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:17.943000+08:00","guessed":false,"end":"2026-04-15T10:25:22.984000+08:00","text":"針對這些基改食品，你剛剛有承諾不會進校園嘛？不會。","quality":0.864},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:23.064000+08:00","guessed":false,"end":"2026-04-15T10:25:23.144000+08:00","text":"有入法了嗎？有嘛？","quality":0.571},{"speaker":"彭署長富源","start":"2026-04-15T10:25:23.144000+08:00","guessed":true,"end":"2026-04-15T10:25:24.144000+08:00","text":"報告委員，有。","quality":0},{"speaker":"彭署長富源","start":"2026-04-15T10:25:23.304000+08:00","guessed":false,"end":"2026-04-15T10:25:23.624000+08:00","text":"是在學校衛生法。","quality":0.714},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:33.230000+08:00","guessed":false,"end":"2026-04-15T10:25:39.453000+08:00","text":"再來，含萊克多巴胺的也不能進校園，現在是沒有進校園吧？","quality":0.917},{"speaker":"彭署長富源","start":"2026-04-15T10:25:39.453000+08:00","guessed":false,"end":"2026-04-15T10:25:42.455000+08:00","text":"沒有，現在是百分之百國產豬。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:43.495000+08:00","guessed":false,"end":"2026-04-15T10:25:45.577000+08:00","text":"這不要再讓他們進到校園。是的。","quality":1},{"speaker":"彭署長富源","start":"2026-04-15T10:25:46.257000+08:00","guessed":false,"end":"2026-04-15T10:25:47.357000+08:00","text":"4年來都百分之百。","quality":0.857},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:47.838000+08:00","guessed":false,"end":"2026-04-15T10:25:48.218000+08:00","text":"百分之百？是的。","quality":0.667},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:49.699000+08:00","guessed":false,"end":"2026-04-15T10:25:51.800000+08:00","text":"這個很重要，這不能開玩笑的。","quality":1},{"speaker":"彭署長富源","start":"2026-04-15T10:25:51.800000+08:00","guessed":true,"end":"2026-04-15T10:25:52.820000+08:00","text":"是，謝謝委員。","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:52.820000+08:00","guessed":false,"end":"2026-04-15T10:25:54.221000+08:00","text":"部長，這三樣都要很小心。是。","quality":0.727},{"speaker":"蘇委員清泉","start":"2026-04-15T10:25:54.221000+08:00","guessed":true,"end":"2026-04-15T10:26:01.366000+08:00","text":"下一個問題，請防檢署上來。","quality":0.182},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:01.366000+08:00","guessed":false,"end":"2026-04-15T10:26:19.655000+08:00","text":"我們現在動物用藥跟人用藥的流用，是在我第八屆的時候，部長那個時候是擔任醫事司司長，那個時候就是在這裡檢討，有哪幾項是可以給人使用，動物也可以使用。","quality":0.687},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:20.775000+08:00","guessed":false,"end":"2026-04-15T10:26:28.779000+08:00","text":"現在的動物用藥，全臺灣養貓跟養狗的這些毛小孩總共兩百八十幾萬隻，快到三百萬隻。340萬隻。","quality":0.737},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:28.779000+08:00","guessed":true,"end":"2026-04-15T10:26:34.622000+08:00","text":"340萬隻了，「夭壽」！","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:34.622000+08:00","guessed":false,"end":"2026-04-15T10:26:44.546000+08:00","text":"現在這些照顧毛小孩的年輕人把它們當作是家人，所以我們健保人數可能不是2,300萬人，而是要2,640萬人。","quality":0.81},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:49.828000+08:00","guessed":false,"end":"2026-04-15T10:26:57.915000+08:00","text":"部長，這樣你同意嗎？委員……","quality":0.5},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:57.915000+08:00","guessed":true,"end":"2026-04-15T10:26:58.915000+08:00","text":"挖洞給你跳！","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:26:57.915000+08:00","guessed":false,"end":"2026-04-15T10:27:02.038000+08:00","text":"這30%是動物用藥，70%都是流用的。好啦！","quality":0.867},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:02.338000+08:00","guessed":false,"end":"2026-04-15T10:27:05.221000+08:00","text":"剛剛講現在開放到是兩百多種了，是不是？","quality":0.706},{"speaker":"杜署長麗華","start":"2026-04-15T10:27:06.682000+08:00","guessed":false,"end":"2026-04-15T10:27:09.744000+08:00","text":"現在要開放的是701項，還會再增加。","quality":0.923},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:10.345000+08:00","guessed":false,"end":"2026-04-15T10:27:29.296000+08:00","text":"我要替這毛小孩的飼主講講話，因為健保是石崇良部長跟健保署強砍，一直砍、一直壓，所以健保的藥價都很合理、很低，大家都「虛累累」。","quality":0.87},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:29.296000+08:00","guessed":true,"end":"2026-04-15T10:27:40.342000+08:00","text":"現在動物用藥目前是獸醫師那邊處理嘛！","quality":0.294},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:40.342000+08:00","guessed":false,"end":"2026-04-15T10:27:53.910000+08:00","text":"我們醫師是涵蓋中醫、西醫、牙醫，獸醫是農業部發的證照，所以獸醫開出來處方是獸醫師自己調劑、自己給藥、自己收費，對不對？","quality":0.902},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:53.910000+08:00","guessed":false,"end":"2026-04-15T10:27:57.492000+08:00","text":"沒有藥師嘛，藥師沒有介入嘛！","quality":0.833},{"speaker":"蘇委員清泉","start":"2026-04-15T10:27:59.074000+08:00","guessed":false,"end":"2026-04-15T10:28:10.406000+08:00","text":"現在這些毛小孩的飼主負擔太大，我覺得牠們用藥太貴，如果有像健保這樣補助，就變得很合理了啦！","quality":0.707},{"speaker":"蘇委員清泉","start":"2026-04-15T10:28:11.388000+08:00","guessed":false,"end":"2026-04-15T10:28:22.879000+08:00","text":"所以現在問題就出在錢的問題，一直這麼貴，有心血管用藥、癌症用藥，這些飼主怎麼負擔得起呢？","quality":0.795},{"speaker":"蘇委員清泉","start":"2026-04-15T10:28:23.980000+08:00","guessed":false,"end":"2026-04-15T10:28:36.992000+08:00","text":"你現在是想把這些獸醫師開的處方，因為他的獸醫診所沒有辦法備那麼多種藥，所以他開了處方，讓飼主去藥局領嘛！","quality":0.854},{"speaker":"蘇委員清泉","start":"2026-04-15T10:28:37.192000+08:00","guessed":false,"end":"2026-04-15T10:28:53.196000+08:00","text":"到藥局領藥，大家都睜一隻眼、閉一隻眼，所以有時候藥局會跟醫院調藥說要給動物使用的，我們都搞不清楚，你們現在是怎麼規範？","quality":0.792},{"speaker":"蘇委員清泉","start":"2026-04-15T10:28:53.196000+08:00","guessed":false,"end":"2026-04-15T10:28:57.722000+08:00","text":"所以今天主席提這個題目非常好，至少要把它釐清嘛！部長。","quality":0.833},{"speaker":"石部長崇良","start":"2026-04-15T10:29:01.941000+08:00","guessed":false,"end":"2026-04-15T10:29:03.461000+08:00","text":"委員所講的，我完全同意啦！","quality":0.909},{"speaker":"石部長崇良","start":"2026-04-15T10:29:04.361000+08:00","guessed":false,"end":"2026-04-15T10:29:21.768000+08:00","text":"在動物治療上面是沒有醫藥分業，它就是由獸醫師可以直接提供藥物，只不過是因為現在牠用到了人用藥，人用藥基於我們是主管機關的立場，必須要掌握流向。","quality":0.955},{"speaker":"石部長崇良","start":"2026-04-15T10:29:23.009000+08:00","guessed":false,"end":"2026-04-15T10:29:36.300000+08:00","text":"那麼一方面也要注意到這些用藥的安全，包含不要因為濫用造成抗藥性的問題，這會回過頭來危害到人體健康，以及我們未來使用藥物的選擇。","quality":0.966},{"speaker":"石部長崇良","start":"2026-04-15T10:29:36.440000+08:00","guessed":false,"end":"2026-04-15T10:29:50.611000+08:00","text":"另外，也有一些比較高風險藥物的管理，像麻醉的用藥、鎮定安眠的用藥，也避免人跟動物之間流來流去，完全不知道流到哪裡去了。","quality":0.849},{"speaker":"蘇委員清泉","start":"2026-04-15T10:29:50.611000+08:00","guessed":true,"end":"2026-04-15T10:29:51.852000+08:00","text":"這很有可能。","quality":0},{"speaker":"石部長崇良","start":"2026-04-15T10:29:51.852000+08:00","guessed":false,"end":"2026-04-15T10:30:00.237000+08:00","text":"這會喪失我們過去把健保管理得這麼好……所以是不希望有藥品管理的漏洞啦！","quality":0.812},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:00.858000+08:00","guessed":false,"end":"2026-04-15T10:30:06.221000+08:00","text":"把這一塊納到健保署來管理，可以嗎？","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:06.221000+08:00","guessed":false,"end":"2026-04-15T10:30:07.062000+08:00","text":"食藥署來管理啊！","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:30:07.062000+08:00","guessed":true,"end":"2026-04-15T10:30:08.823000+08:00","text":"我們現在是……","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:08.823000+08:00","guessed":false,"end":"2026-04-15T10:30:09.403000+08:00","text":"我真的很擔心！","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:09.503000+08:00","guessed":false,"end":"2026-04-15T10:30:24.391000+08:00","text":"因為我是臨床醫師、我是心臟外科醫師、你是急診科、你是腎臟科的……麻醉的藥、IVG的藥，這些東西是很可怕的，如果流用出來……","quality":0.902},{"speaker":"姜署長至剛","start":"2026-04-15T10:30:26.114000+08:00","guessed":false,"end":"2026-04-15T10:30:27.034000+08:00","text":"報告委員……","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:27.034000+08:00","guessed":true,"end":"2026-04-15T10:30:28.635000+08:00","text":"一支Demerol跟……","quality":0.2},{"speaker":"姜署長至剛","start":"2026-04-15T10:30:28.635000+08:00","guessed":false,"end":"2026-04-15T10:30:32.016000+08:00","text":"現在的管制藥品，每一顆都粒粒皆清楚，流向絕對能掌握的。","quality":0.667},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:32.016000+08:00","guessed":true,"end":"2026-04-15T10:30:33.016000+08:00","text":"「烏白講」！。","quality":0},{"speaker":"石部長崇良","start":"2026-04-15T10:30:32.416000+08:00","guessed":false,"end":"2026-04-15T10:30:34.957000+08:00","text":"這個部分我們都要把它管控得很好啦！","quality":0.875},{"speaker":"石部長崇良","start":"2026-04-15T10:30:35.598000+08:00","guessed":false,"end":"2026-04-15T10:30:48.422000+08:00","text":"就是要管控得很好，所以我們現在也跟農業部合作，讓兩邊的系統可以介接，一方面藥商供藥的流向在哪裡？","quality":0.955},{"speaker":"石部長崇良","start":"2026-04-15T10:30:48.862000+08:00","guessed":false,"end":"2026-04-15T10:30:50.183000+08:00","text":"使用的量如何？","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:30:51.123000+08:00","guessed":false,"end":"2026-04-15T10:30:57.608000+08:00","text":"這樣我們才能供需……確保不管是動物用藥還是人用藥，都能夠穩定供應。","quality":0.966},{"speaker":"蘇委員清泉","start":"2026-04-15T10:30:57.608000+08:00","guessed":false,"end":"2026-04-15T10:31:02.432000+08:00","text":"人的用藥劑量是跟狼犬一樣，這個是我念到的啦！","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:02.432000+08:00","guessed":true,"end":"2026-04-15T10:31:06.002000+08:00","text":"不知道真的假的？","quality":0},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:06.002000+08:00","guessed":false,"end":"2026-04-15T10:31:14.068000+08:00","text":"關於動物用藥跟人的用藥會不會流用方面，我比較擔心的是一些管制藥品跟麻醉藥品，這個真的會出事啦！","quality":0.864},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:15.429000+08:00","guessed":false,"end":"2026-04-15T10:31:20.113000+08:00","text":"現在的用量那麼大，不要讓這些飼主負擔太大。","quality":0.842},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:20.674000+08:00","guessed":false,"end":"2026-04-15T10:31:30.001000+08:00","text":"因為我們到獸醫院、獸醫師那邊去，我覺得都很貴，動物小旅館一天都要多少錢、多少錢，比健保還貴！","quality":0.925},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:31.082000+08:00","guessed":false,"end":"2026-04-15T10:31:31.422000+08:00","text":"你知道嗎？","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:36.967000+08:00","guessed":false,"end":"2026-04-15T10:31:40.090000+08:00","text":"所以這一塊一定要好好地管理。對。","quality":0.857},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:42.973000+08:00","guessed":false,"end":"2026-04-15T10:31:48.658000+08:00","text":"不然就他們開處方箋，全部都到健保藥局去領藥，至少藥師也可以管制一下。","quality":0.839},{"speaker":"蘇委員清泉","start":"2026-04-15T10:31:50.159000+08:00","guessed":false,"end":"2026-04-15T10:32:01.749000+08:00","text":"是不是讓這些藥師也去受一些這部分的訓練，來增加他們的本職學能，不然我們的藥師在這一塊也是沒有……","quality":0.727},{"speaker":"石部長崇良","start":"2026-04-15T10:32:02.669000+08:00","guessed":false,"end":"2026-04-15T10:32:24.304000+08:00","text":"我們現在初步的規劃方向也是雙軌制，一方面在常用備藥方面，可以從藥商或藥局直接供應，或者因為不是常備的部分、備不足的部分，也可以到藥局去拿，因為比較方便，所以是朝向雙軌制的方式來重新規劃。","quality":0.929},{"speaker":"蘇委員清泉","start":"2026-04-15T10:32:26.305000+08:00","guessed":false,"end":"2026-04-15T10:32:41.150000+08:00","text":"杜署長，我跟你說，現在健保藥局如果藥品備用品項不足，他們會去物流那邊調用，調完再宅配過來，然後藥師再發給病人，這部分目前是很上軌道。","quality":0.661},{"speaker":"蘇委員清泉","start":"2026-04-15T10:32:47.113000+08:00","guessed":false,"end":"2026-04-15T10:32:48.994000+08:00","text":"至於獸醫師就不可能備那麼多藥嘛，哪有可能！","quality":0.737},{"speaker":"蘇委員清泉","start":"2026-04-15T10:32:49.555000+08:00","guessed":false,"end":"2026-04-15T10:32:50.155000+08:00","text":"光囤這些藥就倒了！","quality":0.5},{"speaker":"蘇委員清泉","start":"2026-04-15T10:32:50.816000+08:00","guessed":false,"end":"2026-04-15T10:33:01.644000+08:00","text":"所以他一定是來健保藥局領藥，但是健保藥局沒有管制，也沒有這方面的知識，關於管制藥、麻醉藥等部分，這個真的會出問題。","quality":0.588},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:01.644000+08:00","guessed":false,"end":"2026-04-15T10:33:04.706000+08:00","text":"然後你們對獸醫師的管理有那麼嚴格嗎？","quality":0.941},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:05.927000+08:00","guessed":false,"end":"2026-04-15T10:33:26.762000+08:00","text":"他自己開處方、自己調藥、自己配藥、自己用藥，藥品的副作用、交叉反應、會不會過量、會不會死掉，那個都是……因為現在養寵物的人那麼多，今天沒時間跟你講到經濟動物，那個是更大的一塊。","quality":0.92},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:26.762000+08:00","guessed":false,"end":"2026-04-15T10:33:31.227000+08:00","text":"但是這些寵物、毛小孩，很多年輕人這樣……我們是要很小心。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:32.528000+08:00","guessed":false,"end":"2026-04-15T10:33:33.029000+08:00","text":"獸醫師要怎麼管理？","quality":0.875},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:33.970000+08:00","guessed":false,"end":"2026-04-15T10:33:35.872000+08:00","text":"現在全臺灣的獸醫師有幾個？","quality":0.667},{"speaker":"杜署長麗華","start":"2026-04-15T10:33:35.872000+08:00","guessed":false,"end":"2026-04-15T10:33:37.974000+08:00","text":"目前全臺灣的獸醫師大概有六千多位。","quality":0.875},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:38.334000+08:00","guessed":false,"end":"2026-04-15T10:33:40.014000+08:00","text":"六千多，那跟中醫師差不多啦！是。","quality":0.846},{"speaker":"杜署長麗華","start":"2026-04-15T10:33:40.615000+08:00","guessed":false,"end":"2026-04-15T10:33:44.836000+08:00","text":"有兩千多家動物醫院，獸醫的診療機構就是動物醫院。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:45.496000+08:00","guessed":false,"end":"2026-04-15T10:33:48.777000+08:00","text":"所以這一塊暫緩實施，我也不知道是在暫緩實施什麼，現在是這樣繼續亂搞嗎？","quality":0.875},{"speaker":"蘇委員清泉","start":"2026-04-15T10:33:49.917000+08:00","guessed":false,"end":"2026-04-15T10:33:52.778000+08:00","text":"部長，你是最高的層級，你要講話！","quality":0.692},{"speaker":"杜署長麗華","start":"2026-04-15T10:33:53.558000+08:00","guessed":false,"end":"2026-04-15T10:33:53.638000+08:00","text":"我讓部長先講。","quality":0.333},{"speaker":"石部長崇良","start":"2026-04-15T10:34:03.511000+08:00","guessed":false,"end":"2026-04-15T10:34:20.686000+08:00","text":"應該是說我們要在最短的時間內重新檢討那個辦法，因為辦法裡面涉及如何成為動物保護用藥的程序、相關的規定，還有使用上的規定，要趕快再重新檢視，我們會儘快在時間內訂出新的辦法。","quality":0.962},{"speaker":"蘇委員清泉","start":"2026-04-15T10:34:25.970000+08:00","guessed":false,"end":"2026-04-15T10:34:35.054000+08:00","text":"獸醫師、藥師、管理辦法、藥品，還有一些危險藥品、高警訊藥品等，都要好好地管理，署長，你跟衛福部要好好檢討妥當。","quality":0.761},{"speaker":"杜署長麗華","start":"2026-04-15T10:34:38.595000+08:00","guessed":false,"end":"2026-04-15T10:35:12.010000+08:00","text":"報告委員，因為原來的辦法裡面可能有一些細節沒有規定到，沒有辦法符合目前的期待，所以我們現在要修這個辦法的時候，會將社會各界的意見，包括雙方相關利害關係人，還有我們兩個單位的意見，都會做綜合考慮，以解決現在的寵物，就是對犬貓跟非經濟動物的生命權跟醫療權的保障，往更完善制度的方向來進行。","quality":0.924},{"speaker":"杜署長麗華","start":"2026-04-15T10:35:12.030000+08:00","guessed":false,"end":"2026-04-15T10:35:12.130000+08:00","text":"以上，謝謝。","quality":1},{"speaker":"蘇委員清泉","start":"2026-04-15T10:35:14.251000+08:00","guessed":false,"end":"2026-04-15T10:35:14.992000+08:00","text":"對，時代不一樣了啦！","quality":0.75},{"speaker":"蘇委員清泉","start":"2026-04-15T10:35:15.212000+08:00","guessed":false,"end":"2026-04-15T10:35:16.073000+08:00","text":"我們要面對問題，解決問題，加油，謝謝。","quality":1},{"speaker":"石部長崇良","start":"2026-04-15T10:35:16.573000+08:00","guessed":true,"end":"2026-04-15T10:35:17.715857+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2026-04-15T10:35:18.015857+08:00","guessed":true,"end":"2026-04-15T10:35:20.873000+08:00","text":"謝謝蘇清泉委員的質詢。","quality":0},{"speaker":"主席","start":"2026-04-15T10:35:21.173000+08:00","guessed":true,"end":"2026-04-15T10:35:24.030143+08:00","text":"現在請邱鎮軍委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}