2023-03-222022/23:SoU22 · p.14SoUHealth & social services

Housing matters

Housing issues in elderly care: the right to assisted living

What's at stake: The issue concerns older people's access to assisted living, including on grounds of loneliness and anxiety, and how private providers of elderly housing should be scrutinized.

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

What the vote decides

Parliament decides whether the state should direct how municipalities assess and offer assisted living for older people—for example through a national survey and an expanded right to housing for people over 85—or whether the current municipal assessment process should remain unchanged.

Yes Yes — the committee proposal

The committee rejects the motions on housing issues for the elderly, including a national mapping of assisted-living places and an expanded right to assisted living, and sees no need for parliament to make a statement on the matter.

No No — the reservations

Reservation 28 (V)

The reservation (V) calls on the government to map the number of assisted-living places and rejected applications, change the guidelines so that loneliness and anxiety can justify the right to assisted living, guarantee everyone over 85 the right to assisted living, and investigate the fees and add-on services of private housing providers.

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 28 by V.

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
Vown reservationNoNo 0/21/0/3follows the planconfidence: mediumnot addressed
SNoYes 92/0/1/14departs from the planconfidence: lownot addressed
MPNoYes 16/0/0/2departs from the planconfidence: mediumnot addressed
CYesAbstain 0/0/21/3departs from the planconfidence: lownot addressed
LNoYes 14/0/0/2departs from the planconfidence: mediumnot addressed
KDNoYes 17/0/0/2departs from the planconfidence: mediumnot addressed
MYesYes 60/0/0/8follows the planconfidence: lownot addressed
SDNoAbstain 0/0/64/9departs from the planconfidence: mediumnot addressed

Broke with the party line

SAdnan Dibrani (S, Hallands län)Abstain — party line: Yes

MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.

Committee proposal

The Riksdag rejects the motions 2022/23:85 by Karin Rågsjö et al. (V) demands 4-8, 2022/23:901 by Christofer Bergenblock et al. (C) demands 26 and 35 and 2022/23:927 by Linda Lindberg et al. (SD) demands 5 and 7.

Original (Swedish)

Riksdagen avslår motionerna 2022/23:85 av Karin Rågsjö m.fl. (V) yrkandena 4-8, 2022/23:901 av Christofer Bergenblock m.fl. (C) yrkandena 26 och 35 samt 2022/23:927 av Linda Lindberg m.fl. (SD) yrkandena 5 och 7.

Riksdag decision: The Riksdag rejected approximately 90 proposals in motions submitted during the general motion period 2022, primarily citing ongoing work. The proposals in the motions concerned, among other things, the rights of the elderly, the organisation and financing of elderly care, staff continuity and conditions, language requirements for staff in elderly care, and nutrition and meals for the elderly.

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.

VVänsterpartietNoNofollows the plannot addressed

The election manifesto establishes that care shall be provided according to need regardless of housing form and that dependence on care shall not limit the elderly person's ability to control their life.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto establishes that care shall be provided according to need regardless of housing form and that dependence on care shall not limit the elderly person's ability to control their life. An expanded right to special housing where loneliness and anxiety can found the right, and a survey of rejections, realizes this needs-based perspective. That private care facilities' fees and supplementary services are examined follows from the plan's demand that profit interests should not control welfare.

Original (Swedish)

Valmanifestet slår fast att vård och omsorg ska ges efter behov oavsett boendeform och att beroendet av omsorg inte får begränsa den äldres möjlighet att styra över sitt liv. En utvidgad rätt till särskilt boende där ensamhet och oro kan grunda rätten, och en kartläggning av avslagen, förverkligar detta behovsstyrda synsätt. Att privata boendeföretags avgifter och tilläggstjänster granskas följer av planens krav på att vinstintressen inte ska styra välfärden.

  • care according to needdecisive»Vård och omsorg måste ges efter behov oavsett om du bor på ett särskilt boende eller har insatser av hemtjänsten.« (2022 manifesto ↗)“Care must be provided according to need regardless of whether you live in special housing or receive home help services.”
  • self-determination in care»Att du är beroende av omsorg ska inte, som idag, begränsa dina möjligheter att styra över ditt liv.« (2022 manifesto ↗)“That you depend on care should not, as it does today, limit your ability to control your life.”
  • profit ban in welfare»Vänsterpartiet vill införa ett totalförbud mot alla vinstdrivande verksamhetsformer inom välfärden.« (2022 manifesto ↗)“The Left Party wants to introduce a complete ban on all profit-driven forms of activity within welfare.”
  • needs before ability to pay»Behoven, inte betalningsförmågan ska vara avgörande« (party programme ↗)“Needs, not ability to pay, should be decisive”
SSocialdemokraternaNoYesdeparts from the plannot addressed

The plan's commitment is that aging should be safe and that a new elderly care law shall ensure equal care throughout the country, which supports the counter-proposal's demands for mapping and an expanded right to special housing.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan's commitment is that aging should be safe and that a new elderly care law shall ensure equal care throughout the country, which supports the counter-proposal's demands for mapping and an expanded right to special housing. The programme's requirement for equal access to care throughout the country points in the same direction, as does the requirement for transparency in private providers when fees and additional services shall be examined. No age limit of 85 exists in the documents, hence low certainty.

Original (Swedish)

Planens åtagande är att det ska vara tryggt att åldras och att en ny äldreomsorgslag ska säkerställa lika bra omsorg i hela landet, vilket talar för motförslagets krav på kartläggning och en vidgad rätt till särskilt boende. Programmets krav på likvärdig tillgång till omsorg i hela landet pekar i samma riktning, liksom kravet på insyn i privata utförare när avgifter och tilläggstjänster ska granskas. Någon åldersgräns om 85 år finns inte i dokumenten, därav låg säkerhet.

  • statutory equal elderly caredecisive»Vi vill ha en ny äldreomsorgslag som säkerställer att alla får en lika bra omsorg i hela landet och tillgång till sjuksköterskor dygnet runt.« (2022 manifesto ↗)“We want a new elderly care law that ensures everyone receives equal care throughout the country and access to nurses around the clock.”
  • safe old age»Det ska vara tryggt att åldras i Sverige.« (2022 manifesto ↗)“Aging should be safe in Sweden.”
  • equal care in the country»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.”
  • transparency in private providers»krav på öppenhet och insyn ska ställas på de privata aktörer som verkar inom den« (party programme ↗)“requirements for transparency and openness shall be placed on private actors operating within”

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.

MPMiljöpartietNoYesdeparts from the plannot addressed

The party programme requires that municipalities improve their planning so that older people who wish and need it can be offered residential care or service housing, and that care is based on older people's individual needs where self-determination and social interaction matter.

Plan documents: party programme

Reasoning and quotes

The party programme requires that municipalities improve their planning so that older people who wish and need it can be offered residential care or service housing, and that care is based on older people's individual needs where self-determination and social interaction matter. This supports both mapping and an expanded right to special housing where loneliness and anxiety are weighed in. The plan is moreover critical of profit-driven welfare arrangements, which supports scrutiny of private fees and ancillary services.

Original (Swedish)

Partiprogrammet kräver att kommunerna blir bättre på att planera så att den äldre som önskar och behöver ska kunna erbjudas äldreboende eller serviceboende, och att omsorgen utgår från de äldres individuella behov där självbestämmande och socialt umgänge räknas. Det talar för både kartläggning och en vidgad rätt till särskilt boende där ensamhet och oro vägs in. Planen är dessutom kritisk till vinstdrivna välfärdsupplägg, vilket stöder en granskning av privata avgifter och tilläggstjänster.

  • residential care when the need existsdecisive»behöver ska kunna erbjudas äldreboende, serviceboende eller annat lämpligt alternativ.« (party programme ↗)“should be able to be offered residential care, service housing or other suitable alternative.”
  • care according to individual needs»utgår från de äldres individuella behov.« (party programme ↗)“is based on older people's individual needs.”
  • self-determination and community»Ett rikt liv kännetecknas av självbestämmande,« (party programme ↗)“A rich life is characterised by self-determination,”
  • scrutinise profit-driven welfare»vinstintresset leder till besparingar som drabbat« (party programme ↗)“profit interest leads to savings that have hit”

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.

CCenterpartietYesAbstaindeparts from the plannot addressed

The plan says that care should be delivered close to care recipients and that responsibility should not be moved from regions to the state, and the party programme makes decentralisation a pervasive principle where equivalent requirements can be met in different ways locally.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan says that care should be delivered close to care recipients and that responsibility should not be moved from regions to the state, and the party programme makes decentralisation a pervasive principle where equivalent requirements can be met in different ways locally. Nationally established guidelines and a general statutory right to special housing at a certain age point in the opposite direction. The plan moreover protects diversity of providers, which speaks against special scrutiny of private housing companies. The conclusion is derived from principles, not from an explicit commitment.

Original (Swedish)

Planen säger att omsorgen ska bedrivas nära vårdtagarna och att ansvaret inte ska flyttas från regionerna till staten, och partiprogrammet gör decentralisering till en genomgående princip där likvärdiga krav får nås på olika sätt lokalt. Nationellt fastställda riktlinjer och en generell lagstadgad rätt till särskilt boende vid en viss ålder går i motsatt riktning. Planen värnar dessutom mångfalden av utförare, vilket talar mot en särskild granskning av privata boendeföretag. Slutsatsen är härledd ur principer, inte ur ett uttalat åtagande.

  • freedom of choice and regional responsibilitydecisive»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 deliver activities close to care recipients. Responsibility for care should not be moved from regions to the state.”
  • decentralised decision-making»Decentralisering handlar om att flytta makten närmare människors vardag.« (party programme ↗)“Decentralisation is about moving power closer to people's everyday lives.”
  • diversity of welfare providers»Det är positivt att både företag, offentliga institutioner och civilsamhället är med och utvecklar« (party programme ↗)“It is positive that both companies, public institutions, and civil society are involved in developing”
  • diversity of housing forms»Olika typer av boendeformer behövs för att kunna erbjuda alla människor« (party programme ↗)“Different types of housing forms are needed to be able to offer all people”

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.

LLiberalernaNoYesdeparts from the plannot addressed

The party programme makes it an obligation for elderly care to break involuntary loneliness, wants security housing not to require needs assessment and notes that quality differences between municipalities are far too large.

Plan documents: party programme

Reasoning and quotes

The party programme makes it an obligation for elderly care to break involuntary loneliness, wants security housing not to require needs assessment and notes that quality differences between municipalities are far too large. The counter-proposal's demands for mapping, that loneliness and anxiety can ground the right to specialized housing, and the right to housing for the very elderly follow from these commitments. The plan does not specify an age limit however, so the support is derived.

Original (Swedish)

Partiprogrammet gör det till en uppgift för äldreomsorgen att bryta ofrivillig ensamhet, vill att trygghetsboenden inte ska vara biståndsbedömda och konstaterar att kvalitetsskillnaderna mellan kommunerna är alltför stora. Motförslagets krav på kartläggning, på att ensamhet och oro kan grunda rätt till särskilt boende och på en rätt till boende för de äldsta följer av dessa åtaganden. Planen anger dock ingen åldersgräns, varför stödet är härlett.

  • break involuntary loneliness among the elderlydecisive»ska bidra till att bryta ofrivillig ensamhet.« (party programme ↗)“shall contribute to breaking involuntary loneliness.”
  • housing without needs assessment»Trygghetsboenden ska inte vara biståndsbedömda.« (party programme ↗)“Security housing shall not require needs assessment.”
  • equalize municipal quality differences»Skillnaderna i äldreomsorgens kvalitet är alltför stora mellan kommunerna.« (party programme ↗)“The differences in quality of elderly care are far too great between municipalities.”
  • elderly people's self-determination»Äldres rätt till självbestämmande ska hävdas och alla tendenser till åldersfördomar bekämpas.« (party programme ↗)“The elderly's right to self-determination shall be upheld and all signs of age discrimination shall be combated.”

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 plannot addressed

The election manifesto promises more secure housing and community housing and wants to break elderly people's involuntary loneliness and isolation; the party programme requires a varied range of housing types with individual needs as starting point.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto promises more secure housing and community housing and wants to break elderly people's involuntary loneliness and isolation; the party programme requires a varied range of housing types with individual needs as starting point. That loneliness and anxiety should give right to special housing and that provision is charted lies in line with this. The exact age limit of 85 years is not addressed in the plan.

Original (Swedish)

Valmanifestet lovar fler trygghetsboenden och gemenskapsboenden och att bryta äldres ofrivilliga ensamhet och isolering; partiprogrammet kräver ett varierat utbud av boendeformer med individuella behov som utgångspunkt. Att ensamhet och oro ska kunna ge rätt till särskilt boende och att tillgången kartläggs ligger i linje med detta. Den exakta åldersgränsen 85 år behandlas inte i planen.

  • break elderly lonelinessdecisive»Bryt äldres ofrivilliga ensamhet och isolering genom äldresamtal i alla kommuner« (2022 manifesto ↗)“Break elderly people's involuntary loneliness and isolation through elderly conversations in all municipalities”
  • more housing for elderly»Fler trygghetsboenden, gemenskapsboenden för äldre.« (2022 manifesto ↗)“More secure housing, community housing for elderly people.”
  • varied range of housing types»ett varierat utbud av boendeformer« (party programme ↗)“a varied range of housing types”
  • individual needs drive»Individuella behov ska vara utgångspunkten för« (party programme ↗)“Individual needs shall be the starting point for”

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.

MModeraternaYesYesfollows the plannot addressed

The plan's path to better elderly care is quality, medical continuity and choice, not new statutory rights to housing for entire age groups.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan's path to better elderly care is quality, medical continuity and choice, not new statutory rights to housing for entire age groups. The party programme emphasizes that politics must prioritize and choose to exclude and that choice is central to the welfare model, which also speaks against an examination directed at private housing companies' charges. The plan therefore does not support the counter-proposal's requirement.

Original (Swedish)

Planens väg till en bättre äldreomsorg är kvalitet, medicinsk kontinuitet och valfrihet, inte nya lagstadgade rättigheter till boende för hela åldersgrupper. Partiprogrammet understryker att politiken måste prioritera och välja bort och att valfrihet är central i välfärdsmodellen, vilket också talar mot en granskning riktad mot privata boendeföretags avgifter. Planen ger därför inte stöd åt motförslagets krav.

  • prioritize welfare's coredecisive»Politiken har en viktig uppgift att prioritera och välja bort,« (party programme ↗)“Politics has an important task to prioritize and choose to reject,”
  • choice in welfare»För Moderaterna är valfrihet en central del av den svenska« (party programme ↗)“For the Moderates, choice is a central part of the Swedish”
  • quality over new rights»Se till att den patientansvariga läkarkontakten ska utgöra navet i äldres sjukvård« (2022 manifesto ↗)“See to it that the patient responsible doctor contact shall form the hub in elderly healthcare”
  • safe and dignified old age»Äldre har en självklar rätt till en trygg och värdig ålderdom« (party programme ↗)“Older people have a clear right to a safe and dignified old age”
SDSverigedemokraternaNoAbstaindeparts from the plannot addressed

The plan wants to invest in means-tested sheltered housing specifically for elderly people who experience insecurity and where social isolation has become stressful, and requires an elderly care law that strengthens the statutory basis for good living conditions.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan wants to invest in means-tested sheltered housing specifically for elderly people who experience insecurity and where social isolation has become stressful, and requires an elderly care law that strengthens the statutory basis for good living conditions. The counter-proposal's requirement that loneliness and anxiety should be able to give the right to housing, and for mapping of rejections, responds to this commitment. The right to age with dignity is the plan's starting point.

Original (Swedish)

Planen vill satsa på biståndsbedömt trygghetsboende just för äldre som upplever otrygghet och där den sociala isoleringen blivit påfrestande, och kräver en äldreomsorgslag som stärker lagstödet för goda levnadsvillkor. Motförslagets krav på att ensamhet och oro ska kunna ge rätt till boende, och på kartläggning av avslagen, svarar mot detta åtagande. Rätten att åldras med värdighet är planens utgångspunkt.

  • housing for insecurity and isolationdecisive»Vi vill också satsa på biståndsbedömt trygghetsboende för de som upplever en otrygghet i sin vardag och där den sociala isoleringen blivit påfrestande.« (2022 manifesto ↗)“We also want to invest in means-tested sheltered housing for those who experience insecurity in their daily life and where social isolation has become stressful.”
  • strengthened right to good living conditions»En ny äldreomsorgslag måste stärka lagstödet för goda levnadsvillkor då den nuvarande benämningen med skäliga levnadsvillkor inte duger.« (2022 manifesto ↗)“A new elderly care law must strengthen the statutory basis for good living conditions as the current reference to reasonable living conditions is insufficient.”
  • more sheltered housing»Satsa på biståndsbedömt trygghetsboende« (2022 manifesto ↗)“Invest in means-tested sheltered housing”
  • dignified aging»Alla människor skall kunna åldras med värdighet.« (party programme ↗)“All people should be able to age with dignity.”

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.

Share and embed

Embed as a widget (iframe): previewSizeLanguage

Sources and documents

Documents under consideration

Source: The Swedish Parliament