{"error":false,"id":["168599"],"data":{"IVOD_ID":168599,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/168599","日期":"2026-04-15","會議資料":{"會議代碼":"委員會-11-5-26-6","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第6次全體委員會議","屆":11,"會期":5,"會次":6,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第5會期社會福利及衛生環境委員會第6次全體委員會議"},"影片種類":"Clip","開始時間":"2026-04-15T14:29:53+08:00","結束時間":"2026-04-15T14:38:51+08:00","影片長度":"00:08:58","支援功能":["ai-transcript"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/3ec77822e2e6eae3bc27a6506f74ea958ea785098ebfecd5e98911b917ba40462f4a3623a33b8b275ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"郭昱晴","委員發言時間":"14:29:53 - 14:38:51","會議時間":"2026-04-15T09:00:00+08:00","會議名稱":"立法院第11屆第5會期社會福利及衛生環境委員會第6次全體委員會議（事由：邀請衛生福利部部長、行政院經貿談判辦公室、經濟部、農業部、教育部就「美國貿易代表署發布《2026年各國貿易評估報告》（2026NTE）提及技術性貿易壁壘或食品安全檢驗與動植物防疫檢疫SPS）壁壘之豬肉、牛肉與牛肉產品、β促進劑的最大殘留容許量等各項食農相關產品及技術之要求，我國所承諾之措施、移除產品禁令或取消輸入口岸檢疫程序等，並特就其中開放切片馬鈴薯帶芽（或腐爛或發黴）仍能整批進口與其敦促撤銷基改食品進校園，對我國食品安全造成之衝擊與因應作為」進行專題報告，並備質詢。\n\n邀請衛生福利部、農業部、行政院消費者保護處就「寵物用藥新制上路在即，犬貓及非經濟動物急重症醫療銜接、藥品流向管理、飼主取得可近性與消費權益保障之整體配套」進行專題報告，並備質詢。\n\n【專題報告綜合詢答】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","start":7.152218750000001,"end":9.852218750000002},{"speaker":"SPEAKER_01","start":10.020968750000002,"end":10.864718750000002},{"speaker":"SPEAKER_01","start":13.88534375,"end":14.509718750000001},{"speaker":"SPEAKER_01","start":15.134093750000002,"end":16.028468750000002},{"speaker":"SPEAKER_01","start":16.230968750000002,"end":18.79596875},{"speaker":"SPEAKER_01","start":19.47096875,"end":20.399093750000002},{"speaker":"SPEAKER_01","start":20.83784375,"end":23.824718750000002},{"speaker":"SPEAKER_01","start":24.07784375,"end":30.70971875},{"speaker":"SPEAKER_01","start":31.06409375,"end":35.87346875},{"speaker":"SPEAKER_01","start":36.73409375,"end":40.07534375},{"speaker":"SPEAKER_01","start":40.51409375,"end":47.719718750000006},{"speaker":"SPEAKER_01","start":48.12471875,"end":60.072218750000005},{"speaker":"SPEAKER_01","start":60.64596875,"end":64.00409375000001},{"speaker":"SPEAKER_01","start":64.35846875,"end":68.84721875000001},{"speaker":"SPEAKER_00","start":67.93596875,"end":70.87221875},{"speaker":"SPEAKER_01","start":69.21846875,"end":77.18346875},{"speaker":"SPEAKER_01","start":77.33534375,"end":81.80721875},{"speaker":"SPEAKER_01","start":82.07721875,"end":129.37784375},{"speaker":"SPEAKER_01","start":129.51284375,"end":154.58909375000002},{"speaker":"SPEAKER_01","start":155.01096875000002,"end":169.55721875},{"speaker":"SPEAKER_01","start":170.80596875,"end":177.57284375},{"speaker":"SPEAKER_00","start":177.92721875,"end":180.35721875000002},{"speaker":"SPEAKER_01","start":180.07034375,"end":182.07846875},{"speaker":"SPEAKER_01","start":182.44971875000002,"end":206.17596875},{"speaker":"SPEAKER_01","start":206.81721875000002,"end":208.09971875000002},{"speaker":"SPEAKER_01","start":208.79159375,"end":212.90909375},{"speaker":"SPEAKER_01","start":213.09471875000003,"end":217.51596875},{"speaker":"SPEAKER_01","start":218.30909375000002,"end":219.81096875},{"speaker":"SPEAKER_01","start":221.36346875,"end":223.11846875},{"speaker":"SPEAKER_01","start":223.60784375,"end":224.89034375000003},{"speaker":"SPEAKER_01","start":225.32909375000003,"end":225.93659375000001},{"speaker":"SPEAKER_01","start":226.35846875000001,"end":227.87721875000003},{"speaker":"SPEAKER_01","start":227.97846875000002,"end":227.99534375000002},{"speaker":"SPEAKER_01","start":228.24846875,"end":233.63159375},{"speaker":"SPEAKER_01","start":234.30659375000002,"end":236.83784375000002},{"speaker":"SPEAKER_01","start":237.39471875,"end":241.29284375},{"speaker":"SPEAKER_01","start":241.61346875,"end":242.55846875},{"speaker":"SPEAKER_01","start":243.43596875000003,"end":245.20784375000002},{"speaker":"SPEAKER_01","start":245.52846875,"end":246.69284375},{"speaker":"SPEAKER_01","start":247.13159375,"end":249.02159375000002},{"speaker":"SPEAKER_01","start":249.61221875,"end":279.76784375},{"speaker":"SPEAKER_01","start":280.13909375000003,"end":298.60034375000004},{"speaker":"SPEAKER_01","start":298.76909375,"end":344.92221875},{"speaker":"SPEAKER_01","start":345.22596875000005,"end":349.42784375},{"speaker":"SPEAKER_01","start":349.88346875,"end":357.73034375000003},{"speaker":"SPEAKER_01","start":357.91596875000005,"end":359.97471875},{"speaker":"SPEAKER_01","start":361.39221875000004,"end":367.34909375},{"speaker":"SPEAKER_01","start":368.22659375,"end":369.77909375},{"speaker":"SPEAKER_01","start":369.96471875000003,"end":370.77471875000003},{"speaker":"SPEAKER_01","start":371.39909375,"end":372.39471875000004},{"speaker":"SPEAKER_01","start":372.76596875,"end":374.63909375000003},{"speaker":"SPEAKER_01","start":375.12846875,"end":376.42784375},{"speaker":"SPEAKER_01","start":376.81596875,"end":404.32221875000005},{"speaker":"SPEAKER_00","start":405.01409375000003,"end":415.98284375000003},{"speaker":"SPEAKER_00","start":416.48909375000005,"end":446.84721875},{"speaker":"SPEAKER_01","start":426.76596875,"end":427.03596875000005},{"speaker":"SPEAKER_01","start":428.01471875000004,"end":429.06096875000003},{"speaker":"SPEAKER_01","start":444.55221875,"end":457.25909375000003},{"speaker":"SPEAKER_00","start":450.93096875000003,"end":451.25159375000004},{"speaker":"SPEAKER_01","start":457.27596875,"end":460.51596875},{"speaker":"SPEAKER_00","start":460.51596875,"end":518.09346875},{"speaker":"SPEAKER_01","start":460.53284375000004,"end":461.93346875000003},{"speaker":"SPEAKER_01","start":474.65721875,"end":477.71159375},{"speaker":"SPEAKER_01","start":508.87971875000005,"end":509.68971875000005},{"speaker":"SPEAKER_01","start":510.75284375,"end":511.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那請問這貼標的成本你們有想過嗎 誰要來吸收誰決定吸收 誰願意吸收 這個很重要第三個 就是還是要回歸到我講的 獸醫師的用藥自儲權一個獸醫師 我請問部長 您知道要養成一個獸醫師他需要多久的專業的訓練嗎"},{"start":178.141,"end":205.712,"text":"我記得學智商是六年至少五到七年啊最不好是六七年以上他才可能會是所謂的獸醫師但是問題是我們現在美其名啊說因為藥事法因為我們的這個人類用藥我們人用藥的部分我可能要藥師進來請問這個藥師突然進來的尷尬的一個角色可以凌駕在獸醫師用藥自主權之上嗎"},{"start":206.872,"end":209.413,"text":"他們比較專業藥師比較專業還是獸醫師比較專業回歸到本質我們應該是要顧慮的是獸醫師用藥的自主權好 再來第四點"},{"start":221.411,"end":242.338,"text":"法律未接的不確定性啦雖然現在我們是延緩感覺上是放寬但是問題是一旦這個所謂的放寬的措施頂多就是仰賴所謂的韓式或者是用所謂的行政命令那一線的受益師還是會擔心啊我的位子在哪裡啊我今天不行"},{"start":243.476,"end":272.044,"text":"那或者是我今天可以我明天會不會不行我後天是不是真的就沒藥用了我想這個部分我們還是不要讓在一線的醫療的尤其是動物醫師獸醫師的身上處於長期法律的灰色的地帶在這裡我給這個兩個部會其實大家今天都有來我給幾項的建議第一我先確保獸醫師的用藥自主權我想呢在藥品"},{"start":273.284,"end":299.785,"text":"進入到所謂的動物醫院之前人用藥的部分當然是由衛福部來主管但一旦這個藥進入到了獸醫師的醫療現場麻煩把這個部分回歸到農業部去監管而不是兩邊對兩邊大家一直在站著自己的本位主義結果中間很大的一個空窗我要四組來負擔啊這不公平啊非常的不公平啊"},{"start":300.345,"end":315.105,"text":"好 第二點落實負面表列的過渡機制剛剛其實也有委員特別提到我想這是一個方向那雖然我們剛剛有提到說包含一些比較重要的管制的藥品或者是所謂的高風險的抗生素之外"},{"start":315.766,"end":338.731,"text":"那我們是不是能夠從所謂的逐向核准變成所謂的負面表列我想這個是一個參考的方向也是很多的我們的獸醫師他們提出來他們希望的我們可以學美國我們可以去看日本人家怎麼做用藥的自主權也很重要負面表列也是一個可行的方向第三點"},{"start":339.531,"end":359.605,"text":"明確的動物診療機構的法定地位我們讓他確定好嗎好嗎這個部分我想如果我們把所謂的動物診療的機構明確列為合法的藥品供應的一個對象他就不會因為各地行政的含釋不同而會有不同的偏差這也是要維持整個所有他們在醫療上面的一個穩定的一個效率再來第四"},{"start":368.308,"end":397.002,"text":"也是結論啦齁急重症還有偏鄉這個可敬性的配套啊一定要到位好嗎一定要到位沒有解決我剛剛所說的這些問題之前我想這不是只有暫緩讓人家還是一樣我還是心生恐懼啊你就算暫緩我很擔心我今天你會贏的明天不會贏的啊我會怎麼樣明天我沒有優堂醫醫我的毛孩子他是我的家人欸那怎麼辦"},{"start":397.902,"end":401.911,"text":"所以我說真正的問題沒有解決之前根本不能談上路這兩個字可以嗎"},{"start":405.369,"end":429.337,"text":"跟委員說非常認同剛剛委員所提的這幾個重要的重點跟方向這個我覺得很認同那麼為了讓大家不用擔心其實這個辦法還沒有上路根本還沒有上路那是7月1號那因為可能很多的業者開始擔心所以不敢出藥沒有啊那所以呢我們會依據在這個新的辦法還沒有"},{"start":432.318,"end":455.087,"text":"這個公布之前呢我們會由食藥署來發函給所有的藥商他們可以依據這個受醫師的請求那麼去出貨這個部分我們一定因為我們都知道目前現階段701項當中只有216項有登錄嘛真正的有登錄的這個系統當中我們看到的是140幾項而已嘛對不對"},{"start":457.768,"end":475.033,"text":"但是這個701項之後還會增加呢還會再增加呢我們現在第一步就是至少這個701項一定可以穩定供應不會受到困擾藥商就是可以直接提供給受醫師來使用不用繞過藥局"},{"start":476.933,"end":501.44,"text":"第二個呢 這個在獸醫的治療上面並沒有醫藥分業所以還是由獸醫師來主導所有的治療 診斷跟用藥包含藥物的調劑這些都是它並沒有跟人醫一樣有醫藥分業的制度這個我們也把它確認那麼第三個呢 未來在這個制度設計的時候"},{"start":502.58,"end":514.093,"text":"那一定會考量到剛剛您提到這幾個夜間那麼其實人藥也是一樣啊也有夜間也有偏鄉也一樣所以這個制度上呢也一定都會考量進來讓他的這個用藥的可敬性要能夠提高好"},{"start":518.157,"end":521.478,"text":"那也謝謝部長那謝謝農業部其實願意傾聽這個一線所有的市主他們的心聲動物不會講話但市主要幫忙他講話我是市主其中之一我也在這裡幫我的毛小孩講話可以嗎也幫一線的獸醫師加油打氣可以嗎好謝謝謝謝郭益群委的諮詢"}]}},"supported_relations":[],"relations":[]}