2025-04-102024/25:SoU22 · p.24SoUHealth & social services

Preparedness in health care

The role of private care providers in healthcare's crisis preparedness

What's at stake: The decision affects patients and staff in both public and private care during crises, war or mass-casualty events, and whether preparedness becomes uniform regardless of who runs the care operation. If the motion is rejected, there is no general legal requirement ensuring that private care providers take part in crisis preparedness on the same terms as public providers.

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 law should require all publicly financed private care providers with regional contracts to be covered by the same crisis-preparedness requirements as public healthcare, or whether this can continue to be handled through ongoing preparedness work without such a change in the law.

Yes Yes — the committee proposal

The committee stresses that good preparedness in healthcare is a priority and points to ongoing work: funds set aside in the budget, agreements between the Swedish Civil Contingencies Agency and SKR on compensation to municipalities and regions, prioritisation of designated preparedness hospitals in strategically important areas, a national mass-casualty plan and a uniform triage system, and proposals to activate civil conscription to strengthen healthcare staffing. With reference to this ongoing work, the committee rejects the motion calling for a legal extension of requirements to private care providers.

No No — the reservations

Reservation 33 (V)

The reservation (V) calls for publicly financed private care units to be covered by law by the state's crisis preparedness on the same terms as public care, and for the government to take steps ensuring that all private care companies with regional contracts are included in regional and state crisis preparedness.

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 33 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 0/19/0/5follows the planconfidence: mediumderived
SNoAbstain 0/0/89/17departs from the planconfidence: highexplicit
MPNoAbstain 0/0/13/5departs from the planconfidence: mediumnot addressed
CNoYes 20/0/0/4departs from the planconfidence: mediumderived
LNoYes 12/0/0/4departs from the planconfidence: mediumnot addressed
KDNoYes 14/0/0/5departs from the planconfidence: mediumnot addressed
MNoYes 56/0/0/12departs from the planconfidence: lowderived
SDNoYes 62/0/0/10departs from the planconfidence: mediumnot addressed

Committee proposal

Parliament rejects the motions 2024/25:1923 by Nooshi Dadgostar et al. (V) item 19, 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) items 37 and 62 and 2024/25:3038 by Daniel Helldén et al. (MP) items 18 and 19.

Original (Swedish)

Riksdagen avslår motionerna 2024/25:1923 av Nooshi Dadgostar m.fl. (V) yrkande 19, 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 37 och 62 samt 2024/25:3038 av Daniel Helldén m.fl. (MP) yrkandena 18 och 19.

Riksdag decision: Parliament rejected approximately 120 proposals in motions concerning skills provision, e-health and preparedness. The motions were submitted during the general motion period 2024 and concern, among other things, a national plan for health care's skills provision and preparedness within health care. Parliament refers primarily to the fact that work is already underway within the areas that the proposals address.

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 planderived

The party programme requires that resources for healthcare increase to strengthen preparedness for crises, disasters and war, and the election manifesto draws the conclusion from the pandemic that private healthcare companies' promises did not suffice.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme requires that resources for healthcare increase to strengthen preparedness for crises, disasters and war, and the election manifesto draws the conclusion from the pandemic that private healthcare companies' promises did not suffice. To by law let all private healthcare providers with regional contracts participate in joint crisis preparedness follows from the plan wanting to put an end to market healthcare and subordinate profit-driven actors to society's needs. The plan speaks of preparedness as a whole, not of precisely this legal requirement, hence the inference.

Original (Swedish)

Partiprogrammet kräver att resurserna till vården ökar för att stärka beredskapen inför kriser, katastrofer och krig, och valmanifestet drar slutsatsen av pandemin att privata vårdföretags löften inte räckte. Att i lag låta alla privata vårdgivare med regionavtal ingå i den gemensamma krisberedskapen följer av att planen vill sätta punkt för marknadsvården och underordna vinstdrivna aktörer samhällets behov. Planen talar om beredskapen som helhet, inte om just detta lagkrav, därav härledningen.

  • strengthened preparedness in healthcaredecisive»och stärka beredskapen inför kriser, katastrofer och krig.« (party programme ↗)“and strengthen preparedness for crises, disasters and war.”
  • privatizations weakened preparedness»Konsekvenserna av många år av nedskärningar och privatiseringar syntes i att äldre inte skyddades från smittan trots löften från vårdföretagen« (2022 manifesto ↗)“The consequences of many years of cuts and privatizations were seen in that elderly were not protected from infection despite promises from healthcare companies”
  • stop market healthcare»Vi vill sätta punkt för marknadsvården.« (party programme ↗)“We want to put an end to market healthcare.”
  • profit ban in welfare»Vänsterpartiet vill införa ett totalförbud mot alla vinstdrivande verksamhetsformer inom välfärden.« (2022 manifesto ↗)“The Left Party wants to introduce a total ban on all profit-driven operations within welfare.”
SSocialdemokraternaNoAbstaindeparts from the planexplicit

The election manifesto explicitly establishes that private healthcare providers shall be obliged to contribute personnel and care places in case of crisis or war, and that they shall be subject to the same requirements as public activities regarding education and the principle of public access.

Plan documents: 2022 manifesto

Reasoning and quotes

The election manifesto explicitly establishes that private healthcare providers shall be obliged to contribute personnel and care places in case of crisis or war, and that they shall be subject to the same requirements as public activities regarding education and the principle of public access. The counter-proposal's demand that all private healthcare companies with regional agreements are included in emergency preparedness is precisely this commitment. The plan therefore supports the demand.

Original (Swedish)

Valmanifestet slår uttryckligen fast att privata vårdgivare ska vara skyldiga att bidra med personal och vårdplatser i händelse av kris eller krig, och att de ska omfattas av samma krav som offentlig verksamhet i fråga om utbildning och offentlighetsprincip. Motförslagets krav att alla privata vårdföretag med regionavtal i lag ingår i krisberedskapen är precis detta åtagande. Planen stöder därför kravet.

  • obligations for private healthcare providersdecisive»Privata vårdgivare ska vara skyldiga att bidra med personal och vårdplatser i händelse av kris eller krig.« (2022 manifesto ↗)“Private healthcare providers shall be obliged to contribute personnel and care places in case of crisis or war.”
  • same requirements as public care»Privata vårdgivare ska också erbjuda verksamhetsförlagd utbildning till personalen.« (2022 manifesto ↗)“Private healthcare providers shall also offer work-based training to staff.”
  • transparency in private care»Offentlighetsprincipen ska gälla även privat vård och omsorg.« (2022 manifesto ↗)“The principle of public access shall apply also to private care and elderly care.”
  • strengthened emergency preparedness»Arbetet att förstärka det civila försvaret och krisberedskapen måste fortsätta« (2022 manifesto ↗)“Work on strengthening civil defense and emergency preparedness must continue”

The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.

MPMiljöpartietNoAbstaindeparts from the plannot addressed

The party programme requires that all publicly funded welfare, regardless of provider, maintains high quality and that welfare activities are not handled as any market; freedom of expression and the principle of transparency shall apply to all publicly funded welfare services.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme requires that all publicly funded welfare, regardless of provider, maintains high quality and that welfare activities are not handled as any market; freedom of expression and the principle of transparency shall apply to all publicly funded welfare services. The election manifesto moreover wants to increase appropriations for civil defence. That private care providers with regional contracts are covered by the same emergency preparedness requirements in law follows from this non-discrimination principle.

Original (Swedish)

Partiprogrammet kräver att all offentligfinansierad välfärd oavsett utförare håller hög kvalitet och att välfärdens verksamheter inte hanteras som vilken marknad som helst; meddelarfrihet och offentlighetsprincipen ska gälla alla offentligt finansierade välfärdstjänster. Valmanifestet vill dessutom öka anslagen till krisberedskap. Att i lag låta privata vårdgivare med regionavtal omfattas av samma krisberedskapskrav följer av denna likabehandlingsprincip.

  • equal requirements regardless of providerdecisive»All offentligfinansierad välfärd oavsett utförare ska« (party programme ↗)“All publicly funded welfare regardless of provider shall”
  • strengthened emergency preparedness»satsa en större andel av försvarets pengar på det civila försvaret, och öka anslagen till krisberedskap.« (2022 manifesto ↗)“allocate a larger share of defence spending to civil defence, and increase appropriations for emergency preparedness.”
  • public rules for private providers»Meddelarfrihet och offentlighetsprincipen ska gälla« (party programme ↗)“Freedom of expression and the principle of transparency shall apply to”
  • welfare is not a market»Välfärdens verksamheter får inte hanteras som vilken marknad som helst.« (party programme ↗)“Welfare activities must not be handled as any market.”

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.

CCenterpartietNoYesdeparts from the planderived

The plan promises to equip civil defence and society's preparedness for war and crisis, which includes healthcare's capacity regardless of who runs the activity.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan promises to equip civil defence and society's preparedness for war and crisis, which includes healthcare's capacity regardless of who runs the activity. That publicly financed private care facilities are covered by the same preparedness requirements also follows from the plan's demand for competition-neutral regulations. The plan values choice but that does not prevent equivalent preparedness requirements, so the demand is supported.

Original (Swedish)

Planen lovar att rusta civilförsvaret och samhällets beredskap inför krig och kris, vilket omfattar hälso- och sjukvårdens förmåga oavsett vem som driver verksamheten. Att offentligt finansierade privata vårdenheter omfattas av samma beredskapskrav följer också av planens krav på konkurrensneutrala regelverk. Planen värnar valfriheten men det hindrar inte likvärdiga beredskapskrav, så kravet stöds.

  • equip civil preparednessdecisive»Även det civila försvaret är livsviktigt. Vi måste rusta civilförsvaret och samhällets beredskap inför krig och kris.« (2022 manifesto ↗)“Civil defence is also vital. We must equip civil defence and society's preparedness for war and crisis.”
  • strengthened civil preparedness»Centerpartiet vill rusta försvaret, stärka Sveriges civila beredskap och fullfölja inträdet i Nato.« (2022 manifesto ↗)“Centerpartiet wants to equip the military, strengthen Sweden's civil preparedness and complete entry into Nato.”
  • competition-neutral regulations»Viktigt är också att näringslivet får konkurrensneutrala regelverk« (party programme ↗)“It is also important that the business sector gets competition-neutral regulations”
  • choice in care»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna.« (2022 manifesto ↗)“We want to defend choice within care and nursing and run the activity close to those being cared 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.

LLiberalernaNoYesdeparts from the plannot addressed

The plan establishes that private and public providers shall operate on equal terms and be subject to the same requirements, with state supervision based on national standards.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan establishes that private and public providers shall operate on equal terms and be subject to the same requirements, with state supervision based on national standards. That publicly financed private care providers should also be included in crisis preparedness follows directly from that equality. The plan's commitment to state responsibility for healthcare preparedness and a strengthened civil defence point in the same direction.

Original (Swedish)

Planen slår fast att privata och offentliga utförare ska verka på lika villkor och omfattas av samma krav, med statlig tillsyn utifrån nationella normer. Att offentligt finansierade privata vårdgivare också ska ingå i krisberedskapen följer direkt av den likställigheten. Planens åtagande om statligt ansvar för sjukvårdens beredskap och ett stärkt civilt försvar pekar åt samma håll.

  • equal terms for private and publicdecisive»Privata och offentliga utförare ska verka på lika villkor och ska omfattas av samma« (party programme ↗)“Private and public providers shall operate on equal terms and shall be subject to the same”
  • state responsibility for healthcare 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 healthcare's strategic planning, placement of highly specialized care, preparedness and long-term competence supply.”
  • strengthened civil defence»det civila försvaret stärkas i samma takt som det militära« (2022 manifesto ↗)“civil defence is strengthened at the same pace as the military”
  • state supervision according to national standards»Tillsynen ska ske i statlig regi utifrån nationellt fastställda kvalitetsnormer.« (party programme ↗)“Supervision shall take place in state management based on nationally established quality standards.”

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 plan requires that total defence has sufficient preparedness to handle both civilian disasters and military threats, and that Sweden in principle can provide for the population's supply.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan requires that total defence has sufficient preparedness to handle both civilian disasters and military threats, and that Sweden in principle can provide for the population's supply. If a large part of care capacity is private, that preparedness cannot be maintained without also these care providers being included. The plan moreover states that public, voluntary and private activities shall complement each other.

Original (Swedish)

Planen kräver att totalförsvaret har tillräcklig beredskap för att kunna hantera såväl civila katastrofer som militära hot, och att Sverige i princip kan svara för befolkningens försörjning. Om en stor del av vårdkapaciteten är privat kan den beredskapen inte upprätthållas utan att också dessa vårdgivare omfattas. Planen slår dessutom fast att offentlig, ideell och privat verksamhet ska komplettera varandra.

  • preparedness against social crisesdecisive»delta i hanteringen av katastrofer och andra svåra påfrestningar i samhället samt att delta i förebyggande åtgärder för att begränsa riskerna för sådana.« (party programme ↗)“participate in the handling of disasters and other severe strains on society as well as participate in preventive measures to limit the risks for such.”
  • public and private complement»Offentlig, ideell och privat verksamhet ska komplettera varandra.« (party programme ↗)“Public, voluntary and private activities shall complement each other.”
  • national supply security»kunna svara för befolkningens livsmedels- och energi« (party programme ↗)“be able to provide for the population's food and energy”
  • care is prioritized»Vi prioriterar vården, för alla dem som lider i väntan på vård.« (2022 manifesto ↗)“We prioritize care, for all those who suffer while waiting for 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.

MModeraternaNoYesdeparts from the planderived

The counter-proposal requires that publicly financed private healthcare providers by law are included in regions' and the state's crisis preparedness on the same terms as public ones.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The counter-proposal requires that publicly financed private healthcare providers by law are included in regions' and the state's crisis preparedness on the same terms as public ones. The plan wants to strengthen civil defence with long-term planning and better preparedness stocks of medicines and medical supplies, since military defence otherwise cannot accomplish its tasks, and it sees welfare as a combination of public and private delivery. Derived from this, the plan supports the demand.

Original (Swedish)

Motförslaget kräver att offentligt finansierade privata vårdgivare i lag ingår i regionernas och statens krisberedskap på samma villkor som offentliga. Planen vill stärka det civila försvaret med långsiktig planering och bättre beredskapslager av läkemedel och sjukvårdsmateriel, eftersom det militära försvaret annars inte kan lösa sina uppgifter, och den ser välfärden som en kombination av offentligt och privat utförande. Härlett ur detta stöder planen kravet.

  • preparedness in healthcaredecisive»Utöver bättre livmedelsberedskap behöver Sverige bygga upp bättre beredskapslager av till exempel läkemedel och sjukvårdsmateriel.« (2022 manifesto ↗)“Beyond better food preparedness, Sweden needs to build up better preparedness stocks of, for example, medicines and medical supplies.”
  • long-term civil preparedness»Säkra en långsiktig planering för det civila försvaret« (2022 manifesto ↗)“Secure long-term planning for civil defence”
  • civil defence crucial»Fungerar inte det civila försvaret så kan inte heller det militära försvaret lösa sina uppgifter.« (2022 manifesto ↗)“If civil defence does not function, neither can military defence accomplish its tasks.”
  • public and private together»välfärdssamhälle kombinerar offentligt och privat i såväl utförande som finansiering.« (party programme ↗)“welfare society combines public and private in both delivery and financing.”

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 plannot addressed

The plan wants to strengthen society's preparedness for all types of crises and explicitly develops special crisis legislation for how society's efforts shall be coordinated.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan wants to strengthen society's preparedness for all types of crises and explicitly develops special crisis legislation for how society's efforts shall be coordinated. Crisis management capacity shall be strengthened at authorities, regions and municipalities. Allowing tax-financed private healthcare providers to participate in regions' and the state's crisis preparedness by law follows from that ambition.

Original (Swedish)

Planen vill stärka samhällets beredskap för alla typer av kriser och tar uttryckligen fram särskild krislagstiftning för hur samhällets insatser ska kunna samordnas. Krisledningsförmågan ska stärkas hos myndigheter, regioner och kommuner. Att i lag låta skattefinansierade privata vårdgivare ingå i regionernas och statens krisberedskap följer av den ambitionen.

  • strengthened crisis preparednessdecisive»Sverigedemokraterna vill stärka samhällets beredskap för alla typer av kriser som kan uppstå.« (2022 manifesto ↗)“Sweden Democrats want to strengthen society's preparedness for all types of crises that may occur.”
  • special crisis legislation»Särskild lagstiftning bör tas fram för hur en krisorganisation effektivt ska kunna samordna samhällets insatser vid en kris och hur undantagsåtgärder snabbt ska kunna sättas in av det allmänna.« (2022 manifesto ↗)“Special legislation should be developed for how a crisis organization can effectively coordinate society's efforts in a crisis and how exceptional measures can be quickly implemented by the state.”
  • strengthened crisis management in the regions»Den operativa krisledningsförmågan behöver stärkas på Regeringskansliet och vid landets myndigheter, regioner och kommuner.« (2022 manifesto ↗)“The operational crisis management capacity needs to be strengthened at the Government Offices and at the country's authorities, regions and municipalities.”
  • preparedness for medical materials»Sveriges självförsörjning av energi, livsmedel och medicinskt material behöver öka och snabbt kunna skalas upp vid långvariga störningar.« (2022 manifesto ↗)“Sweden's self-sufficiency in energy, food and medical material needs to increase and be able to rapidly scale up during prolonged disruptions.”

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