- 期刊
傳統整復推拿工作權之歷程與展望
The history and prospect of the traditional manipulative therapist industry of the right to work
摘要
我國傳統整復推拿工作權從衛生署（現為衛生福利部）2010年4月1日起嚴格取締非中醫師不得進行推拿業務，否則不予健保給付，引發上千名推拿師上街爭取工作權，2012年5月1日起民俗調理人員可用「傳統整復推拿」提供服務，但不可與中醫診所同址執業，2013年1月開始，傳統整復推拿人員必須全面撤離中醫診所，違者最高處以25萬元罰鍰。期間經過多次的抗爭與政策的修改，從「兩年緩衝期」、「七不三要原則」、「八不二要原則」、「設置同一地址認定爭議」、「民俗調理職類認證意見內容爭議」等。筆者曾親自多次參與立法院與中華民國中醫師公會全國聯合會開會協商，同時與中醫師與推拿師等專家包括台灣基層中醫師協會陳朝宗理事長、中華黃庭醫學會陳朝龍理長事、中華民國傳統整復推拿師職業工會全國聯合總會胡震亞理事長及中醫民俗調理推拿人員生存自救會召集人張至聖等人討論，認為以「先行政再立法」及「先低度再高度的管理模式」，採取漸進改革的方式是比較可行。換言之，先爭取衛生福利部與勞動部同意頒訂相關「民俗調理之管理規定事項」、「民俗調理技能職類測驗能力認證規範審查指引」、「民俗調理業管理規範」、「民俗調理人員工作倫理守則」、「傳統整復推拿初級技術員職能基準」及「技術士技能檢定傳統整復推拿職類規範」等行政規範，勞動部於107年11月8日勞動發能字第1070515720號公告「勞動部一百零八年度全國技術士技能檢定實施計畫」，（十）其他注意事項：待確定受理報名職類：傳統整復推拿單一級等二個職類，如確定受理報名，將於一百零八年七月一日前公告納入第三梯次開辦職類，傳統整復推拿工作終於獲得技術士技能檢定的項目之一，輔導現職人員考取證照，已經達到以技術士技能檢定來保障傳統整復推拿工作權的階段目標。
並列摘要
The traditional right to rectify and massage in the Ministry of Health and Welfare from April 1, 2010, strictly prohibits non-Chinese doctors from conducting tuina business, otherwise it will not pay for health insurance, causing thousands of tutors to go to the streets to fight for work. From May 1st, 2012, the folks can use the ＂traditional rehabilitation＂ to provide services, but they can't practice with the Chinese medicine clinic. In January 2013, the traditional rehabilitation personnel must be completely evacuated from the Chinese medicine clinic. The highest penalty is 25 Ten thousand yuan fine. During the period of repeated protests and policy revisions, from the ＂two-year buffer period＂, the ＂seven negative and three need principle＂, the ＂eight negative and two need principle＂, the ＂set the same address to identify disputes＂, and the ＂folk-customized category certification＂ Content disputes, etc. The author has personally participated in the Legislative Yuan meeting with the National Federation of Chinese Medicine Doctors Association of the Republic of China on several occasions. At the same time, he discussed with experts such as Chinese medicine practitioners and tutors, and considered that it is ＂first administrative and then legislative＂ and ＂From low to high management mode＂. It is more feasible to adopt a gradual reform approach. In other words, the Ministry of Health and Welfare and the Ministry of Labor agreed to issue relevant administrative norms. On November 8, 107, the Ministry of Labor announced the ＂108 national technicians' skills verification＂: traditionally reorganized and single-level and other two categories. The traditional rectification and massage work finally obtained one of the technicians' skills verification projects, and coached the current staff. Taking the license, it has reached the stage goal of guaranteeing the traditional right to rehabilitate the work with the skill of the technician.