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最大惡極"},{"start":97.085,"end":126.305,"text":"罪無可患那要執行死刑是行政院這邊跟法務部你們的職責這是職責這是責無旁貸所以我希望我最後聽到的結論你們再給我再來做的結論是什麼時候要執行哪幾個案子要有具體的答覆好不好我們還要經過現判的議職經過現在的程序完成之後就可以執行"},{"start":127.566,"end":148.284,"text":"該執行就可以執行我們在稱職的就是這一點啊 憲判的程序憲判的程序如果照你們的這個方式去重新估驗的時候那我就上次就跟你提過我們今天在場的人全部坐骨啦這36位都還沒執行完畢"},{"start":150.362,"end":168.218,"text":"我完全贊成委員的意思在最後一句 憲判的程序不是行政院來定的是依照解釋之後那樣的程序憲判程序的執行實質執行存乎一心那要根據我們既然是依法治理的國家"},{"start":169.059,"end":192.605,"text":"那這個法律的正當性就是來自於民意當我們台灣有九成三的民意支持死刑而且認為死刑不可廢的時候那已經判定的就應該執行那因為我們今天時間有限我趕快要跟你提今天我想提的就是我們國家還有一個蠻"},{"start":194.605,"end":214.062,"text":"我覺得越來越嚴重的問題因為我們這個照顧的公共化不足啦重度失能的家庭喔他們一樣要自己來扛起全部的責任院長你記不記得大概在十天前在我們台北市發生一起有一位79歲高齡的媽媽"},{"start":217.608,"end":225.072,"text":"那麼把一位他53歲重度小兒麻痺的兒子那因為他已經照顧了40幾年50年"},{"start":227.588,"end":255.354,"text":"他害怕他自己身體越來越虛弱得了病他怕說他先過往這小孩怎麼辦所以他就把這個小孩殺死了這是非常不幸的人間最大的這種悲劇當然他照顧50年癱瘓而被他殺死以後法院判刑他兩年半我們賴總統有立刻把他特赦那我這個要講的一個問題就是說照顧啊"},{"start":256.803,"end":275.464,"text":"不是只有家庭該做的事我們國家我們社會對於照顧的公共化我們必須扛起重責大任在這一個部分明顯的我們照顧公共化確實我們資源量能都不足"},{"start":276.705,"end":302.915,"text":"現在我們大概有我們政府照顧的這個長照替代率大概六成也就是說還有四成的家庭他是自行吸收這些照顧不管他是自費也好或者他是聘請自己聘請本國或者外國的移工外傭這些都是他必須自行來負擔這裡面有國家有"},{"start":304.175,"end":327.841,"text":"這四成自行照顧的家庭國債有補助最多就一萬元那實質這個照顧費用都遠超過五六萬我相信你們都非常的清楚那監察院的調查去年監察院這一份最新的調查還說了說我們國家重度失能者"},{"start":329.056,"end":351.634,"text":"的佔用我們這個公家來自於我們國家公共照顧的這個部分重度失能者從三成有使用降低到現在只剩兩成而重度的患者又是最需要重度失能者是最需要照顧的所以這個部分"},{"start":353.035,"end":368.792,"text":"我們在長照服務所給付這個居家服務的時段其實已經看得很清楚我們居家服務的部分從輕度失能、中度失能到重度失能一級、二級、三級一直到八級"},{"start":369.873,"end":398.584,"text":"每個月輕度失能一萬零二十元大概折換大概只能照顧不到二十六個小時二十五點七陸續一路下來到中度兩萬四千一大概照顧六十一個小時重度失能最嚴重的三萬六千一百八第八級的即便有三萬六千元我們這個照顧也只能九十二個小時也就是推估"},{"start":399.622,"end":427.462,"text":"一天頂多就是三個小時那這三個小時對於重度而言輕度的比較沒問題喔甚至中度的也還好就是照顧他進食啦 淨身啦清潔身體 協助他一個起碼最基本的上下床鋪這個基本的簡單的復健這樣子三個小時對於中重度"},{"start":428.343,"end":454.156,"text":"其實嚴重不足所以這個部分我希望說是不是院長你交代折承衛福部齁我們儘量儘量把這些可以提供給公共服務照顧的就是公共化的這個部分是不是量能來增加好不好你多久可以"},{"start":455.423,"end":474.091,"text":"統計出來請次長先來說明先跟委員補充當然我先非常感謝委員關注我們最弱勢的這一群那先跟委員說明一下就是說就像剛剛委員講的如果是輕度失能我們會非常希望他可以盡速回歸社會盡速能夠有自理等等那就這邊我們的長照或者是相關的居家是做個輔助"},{"start":475.211,"end":498.662,"text":"那事實上在整個長照我們也不希望或者是我們在這個障礙者的照顧裡面不要由孤身一人像您剛剛所說的那個故事其實我們看了會覺得很可惜因為我們還有一些社區或者是國家的相關資源可以來協助主要的重點就是除了把重度失能者照顧好也不要讓他被拘捕我跟您講一下比方說你講的那個資料你們都有提供給我"},{"start":499.662,"end":517.583,"text":"但是 我就 既然你講了 我跟你說 有 現在有多元陪伴照顧服務但是次長 你知道嗎 這個多元陪伴照顧服務進的這些外傭 提供給要自費的家庭喔我願意自費 我來併顧這些 這幾個移工這樣終點數"},{"start":521.308,"end":539.773,"text":"這個點子還是勞動部勞工部人家他們就想出來他們去做的雖然現在做的因為沒有你們的支持雖然做的人力是不夠很多家庭他有需要的時候他說那沒關係那我自費公家資源不夠了我自費"},{"start":541.574,"end":555.812,"text":"你們連自費該聘的也沒聘我希望說你們兩個部會充分的合作勞動部想得到的我們衛福部更應該想得到而且這個是衛福部責無旁貸第一"},{"start":557.112,"end":583.804,"text":"責任就是在你們身上了不是這樣嗎委員我們再補充一下其實還有一部分就是其實還有社區化跟機構的服務所以如果是非常重的重度有啦有其他機構服務我不敢說你們都沒做像你們有做這個小規模多機能的照護那這也包括夜間把他們收護可是這個部分就是我剛剛跟院長講的量能不足"},{"start":584.424,"end":601.361,"text":"而且嚴重不足我希望你可以跟勞動部好好商量說怎麼樣這個部分既然真的是我們人力嚴重不足啦那我們是不是請勞動部可以開放在這個部分專案來申請外傭可以進來這樣好不好"},{"start":601.621,"end":619.971,"text":"我們會跟勞動部一起討論 涉及到勞動的法規如何來補助本國的這些造福員增加本國的 也把外籍的能夠引進來同時能夠有一些科技上的輔助來讓他能夠更對他的造福工作能夠更為減輕他的工作量這個勞動部再請說 院長謝謝 謝謝你這個時間暫停來 兩位部長 次長請回時間暫停院長"},{"start":630.595,"end":657.638,"text":"我們台灣最難能可貴的就是台灣價值這個台灣價值就是在我們台灣我們大家有公平的教育權公平的工作權這些是最難能可貴的台灣價值那我要跟你談論的就是波波牙醫波波牙醫啊是嚴重的"},{"start":658.322,"end":678.071,"text":"妨礙了我們台灣價值的實現不能說少數因為家庭富裕或家裡是醫生背景的他們要延續這個光榮小孩考不上我們國內的醫學系牙醫學系就開闢了一條中南捷徑"},{"start":679.758,"end":694.183,"text":"到波蘭到西班牙去這裡面牙醫最多所以叫做波波牙醫啦那我一再的呼籲說要不然我們就訂我們全國一年有350位牙醫學系畢業生那我們就訂一層35位給他通過就好"},{"start":698.365,"end":719.341,"text":"可以來實習結果你們硬是把它數字化為就是要50位好啦我現在認為還應該再更進一步應該把波波牙醫設一個日落條款那這個我現在在連署當中但是我跟你們報告很不幸"},{"start":720.987,"end":734.322,"text":"就是我這樣簽簽簽我這自認為我人緣算很好簽了一年還是簽不足額我會把它簽足額我一定要送案但是我們對行政院而言我們馬上可以做到"},{"start":735.799,"end":761.016,"text":"波波牙醫中環節進去了它不但會嚴重影響我們台灣就學就業的不公平而且也會影響我們台灣的醫療品質我們台灣的牙醫是牙醫系的學生那麼辛苦的載門進去以後那麼嚴格的教育訓練包括他們的實習都是我們台灣的這些教授這些牙醫師"},{"start":766.359,"end":785.946,"text":"牙醫同仁所以我們台灣的醫療品質很好我們台灣的醫療品質包括牙醫我們是價廉物美但是這些波波牙醫他們是專案去的在西班牙在波蘭他們也是要專班還可以視訊教學天啊這種的牙醫"},{"start":787.766,"end":810.258,"text":"我們認為會影響我們國內醫療品質那行政院要想出一個辦法啦 你的前任他說那要不然這樣好了我們台灣偏鄉醫療那就讓波波牙醫來做做了以後讓他有這個通過基層醫療服務再來晉升到牙醫的正式訓練我認為不對 即便我們偏鄉有需要牙醫"},{"start":811.098,"end":839.536,"text":"那貧鄉的民眾跟我們同樣我們都是我們台灣的子民啊他們為什麼要接受比較差的醫療服務呢所以這些都不對我認為最基本的第一點我們入外療館之外該五年甚至十年也沒關係讓大家以後不要再走這條路從前待辦的業者期待的家庭大家不要再這樣了第二點應該要揭露"},{"start":840.609,"end":863.818,"text":"如果波波洋醫要在診所要揭露你的學歷國內的醫師也揭露波波也揭露這樣對患者對我們國民才是公平的啊否則我進去弄半天都要拔了才知道這個是波波他是視訊教學出來的天啊那我乾脆在自己家裡"},{"start":865.488,"end":887.679,"text":"我用條線夾在門上,自己推門我也可以拔視訊教學不接受不接受,當事就有啊沒有,我們沒有通過視訊教學你去看這幾年來的,我這不該跟你講啦市長,我跟院長再講,我謝謝市長你上來,但是時間暫停,你請回我最後只有一分鐘,我要提一個"},{"start":891.411,"end":914.181,"text":"那個市長謝謝然後你不用再上來因為最後一分鐘我要講跟我們這個無關的事情院長 時間繼續前年UberEat要併附潘達好不容易我們大陣仗發出社會的怒火把他阻擋了光品味總算從善如流把他拒絕現在他們又故技重施"},{"start":915.301,"end":932.992,"text":"現在Uber換了個找了個人頭叫做Grab他要進來要併服潘大我認為你應該告知公平交易委員會為什麼有公平交易委員會就是我們要實踐公平交易法如果這種假合併"},{"start":934.233,"end":950.707,"text":"真壟斷要來拖拉屍的會嚴重影響到我們的店家影響到我們的外送員影響到我們所有使用的民眾的權益的時候這個毫無"},{"start":951.687,"end":970.242,"text":"一律的他就是要排斥就是應該拒絕這樣子的合併你要交代他因為在我所看公平交易委員會到現在還是吊兒郎當不當一回事不會報告委員任何企業絕對不允許他繞道或用其他不當的"},{"start":975.39,"end":993.315,"text":"那也很肯定的導致說要保護我們國內眾多的商家、外送人、男友的權利使用這個服務平台的權利不能讓GREP跟福邦島就與革命形成壟斷不原理"}],"gazette":[{"speaker":"王委員世堅","start":"2026-05-22T15:20:29.118000+08:00","guessed":false,"end":"2026-05-22T15:20:31.540000+08:00","text":"謝謝主席，我請卓院長。","quality":1},{"speaker":"主席","start":"2026-05-22T15:20:31.540000+08:00","guessed":false,"end":"2026-05-22T15:20:31.961000+08:00","text":"麻煩再請卓院長備詢。","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-22T15:20:31.961000+08:00","guessed":true,"end":"2026-05-22T15:20:32.961000+08:00","text":"王委員好。","quality":0},{"speaker":"王委員世堅","start":"2026-05-22T15:20:32.121000+08:00","guessed":false,"end":"2026-05-22T15:20:32.341000+08:00","text":"卓院長辛苦了。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:20:32.421000+08:00","guessed":false,"end":"2026-05-22T15:21:04.055000+08:00","text":"我覺得蠻難得的，禮拜一我在這個會期第一次跟您質詢的時候，談到法務部關於執行死刑犯這件事情，法務部事後這幾天很快速的對我做了一些答復。","quality":0.952},{"speaker":"卓院長榮泰","start":"2026-05-22T15:21:04.055000+08:00","guessed":true,"end":"2026-05-22T15:21:05.817000+08:00","text":"應該的。","quality":0},{"speaker":"王委員世堅","start":"2026-05-22T15:21:05.817000+08:00","guessed":false,"end":"2026-05-22T15:21:45.513000+08:00","text":"院長，但是我依然執著在是否廢除死刑，這個大議題要經過社會討論，而且要大法官會議，司法的問題再行議決，但是確定判定死刑的，現在還未執行的這36位都是罪證確鑿、罪大惡極、罪無可逭，要執行死刑是行政院跟法務部你們的職責，這是職責，責無旁貸。","quality":0.932},{"speaker":"王委員世堅","start":"2026-05-22T15:21:45.513000+08:00","guessed":false,"end":"2026-05-22T15:21:57.681000+08:00","text":"所以我希望我最後聽到的結論，你們再給我的結論是什麼時候、要執行哪幾個案子，要有具體的答復，好不好？","quality":0.977},{"speaker":"卓院長榮泰","start":"2026-05-22T15:21:58.201000+08:00","guessed":false,"end":"2026-05-22T15:22:05.206000+08:00","text":"我們還要經過憲判的意旨，經過現在的程序，完成之後就可以執行，該執行就可以執行。","quality":0.914},{"speaker":"王委員世堅","start":"2026-05-22T15:22:06.808000+08:00","guessed":false,"end":"2026-05-22T15:22:08.569000+08:00","text":"我們在爭執的就是這一點。對啊！","quality":0.769},{"speaker":"王委員世堅","start":"2026-05-22T15:22:10.251000+08:00","guessed":false,"end":"2026-05-22T15:22:25.284000+08:00","text":"憲判的程序，如果照你們這個方式去重新估驗的時候，我上次就跟你提過，我們今天在場的人全部作古，這36位都還沒執行完畢。","quality":0.961},{"speaker":"卓院長榮泰","start":"2026-05-22T15:22:27.362000+08:00","guessed":false,"end":"2026-05-22T15:22:34.148000+08:00","text":"我完全贊成委員的意思，但最後一句，憲判的程序不是行政院來訂的，是依照解釋之後的程序，但我們盡量……","quality":0.837},{"speaker":"王委員世堅","start":"2026-05-22T15:22:35.169000+08:00","guessed":false,"end":"2026-05-22T15:23:03.423000+08:00","text":"憲判程序的實質執行存乎一心，要根據……我們既然是依法治理的國家，法律的正當性就是來自於民意，當我們臺灣有九成三的民意支持死刑，而且認為死刑不可廢的時候，已經判定的就應該執行。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:23:04.203000+08:00","guessed":false,"end":"2026-05-22T15:23:25.177000+08:00","text":"因為我們今天時間有限，我趕快要跟你提今天我想提的，我們國家還有一個我覺得越來越嚴重的問題，我們照顧的公共化不足，重度失能的家庭，他們一樣要自己扛起全部的責任。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:23:25.698000+08:00","guessed":false,"end":"2026-05-22T15:23:51.029000+08:00","text":"院長，你記不記得大概在10天前，在我們臺北市發生一起案件，有一位79歲高齡的媽媽，把53歲重度小兒麻痺的兒子殺死，因為他已經照顧了四、五十年，他害怕他自己身體越來越虛弱，得了病，他怕說他先過往，這小孩怎麼辦？","quality":0.92},{"speaker":"王委員世堅","start":"2026-05-22T15:23:51.029000+08:00","guessed":false,"end":"2026-05-22T15:23:59.391000+08:00","text":"所以他就把這個小孩殺死了，這是非常不幸的，人間最大的悲劇。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:23:59.391000+08:00","guessed":false,"end":"2026-05-22T15:24:09.553000+08:00","text":"當然，他照顧50年癱瘓兒，被他殺死以後，法院判刑他兩年半，我們賴總統有立刻把他特赦。","quality":0.971},{"speaker":"王委員世堅","start":"2026-05-22T15:24:10.233000+08:00","guessed":false,"end":"2026-05-22T15:25:14.878000+08:00","text":"我要講的一個問題，就是照顧不是只有家庭該做的事，我們國家、社會對於照顧的公共化，我們必須扛起這個重責大任，這個部分明顯的我們照顧公共化確實資源、量能都不足，我們現在大概政府照顧的長照替代率大概六成，也就是說，還有四成的家庭是自行吸收這些照顧，不管他是自費也好，或者他自己聘請本國或者外國的移工、外傭，這些必須都是他自行來負擔，這裡面有4成自行照顧的家庭，國家補助最多就1萬元，實質照顧費用都遠超過5、6萬元，我相信這你們都非常的清楚。","quality":0.954},{"speaker":"王委員世堅","start":"2026-05-22T15:25:17.979000+08:00","guessed":false,"end":"2026-05-22T15:25:47.273000+08:00","text":"根據去年監察院最新調查指出，我們國家重度失能者的使用占用公家來自於國家公共照顧的部分，從3成降低到現在只剩2成，而重度失能者是最需要被照顧的。","quality":0.877},{"speaker":"王委員世堅","start":"2026-05-22T15:25:48.474000+08:00","guessed":false,"end":"2026-05-22T15:25:57.403000+08:00","text":"針對這個部分，我們在長照服務所給付居家服務的時段，其實已經看得很清楚。","quality":0.938},{"speaker":"王委員世堅","start":"2026-05-22T15:25:58.164000+08:00","guessed":false,"end":"2026-05-22T15:26:39.504000+08:00","text":"我們居家服務的部分，從輕度失能、中度失能到重度失能一級、二級、三級，一直到八級，輕度失能每個月補助1萬20元，大概折換只能照顧不到26個小時、是25.7個小時，陸續一路下來到中度失能補助2萬4,100元，大概照顧61個小時，最嚴重的重度失能是補助3萬6,180元，第八級的即便有3萬6,000元，我們這個照顧也只能92個小時，也就是推估一天頂多就是3個小時。","quality":0.809},{"speaker":"王委員世堅","start":"2026-05-22T15:26:39.924000+08:00","guessed":false,"end":"2026-05-22T15:27:06.564000+08:00","text":"而這3個小時對於輕度的比較沒問題，甚至中度的也還好，就是照顧他進食、翻身、清潔身體，協助他起碼最基本的幫他上下床鋪等簡單的復健服務；但這3個小時對於中重度其實嚴重不足。","quality":0.893},{"speaker":"王委員世堅","start":"2026-05-22T15:27:07.284000+08:00","guessed":false,"end":"2026-05-22T15:27:30.115000+08:00","text":"所以針對這個部分，院長，請你責成衛福部，儘量把這一些公共服務可以提供給需要被照顧者，就是公共化的這個部分，是不是可以增加量能，好不好？","quality":0.7},{"speaker":"王委員世堅","start":"2026-05-22T15:27:30.255000+08:00","guessed":false,"end":"2026-05-22T15:27:33.223000+08:00","text":"你多久可以統計出來？","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-22T15:27:33.223000+08:00","guessed":false,"end":"2026-05-22T15:27:33.724000+08:00","text":"我請次長先來說明。","quality":0.875},{"speaker":"林次長靜儀","start":"2026-05-22T15:27:33.924000+08:00","guessed":false,"end":"2026-05-22T15:27:38.666000+08:00","text":"先跟委員補充，我先非常感謝委員關注我們最弱勢的這一群。","quality":1},{"speaker":"林次長靜儀","start":"2026-05-22T15:27:39.326000+08:00","guessed":false,"end":"2026-05-22T15:27:51.071000+08:00","text":"先跟委員說明一下，就像剛剛委員講的，如果是輕度失能，我們會非常希望他可以儘速回歸社會，儘速能夠有自理能力等等，就我們這邊的長照，或者相關的居家做個輔助。","quality":0.913},{"speaker":"林次長靜儀","start":"2026-05-22T15:27:52.471000+08:00","guessed":false,"end":"2026-05-22T15:28:10.319000+08:00","text":"事實上，我們也不希望在整個長照……或者是在障礙者的照顧裡不要孤身一人，像您剛剛所說的那個故事，其實我們看了會覺得很可惜，因為我們還有一些社區，或者國家的相關資源可以協助，主要重點除了把重度失能者照顧好，也不要讓他孤軍奮戰。","quality":0.911},{"speaker":"王委員世堅","start":"2026-05-22T15:28:11.340000+08:00","guessed":false,"end":"2026-05-22T15:28:23.710000+08:00","text":"次長，既然你講了，我跟你講，你講的那個資料，你們都有提供給我，但是既然你講了，我跟你說，現在有多元陪伴照顧服務。","quality":0.833},{"speaker":"王委員世堅","start":"2026-05-22T15:28:23.710000+08:00","guessed":false,"end":"2026-05-22T15:28:25.632000+08:00","text":"但是次長，你知道嗎？","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:28:25.632000+08:00","guessed":false,"end":"2026-05-22T15:28:44.490000+08:00","text":"這個多元陪伴照顧服務進用的這些外傭，提供給要自費的家庭，我願意自費聘僱這幾個移工或是鐘點移工，這個點子還是勞動部他們想出來，他們去做的。","quality":0.873},{"speaker":"王委員世堅","start":"2026-05-22T15:28:46.370000+08:00","guessed":false,"end":"2026-05-22T15:28:54.132000+08:00","text":"現在做的，因為沒有你們的支持，現在做的人力是不夠，很多家庭有需要的時候，他說：沒關係！","quality":0.946},{"speaker":"王委員世堅","start":"2026-05-22T15:28:55.452000+08:00","guessed":false,"end":"2026-05-22T15:28:56.773000+08:00","text":"公家資源不夠了，我願意自費。","quality":0.833},{"speaker":"王委員世堅","start":"2026-05-22T15:28:58.574000+08:00","guessed":false,"end":"2026-05-22T15:29:16.653000+08:00","text":"你們連自費，該聘的也沒聘，我希望你們兩個部會充分的合作，勞動部想得到的，你們衛福部更應該想得到，而且這是衛福部責無旁貸，第一個責任就是在你們身上，不是這樣嗎？","quality":0.972},{"speaker":"林次長靜儀","start":"2026-05-22T15:29:16.653000+08:00","guessed":false,"end":"2026-05-22T15:29:23.116000+08:00","text":"委員，我們再補充一下，其實還有一部分，就是社區化跟機構的服務，所以如果是非常嚴重的重度，我們不希望他們自己負擔。有啦！","quality":0.769},{"speaker":"王委員世堅","start":"2026-05-22T15:29:23.196000+08:00","guessed":false,"end":"2026-05-22T15:29:33.441000+08:00","text":"有其他機構服務，我不敢說你們都沒做，像你們有做小規模多機能的照護……","quality":1},{"speaker":"林次長靜儀","start":"2026-05-22T15:29:33.441000+08:00","guessed":true,"end":"2026-05-22T15:29:34.441000+08:00","text":"還有失智症家屋。","quality":0},{"speaker":"王委員世堅","start":"2026-05-22T15:29:33.761000+08:00","guessed":false,"end":"2026-05-22T15:29:42.886000+08:00","text":"這也包括夜間把他們收護，可是這個部分就是我剛剛跟院長講的量能不足，而且嚴重不足。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:29:43.446000+08:00","guessed":false,"end":"2026-05-22T15:29:58.341000+08:00","text":"我希望你可以跟勞動部好好商量，這個部分既然真的是人力嚴重不足，那是不是請勞動部開放在這個部分可以專案申請外傭進來，好不好？","quality":0.965},{"speaker":"林次長靜儀","start":"2026-05-22T15:29:58.621000+08:00","guessed":false,"end":"2026-05-22T15:30:02.523000+08:00","text":"我們會跟勞動部一起討論，因為這涉及到勞動的法規。","quality":0.864},{"speaker":"卓院長榮泰","start":"2026-05-22T15:30:02.523000+08:00","guessed":false,"end":"2026-05-22T15:30:15.490000+08:00","text":"如何來補助本國的照服員，增加本國的也把外籍的引進來，同時能夠有科技上的輔助，讓他更能夠減輕他的照服工作量，這個部分勞動部再……","quality":0.877},{"speaker":"王委員世堅","start":"2026-05-22T15:30:15.591000+08:00","guessed":false,"end":"2026-05-22T15:30:15.791000+08:00","text":"院長，謝謝你的答復。","quality":0.625},{"speaker":"王委員世堅","start":"2026-05-22T15:30:15.891000+08:00","guessed":false,"end":"2026-05-22T15:30:15.891000+08:00","text":"時間暫停。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:30:16.191000+08:00","guessed":false,"end":"2026-05-22T15:30:16.551000+08:00","text":"部長、次長，兩位請回。","quality":0.75},{"speaker":"主席","start":"2026-05-22T15:30:16.791000+08:00","guessed":false,"end":"2026-05-22T15:30:16.791000+08:00","text":"時間暫停。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:30:16.951000+08:00","guessed":false,"end":"2026-05-22T15:30:45.670000+08:00","text":"院長，我們臺灣最難能可貴的就是臺灣價值，這個臺灣價值就是在我們臺灣，大家有公平的教育權、公平的工作權，這些是最難能可貴的臺灣價值。是。","quality":0.983},{"speaker":"王委員世堅","start":"2026-05-22T15:30:48.312000+08:00","guessed":false,"end":"2026-05-22T15:30:51.155000+08:00","text":"我要跟你談論的就是波波牙醫。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:30:51.155000+08:00","guessed":false,"end":"2026-05-22T15:31:22.640000+08:00","text":"波波牙醫是嚴重地妨礙了我們臺灣價值的實現，不能因為少數家庭富裕或家裡是醫生背景的，他們要延續這個光榮，小孩考不上國內的醫學系、牙醫學系，就開闢了一條終南捷徑，到波蘭、到西班牙去，這裡面牙醫最多，所以叫做波波牙醫啦！","quality":0.959},{"speaker":"王委員世堅","start":"2026-05-22T15:31:23.621000+08:00","guessed":false,"end":"2026-05-22T15:31:42.511000+08:00","text":"我一再地呼籲，我們全國一年有350位牙醫學系畢業生，不然就訂一成，讓35位通過可以來實習，結果你們硬是把它數字化，就是要50位！好啦！","quality":0.906},{"speaker":"王委員世堅","start":"2026-05-22T15:31:43.211000+08:00","guessed":false,"end":"2026-05-22T15:31:49.016000+08:00","text":"我現在認為應該還要再更進一步，應該把波波牙醫設一個日落條款。","quality":0.929},{"speaker":"王委員世堅","start":"2026-05-22T15:31:51.978000+08:00","guessed":false,"end":"2026-05-22T15:32:05.075000+08:00","text":"這個部分我現在在連署當中，但是我跟您報告，很不幸啦，就是我這樣簽、簽、簽，我自認為人緣算很好，簽了一年還是簽不足額！","quality":0.92},{"speaker":"王委員世堅","start":"2026-05-22T15:32:05.075000+08:00","guessed":false,"end":"2026-05-22T15:32:11.302000+08:00","text":"我會把它簽足額，我一定要送案，但是對行政院而言，馬上可以做到嘛！","quality":0.964},{"speaker":"王委員世堅","start":"2026-05-22T15:32:12.799000+08:00","guessed":false,"end":"2026-05-22T15:32:24.647000+08:00","text":"波波牙醫從終南捷徑去了，它不但會嚴重影響我們臺灣就學、就業的不公平，而且也會影響我們臺灣的醫療品質。","quality":0.891},{"speaker":"王委員世堅","start":"2026-05-22T15:32:24.907000+08:00","guessed":false,"end":"2026-05-22T15:32:51.622000+08:00","text":"臺灣的牙醫是牙醫系的學生從那麼辛苦的窄門進去以後，經過那麼嚴格的教育訓練，包括他們的實習，都是我們臺灣的這些教授、牙醫師，他們手把手帶出這些新的牙醫同仁，所以我們臺灣的醫療品質很好，臺灣的醫療品質，包括牙醫，是價廉物美！","quality":0.85},{"speaker":"王委員世堅","start":"2026-05-22T15:32:52.682000+08:00","guessed":false,"end":"2026-05-22T15:33:01.945000+08:00","text":"但是這些波波牙醫是專案去的，在西班牙、在波蘭他們也設專班，還可以視訊教學，天啊！","quality":0.971},{"speaker":"王委員世堅","start":"2026-05-22T15:33:02.806000+08:00","guessed":false,"end":"2026-05-22T15:33:07.948000+08:00","text":"這樣的牙醫，我們認為會影響國內醫療品質。","quality":0.944},{"speaker":"王委員世堅","start":"2026-05-22T15:33:08.508000+08:00","guessed":false,"end":"2026-05-22T15:33:24.116000+08:00","text":"行政院又想出一個辦法啦，你的前任，他說要不然這樣好了，臺灣的偏鄉醫療就讓波波牙醫來做，做了以後讓他有通過基層醫療服務，再來晉升到牙醫的正式訓練。","quality":0.97},{"speaker":"王委員世堅","start":"2026-05-22T15:33:24.116000+08:00","guessed":false,"end":"2026-05-22T15:33:33.101000+08:00","text":"我認為不對，即便偏鄉有需要牙醫，偏鄉的民眾跟我們同樣都是臺灣的子民啊！","quality":0.969},{"speaker":"王委員世堅","start":"2026-05-22T15:33:33.661000+08:00","guessed":false,"end":"2026-05-22T15:33:38.164000+08:00","text":"他們為什麼要接受比較差的醫療服務呢？","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:33:38.545000+08:00","guessed":false,"end":"2026-05-22T15:33:49.511000+08:00","text":"所以這些都不對，我認為最基本的第一點，日落條款出來，該5年，甚至是10年也沒關係，讓大家以後不要再走這條路。","quality":0.844},{"speaker":"王委員世堅","start":"2026-05-22T15:33:50.992000+08:00","guessed":false,"end":"2026-05-22T15:33:53.614000+08:00","text":"中間代辦的業者、期待的家庭，大家不要再這樣了。","quality":0.85},{"speaker":"王委員世堅","start":"2026-05-22T15:33:54.254000+08:00","guessed":false,"end":"2026-05-22T15:33:56.516000+08:00","text":"第二點，應該要揭露。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:33:57.609000+08:00","guessed":false,"end":"2026-05-22T15:34:11.634000+08:00","text":"如果是波波牙醫，診所要揭露他的學歷，國內的醫師也揭露，波波牙醫也揭露，這樣對患者、對我們的國民，才是公平的啊！","quality":0.875},{"speaker":"王委員世堅","start":"2026-05-22T15:34:12.435000+08:00","guessed":false,"end":"2026-05-22T15:34:19.017000+08:00","text":"否則我進去弄半天，都要拔牙了，才知道這個是波波牙醫，他是視訊教學出來的，天啊！","quality":0.912},{"speaker":"王委員世堅","start":"2026-05-22T15:34:19.797000+08:00","guessed":false,"end":"2026-05-22T15:34:25.970000+08:00","text":"我乾脆自己在家裡用條線夾在門上，自己推門也可以拔，不是嗎？","quality":0.846},{"speaker":"林次長靜儀","start":"2026-05-22T15:34:26.170000+08:00","guessed":false,"end":"2026-05-22T15:34:26.830000+08:00","text":"視訊教學不接受，審核不會過。","quality":0.583},{"speaker":"王委員世堅","start":"2026-05-22T15:34:27.891000+08:00","guessed":false,"end":"2026-05-22T15:34:29.291000+08:00","text":"不接受，當時就有啊！","quality":0.875},{"speaker":"林次長靜儀","start":"2026-05-22T15:34:30.512000+08:00","guessed":false,"end":"2026-05-22T15:34:32.353000+08:00","text":"沒有，我們沒有通過視訊教學。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:34:33.173000+08:00","guessed":false,"end":"2026-05-22T15:34:36.175000+08:00","text":"你去看這幾年來的……我這部分不跟你爭辯！","quality":0.765},{"speaker":"王委員世堅","start":"2026-05-22T15:34:37.735000+08:00","guessed":false,"end":"2026-05-22T15:34:42.117000+08:00","text":"次長，我跟院長在講，我謝謝次長你上來，但是時間暫停，你請回。","quality":0.88},{"speaker":"主席","start":"2026-05-22T15:34:42.117000+08:00","guessed":true,"end":"2026-05-22T15:34:43.117000+08:00","text":"時間暫停，次長請回。","quality":0},{"speaker":"王委員世堅","start":"2026-05-22T15:34:42.778000+08:00","guessed":false,"end":"2026-05-22T15:34:54.394000+08:00","text":"我最後只有1分鐘，次長，謝謝，你不用再上來，因為我剩最後1分鐘，我要講跟這個無關的事情。","quality":0.917},{"speaker":"主席","start":"2026-05-22T15:34:58.255000+08:00","guessed":false,"end":"2026-05-22T15:34:58.255000+08:00","text":"時間繼續。","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:34:58.255000+08:00","guessed":false,"end":"2026-05-22T15:35:09.860000+08:00","text":"院長，前年Uber Eats要併foodpanda，好不容易我們大陣仗發出社會的怒火，把它阻擋了，公平會總算從善如流拒絕它。","quality":0.696},{"speaker":"王委員世堅","start":"2026-05-22T15:35:09.860000+08:00","guessed":false,"end":"2026-05-22T15:35:23.488000+08:00","text":"現在他們又故技重施，Uber找了個人頭叫做Grab，要進來併foodpanda，我認為你應該告知公平交易委員會。有。","quality":0.811},{"speaker":"王委員世堅","start":"2026-05-22T15:35:23.488000+08:00","guessed":false,"end":"2026-05-22T15:35:25.530000+08:00","text":"為什麼有公平交易委員會？","quality":1},{"speaker":"王委員世堅","start":"2026-05-22T15:35:25.530000+08:00","guessed":false,"end":"2026-05-22T15:35:54.772000+08:00","text":"就是我們要實踐公平交易法，如果這種假合併真壟斷要來托拉斯的，會嚴重影響到店家、影響到外送員、影響到所有使用民眾的權益時，毫無疑慮，這個就是要排斥，應該拒絕這樣子的合併。","quality":0.921},{"speaker":"王委員世堅","start":"2026-05-22T15:35:54.772000+08:00","guessed":false,"end":"2026-05-22T15:36:02.998000+08:00","text":"你要交代它，因為在我看來，公平交易委員會到現在還是吊兒郎當，不當一回事。不會。","quality":0.941},{"speaker":"卓院長榮泰","start":"2026-05-22T15:36:02.998000+08:00","guessed":false,"end":"2026-05-22T15:36:07.222000+08:00","text":"報告委員，絕對不允許任何企業繞道，或用其他不當的行為，來達到它正當行為達不到的目的。好。","quality":0.462},{"speaker":"王委員世堅","start":"2026-05-22T15:36:12.870000+08:00","guessed":false,"end":"2026-05-22T15:36:29.015000+08:00","text":"院長，你很肯定地答復要保護我們國內眾多的商家跟外送員，還有全民使用這個服務平臺的權益，不能讓Grab跟foodpanda合併形成壟斷，可不可以？","quality":0.552},{"speaker":"卓院長榮泰","start":"2026-05-22T15:36:29.515000+08:00","guessed":true,"end":"2026-05-22T15:36:32.086429+08:00","text":"我們會嚴格把關。謝謝。","quality":0},{"speaker":"卓院長榮泰","start":"2026-05-22T15:36:32.386429+08:00","guessed":true,"end":"2026-05-22T15:36:33.529286+08:00","text":"謝謝委員。","quality":0},{"speaker":"主席","start":"2026-05-22T15:36:33.829286+08:00","guessed":true,"end":"2026-05-22T15:36:41.543571+08:00","text":"謝謝王世堅委員的質詢，也謝謝卓院長及相關部會首長備詢，謝謝。","quality":0},{"speaker":"主席","start":"2026-05-22T15:36:41.843571+08:00","guessed":true,"end":"2026-05-22T15:36:51.843571+08:00","text":"接下來登記第5號楊曜委員質詢以書面提出，請行政院書面答復，並列入紀錄，刊登公報。","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:36:52.143571+08:00","guessed":true,"end":"2026-05-22T15:37:05.572143+08:00","text":"壹、三班護病比預計於五月底預告，衛福部針對離島偏鄉的醫療院所要如何預防因護理師人數不足而不啟用病床？","quality":0.021},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:37:05.872143+08:00","guessed":true,"end":"2026-05-22T15:37:11.300714+08:00","text":"據媒體報導，醫界則擔心，上路後，恐再掀關床潮。","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:37:11.600714+08:00","guessed":true,"end":"2026-05-22T15:37:59.600714+08:00","text":"為此，衛福部祭出「預防關床條款」，拉高三班護病比的獎勵機制，醫學中心需連續三個月「未申報健保病床占率」低於3%，且達成三班護病比的標準，才能獲得獎勵，而三班護病比正式入法，雖然政策採行按醫療院所層級逐步實施，但衛福部仍需正視離島偏鄉護理人力吃緊問題，畢竟最終離島偏鄉的醫療院所仍將實施三班護病比，為此，衛福部具體協助偏鄉離島醫療院所達成三班護病比政策目標的規劃何時出爐？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:37:59.900714+08:00","guessed":true,"end":"2026-05-22T15:38:02.186429+08:00","text":"初步政策方向為何？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:38:02.486429+08:00","guessed":true,"end":"2026-05-22T15:38:11.915000+08:00","text":"貳、如何解決全國早療療育課程量能疑似不足問題，有效縮短孩童等待早療期間？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:38:12.215000+08:00","guessed":true,"end":"2026-05-22T15:39:09.357857+08:00","text":"衛福部的統計資料，疑似發展遲緩兒童通報數逐年增加，2024年疑似發展遲緩兒童通報數計39,145名，較2020年增加逾一萬二千名，顯示民眾對於兒童發展遲緩的健康識能提升，同時對於兒童發展聯合評估服務需求亦逐年增加，然有民間團體表示，每年增加療育的量能與疑似發展遲緩兒童通報數二者不成正比，若孩童等待療育的時間過長，可能會錯過黃金治療期，此外，本席也接獲民眾反映，從孩童開始評估至真正接受早療，等待期間長達半年，就衛福部的統計資料，目前孩童等待早療期間為多長？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:39:09.657857+08:00","guessed":true,"end":"2026-05-22T15:39:18.515000+08:00","text":"又衛福部針對此現象，就短中長期縮短孩童等待早療期間之改善方案為何？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:39:18.815000+08:00","guessed":true,"end":"2026-05-22T15:39:26.529286+08:00","text":"參、要求衛福部提高離島縣市設置兒童發展聯合評估中心之補助","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:39:26.829286+08:00","guessed":true,"end":"2026-05-22T15:40:07.115000+08:00","text":"衛福部國健署補助設置兒童發展聯合評估中心，該中心需至少結合2科以上之專業醫師以及至少4個職系以上專業評估人員，而國健署基本補助聯評中心為一百萬，離島縣市僅補助「多五萬」，但離島縣市的醫事人員本就招募不易，對此，本席建議，衛福部應研議提高離島縣市設置聯評中心（一般中心）的基本補助金額，來維持離島地區早療評估量能。","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:40:07.415000+08:00","guessed":true,"end":"2026-05-22T15:40:14.557857+08:00","text":"肆、第3期公費醫學生計畫草案引發部分醫界團體的質疑聲浪","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:40:14.857857+08:00","guessed":true,"end":"2026-05-22T15:41:24.286429+08:00","text":"在今年一月底，部長在接受媒體採訪表示，衛福部將提出第3期公費醫學生計畫，目前計畫草案內容為計畫期5年共招募750人，第3期公費生計畫名額與過去相同，制度規劃分為兩大類，第1類為配合國家醫療政策、需長期穩定投入的「政策任務科別」，第2類則為長期招募困難的「人才羅致困難科別」，而違約罰則增為訓練費的6倍（一千萬），衛福部表示，公費生訓練期間不分組，直到公費生選擇次專科時，才有AB組選擇的差異性，這將導致後續服務年限與違約罰則的不同，本席認為，公費生入學時，簽約條件一致，解約條件也該一致，對此，衛福部未來在該計畫正式上路時，要如何與學生簽約以確保公費生的權益？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:41:24.586429+08:00","guessed":true,"end":"2026-05-22T15:41:39.729286+08:00","text":"若「政策任務科別」是醫事人才越缺乏的科別，但依草案計畫內容，解約及服務年限（15年）越嚴苛，如何吸引優秀人才加入政策任務科別？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:41:40.029286+08:00","guessed":true,"end":"2026-05-22T15:41:42.029286+08:00","text":"衛福部看法為何？","quality":0},{"speaker":"委員楊曜書面質詢","start":"2026-05-22T15:41:42.329286+08:00","guessed":true,"end":"2026-05-22T15:42:12.329286+08:00","text":"最後，提升公費醫師在服務期滿後留任的意願，也助於培養穩定的醫病關係，衛福部也提出「公費醫師留任計畫」，希望能提升公費醫師服務期滿的留任率，但仍難以解決離島偏鄉醫事人員從業困境的結構性問題，對此，衛福部認為如何精進「公費醫師留任計畫」？","quality":0},{"speaker":"主席","start":"2026-05-22T15:42:12.629286+08:00","guessed":true,"end":"2026-05-22T15:42:24.057857+08:00","text":"報告院會，本日排定質詢的委員已經質詢完畢，謝謝卓院長以及相關部會首長的備詢及列席答詢。","quality":0},{"speaker":"主席","start":"2026-05-22T15:42:24.357857+08:00","guessed":true,"end":"2026-05-22T15:42:32.072143+08:00","text":"5月26日（星期二）上午9點繼續開會，進行社會福利及衛生環境組之質詢。","quality":0},{"speaker":"主席","start":"2026-05-22T15:42:32.372143+08:00","guessed":true,"end":"2026-05-22T15:42:43.229286+08:00","text":"今天非常謝謝陳永康委員及新竹縣的徐欣瑩委員，陪同我們一起參與今天的質詢，現在休息。","quality":0},{"speaker":"主席","start":"2026-05-22T15:42:43.529286+08:00","guessed":true,"end":"2026-05-22T15:42:44.672143+08:00","text":"休息（15時37分）","quality":0}]}},"supported_relations":[],"relations":[]}