影片摘要
2026/01/09
【質詢完整版】包庇職場霸凌的衛福部!!官官相護!!如何守護兒少?
好的,以下是影片內的主張統整:
MOHW Workplace Bullying Case and Personnel Handling
- Discrepancy between Internal Investigation and Control Yuan's Findings: The internal investigation led by Deputy Minister Lu Chien-te (呂建德) concluded that no bullying incident occurred, but the Control Yuan clearly indicated that there was a bullying incident. A significant disparity exists between the two findings.
- Demand for Accountability of Relevant Personnel:
- Liu Yu-juan (劉玉娟): Although not found to have engaged in bullying in the internal investigation, she currently serves as the Chief Secretary of the Ministry of Health and Welfare (MOHW). She has, however, been referred to the Disciplinary Court. The Legislator requested the Minister to clarify whether she would continue to be employed or even promoted.
- Lu Chien-te: The internal investigation led by Deputy Minister Lu Chien-te contradicted the Control Yuan's findings, leading to questions about his impartiality and dereliction of duty. The Legislator asked the Minister to explain how this Deputy Minister would be handled, and whether he could continue to conduct investigations.
- Allegations of "Official Protecting Official" (Bureaucratic Collusion): The Legislator pointed out that when faced with inconsistencies between its internal investigation and the Control Yuan's conclusions, the Ministry of Health and Welfare (MOHW) showed no signs of punishing relevant personnel, raising suspicions of a culture of "official protecting official" within the MOHW.
- MOHW's Insufficient Ability to Protect Front-line Staff: The Legislator argued that if the Ministry of Health and Welfare (MOHW) cannot even protect its own front-line colleagues and ensure they are safeguarded by the system, it will be difficult to trust that its system can protect other families and adhere to the United Nations Convention on the Rights of the Child.
Establishment and Operation of the National Health Technology Assessment Center (NHETA)
- Goals and Positioning: The center should possess independence and sufficient professional capacity, and must not become a subordinate or "little brother/sister" of the National Health Insurance Administration (NHIA).
- Assessment Focus: The Legislator pointed out that current assessments of new drugs and technologies excessively focus on financial impact, neglecting social value, patient perspectives, and long-term benefits. It is hoped that the center can improve this situation.
- Organizational and Decision-making Design: The Legislator demanded that the Minister ensure the center would not be manipulated by the National Health Insurance Administration (NHIA) in its organization and decision-making.
- Manpower and Professional Allocation:
- The center aims to have approximately 80 staff members, who must possess professional backgrounds in health economics, pharmacoeconomics, statistics, and data analysis, with a significant proportion in these fields.
- The Legislator questioned whether expert representatives from the National Health Insurance Administration (NHIA) could also serve as representatives for health technology assessment, pointing out potential conflicts of interest and expressing concern that this could lead to a "one-stop shop" operation (integrated service) designed to curry favor with the NHIA and the Ministry of Health and Welfare (MOHW).
- Transparency and Progress: The Legislator demanded that the center's operations be transparent, with clear progress and timelines available for public inquiry (as transparent as live court proceedings). They noted that drug assessment progress had previously been delayed by two years and expressed hope that the center would launch on schedule.
Cross-Ministerial Coordination Mechanism of the Child and Family Services Agency (CFSA) and Child Protection
- Issue of Insufficient Authority Level: The Legislator argued that the Child and Family Services Agency (CFSA), as a third-tier agency, lacks sufficient authority to effectively integrate multiple ministries and agencies—including internal MOHW departments, the Ministry of Education (for campus reporting), the Ministry of Justice (for judicial intervention), and the National Communications Commission (NCC) (for internet governance)—to address issues such as the prevention of child sexual exploitation.
- Lessons from the "Kaikai" case: The Legislator emphasized that the "Kaikai" case revealed how poor horizontal communication led to tragedy, and lessons should be learned from it.
- Request for Explanation on Coordination Methods: The Legislator asked the Minister to explain how the Child and Family Services Agency (CFSA), as a third-tier agency, could conduct cross-ministerial communication and coordination.
Reform of the Home Childcare Visitation System
- Tainan Madou Childcare Institution Case: The Legislator highlighted an incident in Tainan's Madou district where a licensed nanny collaborated with an unlicensed friend to illegally provide childcare, engaged in child abuse, and attempted to delete surveillance footage to destroy evidence.
- Shortcomings of the Current Visitation System: The Legislator pointed out that the Child and Family Services Agency's (CFSA) visitation regulations require "prior telephone appointment," which allowed unlicensed nannies to circumvent inspections in advance, leading to illegal activities remaining undetected for two years.
- Reform Proposals: The Legislator suggested changing the "appointment-based" system for visitors to "unannounced" spot checks to enhance inspection effectiveness.
- MOHW Response: The Minister stated that after the "Kaikai" case, regulations were amended in 2024 (Year 113 of the Minguo calendar) to change visitations to unannounced inspections.