{"error":false,"id":["169631"],"data":{"IVOD_ID":169631,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/169631","日期":"2026-05-26","會議資料":{"會議代碼":"院會-11-5-11","會議代碼:str":"第11屆第5會期第11次會議","屆":11,"會期":5,"會次":11,"臨時會會次":null,"種類":"院會","標題":"第11屆第5會期第11次會議"},"影片種類":"Clip","開始時間":"2026-05-26T09:16:26+08:00","結束時間":"2026-05-26T09:32:05+08:00","影片長度":"00:15:39","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/4826035ccdf778d39c874707fb3ad34b86b99ac3399365e151b5e8c542c4931f503e7d5bbc3009275ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"王正旭","委員發言時間":"09:16:26 - 09:32:05","會議時間":"2026-05-26T09:00:00+08:00","會議名稱":"第11屆第5會期第11次會議（事由：一、討論事項：本院國民黨黨團、台灣民眾黨黨團，建請院會作成決議：「邀請行政院院長應即率同大陸委員會、國防部、外交部及經濟部等相關部會首長就『川習會後台美與兩岸局勢變局、國安戰略、外交困境、經貿衝擊等之因應對策』進行專案報告並備質詢。」是否有當？請公決案等2案。二、對行政院院長提出施政方針及施政報告繼續質詢。三、5月22日上午9時至10時為國是論壇時間。）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":5.56596875,"end":6.93284375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":7.844093750000001,"end":11.20221875,"speaker_score":0.808},{"speaker":"SPEAKER_02","speaker_name":"卓院長榮泰","start":11.45534375,"end":13.10909375,"speaker_score":0.947},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":20.90534375,"end":22.37346875,"speaker_score":0.808},{"speaker":"SPEAKER_02","speaker_name":"卓院長榮泰","start":21.25971875,"end":21.64784375,"speaker_score":0.947},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":27.68909375,"end":37.89846875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":38.21909375,"end":42.16784375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":42.572843750000004,"end":59.88659375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":60.30846875,"end":65.92784375000001,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":66.33284375000001,"end":87.93284375,"speaker_score":0.808},{"speaker":"SPEAKER_00","speaker_name":"石部長崇良","start":67.22721875,"end":68.18909375,"speaker_score":0.863},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":88.27034375000001,"end":91.49346875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":92.13471875,"end":95.94846875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":96.25221875000001,"end":99.61034375000001,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":99.72846875,"end":103.00221875000001,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":103.42409375000001,"end":117.86909375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":118.42596875000001,"end":119.80971875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":121.17659375000001,"end":131.94284375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":132.16221875000002,"end":168.10596875000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":169.16909375,"end":171.31221875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":171.66659375,"end":179.39534375000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":179.51346875000002,"end":180.96471875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":181.35284375,"end":183.66471875000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":183.96846875,"end":189.19971875000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":189.50346875000002,"end":191.20784375000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":191.68034375000002,"end":195.94971875000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":196.18596875,"end":199.27409375000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":199.49346875,"end":211.42409375000003,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":212.03159375,"end":238.49159375000002,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":238.71096875,"end":242.18721875000003,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":242.44034375,"end":259.77096875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":260.29409375,"end":279.70034375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":280.42596875000004,"end":283.95284375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":284.42534375,"end":288.01971875000004,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":288.30659375,"end":299.79846875000004,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":300.28784375000004,"end":303.37596875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":303.69659375000003,"end":305.28284375000004,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":305.55284375,"end":309.78846875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":310.14284375,"end":312.25221875,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":312.37034375,"end":315.03659375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","start":315.08721875000003,"end":317.50034375,"speaker_score":0.808},{"speaker":"SPEAKER_01","speaker_name":"王委員正旭","sta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謝謝主席有請行政院卓院長還有衛福部時部長麻煩請卓院長 衛福部長備詢委員好 院長早委員早 部長早"},{"start":30.393,"end":59.391,"text":"今天防衛組總質詢有一個非常重要的議題就是有關於這個癌症防治法修法的可行性我先感謝我們卓院長親自主持了中央癌症的防治會報並且在這個會議當中要求相關的部會能夠積極的推動相關這個癌症防治的政策非常感謝卓院長的幫忙那目前我們也知道整體的醫療科技的進步還有用藥跟照顧各方面的進展"},{"start":60.351,"end":76.3,"text":"癌症其實慢慢的已經變成是一個慢性病是可控制的一個狀況那特別是我國在賴總統以及行政院團隊積極推動早篩早療還有癌症防治三支箭的這些政策之後呢"},{"start":77.681,"end":91.275,"text":"明確的訂出了2030年我們希望癌症標準化的死亡率要降低三分之一這樣的一個政策目標未來一定會有越來越多算是我們經過處理以後的癌症的存活者"},{"start":92.176,"end":119.089,"text":"但這些癌症存活者不管是在預後復歸社會或者是回歸職場還有可能治療過程當中處在亞健康的狀態之下這個都需要政府的協助而且未來趨勢會有越來越多這樣的需求所以我們希望有沒有機會來修改癌症防治法來給這些癌症存活者提供更多更明確的協助那我們可以看一個數據"},{"start":121.192,"end":147.33,"text":"我國這個癌症的全年齡全癌別的5年的相對存活率已經從最早有統計1987年到1991年區間的45.4%提高到目前最近2017到2021年區間的62.3%我們可以看得出來這個進步是非常的明顯所以意思就是說目前癌症5年存活率已經超過了6成而未來的存活率應該會持續的升高"},{"start":147.91,"end":167.892,"text":"我們看到數據裡面特別2003年癌症防治法通過以後最近這幾次的這個存活率的進步非常的穩定而且非常的明顯那如果我們再參考健保排名前十大癌別的這個醫療費用的支出統計資料我們會發現合理的推估目前的癌症存活者"},{"start":169.226,"end":199.046,"text":"大約落在100萬名左右100萬名是一個很大的數據也就是說針對癌症存活者的照顧跟協助直接就會幫助到我國超過100萬名以上的這些國民這個等同就是100萬戶的這個家庭可以透過大家的協助讓癌症的存活讓社會有更大的動能以目前最新的這個癌症資料統計我們發現2023年癌症新發的人數有13萬8千人左右"},{"start":199.567,"end":203.955,"text":"如果以目前最新的五年存貨率來推估的話其中會超過八萬六千人有機會"},{"start":204.793,"end":231.001,"text":"活超過五年以上這個就是我們希望能夠這樣的存活率讓對於這些罹癌者有很大很大的一個進步的這個可能性而癌症從絕症轉變成為慢性病的現象就是目前醫界也開始重視這樣的問題像我們成大的這個教授他也是健康台灣推動委員會的癌症防治組的委員成大的這個沈延勝院長"},{"start":231.981,"end":259.524,"text":"他在最近四月的這個癌症論壇裡面就明確的指出來說癌症慢性變化以後呢抗癌更會變成是一場長跑因此也需要更加加強這個生理經濟跟心理等層面相關的這些風險管理跟協助也提出在未來抗癌的長跑的過程裡面呢不管是生活管理心理支持還有社區照護體系跟智慧醫療都會扮演越來越重要的一個角色"},{"start":260.679,"end":277.946,"text":"這個不只是台灣而已我們也發現在國際上也開始強調對癌症生存者的協助跟照顧像美國NCCN就是美國國家的癌症資訊網就有針對癌症存活者提供明確的指引內容包括明確涉及到預防復發生育"},{"start":280.487,"end":299.204,"text":"倦怠、心理健康跟工作等等的面向除了美國以外我們從比較法制上可以把東亞國家包括日本跟韓國為例這個字比較小請麻煩院長再幫忙了解一下像日本的癌症對策基本法在社會協助"},{"start":300.405,"end":317.248,"text":"心理支持跟就業支持等層面都有明確的明文規定那在韓國的這個癌症管理法針對癌症存活者的社會復歸職業復歸也有明文規定那相較之下目前我的這個癌症防治法主要還是在"},{"start":318.089,"end":337.509,"text":"著重前端的醫療跟預防防治上面我們可以看得出來其實不同的國家針對這些需求都有做不同的一些處理模式那我們再回頭看一下我們這個癌症防治法是在2003年就立法到現在整體框架為止在當年的18條"},{"start":338.61,"end":367.634,"text":"以治療跟預防為主這個框架一直都沒有改變那其實這期間一共有修法過兩次那其中一次2023年那一次只是把科技部改到國科會沒有實質上的修法真正有修法的是在2018年那一次那一次的修正的部分就是在調整這個癌症防治委員會的成員還有增加主管機關可以用菸捐跟團體捐贈來作為經費的來源所以他的修正"},{"start":369.19,"end":386.397,"text":"這個範圍其實也相對不是那麼多那我們了解當時候的時代背景癌症防治法的利益主要是要面對問題而且是要先把病人 罹癌者能夠救活然後盡量的去避免癌症罹癌所以當然會著重在預防跟治療的部分非常的清楚"},{"start":387.097,"end":412.743,"text":"但隨著這些年大家的努力存活率的提高癌症越來越變成是一個可控跟慢性病化剛剛已經有說明那以癌症存活者越來越多我國法治上好像也應該要配合增加對於罹癌者以後長照還有復歸社會跟職場的協助所以從螢幕上紅色的字裡面我們很期待這次的修法內容包括針對這個罹癌的勞工"},{"start":415.604,"end":443.425,"text":"做適性配工植物來設計再設計來鼓勵支持方案等等那在長照的資源也需要加以整合那第三點就是避免這些離來治療導致財務獨性相關的措施還有相關的這些統計的分析那第四點就是強化生活模式的改善避免復發跟心理還有社區方面的這些加強的支持那比方說我們來看一下第三條第三條目前"},{"start":444.286,"end":463.594,"text":"癌症防治療法定義還是只限在癌症跟癌症篩檢這兩個基本的內容其實我們還是需要針對有需要政府協助的這些癌症存活者做出定義重新來釐清如果實務上碰到問題的話這些罹癌者他們接受治療以後"},{"start":464.494,"end":488.73,"text":"如果還是有一些問題需要政府幫忙的話那我們如何把這一群民眾能夠把它匡列出來的確我們也了解有些罹癌者他很早期篩以後他可以把這個早期癌症做非常完整的治療他就跟正常健康者一樣可以完整的回歸到社會可是還是有一部分的民眾他可能需要"},{"start":489.631,"end":514.632,"text":"透過大家更好的協助因為他可能持續的長期存在一個亞健康的狀態所以當初的立法核心是在醫療端但是你這個癌症的衝擊除了醫療端以外其實現在有希望能夠越來越強調生活社區跟工作等經濟還有社會面的協助那第四條的部分癌症防治的範圍要不要更明確的擴大避免復發甚至"},{"start":515.573,"end":539.764,"text":"歸到社會也是可以討論的部分所以總而言之我們認為這是癌防法的修法的訴求的方向主要就是讓這個癌症防治在這些年的成果上在賴總統健康台灣政策的成果上面進一步去處理把這個癌症病人救活以後怎麼來協助避免復發怎麼能夠協助他們回歸到正常生活跟工作也繼續要讓這個病"},{"start":541.425,"end":568.663,"text":"如果變成慢性病化的話那目前整體我們把這個醫界學界還有病友團體等相關領域的意見針對癌症防治法跟國家癌症防治計畫強化後端這個整體癌症存活者協助的建議期待我們有下列這六個方向的一個支持就業經濟照顧心理社區跟家庭六個方面的支持"},{"start":569.043,"end":584.518,"text":"就業支持就包括請假、續聘、求職跟工作調整等經濟部分是希望能夠針對家庭經濟的衝擊來追蹤還有協助照顧部分希望能夠有長照需求方面的協助心理的話就包括不管是"},{"start":585.185,"end":611.438,"text":"癌症患者還有他家屬整體的心理健康的支持社區的部分希望能夠系統性的來強化癌症防治的醫設工作家庭支持就包括生育協助還有生活型態等等的改善的部分那針對這些有需求的癌症存活者的政策協助以及在癌症防治法修法還有納入國家癌症計畫的部分請院長還有部長"},{"start":612.398,"end":638.109,"text":"相關的回應不曉得有沒有相關的規劃或者是想法院長請細部的回應我請部長再跟委員再報告不過我很感謝國人隊委員長期以來對於癌症防止的工作尤其希望基金會投入了很多的社會貢獻那在健康台灣當中在癌症的早篩早療以及他的癌症新藥以及降低癌症的死亡率都是健康台灣當中重要的幾個目標的指向"},{"start":638.829,"end":662.387,"text":"那我們也在研究的過程當中針對各種不同的癌症的太陽從他的發現的早晚 早期或晚期發現以及他的治療的難易程度做了交叉的比對來尋找出一個最有效的方式或者尋找出如何來解決能夠早期發現進行有效治療這個途徑那剛剛委員提到我們過去所做的大概在前端的防治工作做得比較多那因為隨著醫療醫學的進步"},{"start":663.968,"end":686.943,"text":"對於癌症病患的能夠從醫療的行為當中讓他得到新的一個機會這個可能性是越來越高的所以往後的復歸無論是在剛剛您說的植物的再設計或者生活形態的模式的改變乃至於跟長照的銜接都是未來必須加重的工作那我們在癌症的防治過程當中關於癌症防治法的修正我們非常的重視請部長來做進一步的說明"},{"start":688.644,"end":710.411,"text":"跟委員說明這個癌症防治法正是當年我們賴總統在時任立法委員的時候極力推動所促成那在這個因為有這個癌症防治法所以我們就依法必須要編列國家的癌症防治計畫所以今年已經是第五期的國家癌症防治計畫而這個癌症防治計畫的內容也除了從"},{"start":712.298,"end":733.804,"text":"癌篩的擴大像總統上任之後一年的癌篩費用就從28億成長到68億那麼另外在治療的部分有癌症基金癌症新藥基金來支持這也都是我們總統的政見來協助在經濟的部分對癌友的支持那麼至於除了這樣之外對於家庭"},{"start":734.924,"end":750.42,"text":"還有這個癌友的生活品質的支持我們也納在這一期的這個國家癌症防治計畫裡頭另外在就業支持的部分勞動部其實也有推動癌友復歸職場的支持方案"},{"start":751.061,"end":776.748,"text":"那另外心理支持的部分我們下半年那麼也會有一個心理諮商的支持癌友這個是關於心理支持所以剛剛委員所提到的這一些建議我們都會把它納入到我們這個癌症防治計畫的滾動式修正來推動那至於說是不是因為雖然那個辦理的內容上那個是當年的立法確實跟我們現在做的"},{"start":777.288,"end":805.07,"text":"不完全一致不過呢我們的國家癌症防治計畫是與時俱進的在往前在推進所以委員的建議我們會來評估除了針對這些政策持續推動以外在法條的修正方面也希望能夠透過院長還有部長共同來努力希望能夠把我們剛剛所提到的這些修法內容有機會盡快的來做一些了解進一步來推動"},{"start":806.011,"end":821.896,"text":"好那下一個部分就是希望能夠了解提高這個健保補充費的上限我們也知道如果要強化對罹癌病友以及癌症存活者的協助支持的話相關的費用來源是政策考量中必要處理的問題那因此我們是希望"},{"start":822.576,"end":848.453,"text":"之前曾經提過多次的健保補充費上限是否有提高空間或者是可能以我們健保署所提供的資料最近三年個人補充保費超過一千萬的比數大約落在八千到九千筆之間對於超過一千萬的收入無論多高最後它只會以一千萬為上限計算它的2.1%的補充保費"},{"start":849.213,"end":871.808,"text":"那另一方面如果每一年不超過1萬筆衝擊面應該就沒那麼廣這些應該都是實際上超過1000萬收入的這些民眾或許有打開到5000萬到1億以上的空間另外我們也請這個健保署提供5年捐款的收入統計平均每年有4000多筆每年有4000多萬元COVID疫情以後這個"},{"start":873.129,"end":899.078,"text":"捐款的數量跟金額是有明顯的上升但是主要其中在健保愛心專戶裡面那以台灣的社會的愛心跟能力來講其實是應該有提升的空間所以針對於不管是補充保費的上限還有提高民間的捐款協助整個健保的部分請問院長還有部長的想法能不能有效的善用這個台灣人的愛心來讓我們整體的健保的"},{"start":899.238,"end":923.633,"text":"制度可以更為完整健保是一種自助也是互助的一個社會保險制度那麼我們希望從健保財務的健全能夠讓它長期穩定的發展衛福部行政院我們會用多元化的方式來尋求健保財務的穩定那會多方的思考當然委員的建議我們也認為是相當可以值得去考慮的一部分另外一個委員補充其實我們健保現在有兩筆這個愛心專務"},{"start":936.905,"end":937.847,"text":"好 謝謝王振旭委員"}],"gazette":[{"speaker":"王委員正旭","start":"2026-05-26T09:16:32.316000+08:00","guessed":false,"end":"2026-05-26T09:16:36.900000+08:00","text":"謝謝主席，有請行政院卓院長，還有衛福部石部長。","quality":0.95},{"speaker":"主席","start":"2026-05-26T09:16:36.900000+08:00","guessed":false,"end":"2026-05-26T09:16:37.841000+08:00","text":"麻煩請卓院長、衛福部長備詢。","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T09:16:37.841000+08:00","guessed":false,"end":"2026-05-26T09:16:37.921000+08:00","text":"王委員好。","quality":0.75},{"speaker":"王委員正旭","start":"2026-05-26T09:16:37.981000+08:00","guessed":false,"end":"2026-05-26T09:16:38.081000+08:00","text":"院長早。","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T09:16:38.221000+08:00","guessed":false,"end":"2026-05-26T09:16:38.361000+08:00","text":"委員早。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:16:38.501000+08:00","guessed":false,"end":"2026-05-26T09:16:38.601000+08:00","text":"部長早。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:16:56.393000+08:00","guessed":false,"end":"2026-05-26T09:17:03.277000+08:00","text":"今天環衛組總質詢有一個非常重要的議題，就是有關於癌症防治法修法的可行性。","quality":0.971},{"speaker":"王委員正旭","start":"2026-05-26T09:17:04.338000+08:00","guessed":false,"end":"2026-05-26T09:17:18.907000+08:00","text":"我先感謝我們卓院長親自主持中央癌症防治會報，並且在會議當中要求相關部會積極推動相關癌症防治的政策，非常感謝卓院長的幫忙。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:17:19.987000+08:00","guessed":false,"end":"2026-05-26T09:17:31.334000+08:00","text":"目前我們也知道，整體醫療科技的進步，還有用藥跟照顧各方面的進展，癌症其實慢慢的已經變成是一個慢性病，是可控制的一個狀況。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:17:32.534000+08:00","guessed":false,"end":"2026-05-26T09:17:57.255000+08:00","text":"特別是我國在賴總統以及行政院團隊積極推動早篩早療還有癌症防治三支箭政策之後，明確的訂出了2030年我們希望癌症標準化的死亡率要降低三分之一的政策目標，未來一定會有越來越多經過處理以後的癌症存活者。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:17:58.176000+08:00","guessed":false,"end":"2026-05-26T09:18:23.628000+08:00","text":"但這些癌症存活者，不管是在癒後復歸社會或者是回歸職場，還有可能治療過程當中處在亞健康的狀態之下，這些都需要政府的協助，而且未來趨勢會有越來越多這樣的需求，所以我們希望有機會來修改癌症防治法，來給這些癌症存活者提供更多、更明確的協助。","quality":0.981},{"speaker":"王委員正旭","start":"2026-05-26T09:18:24.588000+08:00","guessed":false,"end":"2026-05-26T09:18:46.625000+08:00","text":"我們可以看一個數據，我國癌症全年齡、全癌別的5年相對存活率，已經從最早有統計的1987年到1991年區間的45.4%提高到目前最近2017年到2021年區間的62.3%，我們可以看得出來這個進步非常的明顯。","quality":0.973},{"speaker":"王委員正旭","start":"2026-05-26T09:18:46.625000+08:00","guessed":false,"end":"2026-05-26T09:18:53.310000+08:00","text":"所以也就是說，目前癌症5年存活率已經超過了六成，而未來的存活率應該會持續升高。","quality":0.943},{"speaker":"王委員正旭","start":"2026-05-26T09:18:53.910000+08:00","guessed":false,"end":"2026-05-26T09:19:04.962000+08:00","text":"我們看到的數據裡面，特別在2003年癌症防治法通過以後，最近這幾次存活率的進步非常的穩定，而且非常的明顯。","quality":0.956},{"speaker":"王委員正旭","start":"2026-05-26T09:19:05.103000+08:00","guessed":false,"end":"2026-05-26T09:19:17.047000+08:00","text":"如果我們再參考健保排名前十大癌別的醫療費用支出統計資料，我們可以發現，合理的推估目前的癌症存活者大約落在100萬名左右。","quality":0.963},{"speaker":"王委員正旭","start":"2026-05-26T09:19:18.208000+08:00","guessed":false,"end":"2026-05-26T09:19:37.021000+08:00","text":"100萬名是一個很大的數據，也就是說針對癌症存活者的照顧跟協助，直接就會幫助到我國超過100萬名以上的國民，這個等同就是100萬戶的家庭可以透過大家的協助，讓癌症患者的存活率提高，讓社會有更大的動能。","quality":0.941},{"speaker":"王委員正旭","start":"2026-05-26T09:19:37.861000+08:00","guessed":false,"end":"2026-05-26T09:20:08.638000+08:00","text":"以目前最新的癌症資料統計，我們發現2023年癌症新發的人數有13萬8,000人左右，如果以目前最新的5年存活率來推估的話，其中會超過8萬6,000人有機會活超過5年以上，這就是我們希望這樣的存活率能夠讓這些罹癌者有很大很大進步的可能性，而癌症從絕症轉變成為慢性病的現象，就是目前醫界也開始重視這樣的問題。","quality":0.961},{"speaker":"王委員正旭","start":"2026-05-26T09:20:08.638000+08:00","guessed":false,"end":"2026-05-26T09:20:45.504000+08:00","text":"像這位成大的教授，他也是健康台灣推動委員會癌症防治組的委員，就是成大的沈延盛院長，他在最近4月的癌症論壇裡面就明確指出，癌症慢性病化以後抗癌更會變成是一場長跑，因此也需要更加強生理、經濟跟心理等層面相關的風險管理與協助，也提出在未來抗癌長跑的過程裡面，不管是生活管理、心理支持，還有社區照護體系跟智慧醫療，都會扮演越來越重要的角色。","quality":0.948},{"speaker":"王委員正旭","start":"2026-05-26T09:20:46.679000+08:00","guessed":false,"end":"2026-05-26T09:21:09.670000+08:00","text":"這個不只是臺灣而已，我們也發現在國際上也開始強調對癌症生存者的協助跟照顧，像美國NCCN（美國國家癌症資訊網）就有針對癌症存活者提供明確的指引，內容明確包括涉及預防復發、生育、倦怠、心理健康及工作等等面向。","quality":0.968},{"speaker":"王委員正旭","start":"2026-05-26T09:21:10.611000+08:00","guessed":false,"end":"2026-05-26T09:21:54.179000+08:00","text":"除了美國以外，我們從法制，比較可以從東亞國家包括日本與韓國為例（這個字比較小，麻煩院長再幫忙了解一下），像日本的癌症對策基本法，在社會協助、心理支持跟就業支持等層面都有明確的明文規定，韓國的癌症管理法針對癌症存活者的社會復歸、職業復歸，也有明文規定；相較之下，目前我國的癌症防治法主要還是著重在前端的醫療跟防治，我們可以看得出來，不同國家針對這些需求都有一些不同的處理模式。","quality":0.953},{"speaker":"王委員正旭","start":"2026-05-26T09:21:54.940000+08:00","guessed":false,"end":"2026-05-26T09:22:08.413000+08:00","text":"我們再回頭看一下，我們的癌症防治法是在2003年就立法，一直到現在，整體框架維持在當年的18條，以治療跟預防為主，這個框架一直都沒有改變。","quality":0.912},{"speaker":"王委員正旭","start":"2026-05-26T09:22:08.573000+08:00","guessed":false,"end":"2026-05-26T09:22:36.431000+08:00","text":"其實這期間一共修法過兩次，其中2023年那一次只是把科技部改到國科會，並沒有實質上的修法，真正有修法是在2018年那一次，而那一次修正的部分是在調整癌症防治委員會的成員，還有增加主管機關可以用菸捐跟團體捐贈做為經費的來源，所以它的修正範圍其實相對也不是那麼多。","quality":0.957},{"speaker":"王委員正旭","start":"2026-05-26T09:22:37.091000+08:00","guessed":false,"end":"2026-05-26T09:22:52.377000+08:00","text":"我們了解當時候的時代背景，癌症防治法的立法主要是要面對問題，而且是要先把病人（罹癌者）能夠救活，然後儘量避免罹癌，所以當然會著重在預防跟治療的部分，非常的清楚！","quality":0.958},{"speaker":"王委員正旭","start":"2026-05-26T09:22:53.097000+08:00","guessed":false,"end":"2026-05-26T09:23:01.099000+08:00","text":"但隨著這些年大家的努力，存活率的提高，癌症越來越變成是一個可控以及慢性病化，剛剛已經有說明。","quality":0.952},{"speaker":"王委員正旭","start":"2026-05-26T09:23:01.899000+08:00","guessed":false,"end":"2026-05-26T09:23:10.801000+08:00","text":"癌症存活者越來越多，我國法制上好像也應該要配合增加對於罹癌者以後的長照，還有復歸社會跟職場的協助。","quality":0.957},{"speaker":"王委員正旭","start":"2026-05-26T09:23:11.362000+08:00","guessed":false,"end":"2026-05-26T09:23:26.408000+08:00","text":"所以從螢幕上紅色的字裡面，我們很期待這次的修法內容包括第一點，針對罹癌勞工適性配工、職務再設計，鼓勵支持方案等等。","quality":0.904},{"speaker":"王委員正旭","start":"2026-05-26T09:23:27.669000+08:00","guessed":false,"end":"2026-05-26T09:23:29.730000+08:00","text":"第二點，長照資源需要加以整合。","quality":0.769},{"speaker":"王委員正旭","start":"2026-05-26T09:23:30.291000+08:00","guessed":false,"end":"2026-05-26T09:23:37.176000+08:00","text":"第三點，避免罹癌治療導致財務毒性相關措施與統計分析。","quality":0.833},{"speaker":"王委員正旭","start":"2026-05-26T09:23:38.077000+08:00","guessed":false,"end":"2026-05-26T09:23:45.242000+08:00","text":"第四點是強化生活模式改善，避免復發，以及心理與社區方面的加強支持。","quality":0.9},{"speaker":"王委員正旭","start":"2026-05-26T09:23:46.683000+08:00","guessed":false,"end":"2026-05-26T09:23:56.729000+08:00","text":"比方說我們來看一下第三條，目前第三條的癌症防治法用詞定義還是只限在癌症及癌症篩檢這兩個基本內容。","quality":0.87},{"speaker":"王委員正旭","start":"2026-05-26T09:23:57.449000+08:00","guessed":false,"end":"2026-05-26T09:24:18.820000+08:00","text":"其實我們還是需要針對有需要政府協助的這些癌症存活者做出定義，重新釐清，如果實務上碰到問題，這些罹癌者接受治療以後如果還是有一些問題需要政府幫忙的話，我們如何把這一群民眾匡列出來。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:24:18.820000+08:00","guessed":false,"end":"2026-05-26T09:24:42.097000+08:00","text":"的確我們也了解有些罹癌者很早期篩檢以後，可以把早期癌症做非常完整的治療，他就跟正常健康者一樣，可以完整回歸到社會，可是還是有一部分的民眾可能需要透過大家更好的協助，因為他可能持續長期存在一個亞健康的狀態。","quality":0.99},{"speaker":"王委員正旭","start":"2026-05-26T09:24:42.097000+08:00","guessed":false,"end":"2026-05-26T09:24:54.968000+08:00","text":"所以，當初的立法核心是在醫療端，但是癌症的衝擊除了醫療端以外，其實現在希望能夠越來越強調生活、社區跟工作等經濟，還有社會面的協助。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:24:55.748000+08:00","guessed":false,"end":"2026-05-26T09:24:59.171000+08:00","text":"第四條的部分，癌症防治的範圍要不要更明確的擴大？","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:24:59.411000+08:00","guessed":false,"end":"2026-05-26T09:25:03.794000+08:00","text":"避免復發、甚至復歸到社會，也是可以討論的部分。","quality":0.95},{"speaker":"王委員正旭","start":"2026-05-26T09:25:04.374000+08:00","guessed":false,"end":"2026-05-26T09:25:25.124000+08:00","text":"總而言之，我們認為這次癌防法修法的訴求方向，主要是讓癌症防治在這些年賴總統健康台灣政策的成果上面進一步去處理，把癌症病人救活以後，如何協助避免復發，以及協助他們回歸到正常生活與工作。","quality":0.918},{"speaker":"王委員正旭","start":"2026-05-26T09:25:25.624000+08:00","guessed":false,"end":"2026-05-26T09:25:54.043000+08:00","text":"如果繼續讓這種疾病變成慢性病化的話……目前我們把醫界、學界、病友團體等相關領域的意見，針對癌症防治法與國家癌症防治計畫，強化後端整體癌症存活者協助的建議，期待未來我們有下列六個方向的支持：就業、經濟、照顧、心理、社區與家庭六個方面。","quality":0.922},{"speaker":"王委員正旭","start":"2026-05-26T09:25:55.043000+08:00","guessed":false,"end":"2026-05-26T09:26:23.931000+08:00","text":"就業支持包括請假、續聘、求職及工作調整等；經濟部分，希望能夠針對家庭經濟的衝擊進行追蹤、協助；照顧部分，希望能夠有長照需求方面的協助；心理支持，包括癌症患者還有家屬整體心理健康的支持；社區的部分，希望能夠系統性的強化癌症防治的醫社工作；家庭支持，包括生育協助還有生活型態等等的改善部分。","quality":0.953},{"speaker":"王委員正旭","start":"2026-05-26T09:26:25.112000+08:00","guessed":false,"end":"2026-05-26T09:26:41.519000+08:00","text":"針對這些有需求的癌症存活者相關政策協助，以及癌症防治法修法納入國家癌症計畫的部分，請院長與部長作相關的回應，不曉得有沒有相關的規劃或者是想法？","quality":0.94},{"speaker":"王委員正旭","start":"2026-05-26T09:26:42.400000+08:00","guessed":false,"end":"2026-05-26T09:26:44.561000+08:00","text":"院長請。","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T09:26:44.561000+08:00","guessed":false,"end":"2026-05-26T09:26:47.062000+08:00","text":"針對細部的回應，請部長再跟委員報告。","quality":0.875},{"speaker":"卓院長榮泰","start":"2026-05-26T09:26:47.222000+08:00","guessed":false,"end":"2026-05-26T09:27:22.983000+08:00","text":"不過我很感謝委員長期以來對癌症防治工作的著力，尤其希望基金會投入很多的社會貢獻，在健康台灣當中，癌症的早篩、早療、癌症新藥，以及降低癌症的死亡率，都是健康台灣政策幾個重要的目標指向，我們從研究的過程中針對各種不同的癌症態樣，從早期或晚期發現，以及治療的難易程度做了交叉比對，尋找出一個最有效的方式，或者找出能夠早期發現並進行有效治療的途徑與解決方法。","quality":0.877},{"speaker":"卓院長榮泰","start":"2026-05-26T09:27:23.403000+08:00","guessed":false,"end":"2026-05-26T09:27:36.592000+08:00","text":"剛剛委員提到，過去我們在前端的防治工作做得比較多，因為隨著醫療、醫學的進步，讓癌症病患能夠從醫療行為當中得到新的機會的可能性也越來越高。","quality":0.921},{"speaker":"卓院長榮泰","start":"2026-05-26T09:27:37.133000+08:00","guessed":false,"end":"2026-05-26T09:27:47.239000+08:00","text":"所以往後的復歸，無論是剛剛您說的職務再設計或者生活型態、模式的改變，乃至於與長照的銜接，都是未來必須加重的工作。","quality":0.922},{"speaker":"卓院長榮泰","start":"2026-05-26T09:27:47.880000+08:00","guessed":false,"end":"2026-05-26T09:27:52.923000+08:00","text":"在癌症的防治過程當中，我們非常重視癌症防治法的修正，請部長進一步說明。","quality":0.812},{"speaker":"石部長崇良","start":"2026-05-26T09:27:54.644000+08:00","guessed":false,"end":"2026-05-26T09:28:02.446000+08:00","text":"跟委員說明，癌症防治法正是當年賴總統在時任立法委員極力推動所促成。","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T09:28:03.787000+08:00","guessed":false,"end":"2026-05-26T09:28:25.120000+08:00","text":"因為有癌症防治法，所以必須依法編列國家的癌症防治計畫，今年已經是第五期的國家癌症防治計畫，而癌症防治計畫的內容除了從癌篩的擴大，像總統上任之後，每一年的癌篩費用從28億成長到68億。","quality":0.963},{"speaker":"石部長崇良","start":"2026-05-26T09:28:26.080000+08:00","guessed":false,"end":"2026-05-26T09:28:35.983000+08:00","text":"在治療的部分有癌症新藥基金支持，這都是總統的政見，即在經濟部分對癌友的支持。","quality":0.971},{"speaker":"石部長崇良","start":"2026-05-26T09:28:37.283000+08:00","guessed":false,"end":"2026-05-26T09:28:48.812000+08:00","text":"除此之外，對於家庭還有癌友的生活品質支持也納入這一期國家癌症防治計畫。","quality":0.939},{"speaker":"石部長崇良","start":"2026-05-26T09:28:49.493000+08:00","guessed":false,"end":"2026-05-26T09:28:56.400000+08:00","text":"在就業支持部分，勞動部其實也有推動癌友復歸職場支持方案。","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T09:28:57.721000+08:00","guessed":false,"end":"2026-05-26T09:29:02.743000+08:00","text":"心理支持的部分，下半年也會辦理心理諮商支持癌友。","quality":0.909},{"speaker":"石部長崇良","start":"2026-05-26T09:29:05.003000+08:00","guessed":false,"end":"2026-05-26T09:29:31.795000+08:00","text":"剛剛委員所提到的建議，我們都會把它納入癌症防治計畫以滾動式修正持續推動，雖然當年的立法與現在辦理的內容不完全一致，不過國家癌症防治計畫是與時俱進的往前推進，我們也會評估委員的建議。","quality":0.8},{"speaker":"王委員正旭","start":"2026-05-26T09:29:32.255000+08:00","guessed":false,"end":"2026-05-26T09:29:51.070000+08:00","text":"期待除了針對這些政策持續推動以外，也希望在法條的修正方面透過院長、部長共同的努力，能夠將剛剛提到的修法內容，有機會儘快地做了解並進一步推動。","quality":0.846},{"speaker":"王委員正旭","start":"2026-05-26T09:29:52.331000+08:00","guessed":false,"end":"2026-05-26T09:29:56.853000+08:00","text":"下一個部分是希望了解提高健保補充費的上限。","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:29:57.093000+08:00","guessed":false,"end":"2026-05-26T09:30:14.500000+08:00","text":"我們也知道如果要強化對罹癌病友及癌症存活者的協助、支持的話，相關的費用來源是政策考量中必要處理的問題，因此我們是希望之前曾經提過多次的健保補充費上限，是否有提高空間或者是可能？","quality":1},{"speaker":"王委員正旭","start":"2026-05-26T09:30:15.060000+08:00","guessed":false,"end":"2026-05-26T09:31:10.193000+08:00","text":"以我們請健保署所提供的資料，最近三年個人補充保費超過1,000萬元的筆數，大約落在8,000到9,000筆之間，那對於超過1,000萬元的收入，無論多高，最後只會以1,000萬元為上限計算他的2.11%的補充保費；另外一方面，如果每一年不超過1萬筆，衝擊面應該就沒那麼廣，這些應該都是實際上超過1,000萬元收入的民眾，或許有打開到5,000萬元甚至1億元以上的空間；另外，我們也請健保署提供5年的捐款收入統計，平均每年有四千多萬元，COVID疫情以後，捐款的數量跟金額有明顯的上升，但是主要集中在健保愛心專戶裡面，以臺灣社會的愛心跟能力來講，其實應該有提升的空間。","quality":0.896},{"speaker":"王委員正旭","start":"2026-05-26T09:31:10.193000+08:00","guessed":false,"end":"2026-05-26T09:31:26.319000+08:00","text":"所以針對於不管是補充保費的上限，還有提高民間的捐款，協助整個健保的部分，請問院長還有部長的想法，能不能有效的善用臺灣人的愛心，來讓我們整體的健保制度可以更為完整？","quality":1},{"speaker":"卓院長榮泰","start":"2026-05-26T09:31:26.379000+08:00","guessed":false,"end":"2026-05-26T09:31:45.390000+08:00","text":"健保是一種自助也是互助的社會保險制度，那麼我們希望從健保財務的健全，讓它長期穩定的發展，衛福部、行政院我們會用多元化的方式來尋求健保財務的穩定，會多方思考，當然，委員的建議，我們也認為是相當值得考慮的一部分。","quality":1},{"speaker":"石部長崇良","start":"2026-05-26T09:31:46.291000+08:00","guessed":false,"end":"2026-05-26T09:32:02.905000+08:00","text":"另外跟委員補充，其實我們健保現在有兩筆，除了這個愛心專戶之外，健保基金也可以接受，只是基於公益勸募條例的限制，我們比較不主動去勸募，但是還是可以被動接受捐贈。好。","quality":0.315},{"speaker":"卓院長榮泰","start":"2026-05-26T09:32:03.025000+08:00","guessed":false,"end":"2026-05-26T09:32:03.025000+08:00","text":"謝謝委員指教。","quality":0.333},{"speaker":"主席","start":"2026-05-26T09:32:03.525000+08:00","guessed":true,"end":"2026-05-26T09:32:10.096429+08:00","text":"謝謝王正旭委員質詢，謝謝卓院長及相關部會首長備詢。","quality":0.174},{"speaker":"主席","start":"2026-05-26T09:32:10.396429+08:00","guessed":true,"end":"2026-05-26T09:32:15.825000+08:00","text":"接下來請謝龍介委員質詢，林淑芬委員請準備。","quality":0}]}},"supported_relations":[],"relations":[]}