2012年2月6日 星期一

Price! A trip to tranquility return of 520 005 thousand Yuan

Price! A trip to tranquility return of 520 005 thousand Yuan2012/2/6Reporter Li Zeng Wang / roundup
Helicopter trip to the peace to return home price 50 25,000 thousand dollars!Kinmen County Government yesterday 50 to $ 25,000 price, hire Daily Air helicopter to the "days of tranquility to return home" service, carrying one in critical condition at the Taipei Veterans General Hospital Cancer folks return to the Golden Gate.
   
For dying patients back to the "high price", Kinmen County Magistrate Li Woshi cares for the county was dying the wishes of patients and their families, filial piety, though reluctant, still have to reluctantly signed prospective. Lee County Magistrate yesterday for taking the time to visit this patient to the Taipei Veterans General Hospital, and condolences to the family members.
   
In recent days, the County Director of Health to deal many times with the Tak airlines bargaining Chen Tien-shun shook his head, do not agree Tak makes good business sense, style of not balanced and reasonable tariff. County, Taipei director of the Service, Grain for, although they respect Tak looting, but he believes that the itinerary of the Tak why fly the trip from Taipei to Kinmen asking price of $ 5,000 50 20 000 cost of operations, put forward a reasonable explanation; the central government such as the Ministry of Transportation, the Department of Health should look squarely at the Islands Medical weakness, coordination of the airlines to set a reasonable price, can not let the industry due to the Department of exclusive business and anything and everything, otherwise they should be mobilized to the National Police Administration's Airborne Service Corps or the military for helicopter support.
   
The dying patient's family in Jinmen, last Friday <> immediately County Government proposed peace to return home to apply. Daily Air offer 28 million of the original signed attendance trip <county of 250,000 thousand families of the burden of NT $ 28,000>, a huge rose to nearly double the 50 to 25,000thousand dollars, after repeated co-ordination, are reluctant to lower prices, the same day without job, keep up with the C-130 military aircraft returned to the gold, the original county to please the families of understanding, patients can hang on until tomorrow, then back to the C-130 military aircraft ago Kinmen.Condition deteriorated unexpectedly yesterday morning and intubation, Chen Tien-shun report of the Director Li Woshi magistrate agreed Tak attendance <50 20 000 of $ 5,000 family members the burden of $ 30,000>.
   
Health Bureau description, the council and the Tak was signed on March 22 last year "the year 100 air ambulance carrying peace to return home patient" contract, express to fly 28 million per trip, compliance to the end of last year.Health Bureau on October 21 last year handled $ 01 procurement cases, the ZTE aviation quotes per trip is 1.4 million; Daily Air offer of $ 500,000 per trip is.$ 320,000 and the reserve price gap is too large, three public tender, are no manufacturers to tender bids.
   
In order to avoid service interruption, the Health Bureau many phone calls and correspondence consultations Dean, 28 million in a single trip, extended contract, the company that the old contract prices and conditions of inadequate flight costs, and reluctantly agreed to extend the contract first ended 31 December. After that persistently refused to cut prices.
   
In order to avoid the job of tranquility to return home to open a window, resulting in inconvenience to the patient's family, Bureau of Health Emergency letter to the Ministry of National Defense and the Ministry of the Interior to assist.The Ministry of the Interior to answer your inquiry said that peace return of non-emergency areas, inconsistent with the statutory Responsibilities of the Airborne Service Corps, find it difficult to help; Department of Defense said will convene a meeting in conjunction with the Ministry of Transportation, the Ministry of the Interior, the Department of Health and other relevant ministries will emergency medical evacuation and evacuation problems currently facing the critically ill to return home deliberation.
   
County Health Department letter to the new Division Legislator Yang Ying-Xiong assist pointed out that Kinmen peace to return home business for several years only Tak and ZTE both airlines executable this task, ZTE aviation official correspondence before due to aircraft scheduling factors are not the implementation of the 120 in 2001 case task, led to an exclusive market Tak airlines only. Kinmen County Health Bureau to handle emergency medical and tranquility to return home evacuation, 16 to 90 years contract 210000-280000 yuan per trip is 98 to 90 nine per trip is 27 $ 50,000, ninety-nine years to one hundred per trip is 28 million, of the two airlines invariably increase the offer for fear that joint monopoly desirable shill bidding, in violation of the fair trade suspected.
   
Secretary Chen Tien-shun said that last year a total of 50 three times of peace to return home jobs, spent 14.84 million yuan <beyond the budget of 1,200 million>. The minutes of January this year, on the implementation of the peace to return home of the 10 trip, spent 3.08 million yuan per trip to 50 25,000 thousand dollars, but also I do not know by how public funds.
   
Grain for Green Project Director expressed condolences to the hospital folks from time to time on behalf of Li Woshi magistrate to Taipei Veterans General Hospital, he heard the complaints of patients and their families on the DOH Kinmen hospital quality of care in terminal cancer patients, many military aircraft evacuation sent to the Veterans General Hospital in the afternoon or the next day, they immediately apply for example to return home by helicopter peace, but also confirms the Department Kim Hospital unnecessary evacuations caused by the waste of medical resources, as well as the inconvenience to patients and their families. Of course, patients and their families on the Golden Gate evacuation treatment of holding too much hope, will also affect the physician decide whether evacuation of the judgment, but so also highlights the patients do not trust the Department payment.
   
Grain for the view that the root of the problem is of course as soon as possible to enhance Gammon quality of medical care, so that the people of Kinmen from the evacuation of the Taiwan Medical and tranquility to return home back to their homeland suffer, if Department of Health to conscientious Steering to improve hospital standards of the Department of gold, he looked forward to Ma Ying-jeou The President and the Executive Yuan to address the problems effectively attach importance to the constitutional guarantees of the residents of outlying islands of health and medical policy directive related medical institutions, to assist in improving the medical environment in Kinmen.




天價﹗一趟安寧返鄉52萬5千元
2012/2/6
記者李增汪/綜合報導


  一趟直升機安寧返鄉天價五十二萬五千元!金門縣政府昨天以五十二萬五千元的天價,雇請德安航空一架直升機出「安寧返鄉」勤務,載運一位在台北榮總癌症病危的鄉親返回金門。
   對於以「天價」送回臨終的病人,金門縣長李沃士表示,顧念本縣病危病人之遺願及家屬的孝心,雖然捨不得,仍得忍痛簽准。李縣長昨天還撥空至台北榮總探視這位病患,並慰問家屬。
   連日來多次與德安航空公司議價打交道的縣衛生局長陳天順頻頻搖頭,不敢苟同德安在商言商,不肯協調合理運價的作風。縣府台北服務處主任陳永富說,雖不便直言德安趁火打劫,但他認為,德安應就為何飛一趟台北至金門的行程要價五十二萬五千元之成本運算,提出合理說明;中央政府如交通部、衛生署,更應正視離島醫療弱勢問題,協調航空公司訂出合理價格,不能讓業者因係獨家生意而予取予求,否則即應動員警政署空勤總隊或軍方直升機支援。
   這位金門臨終病人的家屬,上周五〈三日〉即向縣府提出安寧返鄉申請。由於德安航空開價從原簽約的出勤一趟二十八萬元〈縣府出二十五萬二千元,家屬負擔二萬八千元〉,巨幅漲至近一倍的五十二萬五千元,經多次協調,都不願降價,當天又不及作業,趕不上C-130軍機前送返金,原本縣府請家屬諒解,希望病人可撐到明天,再利用C-130軍機前送回金門。不料昨天凌晨病情惡化並插管,陳天順局長報告李沃士縣長,同意德安以五十二萬五千元出勤〈家屬負擔三萬元〉。
   衛生局說明表示,該局與德安公司去年三月二十二日簽訂「一百年度空中救護機載運安寧返鄉病人」契約,明訂飛每趟二十八萬元,履約至去年底。去年十月二十一日衛生局辦理一百零一年度採購案,中興航空報價每趟次四十萬元;德安航空報價每趟次五十萬元。與底價三十二萬元差距太大,三次公開招標,都無廠商投標而流標。
   為免服務中斷,衛生局多次電話及函文協商德安,以單趟二十八萬元延長合約,該公司認為舊合約所訂價格及條件不敷其飛航成本,勉強同意延長合約至上月三十一日止。之後即堅持不肯降價。
   為免安寧返鄉作業開天窗,造成病人家屬不便,衛生局緊急函請國防部與內政部協助。內政部函復表示,安寧返鄉非屬緊急救援範疇,與該部空勤總隊法定職掌不符,礙難協助;國防部則表示近期將召集會議會同交通部、內政部、衛生署等相關部會對緊急醫療後送及病危返鄉後送目前所面臨的問題進行研議。
   縣衛生局函請新科立委楊應雄協助指出,金門安寧返鄉業務,數年來僅德安與中興兩家航空公司可執行此項任務,中興航空日前正式函文表示,因航機調度因素未能執行一百零一年本案任務,導致市場僅德安航空公司一家獨占。金門縣衛生局辦理緊急醫療及安寧返鄉後送,九十六至九十七年契約每趟次二十一萬至二十八萬元,九十八至九十九年每趟次二十五萬元,九十九年至一百年每趟次二十八萬元,這次二家航空公司不約而同調高報價,恐有聯合壟斷合意抬價,違反公平交易之嫌。
   陳天順局長表示,去年共執行五十三趟安寧返鄉作業,花費一千四百八十四萬元〈超出預算之一千二百萬元〉。今年一月分,就執行了十一趟安寧返鄉,花費三百零八萬元,如果每趟提高至五十二萬五千元,又不知要增花多少公帑。
   不時代表李沃士縣長至台北榮總等醫院慰問住院鄉親的陳永富主任表示,他聽多了病患與家屬對署立金門醫院醫療品質的抱怨,多起軍機後送癌症末期患者,送至榮總當天下午或次日,又即刻申請直升機安寧返鄉的例子,也印證署金醫院無謂後送造成醫療資源的浪費,以及病人與家屬的不便。當然,金門患者與家屬對後送治療抱著太大期望,也會影響醫師決定是否後送的判斷,但如此不也凸顯病人對署金的不放心。
   陳永富認為,治本之道當然是儘速提升金門醫療品質,讓金門民眾免於後送台灣醫療與安寧返鄉回故土之苦,如果衛生署無能力盡責督導改善署金醫院水準,他盼望馬英九總統與行政院能正視問題,切實重視離島居民衛生醫療之憲法保障,政策性指示相關醫療機關,全力協助改善金門醫療環境。

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