2024-04-032023/24:SoU15 · p.6SoUHealth & social services

Vaccinations

Expansion of the national vaccination programme

What's at stake: More extensive vaccination of groups such as the elderly and pregnant women could reduce disease burden and inequality in preventive care between regions. The decision affects whether such a review of the vaccination programme takes place.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

The question is whether the government should review broadening the general vaccination programme, including for the elderly and pregnant women, or whether the current programme and regional routines are sufficient.

Yes Yes — the committee proposal

The Committee on Health and Welfare sees no reason to broaden the national vaccination programme in the way the motion requests, and points out that responsibility for the programme's design and priorities already rests with the relevant authorities and regions as part of ongoing public health work.

No No — the reservations

Reservation 6 (C, MP)

The Centre Party and the Green Party point to lessons from the covid-19 vaccination campaign and argue that a broader vaccination programme — with more comprehensive vaccination of the elderly and pregnant women — would make a major difference for individuals and for the burden on healthcare, and want the government to review how the programme can be expanded, partly to address regional differences in preventive care.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

What do the votes mean here?

Yes The committee proposal: rejecting the motions (keeping things as they are).

No Backing the counter-proposal: reservation 6 by C, MP.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 21/0/0/3departs from the planconfidence: mediumderived
SNoYes 92/0/0/14departs from the planconfidence: mediumderived
MPown reservationNoNo 0/14/0/4follows the planconfidence: mediumderived
Cown reservationNoNo 0/21/0/3follows the planconfidence: mediumderived
LNoYes 14/0/0/2departs from the planconfidence: mediumderived
KDNoYes 15/0/0/4departs from the planconfidence: mediumderived
MNoYes 60/0/0/8departs from the planconfidence: lownot addressed
SDNoYes 63/0/0/9departs from the planconfidence: mediumderived

Committee proposal

The Riksdag rejects motion 2023/24:2493 by Christofer Bergenblock et al. (C) amendment 39.

Original (Swedish)

Riksdagen avslår motion 2023/24:2493 av Christofer Bergenblock m.fl. (C) yrkande 39.

Riksdag decision: The Riksdag rejected approximately 100 proposals on public health in motions from the general motion period 2023. The Riksdag refers primarily to the fact that work is already underway within the issues the proposals address. The motions concern vaccination and allergy issues, healthy lifestyles, and mental health.

Counter-proposals

Plan vs actual vote

Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.

VVänsterpartietNoYesdeparts from the planderived

The election manifesto requires equitable and accessible healthcare regardless of where in the country one lives, and that the state takes greater responsibility for creating equal conditions.

Plan documents: 2022 manifesto

Reasoning and quotes

The election manifesto requires equitable and accessible healthcare regardless of where in the country one lives, and that the state takes greater responsibility for creating equal conditions. The counter-proposal wants to expand the national vaccination programme precisely to counteract regional differences in preventive care, which is in line with the plan's direction. The plan also requires that care is provided according to need, not according to the capacity of systems.

Original (Swedish)

Valplattformen kräver en jämlik och tillgänglig sjukvård oavsett var i landet man bor och att staten tar ett större ansvar för att skapa lika förutsättningar. Motförslaget vill utöka det nationella vaccinationsprogrammet just för att motverka regionala skillnader i förebyggande vård, vilket ligger i planens riktning. Planen kräver också att vård ges efter behov och inte efter systemens kapacitet.

  • equitable care throughout the countrydecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equitable, equal, and accessible, regardless of where in the country you live and regardless of who you are.”
  • greater state responsibility»Lösningen är inte att förstatliga sjukvården men för att säkerställa en jämlik vård i Sverige måste staten ta ett större ansvar för att skapa lika förutsättningar.« (2022 manifesto ↗)“The solution is not to nationalize healthcare, but to ensure equitable care in Sweden, the state must take greater responsibility for creating equal conditions.”
  • care according to need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be provided according to people's needs, not according to the capacity of incorrectly designed systems.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SSocialdemokraternaNoYesdeparts from the planderived

The plan's core commitment is that all residents throughout the country shall have equal access to healthcare, which is precisely what the counter-proposal invokes when it wants to counter regional differences in preventive care.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan's core commitment is that all residents throughout the country shall have equal access to healthcare, which is precisely what the counter-proposal invokes when it wants to counter regional differences in preventive care. The plan also wants no one to have to worry about getting timely care and for supervision to be stepped up. A review and expansion of the vaccination programme, not least for the elderly, follows from the same line.

Original (Swedish)

Planens bärande åtagande är att alla invånare i hela landet ska ha likvärdig tillgång till vård, vilket är precis det motförslaget åberopar när det vill motverka regionala skillnader i förebyggande vård. Planen vill också att ingen ska behöva oroa sig för att få vård i tid och att tillsynen växlas upp. En översyn och utökning av vaccinationsprogrammet, inte minst för äldre, följer av samma linje.

  • equal healthcare throughout the countrydecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equal access to school, healthcare and care.”
  • timely care»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall have to feel worried about getting timely care.”
  • strengthened healthcare supervision»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Supervision of healthcare shall be stepped up to guarantee quality.”
  • equal care for the elderly»Vi vill ha en ny äldreomsorgslag som säkerställer att alla får en lika bra omsorg i hela landet« (2022 manifesto ↗)“We want a new elderly care law that ensures everyone receives equally good care throughout the country”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MPMiljöpartietNoNofollows the planderived

The election manifesto asserts that you shall have the right to good healthcare regardless of where in the country you live, and the party programme states that access to healthcare today is unevenly distributed and wishes to work much more systematically with disease prevention measures.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto asserts that you shall have the right to good healthcare regardless of where in the country you live, and the party programme states that access to healthcare today is unevenly distributed and wishes to work much more systematically with disease prevention measures. An expanded and reviewed national vaccination programme that counteracts regional differences thus follows from these commitments, although vaccination is not mentioned specifically.

Original (Swedish)

Valmanifestet slår fast att man ska ha rätt till bra vård oavsett var i landet man bor, och partiprogrammet konstaterar att tillgången till vård i dag är ojämnt fördelad och vill arbeta långt mer målinriktat med sjukdomsförebyggande insatser. Ett utökat och översett nationellt vaccinationsprogram som motverkar regionala skillnader följer av dessa åtaganden, även om vaccination inte nämns särskilt.

  • equitable healthcare throughout the countrydecisive»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You shall have the right to good healthcare, regardless of where in the country you live.”
  • unequal healthcare access must go»I dag är tillgången till vård ojämnt fördelad.« (party programme ↗)“Today access to healthcare is unevenly distributed.”
  • preventive health work»arbeta långt mer målinriktat med hälsofrämjande« (party programme ↗)“work much more systematically with health-promoting”
  • health-promoting and equitable healthcare»Sverige ska ha en hälsofrämjande, jämlik och« (party programme ↗)“Sweden shall have a health-promoting, equitable and”
CCenterpartietNoNofollows the planderived

The plan makes preventive measures a prerequisite for sustainable welfare and requires equivalent care throughout the country based on science and proven experience.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan makes preventive measures a prerequisite for sustainable welfare and requires equivalent care throughout the country based on science and proven experience. A review and expansion of the vaccination programme for older people and pregnant women is in line with this and counteracts the regional differences the plan wants to eliminate. That the responsibility lies with regions and authorities does not prevent the programme itself from being expanded.

Original (Swedish)

Planen gör förebyggande insatser till en förutsättning för hållbar välfärd och kräver likvärdig vård i hela landet grundad på vetenskap och beprövad erfarenhet. En översyn och utökning av vaccinationsprogrammet för äldre och gravida ligger i linje med detta och motverkar de regionala skillnader planen vill bort. Att ansvaret ligger hos regioner och myndigheter hindrar inte att programmet i sig utvidgas.

  • preventive caredecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
  • science-based and equivalent care»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet, är viktigt för den enskilda« (party programme ↗)“Good care and healthcare throughout the country, based on science and proven experience, is important for the individual”
  • regional healthcare responsibility»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna. Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“We want to defend freedom of choice in care and healthcare and conduct activities close to those receiving care. Responsibility for care should not be moved from regions to the state.”
LLiberalernaNoYesdeparts from the planderived

The plan establishes that care shall be equitable regardless of place of residence and wants the state to take greater responsibility for health care's strategic planning and preparedness.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan establishes that care shall be equitable regardless of place of residence and wants the state to take greater responsibility for health care's strategic planning and preparedness. Reviewing and expanding the national vaccination programme to counter regional differences follows from precisely that line, as well as from public health work being based on knowledge. The plan does not explicitly mention the vaccination programme, so the position is derived.

Original (Swedish)

Planen slår fast att vården ska vara jämlik oavsett bostadsort och vill att staten tar ett större ansvar för sjukvårdens strategiska planering och beredskap. Att se över och utöka det nationella vaccinationsprogrammet för att motverka regionala skillnader följer av just den linjen, liksom av att folkhälsoarbetet ska vila på kunskap. Planen nämner inte vaccinationsprogrammet uttryckligen, så ställningstagandet är härlett.

  • equitable care regardless of place of residencedecisive»Vården ska vara jämlik.« (party programme ↗)“Care shall be equitable.”
  • state responsibility for preparedness»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for health care's strategic planning, placement of highly specialized care, preparedness and long-term competence provision.”
  • knowledge-based prevention»Folkhälsoarbetet och de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“Public health work and preventive health measures shall be based on knowledge”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

KDKristdemokraternaNoYesdeparts from the planderived

The election manifesto's central health care promise is that place of residence shall not determine what care one receives and that care shall be equal on equal terms for the entire population.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto's central health care promise is that place of residence shall not determine what care one receives and that care shall be equal on equal terms for the entire population. The counter-proposal's demand for a review and expansion of the national vaccination program, in part to counter regional differences in preventive care, is thus in line with the plan. The party programme's requirement for needs-based and evidence-based care supports such an assessment.

Original (Swedish)

Valmanifestets bärande vårdlöfte är att bostadsorten inte ska avgöra vilken vård man får och att vården ska vara jämlik på lika villkor för hela befolkningen. Motförslagets krav på en översyn och utökning av det nationella vaccinationsprogrammet, bland annat för att motverka regionala skillnader i förebyggande vård, ligger därmed i planens linje. Partiprogrammets krav på behovsstyrd och evidensbaserad vård stödjer en sådan prövning.

  • equal care regardless of residencedecisive»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live shall not determine what health care you receive.”
  • national responsibility for care»Det ger en högkvalitativ, effektiv och jämlik vård på lika villkor till hela befolkningen.« (2022 manifesto ↗)“It provides high-quality, effective and equal care on equal terms to the entire population.”
  • needs-based care»Den solidariskt finansierade hälso- och sjukvården är välfärdens kärna och ska vara behovsstyrd.« (party programme ↗)“The solidaristically financed healthcare is the core of welfare and shall be needs-based.”
  • evidence-based priorities»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad.« (party programme ↗)“The solidaristically financed healthcare shall be appropriate and cost-effective, safe for patients and based on knowledge and proven experience, that is evidence-based.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MModeraternaNoYesdeparts from the plannot addressed

The plan does not address the vaccination programme, but states that healthcare should be equivalent regardless of where in the country you live and identifies regional differences in quality and waiting times as a problem.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan does not address the vaccination programme, but states that healthcare should be equivalent regardless of where in the country you live and identifies regional differences in quality and waiting times as a problem. The counter-proposal's demand for a review and expansion of the national vaccination programme, among other things to counteract regional differences, follows from this principle. The plan also wants to strengthen early detection and risk profiling as well as medical expertise for the elderly.

Original (Swedish)

Planen behandlar inte vaccinationsprogrammet, men slår fast att vården ska vara likvärdig oavsett var i landet man bor och pekar ut regionala skillnader i kvalitet och väntetider som ett problem. Motförslagets krav på en översyn och utökning av det allmänna vaccinationsprogrammet, bland annat för att motverka regionala skillnader, följer av den principen. Planen vill också stärka tidig upptäckt och riskprofilering samt den medicinska kompetensen kring äldre.

  • equivalent healthcare throughout the countrydecisive»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor. Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“You should feel confident that welfare works regardless of where in the country you live. Everyone has the right to equivalent healthcare - that can be provided at the right time and maintains high quality.”
  • regional differences should decrease»Det finns också stora regionala skillnader i kvalitet och väntetider.« (2022 manifesto ↗)“There are also large regional differences in quality and waiting times.”
  • early detection and prevention»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve the possibilities for earlier diagnosis, among other things with the help of digital decision support and structured work methods such as risk profiling”
  • strengthened medical expertise for the elderly»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical expertise and continuity must be strengthened in elderly care.”

flags: citat_migrerat

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SDSverigedemokraternaNoYesdeparts from the planderived

The party programme establishes that even and good care across the country is of utmost importance so that regional imbalances do not arise, and the election manifesto points to governance through 21 regions as the main problem.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme establishes that even and good care across the country is of utmost importance so that regional imbalances do not arise, and the election manifesto points to governance through 21 regions as the main problem. The counter-proposal's demand to review and expand the general vaccination programme, not least to counter regional differences in preventive care, aligns with this. The plan also wants to review healthcare's organisation.

Original (Swedish)

Partiprogrammet slår fast att en jämn och god vård över hela landet är av yttersta vikt så att regionala obalanser inte uppstår, och valmanifestet pekar ut styrningen via 21 regioner som huvudproblemet. Motförslagets krav på att se över och utöka det allmänna vaccinationsprogrammet, bland annat för att motverka regionala skillnader i förebyggande vård, ligger i linje med detta. Planen vill också se över sjukvårdens organisation.

  • equitable care across the countrydecisive»Sverigedemokraterna ser till hela Sveriges bästa och anser det därför vara av yttersta vikt att det skapas en jämn och god vård över hela landet så att inte regionala obalanser uppstår.« (party programme ↗)“Sweden Democrats look to the benefit of all Sweden and therefore consider it of utmost importance that even and good care is created across the entire country so that regional imbalances do not arise.”
  • regional governance creates inequity»Huvudproblemet handlar i betydande utsträckning om att styrningen via 21 olika regioner skapar otydlighet, målkonflikter, successivt ökande administration och brister i kompetensförsörjningen.« (2022 manifesto ↗)“The main problem largely concerns the fact that governance through 21 different regions creates lack of clarity, goal conflicts, progressively increasing administration, and shortcomings in competence provision.”
  • national healthcare governance»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review healthcare's organisation”
  • evidence-based care»Regionerna ska tillhandahålla evidensbaserad vård« (party programme ↗)“Regions shall provide evidence-based care”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

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Sources and documents

Documents under consideration

Source: The Swedish Parliament