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2003-07-05 17:09:44部落行腳：生病、生產，只能在星期四！■作者：陳律伶﹝台大城鄉所學生﹞ 繳不起健保費成了部落裡司空見慣的事情，小病只好自己忍痛捱過，向上帝祈禱不要生大病，萬一生病非得就醫，碰到颳風下雨，道路坍方中斷，而無法及時就醫，是不是就該自認活該倒楣，聽過三光部落裡的人開玩笑說著，原住民生病生產要選時間呢……部落同胞沒有生病的本錢！
在後山部落裡，最常聽到的狀況是部落居民們繳不起健保費，健保卡被扣卡，還須待繳完滯納金、利息之後，才能重新享受健保制度，但諷刺的是，部落裡也常出現「有保無醫」的窘況。 後山的原住民因為外勞引進後瓜分工作機會而被迫失業後，從城市回到部落，在部落裡能做的就是靠山吃山，看天吃飯，從事最傳統的一級產業，勒緊褲帶過生活，繳不起健保費成了部落裡司空見慣的事情，小病只好自己忍痛捱過，向上帝祈禱不要生大病，萬一生病非得就醫，碰到颳風下雨，道路坍方中斷，而無法及時就醫，是不是就該自認活該倒楣，聽過三光部落裡的人開玩笑說著，原住民生病生產要選時間呢（因為要配合每星期四醫療巡迴車的時間）。後山的原住民沒有生病的本錢！ 偏遠地區的醫療與保健問題，是長期以來存在的問題，也是政府衛生政策最忽視的一環。目前在台灣地區約有三十六點五萬人口，散落居住於四十八個山地離島鄉，雖僅占全國總人口百分之一點六，但遍佈區域卻占全國土地面積百分之四十四，而原住民地區佔絕大多數。原住民部落，由於地理位置偏遠，交通不便，散居於山區地帶，加上政府刻意忽視下，部落醫療環境惡劣，醫療資源嚴重不足的情況一直存在著，如部落的衛生室閒置不用，醫療巡迴車也是每週來一次，以有限的設備與人力服務部落居民，實在無法滿足部落醫療需求。連衛生單位到部落宣導如何預防腸病毒、登革熱、SARS等疾病，也只是問問幾個問題，發發獎品後，拍拍屁股走人，如此敷衍了事做法，的確令人擔憂。 目前偏遠地區的醫療服務是最需解決的部分，如何整合偏遠地區醫療資源，改善部落醫療環境，提昇醫療品質，增加設備與人力資源，是當務之急。陳總統在去年視察澎湖縣曾再三強調，「離島偏遠地區的居民，不是「天公子」，生命健康要靠「天公伯」臉色，政府有責任照顧每個人。離島居民的生命價值，和台灣本島居民相同，不能享受次等的醫療品質」。總統的話，在今年幾次澎湖SARS病患後送事件中已証明只是「空頭支票」，偏遠山區原住民族部落的處境只有比離島更慘。台灣政府對於原住民族的不平等待遇，何時才能改善？ 由 發表於 July 5, 2003 05:09 PM | 引用迴響
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