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明訂在宅醫療還有一日手術的對應認定對應的認定一方面也希望說可以鼓勵讓舊保單也能批注讓新舊保單都有路徑可不可以 院長我覺得要請金管會跟公會跟保險業者也要請衛部介入什麼樣的醫療行為跟過去可以做什麼樣的比擬"},{"start":306.971,"end":330.867,"text":"那你是誰要指定一個因為過去啊衛福部會說是金管會管的金管會說會說要等衛福部這個球會踢來踢去所以院長你是行政院長所以我才問今天誰是部會的主責可不可以有詞呈給本席當然有跨部會的業務啦那如果雙方的意見一致沒有問題如果雙方有不同的意見至少我們還有政委跟秘書長都可以來協助協調院長那請問誰是主責的單位"},{"start":334.309,"end":339.657,"text":"如果是保險那應該是金管會啊但是醫療行為是我們會來協助金管會跟委員說三個月我覺得他們一個月內應該要有個具體的方向能夠出現"},{"start":350.652,"end":372.522,"text":"一個月內我們要來看成果醫療一直在進步我想這是好事啊我想部長也頻頻點頭但是我覺得不能夠讓醫療技術進步人民的保障反而是倒退政府政策跑在前面可是1600萬的保護的保障不能丟在後面那這個環境一改他就被架空了不行這樣子"},{"start":373.562,"end":394.315,"text":"那再來我要問一下其實我們提供具體的數字可以呈現的到當他改成在家住院急症照護的時候他的費用比到醫院住院要便宜所以對保險業者來講不應該會有損失好 院長剛剛院長有說一個月一個月我們應該跟各位談好之後一個大的方向出現可能要做其他的修動我們再來處理我們要進入下一題了謝謝院長"},{"start":397.057,"end":418.679,"text":"院長我想要請問一下針對這個少子化今年一月份的時候在野黨提所謂的台灣未來帳戶要照顧0到12歲的孩子一路到18歲當時衛福部反對院會當時部長說親口說會排擠健保長照那衛福部的書面評估也說要舉債近3000億財政雪上加霜"},{"start":419.6,"end":436.687,"text":"然後當時也有民進黨的委員直接反對然後就說是錢坑法案破壞財政紀律甚至有委員說這叫透支國家未來甚至有委員說恐怕沒有排富恐怕是成了窮人家的麵包變成富二代的金幣的反向補貼所以"},{"start":438.628,"end":454.242,"text":"這些事情發生了之後可是呢結果520的時候賴總統自己端出每年好幾千億0到18歲每個月5000元還說台灣有能力負擔不會排擠其他預算所以這部分我就想要請教同樣"},{"start":455.655,"end":478.674,"text":"是照顧孩子的大錢在野黨提的時候叫做沒錢破壞財政紀律叫做排擠長照健保那總統提的時候就說有能力負擔所以本席要問院長究竟財政有沒有問題能不能負擔還是這從來不是錢的問題是看誰提的問題只要在野黨提就是NO就是不行只要總統提你們就趕快調整方向"},{"start":480.095,"end":504.743,"text":"那請問錢到底夠不夠三個問題跟五點報告去年我們看到台灣的出生率是明顯的下降所以去年底下開始我們就開始研立台灣人口新的對策第二個 國家的財政院長您先回答財政問題因為您剛講的就是我們提出來國家的財政是在轉好的過程當中所以我們認為現在有能力來支應第三個問題是如果把一大筆錢只放在一個項目"},{"start":505.663,"end":515.826,"text":"那並不能解決問題你放再多再多的錢我們是把所有的錢放在所有整套的過程當中不是 國家的財政是在變好的狀態當中我們是把錢放在所有的狀態當中我們不是放在一個洞裡面每個月五千塊 對不對賴總統有提這個底氣嘛但是你要知道這個是好幾倍喔"},{"start":530.009,"end":544.321,"text":"所以你說現在等於是賴總統提了錢沒問題了好那我本席有三個具體的要求要跟院長講一下其實本席支持而且本席認為應該0到6歲其實是敢不敢生的關鍵"},{"start":545.262,"end":571.734,"text":"第一胎生出來0到6歲如果照顧得很辛苦那基本上他也不太敢生第二胎這個跟你們本意是一樣所以我們希望的事情是問一下院長現在0到2歲0到2歲其實公托沒有一個選項真的是完全免費的因為公托一位男求那自己在家帶或送私立的家長每個月目前是育兒津貼5000塊而且是裡面最少的您可以看一下這個"},{"start":574.737,"end":595.59,"text":"每個月最少的二到六歲也只有第二胎以後公幼才真正免費第一胎每個月家長要拿出部分的錢所以目前為止他其實是不平等然後自己帶小孩的投入也最少所以這根本是在懲罰選擇自己帶小孩的爸媽所以我主張"},{"start":596.511,"end":609.782,"text":"是不是應該要把所謂的公托公用准公非營利全部免費然後育兒津貼呢加對齊加碼最近很紅啊對齊喔對齊加碼是不是可以來規劃這件事情院長"},{"start":611.27,"end":627.286,"text":"兩個問題第一個就是在公托的這個部分我們現在經過補助之後把每個兒童托育的費用控制在家庭可支出的百分之五到百分之十往這個目標來看這個是負擔不起的這是第一個再來公共政 最重要的是公共政策不是比"},{"start":628.166,"end":650.921,"text":"錢誰花的多不要一直加碼我們一方面衡量財政狀況剛剛我提的那些政策你們加碼但是沒關係院長我沒有好講完我要跟你討論這件事情啦我們不要一直加碼要整套我們有沒有分配好所有的資源把全部的錢放在0到18歲嗎不是的我們還有其他的院長那你可不可以直接回答我這個訴求你願不願意回去演繹一下我認為"},{"start":652.802,"end":672.723,"text":"準公非營利全部免費但是育兒津貼要加碼對期加碼我們現在公托準公托非營利的這個托育從7萬到1萬3的補助是現在現行的我剛說過補助之後家庭的負擔支出是限定在5%到10%在這個部分已經是一個合理的狀態"},{"start":673.604,"end":699.001,"text":"那另外我們又加上現在零到六歲也有五千元每個月的一個成長津貼所以我們認為應該可以參與院長或者是這個院長和部長回去研擬一下育兒津貼應該要加碼而且要對齊加碼不要讓家長還要被迫選擇要把選擇權還給家長我最後一句話這個全套的新戰略是衡量到現在的財政能力做合理的規劃所以"},{"start":700.482,"end":727.89,"text":"再任何的加碼都是財政上另外一種新的考量零到18歲一喊隨便就好幾千億啊這個都含在裡面了 包括前面這個都含在裡面了院長所以我才說其實零到六歲很關鍵您仔細聽我講他們現在沒有辦法完全之真的要落實零到六歲國家養好不好所以育兒津貼這個件事情本席在這裡要求請你們回去慎重嚴厲育兒津貼加碼補貼第二個部分也要跟你們報告"},{"start":728.53,"end":751.488,"text":"一個馬上做馬上能夠做而且它又不算這個成本上面這個費用預算上面照你們剛剛講是很OK的第一個減痛分娩其實生產是醫學上十級的劇痛那法國在1994年就百分之百的給付英國也全免瑞典免費日本東京也去年10月開始補助最高是10萬日圓"},{"start":752.569,"end":777.057,"text":"那台灣呢這些在生產的媽媽要自費五千到八千那我們一年假設以上一年是用十萬來算好了因為接下來應該是更少十萬來算每個補助六千其實全年全國一年大概就是六點五億等於是賴總統開的這個支票每一年兩千多億的零頭中的零頭這部分可不可以給台灣的媽媽願意生育的媽媽這樣子的補助"},{"start":779.288,"end":808.267,"text":"跟委員說明這個就是無痛分娩那這個分娩其實都是健保有給付的那這個案子過去曾經提案過那在健保的這個專家會議裡面因為有不同的聲音因為還是有一些專家認為這個並不是絕對的必要那副總你願不願意回去再重新檢討一下這個部分我們再收集更多的意見因為之前在專家會議裡頭那副總可以有給本席一個具體的方向"},{"start":808.687,"end":815.81,"text":"因為他的專家會議跟這個共理會有一定的程序大概需要三個月的時間因為這個是去年討論過去年討論的時候專家會議並不同沒有共識說這個要納入在給付裡面你覺得這個未來三個月會再重新檢討一次嗎我們看看有沒有新的這個"},{"start":832.678,"end":855.26,"text":"證據跟意見進來如果委員提到這個因為過去曾經討論過其實其他的國家已經有在實行這個這個制度而且補助的部分所以請部長您回去是不是可以給本席在專家共理會三個月內給本席一個我們先把上次討論的這個專家的意見先給委員辦公室參考然後我們再來評估看看是不是再重啟這個"},{"start":856.361,"end":871.26,"text":"再多徵詢一些專家的意見好剛剛已經說了其實好幾個國家已經做了我相信台灣的醫療台灣的福利不會比其他人差所以請部長回去慎重的研擬要給本席辦公室一個具體的報告回應再來是"},{"start":872.031,"end":886.666,"text":"育兒減少工時的部分最後2024年的10月30我當時也在勞動部我們的未還委員會質詢的時候其實就有要求過要修那現在中央也說要跟進是不是528有說院會要拍板嗎"},{"start":889.43,"end":908.376,"text":"跟文說明喔其實這個減工時的議題其實討論很久我想最重要的事情是配套如果我們要提出方案的話重點是我們要拿出配套配套的完備與否才是這個政策能不能夠擴大或擴大適用最關鍵的問題重點是配套的設計那我們就盡量往更完備的配套的方向來去做設計"},{"start":917.378,"end":931.224,"text":"那更完備的配套什麼時候會有更完備的配套可不可以更新如果我們要提出這個方案的話我們就會把配套一併的那是什麼時候啊什麼時候你沒有回答問題是什麼時候我想現在這一次的這個整體0到18歲的整體的策略我們會跟著行"},{"start":965.769,"end":966.729,"text":"好 謝謝六位"}]}},"supported_relations":[],"relations":[]}