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謝謝主席 麻煩主委待會有 待會好 主委謝謝這個待會問完真的千萬不要過來握手戰慾有加 好不好我先請教第一個問題我們當然好不容易拖了那麼久開始進入預算的審查所以第一個就叫一個預算項目"},{"start":28.452,"end":55.447,"text":"我們在退伍府會的國際退伍軍人事務交流其實很重要退伍軍人交流像我們國軍將領跟日本的退役將領那個叫局媒會還是媒局會其實這是很好的外交上的一個互動那我看本席特別注意到你們在2025年編列的預算是474萬那交流的國家呢有你們那時候名列出來是五個國家啦"},{"start":56.462,"end":74.229,"text":"那接下來到2026年也就是今年度國家你們在說明欄上面只剩下三個國家預算呢沒有減少還是474萬我第一個問題是請教主委我們確認是交流只剩這三個國家嗎"},{"start":76.458,"end":101.209,"text":"跟委員報告這上面列的表是完全正確的我們今年為什麼做這個調整因為我們第一個是騎乘美國還是三大退協為主然後增加太平洋區的一個退伍軍組織太平洋區所以美國嚴格來講應該是算四趟每一趟的騎乘有不一樣有做調整人次也會增加那第一島鏈主要是菲律賓"},{"start":101.869,"end":122.052,"text":"那個美國啦或者是日本啦菲律賓這個還有的我先不問啦因為少了兩個國家交流嘛第一個我能理解就是我們的預算年度坦白講我們就算預算通過這個年度大概已經過一半了啦就是很順利通過到五月份三讀通過到你們開始動枝呢"},{"start":122.873,"end":150.117,"text":"我們財政年度過了一半結果預算的執行呢這時候才給你確實會有一些問題所以我的問題是說你的預算額度並沒有減少可是國家少了兩國為什麼泰國跟韓國被拿掉了出了什麼問題我們是太平洋地區以第一島鏈為主所以是以日本跟菲律賓為主然後跟委員報告的我們日本可能去了很多單位"},{"start":151.417,"end":175.74,"text":"有增加 就這三國增加的量是是是但是你還是沒有告訴我韓國跟泰國原來有在交流尤其我們退府會我們在泰北那裡我們曾經有農場我們一個伯伯在那裡他過世的時候親王還為他這樣辦喜我們以前在泰北的農場做得還不錯啊那為什麼現在泰國跟韓國被拿掉了我還是沒有聽到答案我不到處長給您報告"},{"start":176.841,"end":196.158,"text":"委員好,我是輔照處處長,因為我們今年以這個預算我們還是把它重點是放在這個美國三大退協跟日本跟菲律賓,那有關這個到菲律賓跟到泰國的價錢費用差沒有那麼多啦,那坦白講如果有必要474萬變520萬"},{"start":199.181,"end":220.159,"text":"都可以接受你還是沒有回答我泰國跟韓國出什麼問題不能講不方便講我就尊重那裡有沒有什麼事情我們下去以後再檢討今年的預算因為去年後來你們預算我沒有意見我現在是在想項目韓國有沒有展示互動上的不便或不友善沒有泰國呢"},{"start":223.246,"end":239.554,"text":"報委我們下去再跟您報告好了那就是不便講嘛是是是因為你們繞來繞去我就不再講你們額度問題因為那兩個國家被擺明的拿掉泰國我們的我們是有農場在那裡嗎農場現在我們還有沒有工作跟我們交流的農場有交流的農場嗎"},{"start":240.953,"end":257.872,"text":"然後我們以前太北孤軍其實我們以前有一些人在那裡後代當然那邊啊 時代變遷等等所以泰國被拿掉 韓國被拿掉應該是有故事啦那你們不方便講我就不為難主委了啦會後會後對啊 我也為難你 待會不跟我握手"},{"start":259.955,"end":274.515,"text":"好我們下一個下一個是我曾經質詢我現在要追蹤這個事情這跟北榮就有關係了謝謝北榮我們重粒子的癌症治療在精準醫療跟化療的最後一塊拼圖在醫療界這是很重要的"},{"start":275.276,"end":302.381,"text":"很多人把這視為不幸罹患癌症最後特殊那幾種癌症救命的一個方式所以它很貴一個療程可能就幾百萬它非常貴所以幾乎都是自費那我上次問的重點有兩個第一個因為它貴可是花人民納稅的人建制我印象北榮這個重粒子癌症治療中心是全球第14座嘛所以它是世界上它也有稀有性但我們很不希望"},{"start":303.632,"end":309.267,"text":"像我父親是癌症過世的那我們家境不好但我們不希望在治療癌症"},{"start":310.572,"end":336.891,"text":"成為財富變成生命的分界點 懂我意思嗎就不能因為沒錢我就醫不起我有錢我就能醫得起 這個不好所以當時我看到你們安排是有2%的醫療量能要讓這些低收的減免我那時候提出來2%實在太少了我們建置這一個重粒子治療中心都是人民的納稅錢"},{"start":339.601,"end":362.93,"text":"變成你們的基金變成什麼但總是供款所以2%太少了我一直希望能夠增加對於一些收入沒那麼富裕甚至不用完全減免對於一般所得的有一些折扣對於中低收入的給予減免那我們也希望中低收入或一般所得的永遠健康用不到最好但他要用到的時候我們有一定的百分比那你這2%"},{"start":364.813,"end":369.072,"text":"適度來增加這第一個命題第二個命題是我們的農民農卷"},{"start":371.08,"end":396.55,"text":"應該要另外你現在這2%的減免是把榮民農券放在裡面所以那個院長應該印象我上次有問這一題就榮民農券是我們退福會照顧的對象萬一需要的時候他應該有一個項目的減免就幾百萬的是一般自費但對榮民農券我雖然不是中低收入戶可是我一般所得坦白講要拿幾百萬去做中立子也不一定負擔得起所以榮民農券的減免優惠要一套"},{"start":397.25,"end":401.127,"text":"然後對於一般納稅人 一般民眾的減免有另外一套"},{"start":402.403,"end":429.818,"text":"你們現在經過快一年了,你們歸號怎麼樣?報告委員,讓我報告一下先說明這個費用是從幾十萬到一百,最貴的只有一百六十萬那它的...它是一個完整療程?一個完整療程,最多就一百六十萬,看疾病的類別不一樣那比方去年一年呢,它的收入是三億五千萬左右但營運成本是五億,一年平均要虧一點五億"},{"start":430.538,"end":456.392,"text":"那這個建制22.5億是來自民間的幫忙企業界的幫忙剩下22.5億是來自榮總醫療作為基金那這個呢我們已經很努力縱使以後三班24小時運轉一年至少還在賠1億那但是我們收費其實是每一個治療都是在賠錢其實我們在醫療上很少用賠錢來計算就是生命是無價的啦但是呢如果要算的話健保也在虧嘛"},{"start":457.652,"end":484.042,"text":"醫療我比較不期待用這樣來算我們用其他科部的稍微一點英語來補貼這個事情這個方案有沒有新的做法針對農民農卷 針對一般民農卷報告委員現在2% 現在還有8個名額我們過去用了5個 5個有一個是農民那這個是中立子不是每一個人都需要我們很多人要求中立子我們評估這個健保就夠了他針對的癌症別有差異嗎專門的癌症別"},{"start":485.643,"end":504.657,"text":"那不要用大砲打小鳥OK我建議我們北榮或者我們退府會多宣導既然你說名額還沒用完我們希望每個人健康可是當他需要的時候有這個優惠的名額讓他那等到用到不足我們再來討論增加那我們南部有沒有計畫來增設一座"},{"start":505.778,"end":525.187,"text":"如果有醫院願意加入做功德賠錢行列我都很歡迎醫院都在做功德啦所以醫院都是免稅的對不對我們高榮要不要設一座高榮跟文報現在有一個粒子治療設備的一個平均小組你現在看這個醫療資源分配北榮有"},{"start":526.57,"end":539.445,"text":"那中國醫藥大學輻射醫院他要設一座花蓮慈濟也要設幾座他們有計畫啦可能機器還沒有買啦看到我們賠很多他們在考慮沒關係我會到衛房委員會去問那我意思是說南部連計畫設置都沒有"},{"start":541.887,"end":568.445,"text":"那醫療資源不應該有城鄉差距啦我們高榮要不要爭取在南部設置一座否則我知道有一些人舟車勞頓那用到重粒子其實都已經蠻辛苦的高榮有沒有計畫謝謝 報告委員謝謝委員的一個指導從委員去年那個時候諮詢的時候我們醫院裡面在這半年當中大概開過12次會開始很努力在評估那目前4月份的話會把我們粒子的治療會把評估報告開始送到輔導會"},{"start":573.208,"end":591.9,"text":"現在因為他要衛福部的一個平和啦我上次質詢是10月8號問的嘛我們現在提出來那也許我們退輔會或者衛福部大家思考南部要不要設一個那特別高榮的部分你們直升機降落的困難點"},{"start":594.342,"end":608.648,"text":"當時院長跟總統有交代我覺得那邊要否則澎湖啊離外島要用直升機後送就已經緊急了結果還要停小港機場再偶爾從小港到高融然後那個高速公路那邊都在塞車不理想你們旁邊那個要設置停機坪"},{"start":609.588,"end":630.066,"text":"或者樓頂加鋼構增加停機的可能性你們方案趕快提出來因為院長當時我在現場嘛院長是認為應該要做你們不只是服務高雄連澎湖的後送都是你們這裡所以這個後送的停機坪附近有一塊軍區的地或者你們的屋頂你盡快把方案提出來趁院長這個承諾還在有在規劃有在規劃謝偉"}],"gazette":[{"speaker":"王委員定宇","start":"2026-04-22T10:01:03.886000+08:00","guessed":false,"end":"2026-04-22T10:01:05.406000+08:00","text":"謝謝主席，麻煩主委。","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:01:05.406000+08:00","guessed":true,"end":"2026-04-22T10:01:14.429000+08:00","text":"王委員早。","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:01:14.429000+08:00","guessed":false,"end":"2026-04-22T10:01:19.730000+08:00","text":"主委，謝謝，待會問完，真的千萬不要過來握手，我們讚譽有加，好不好？","quality":0.852},{"speaker":"王委員定宇","start":"2026-04-22T10:01:21.110000+08:00","guessed":false,"end":"2026-04-22T10:02:16.229000+08:00","text":"我先請教第一個問題，當然好不容易拖了那麼久開始進入預算的審查，所以我第一個要就教一個預算項目，關於退輔會的國際退伍軍人事務交流，其實這很重要，像我們的國軍將領跟日本的退役將領的那個菊梅會還是梅菊會，其實是很好的外交上的互動，本席特別注意到你們在2025年編列的預算是474萬，交流的國家那時候明列出來是5個國家，接下來到2026年也就是今年度，你們的說明欄上只剩下3個國家，預算沒有減少，還是474萬，我第一個問題是請教主委，確認我們交流只剩這3個國家嗎？","quality":0.913},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:02:18.458000+08:00","guessed":false,"end":"2026-04-22T10:02:24.541000+08:00","text":"跟委員報告，這上面列的表是完全正確的，我們今年為什麼做這個調整？","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:02:25.001000+08:00","guessed":false,"end":"2026-04-22T10:02:40.668000+08:00","text":"因為第一個是期程，美國還是以三大退協為主，然後增加太平洋區的一個退伍軍人組織，所以美國嚴格來講應該是算4趟，每一趟的期程有做調整，人次也會增加。","quality":0.908},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:02:41.388000+08:00","guessed":false,"end":"2026-04-22T10:02:43.209000+08:00","text":"那第一島鏈主要是以日本、菲律賓……","quality":0.786},{"speaker":"王委員定宇","start":"2026-04-22T10:02:44.109000+08:00","guessed":false,"end":"2026-04-22T10:03:10.718000+08:00","text":"主委，美國、日本或菲律賓，還有的我先不問，因為少了兩個國家交流，第一個我能理解，就是我們的年度預算，坦白講就算預算通過，這個年度大概已經過一半了，就算很順利通過，到5月份三讀通過，到你們開始動支，我們的財政年度已經過了一半，結果預算的執行這時候才給你，確實會有些問題。","quality":0.915},{"speaker":"王委員定宇","start":"2026-04-22T10:03:10.718000+08:00","guessed":false,"end":"2026-04-22T10:03:18.885000+08:00","text":"所以我的問題是你的預算額度並沒有減少，可是國家少了兩國，為什麼泰國跟韓國被拿掉了？","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:03:19.546000+08:00","guessed":false,"end":"2026-04-22T10:03:22.688000+08:00","text":"出了什麼問題？","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:03:23.349000+08:00","guessed":false,"end":"2026-04-22T10:03:32.097000+08:00","text":"太平洋地區我們是以第一島鏈為主，所以是以日本跟菲律賓為主，然後跟委員報告，我們日本可能去了很多單位。","quality":0.935},{"speaker":"王委員定宇","start":"2026-04-22T10:03:33.417000+08:00","guessed":false,"end":"2026-04-22T10:03:33.737000+08:00","text":"有增加？","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:03:34.018000+08:00","guessed":false,"end":"2026-04-22T10:03:35.259000+08:00","text":"就這三國增加的量？","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:03:35.599000+08:00","guessed":false,"end":"2026-04-22T10:03:35.959000+08:00","text":"是、是、是。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:03:36.200000+08:00","guessed":false,"end":"2026-04-22T10:03:43.987000+08:00","text":"但是你還是沒有告訴我，韓國跟泰國原來有在交流，尤其我們退輔會在泰北曾經有農場……","quality":0.972},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:03:43.987000+08:00","guessed":true,"end":"2026-04-22T10:03:44.987000+08:00","text":"就協助農場。","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:03:43.987000+08:00","guessed":false,"end":"2026-04-22T10:03:54.757000+08:00","text":"我們有一個伯伯在那裡，他過世的時候，親王還為他降半旗，我們以前在泰北的農場做得還不錯，那為什麼現在泰國跟韓國被拿掉了？","quality":0.926},{"speaker":"王委員定宇","start":"2026-04-22T10:03:55.638000+08:00","guessed":false,"end":"2026-04-22T10:03:56.319000+08:00","text":"我還是沒有聽到答案。","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:03:56.599000+08:00","guessed":false,"end":"2026-04-22T10:03:57.720000+08:00","text":"我請服照處處長跟您報告。","quality":0.545},{"speaker":"羅處長籯洋","start":"2026-04-22T10:03:58.841000+08:00","guessed":false,"end":"2026-04-22T10:03:59.101000+08:00","text":"委員好。","quality":1},{"speaker":"羅處長籯洋","start":"2026-04-22T10:03:59.262000+08:00","guessed":false,"end":"2026-04-22T10:04:12.233000+08:00","text":"我是服照處處長，今年以這個預算我們還是把重點放在美國三大退協跟日本、菲律賓，有關泰國……","quality":0.923},{"speaker":"王委員定宇","start":"2026-04-22T10:04:12.233000+08:00","guessed":false,"end":"2026-04-22T10:04:25.164000+08:00","text":"到菲律賓跟到泰國的價錢、費用差沒有那麼多，坦白講如果有必要，474萬變520萬都可以接受，你還是沒有回答我，泰國跟韓國出了什麼問題？","quality":0.981},{"speaker":"王委員定宇","start":"2026-04-22T10:04:25.164000+08:00","guessed":false,"end":"2026-04-22T10:04:27.907000+08:00","text":"不能講、不方便講我就尊重，那裡有沒有什麼事情？","quality":1},{"speaker":"羅處長籯洋","start":"2026-04-22T10:04:29.208000+08:00","guessed":false,"end":"2026-04-22T10:04:32.150000+08:00","text":"我們下去會再檢討今年的預算，因為去年後來有追加……","quality":0.818},{"speaker":"王委員定宇","start":"2026-04-22T10:04:32.250000+08:00","guessed":false,"end":"2026-04-22T10:04:41.058000+08:00","text":"預算我沒有意見，我現在是在講項目，韓國有沒有展示互動上的不便或不友善？","quality":0.969},{"speaker":"羅處長籯洋","start":"2026-04-22T10:04:41.879000+08:00","guessed":false,"end":"2026-04-22T10:04:42.019000+08:00","text":"沒有，沒有。","quality":0.5},{"speaker":"王委員定宇","start":"2026-04-22T10:04:42.099000+08:00","guessed":false,"end":"2026-04-22T10:04:42.139000+08:00","text":"泰國呢？","quality":1},{"speaker":"楊主任秘書長政","start":"2026-04-22T10:04:45.246000+08:00","guessed":false,"end":"2026-04-22T10:04:46.647000+08:00","text":"報告委員，我們下去再跟您報告。","quality":0.846},{"speaker":"王委員定宇","start":"2026-04-22T10:04:47.187000+08:00","guessed":false,"end":"2026-04-22T10:04:48.628000+08:00","text":"那就是不便講。是。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:04:48.848000+08:00","guessed":false,"end":"2026-04-22T10:04:59.293000+08:00","text":"因為你們繞來繞去，我不是在講你們額度的問題，而是因為那兩個國家擺明被拿掉，泰國我們是有農場在那裡，現在我們還有沒有補助？","quality":0.855},{"speaker":"羅處長籯洋","start":"2026-04-22T10:04:59.834000+08:00","guessed":false,"end":"2026-04-22T10:05:01.094000+08:00","text":"有跟我們交流的農場。","quality":0.889},{"speaker":"王委員定宇","start":"2026-04-22T10:05:01.094000+08:00","guessed":false,"end":"2026-04-22T10:05:01.554000+08:00","text":"有交流的農場嘛！","quality":0.857},{"speaker":"王委員定宇","start":"2026-04-22T10:05:03.454000+08:00","guessed":false,"end":"2026-04-22T10:05:17.069000+08:00","text":"以前泰北孤軍，其實我們以前有一些人在那裡，後代當然納編、時代變遷等等，所以泰國被拿掉、韓國被拿掉應該是有故事，你們不方便講，我就不為難主委了。","quality":0.952},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:05:17.870000+08:00","guessed":false,"end":"2026-04-22T10:05:18.631000+08:00","text":"會後、會後。對啊！","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:05:18.791000+08:00","guessed":false,"end":"2026-04-22T10:05:19.852000+08:00","text":"我為難你，待會兒不跟我握手。","quality":0.917},{"speaker":"王委員定宇","start":"2026-04-22T10:05:21.955000+08:00","guessed":false,"end":"2026-04-22T10:05:27.242000+08:00","text":"好，下一個，我曾經質詢，我現在要追蹤這個事情，這跟北榮就有關係了。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:05:28.184000+08:00","guessed":false,"end":"2026-04-22T10:05:49.518000+08:00","text":"謝謝北榮，我們的重粒子癌症治療，精準醫療跟化療的最後一塊拼圖，在醫療界是很重要的，很多人把這視為不幸罹患癌症最後、特殊幾種癌症救命的一個方式，所以它很貴，一個療程可能就幾百萬，它非常貴，幾乎都是自費。","quality":0.989},{"speaker":"王委員定宇","start":"2026-04-22T10:05:49.658000+08:00","guessed":false,"end":"2026-04-22T10:05:59.540000+08:00","text":"我上次問的重點有兩個，第一個，因為它貴，可是花納稅人的錢建置，我印象中北榮這個重粒子癌症治療中心是全球第14座嘛！","quality":0.92},{"speaker":"王委員定宇","start":"2026-04-22T10:06:00.560000+08:00","guessed":false,"end":"2026-04-22T10:06:18.717000+08:00","text":"所以在世界上它也具稀有性，像我父親是癌症過世，我們家境不好，但我們不希望在治療癌症上，財富變成生命的分界點，懂我的意思嗎？","quality":0.927},{"speaker":"王委員定宇","start":"2026-04-22T10:06:18.837000+08:00","guessed":false,"end":"2026-04-22T10:06:23.100000+08:00","text":"不能因為沒錢我就醫不起，有錢我就能醫得起，這個不好。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:06:23.800000+08:00","guessed":false,"end":"2026-04-22T10:07:08.300000+08:00","text":"所以當時我看到你們安排有2%的醫療量能讓這一些低收入的減免，我那時候提出來2%實在太少了，我們建置這一個重粒子治療中心，都是人民的納稅錢，變成你們的基金、變成什麼的，但總之是公款，所以2%太少了，我一直希望能夠增加，對於一些收入沒那麼富裕的，甚至不用完全減免，對於一般所得的有些折扣，對於中低收入的給予減免，我們也希望中低收入或一般所得的永遠健康，用不到最好，但他要用到的時候，我們有一定的百分比，你這2%適度增加，這是第一個命題。","quality":0.964},{"speaker":"王委員定宇","start":"2026-04-22T10:07:08.300000+08:00","guessed":false,"end":"2026-04-22T10:07:19.563000+08:00","text":"第二個命題，我們的榮民、榮眷應該要另外……你現在這2%減免是把榮民、榮眷放在裡面，院長應該有印象，我上次有問這一題。有。","quality":0.86},{"speaker":"王委員定宇","start":"2026-04-22T10:07:20.003000+08:00","guessed":false,"end":"2026-04-22T10:07:26.405000+08:00","text":"榮民、榮眷是退輔會照顧的對象，萬一需要的時候，他應該有一個項目的減免。","quality":0.903},{"speaker":"王委員定宇","start":"2026-04-22T10:07:27.266000+08:00","guessed":false,"end":"2026-04-22T10:07:47.725000+08:00","text":"就是幾百萬的是一般自費，但對於榮民、榮眷，雖然不是中低收入戶，可是是一般所得，坦白講要拿幾百萬去做重粒子也不一定負擔得起，所以榮民、榮眷的減免優惠要有一套，而對於一般納稅人、一般民眾的減免有另外一套，現在經過快一年了，你們規劃得怎麼樣？","quality":0.868},{"speaker":"陳院長威明","start":"2026-04-22T10:07:47.725000+08:00","guessed":false,"end":"2026-04-22T10:07:56.750000+08:00","text":"報告委員，容我報告一下，先說明這個費用是從幾十萬到最貴的只有160萬。","quality":0.966},{"speaker":"王委員定宇","start":"2026-04-22T10:07:58.330000+08:00","guessed":false,"end":"2026-04-22T10:07:59.211000+08:00","text":"它是一個完整療程？","quality":1},{"speaker":"陳院長威明","start":"2026-04-22T10:07:59.591000+08:00","guessed":false,"end":"2026-04-22T10:08:03.913000+08:00","text":"一個完整療程，最多就160萬，看疾病的類別是不一樣。","quality":0.95},{"speaker":"陳院長威明","start":"2026-04-22T10:08:04.534000+08:00","guessed":false,"end":"2026-04-22T10:08:19.582000+08:00","text":"北榮去年一年它的收入是3億5,000萬左右，但營運成本是5億，一年平均要虧1.5億，而這個建置22.5億是來自民間的幫忙、企業界的幫忙，剩下22.5億是來自榮總醫療作業基金。","quality":0.896},{"speaker":"陳院長威明","start":"2026-04-22T10:08:20.782000+08:00","guessed":false,"end":"2026-04-22T10:08:30.347000+08:00","text":"這個我們已經很努力，縱使以後3班24小時運轉，1年至少還要再賠1億，但是我們收費其實是每一個治療都在賠錢。","quality":0.955},{"speaker":"王委員定宇","start":"2026-04-22T10:08:30.468000+08:00","guessed":false,"end":"2026-04-22T10:08:32.809000+08:00","text":"我們在醫療上很少用賠錢來計算。","quality":1},{"speaker":"陳院長威明","start":"2026-04-22T10:08:34.570000+08:00","guessed":false,"end":"2026-04-22T10:08:36.211000+08:00","text":"生命是無價的，但是……","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:08:36.591000+08:00","guessed":false,"end":"2026-04-22T10:08:38.372000+08:00","text":"如果要算的話，健保也在虧。","quality":1},{"speaker":"陳院長威明","start":"2026-04-22T10:08:38.372000+08:00","guessed":true,"end":"2026-04-22T10:08:39.652000+08:00","text":"對，就是做功德，所以我們用……","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:08:39.652000+08:00","guessed":false,"end":"2026-04-22T10:08:41.613000+08:00","text":"醫療我比較不傾向用這樣的來算。","quality":0.786},{"speaker":"陳院長威明","start":"2026-04-22T10:08:41.793000+08:00","guessed":false,"end":"2026-04-22T10:08:45.134000+08:00","text":"我們用其他科部的稍微一點盈餘來補貼這個事情，我們不會去漲價。","quality":0.679},{"speaker":"王委員定宇","start":"2026-04-22T10:08:45.935000+08:00","guessed":false,"end":"2026-04-22T10:08:50.356000+08:00","text":"這個有沒有新的做法，針對榮民、榮眷和一般民眾……","quality":0.75},{"speaker":"陳院長威明","start":"2026-04-22T10:08:50.877000+08:00","guessed":false,"end":"2026-04-22T10:08:54.678000+08:00","text":"報告委員，2%現在還有8個名額。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:08:54.678000+08:00","guessed":true,"end":"2026-04-22T10:08:55.678000+08:00","text":"沒有用完？","quality":0},{"speaker":"陳院長威明","start":"2026-04-22T10:08:54.678000+08:00","guessed":false,"end":"2026-04-22T10:09:03.842000+08:00","text":"我們過去用了5個，有1個是榮民，重粒子不是每一個人都需要，很多人要求用重粒子，但我們評估用健保就夠了。","quality":0.818},{"speaker":"王委員定宇","start":"2026-04-22T10:09:04.522000+08:00","guessed":false,"end":"2026-04-22T10:09:05.522000+08:00","text":"不，它針對的癌症別有差異。","quality":0.818},{"speaker":"陳院長威明","start":"2026-04-22T10:09:05.522000+08:00","guessed":false,"end":"2026-04-22T10:09:09.565000+08:00","text":"專門的癌症別，不要用大砲打小鳥。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:09:09.565000+08:00","guessed":false,"end":"2026-04-22T10:09:14.448000+08:00","text":"OK，我建議北榮或者退輔會多宣導。有。","quality":0.875},{"speaker":"王委員定宇","start":"2026-04-22T10:09:14.448000+08:00","guessed":false,"end":"2026-04-22T10:09:24.556000+08:00","text":"既然你說名額還沒用完，我們希望每個人健康，可是當他需要的時候有這個優惠名額，等用到不足我們再來討論增加。","quality":1},{"speaker":"陳院長威明","start":"2026-04-22T10:09:24.556000+08:00","guessed":true,"end":"2026-04-22T10:09:25.556000+08:00","text":"謝謝委員。","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:09:25.156000+08:00","guessed":false,"end":"2026-04-22T10:09:26.637000+08:00","text":"那南部有沒有計畫再增設一座？","quality":0.923},{"speaker":"陳院長威明","start":"2026-04-22T10:09:27.778000+08:00","guessed":false,"end":"2026-04-22T10:09:32.420000+08:00","text":"如果有醫院願意加入做功德賠錢行列，我都很歡迎。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:09:32.520000+08:00","guessed":false,"end":"2026-04-22T10:09:37.382000+08:00","text":"醫院都在做功德，所以醫院都是免稅的，對不對？","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:09:37.943000+08:00","guessed":false,"end":"2026-04-22T10:09:38.943000+08:00","text":"高榮要不要設一座？","quality":1},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:09:40.544000+08:00","guessed":false,"end":"2026-04-22T10:09:44.766000+08:00","text":"高榮，跟委員報告，現在有粒子治療設備的評估小組。","quality":0.762},{"speaker":"王委員定宇","start":"2026-04-22T10:09:44.766000+08:00","guessed":false,"end":"2026-04-22T10:09:55.758000+08:00","text":"你看醫療資源分配，北榮有，中國醫藥大學附設醫院要設一座，花蓮慈濟也要設置一座，他們有計畫，可能機器還沒有買。","quality":0.917},{"speaker":"陳院長威明","start":"2026-04-22T10:09:55.978000+08:00","guessed":false,"end":"2026-04-22T10:09:58.381000+08:00","text":"看到我們賠很多，他們在考慮。","quality":1},{"speaker":"王委員定宇","start":"2026-04-22T10:09:58.381000+08:00","guessed":false,"end":"2026-04-22T10:10:00.343000+08:00","text":"沒關係，我會到衛環委員會去問。","quality":0.923},{"speaker":"王委員定宇","start":"2026-04-22T10:10:00.444000+08:00","guessed":false,"end":"2026-04-22T10:10:10.412000+08:00","text":"我的意思是，南部連計畫設置都沒有，醫療資源不應該有城鄉差距，高榮要不要爭取在南部設置一座？","quality":0.976},{"speaker":"王委員定宇","start":"2026-04-22T10:10:10.592000+08:00","guessed":false,"end":"2026-04-22T10:10:17.516000+08:00","text":"否則我知道有一些人舟車勞頓，用到重粒子其實都已經是蠻辛苦的，高榮有沒有計畫？","quality":0.971},{"speaker":"陳院長金順","start":"2026-04-22T10:10:17.516000+08:00","guessed":false,"end":"2026-04-22T10:10:35.208000+08:00","text":"報告委員，謝謝委員的指導，從委員去年質詢的時候，我們醫院裡面在這半年當中大概開過12次會，也開始很努力在評估，目前4月份的話，會把粒子治療的評估報告送到輔導會，我們現在幾乎是完成了……","quality":0.863},{"speaker":"王委員定宇","start":"2026-04-22T10:10:35.208000+08:00","guessed":true,"end":"2026-04-22T10:10:36.208000+08:00","text":"那我今天沒有問你，你們都還沒有送……","quality":0},{"speaker":"陳院長金順","start":"2026-04-22T10:10:36.208000+08:00","guessed":true,"end":"2026-04-22T10:10:37.208000+08:00","text":"那目前……","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:10:37.208000+08:00","guessed":true,"end":"2026-04-22T10:10:38.208000+08:00","text":"1年了耶！","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:10:38.208000+08:00","guessed":true,"end":"2026-04-22T10:10:39.208000+08:00","text":"對不對？","quality":0},{"speaker":"陳院長金順","start":"2026-04-22T10:10:35.428000+08:00","guessed":false,"end":"2026-04-22T10:10:36.349000+08:00","text":"因為這要衛福部的評核……","quality":0.7},{"speaker":"王委員定宇","start":"2026-04-22T10:10:37.510000+08:00","guessed":false,"end":"2026-04-22T10:10:38.770000+08:00","text":"我上次質詢是……","quality":1},{"speaker":"陳院長金順","start":"2026-04-22T10:10:38.770000+08:00","guessed":true,"end":"2026-04-22T10:10:40.671333+08:00","text":"8月份的時候。","quality":0.2},{"speaker":"王委員定宇","start":"2026-04-22T10:10:40.671333+08:00","guessed":true,"end":"2026-04-22T10:10:42.572667+08:00","text":"大概是10月8號。","quality":0},{"speaker":"陳院長金順","start":"2026-04-22T10:10:42.572667+08:00","guessed":true,"end":"2026-04-22T10:10:44.474000+08:00","text":"我們8月份那時候開始做……","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:10:44.474000+08:00","guessed":false,"end":"2026-04-22T10:10:44.574000+08:00","text":"10月8號問的嘛！對。","quality":0.667},{"speaker":"王委員定宇","start":"2026-04-22T10:10:45.355000+08:00","guessed":false,"end":"2026-04-22T10:10:56.342000+08:00","text":"我現在提出來，也許退輔會或者衛福部大家去思考南部要不要設一個，特別是高榮的部分，你們直升機降落的困難點，當時……","quality":0.96},{"speaker":"陳院長金順","start":"2026-04-22T10:10:56.342000+08:00","guessed":true,"end":"2026-04-22T10:10:57.342000+08:00","text":"現在也在如火如荼進行，謝謝。","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:10:56.342000+08:00","guessed":false,"end":"2026-04-22T10:11:08.867000+08:00","text":"因為院長跟總統有交代，我覺得那邊要，否則澎湖、離外島要用直升機後送就已經緊急了，結果還要停小港機場，再一路鳴笛從小港到高榮，然後高速公路那邊都在塞車，不理想！","quality":0.901},{"speaker":"王委員定宇","start":"2026-04-22T10:11:09.027000+08:00","guessed":false,"end":"2026-04-22T10:11:20.576000+08:00","text":"你們旁邊要設置停機坪，或者樓頂加鋼構，增加停機的可能性，你們方案趕快提出來，因為當時我在現場，院長是認為應該要做。是。","quality":0.981},{"speaker":"王委員定宇","start":"2026-04-22T10:11:21.136000+08:00","guessed":false,"end":"2026-04-22T10:11:25.420000+08:00","text":"你們不只是服務高雄，連澎湖的後送都是你們這裡。","quality":1},{"speaker":"陳院長金順","start":"2026-04-22T10:11:25.420000+08:00","guessed":true,"end":"2026-04-22T10:11:26.420000+08:00","text":"是，謝謝。","quality":0},{"speaker":"王委員定宇","start":"2026-04-22T10:11:25.420000+08:00","guessed":false,"end":"2026-04-22T10:11:31.805000+08:00","text":"所以後送的停機坪，附近有一塊軍區的地，或者你們的屋頂，儘快把方案提出來，趁院長這個承諾還在，好不好？","quality":0.909},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:11:31.825000+08:00","guessed":false,"end":"2026-04-22T10:11:32.006000+08:00","text":"有在規劃。","quality":1},{"speaker":"陳院長金順","start":"2026-04-22T10:11:32.006000+08:00","guessed":false,"end":"2026-04-22T10:11:32.006000+08:00","text":"有，謝謝。","quality":0.333},{"speaker":"王委員定宇","start":"2026-04-22T10:11:32.506000+08:00","guessed":true,"end":"2026-04-22T10:11:33.506000+08:00","text":"好，謝謝。","quality":0},{"speaker":"嚴主任委員德發","start":"2026-04-22T10:11:33.806000+08:00","guessed":true,"end":"2026-04-22T10:11:34.948857+08:00","text":"謝謝委員。","quality":0},{"speaker":"陳院長威明","start":"2026-04-22T10:11:35.248857+08:00","guessed":true,"end":"2026-04-22T10:11:36.391714+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2026-04-22T10:11:36.691714+08:00","guessed":true,"end":"2026-04-22T10:11:38.691714+08:00","text":"謝謝王定宇委員。","quality":0},{"speaker":"主席","start":"2026-04-22T10:11:38.991714+08:00","guessed":true,"end":"2026-04-22T10:11:42.134571+08:00","text":"現在我們邀請王安祥委員。","quality":0.091}]}},"supported_relations":[],"relations":[]}