2026-04-222025/26:SoU16 · p.1SoUHealth & social services
Healthcare organisation and financing
State governance of the organization of healthcare
What's at stake: How the organization and financing of healthcare are governed affects how quickly care queues shrink, how equal care is across the country, and the scope for running healthcare services in sparsely populated areas, which particularly affects patients in regions with poorer access to care.
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 Riksdag should direct further demands at the government on how the organization and financing of healthcare should change, or let the government's ongoing initiatives in this area continue without additions.
Yes Yes — the committee proposal
The committee agrees that state governance of healthcare needs to be strengthened but points out that the government has already taken several steps - including a coordinator against care queues, an inquiry into a strengthened care guarantee, and support for healthcare in sparsely populated areas - and therefore rejects the motions.
No No — the reservations
Reservation 2 (C)
The reservation wants a new form of rural primary care introduced, so that small clinics with one doctor and one nurse can be set up where the need is greatest, and wants the government to simplify and make the regulatory framework more flexible for this.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 2 by C.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: KDKristdemokraterna
Ja 235–20Ja 221–34
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | Abstain 0/0/16/6 | differs | confidence: medium | not addressed |
| S | No | Yes 89/0/1/16 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/13/5 | differs | confidence: medium | not addressed |
| C | No | No 0/20/0/4 | match | confidence: high | derived |
| L | No | Yes 11/0/0/5 | differs | confidence: medium | derived |
| KD | No | Yes 14/0/0/5 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 55/0/0/11 | differs | confidence: medium | derived |
| SD | No | Yes 60/0/0/10 | differs | confidence: high | derived |
Broke with the party line
| SÅsa Eriksson (S, Västmanlands 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 2025/26:459 by Gudrun Brunegård (KD) demand 3, 2025/26:668 by Hanna Westerén (S), 2025/26:2035 by Ann-Sofie Lifvenhage (M), 2025/26:2709 by Saila Quicklund (M), 2025/26:2777 by Nooshi Dadgostar et al. (V) demands 2 and 13, 2025/26:2954 by Marléne Lund Kopparklint and Jan Ericson (both M), 2025/26:3179 by Christofer Bergenblock et al. (C) demand 2 and 2025/26:3542 by Nils Seye Larsen et al. (MP) demands 1-4, 14, 16, 29 and 32.
Original (Swedish)
Riksdagen avslår motionerna 2025/26:459 av Gudrun Brunegård (KD) yrkande 3, 2025/26:668 av Hanna Westerén (S), 2025/26:2035 av Ann-Sofie Lifvenhage (M), 2025/26:2709 av Saila Quicklund (M), 2025/26:2777 av Nooshi Dadgostar m.fl. (V) yrkandena 2 och 13, 2025/26:2954 av Marléne Lund Kopparklint och Jan Ericson (båda M), 2025/26:3179 av Christofer Bergenblock m.fl. (C) yrkande 2 och 2025/26:3542 av Nils Seye Larsen m.fl. (MP) yrkandena 1-4, 14, 16, 29 och 32.
Riksdag decision: The Riksdag rejected 176 proposals in motions about healthcare organisation from the general motion period 2025. The proposals concern, among other things, healthcare organisation and financing, privatisation and the law on freedom-of-choice systems, accessible and equitable care, mental health in adults, children and young people, and comorbidity. The Riksdag refers primarily to ongoing work.
Counter-proposals
- The counter-proposal wants to enable smaller medical practices in rural areas. (C) — Reservation 2
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.
The plan requires an equitable and accessible healthcare system regardless of where in the country one lives and specifically points out primary care as underdimensioned.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires an equitable and accessible healthcare system regardless of where in the country one lives and specifically points out primary care as underdimensioned. A new form of care with small practices in sparsely populated areas directly responds to that commitment and to the requirement that societal services exist even in smaller places. That the regulations be simplified is tested against the same goal: care according to need throughout the country.
Original (Swedish)
Planen kräver en jämlik och tillgänglig sjukvård oavsett var i landet man bor och pekar särskilt ut primärvården som underdimensionerad. En ny vårdform med små mottagningar i glesbygd svarar direkt mot det åtagandet och mot kravet att samhällsservice ska finnas även på mindre orter. Att regelverket förenklas prövas mot samma mål: vård efter behov i hela landet.
- 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, equitable and accessible, regardless of where in the country you live and regardless of who you are.”
- increased resources to care»Resurserna till hälso- och sjukvården måste öka för att täcka behoven och stärka beredskapen inför kriser, katastrofer och krig.« (party programme ↗)“Resources to healthcare must increase to meet needs and strengthen preparedness for crises, disasters and war.”
- developed primary care»Men Sverige har idag minst antal vårdplatser i EU och en alldeles för dåligt utbyggd primärvård.« (2022 manifesto ↗)“But Sweden today has the fewest hospital beds in the EU and a far too underdeveloped primary care.”
- service in smaller places»Äldreomsorg, förskola, skola och matbutik behöver finnas på fler mindre orter.« (2022 manifesto ↗)“Elderly care, preschool, school and grocery store need to exist in more smaller places.”
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.
The party programme demands good service and welfare regardless of where in the country one lives and good availability in healthcare, and the election manifesto states that the state shall be present throughout the country.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme demands good service and welfare regardless of where in the country one lives and good availability in healthcare, and the election manifesto states that the state shall be present throughout the country. The counter-proposal's new care form with small staffed clinics where need is greatest is a way to realize this in rural areas. The plan also wants to see increased state responsibility for national equivalence in healthcare. The plan therefore supports the demand.
Original (Swedish)
Partiprogrammet kräver god service och välfärd oavsett var i landet man bor och god tillgänglighet i vården, och valmanifestet slår fast att staten ska finnas närvarande i hela landet. Motförslagets nya vårdform med små bemannade mottagningar där behovet är störst är ett sätt att förverkliga det på landsbygden. Planen vill också se ett ökat statligt ansvar för nationell likvärdighet i sjukvården. Planen stöder därför kravet.
- welfare throughout the countrydecisive»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare to citizens regardless of where in the country they live.”
- state responsibility for equivalent care»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equivalence.”
- state presence throughout the country»Staten ska finnas närvarande i hela landet.« (2022 manifesto ↗)“The state shall be present throughout the country.”
- accessible healthcare»God tillgänglighet i vården.« (party programme ↗)“Good availability in healthcare.”
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.
The plan's healthcare commitment is that primary care must be the hub of nearby care and that access must not be determined by where you live.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's healthcare commitment is that primary care must be the hub of nearby care and that access must not be determined by where you live. The party programme also requires equivalent welfare throughout the country, including rural areas. A new form of care with small clinics where the need is greatest aligns with these commitments, even though the plan does not specify this particular organisational form.
Original (Swedish)
Planens vårdåtagande är att primärvården ska vara navet i en nära vård och att tillgången inte ska avgöras av var man bor. Partiprogrammet kräver också likvärdig välfärd i hela landet, inklusive landsbygderna. En ny vårdform med små mottagningar där behovet är störst ligger i linje med dessa åtaganden, även om planen inte anger just den organisationsformen.
- primary care as hubdecisive»Primärvården ska vara navet i en nära och förebyggande vård« (party programme ↗)“Primary care must be the hub of nearby and preventive care”
- equal care regardless of place of residence»inte längre avgörs av storleken på plånboken eller var man bor.« (party programme ↗)“no longer determined by wallet size or where you live.”
- investment in primary care»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental illness.”
- equivalent welfare throughout the country»Alla ska ha tillgång till likvärdig välfärd« (party programme ↗)“Everyone must have access to equivalent welfare”
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.
The election manifesto's overarching healthcare commitment is that healthcare shall be conducted closer to residents throughout the country and that everyone shall have secure and nearby healthcare regardless of where they live, combined with clearing away complicated regulations in the countryside.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto's overarching healthcare commitment is that healthcare shall be conducted closer to residents throughout the country and that everyone shall have secure and nearby healthcare regardless of where they live, combined with clearing away complicated regulations in the countryside. The counter-proposal's requirement for a new, simple care form with small rural health centres and simplified regulations is a direct application of these commitments. The plan therefore supports the requirement.
Original (Swedish)
Valmanifestets bärande vårdlöfte är att vården ska bedrivas närmare invånarna i hela landet och att alla ska ha en trygg och nära vård oavsett var de bor, kombinerat med att rensa bort krångliga regelverk på landsbygden. Motförslagets krav på en ny, enkel vårdform med små landsbygdsmottagningar och ett förenklat regelverk är en direkt tillämpning av dessa åtaganden. Planen stöder därför kravet.
- nära vård i hela landetdecisive»Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Everyone shall have secure police presence, an equivalent school and secure and nearby healthcare and care — regardless of where they live.”
- vård nära vårdtagarna»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 wish to defend choice in healthcare and care and conduct operations near those receiving care. Responsibility for healthcare shall not be moved from the regions to the state.”
- regelförenkling på landsbygden»Vi ska rensa upp bland överflödiga regler och byråkrati.« (2022 manifesto ↗)“We shall clear away redundant rules and bureaucracy.”
- fast läkarkontakt»Vi vill ge alla rätt till en fast läkarkontakt.« (2022 manifesto ↗)“We wish to give everyone the right to a regular doctor contact.”
The party programme establishes that primary care's role shall be strengthened and that expanded national coordination shall, among other things, increase access to health and medical care in the sparsely populated parts of the country.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that primary care's role shall be strengthened and that expanded national coordination shall, among other things, increase access to health and medical care in the sparsely populated parts of the country. The election manifesto wants detail control and bureaucracy to decrease and everyone to have the right to a regular doctor. A new, simpler form of care with small facilities in the countryside thus lies in the plan's direction, even though the care form is not mentioned.
Original (Swedish)
Partiprogrammet slår fast att primärvårdens roll ska stärkas och att utökad nationell samordning bland annat ska öka tillgången till hälso- och sjukvård i landets glest befolkade delar. Valmanifestet vill att detaljstyrningen och byråkratin minskar och att var och en har rätt till en fast läkare. En ny, enklare vårdform med små mottagningar på landsbygden ligger därmed i planens riktning, även om vårdformen inte nämns.
- strengthened primary caredecisive»Primärvårdens roll i sjukvårdssystemet ska stärkas.« (party programme ↗)“Primary care's role in the healthcare system shall be strengthened.”
- care in sparsely populated areas»Det stärker likvärdigheten och valfriheten, förbättrar vårdmöjligheterna för sällsynta diagnoser och ökar tillgången till hälso- och sjukvård i landets glest befolkade delar.« (party programme ↗)“This strengthens equality and freedom of choice, improves care opportunities for rare diagnoses and increases access to healthcare in the sparsely populated parts of the country.”
- less detail control»Samtidigt ska detaljstyrningen och byråkratin minska i verksamheterna.« (2022 manifesto ↗)“At the same time, detail control and bureaucracy must decrease in operations.”
- regular doctor contact»Du ska ha rätt till en fast läkare på din vårdcentral som har tid för – och som lär känna – just dig.« (2022 manifesto ↗)“You shall have the right to a regular doctor at your health centre who has time for – and who gets to know – you specifically.”
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.
The election manifesto explicitly requires more health centres in rural areas and that it become easier for individual doctors to start their own operations so that healthcare is close at hand, and expanded primary care and easier to start a local doctor's office.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly requires more health centres in rural areas and that it become easier for individual doctors to start their own operations so that healthcare is close at hand, and expanded primary care and easier to start a local doctor's office. The counter-proposal's new care model with small rural clinics and a simplified rulebook is exactly this. The plan also requires equitable care throughout the country with strengthened state responsibility.
Original (Swedish)
Valmanifestet kräver uttryckligen fler vårdcentraler på landsbygden och att det ska bli enklare för enskilda läkare att starta egen verksamhet så att vården finns nära till hands, samt utbyggd primärvård och enklare att starta lokal läkarmottagning. Motförslagets nya vårdform med små landsbygdsmottagningar och ett förenklat regelverk är precis detta. Planen kräver dessutom en jämlik vård i hela landet med stärkt statligt ansvar.
- health centres in rural areasdecisive»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet - så att vården finns nära till hands.« (2022 manifesto ↗)“More health centres in rural areas and easier for individual doctors to start their own operations - so that healthcare is close at hand.”
- easier to start local doctor's office»Fler poliser med lokal närvaro, utbyggd primärvård, enklare starta lokal läkarmottagning och inrätta fler statliga servicekontor.« (2022 manifesto ↗)“More police with local presence, expanded primary care, easier to start local doctor's office and establish more state service centres.”
- state responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare.”
- equitable and accessible healthcare»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Healthcare should be equitable and accessible for the entire population.”
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.
The plan promises that welfare shall function regardless of where in the country you live and that everyone has the right to equivalent care in the right time.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan promises that welfare shall function regardless of where in the country you live and that everyone has the right to equivalent care in the right time. A new, simple care form with small staffed clinics where the need is greatest is a way to keep precisely that commitment in rural areas. The plan also wants to generally remove regulatory red tape, which supports the demand for a simplified and more flexible regulatory framework.
Original (Swedish)
Planen lovar att välfärden ska fungera oavsett var i landet man bor och att alla har rätt till likvärdig vård i rätt tid. En ny, enkel vårdform med små bemannade mottagningar där behovet är störst är ett sätt att infria just det åtagandet i glesbygd. Planen vill dessutom generellt ta bort regelkrångel, vilket stödjer kravet på ett förenklat och mer flexibelt regelverk.
- functioning welfare nationwidedecisive»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should feel secure that welfare functions regardless of where in the country you live.”
- equivalent care at the right time»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care - which can be provided in the right time and maintains high quality.”
- all of Sweden shall work»Moderaterna vill ta vara på hela Sveriges möjligheter. Men ska det gå att bo och verka i hela Sverige måste också hela Sverige fungera.« (2022 manifesto ↗)“The Moderates want to use all of Sweden's possibilities. But if it is to work to live and act throughout Sweden then all of Sweden must work.”
- national measures against shortages»Inrätta en nationell vårdförmedling som ska hjälpa patienter med lång väntetid att få vård i en annan del av landet där det finns ledig kapacitet« (2022 manifesto ↗)“Establish a national care referral service that shall help patients with long waiting times to receive care in another part of the country where there is spare capacity”
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.
The plan states that citizens have the right to good and accessible healthcare even outside major cities and wants to invest in primary care to relieve acute and specialist care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that citizens have the right to good and accessible healthcare even outside major cities and wants to invest in primary care to relieve acute and specialist care. It also demands that healthcare is secured in sparsely populated regions. The counter-proposal's demands for a new form of care with small staffed clinics in rural areas and simplified regulations are a direct expression of these commitments.
Original (Swedish)
Planen slår fast att medborgarna har rätt till god och tillgänglig sjukvård även utanför storstäderna och vill satsa på primärvården för att avlasta akut- och specialistvården. Den kräver också att vård säkerställs i glest befolkade regioner. Motförslagets krav på en ny vårdform med små bemannade mottagningar på landsbygden och ett förenklat regelverk är ett direkt uttryck för dessa åtaganden.
- accessible care outside major citiesdecisive»Sverigedemokraterna anser att medborgare i ett högskatteland har rätt att förvänta sig en god och tillgänglig sjukvård, även utanför storstäderna.« (2022 manifesto ↗)“Sverigedemokraterna believes that citizens in a high-tax country have the right to expect good and accessible healthcare, even outside major cities.”
- investment in primary care»Satsningar på primärvården med större patientkontakt och samordning av en patientansvarig läkare kan avlasta akut- och specialistvården genom snabbare vård.« (2022 manifesto ↗)“Investments in primary care with greater patient contact and coordination by a patient-responsible physician can relieve acute and specialist care through faster care.”
- care in rural areas»En viktig uppgift är att säkerställa att det finns akut- och förlossningsvård över hela landet, även i glest befolkade regioner samt att införa ett gemensamt nationellt patientjournalsystem.« (2022 manifesto ↗)“An important task is to ensure that there is emergency and maternity care throughout the country, even in sparsely populated regions and to introduce a common national patient records system.”
- all Sweden shall live»Principen om att hela Sverige skall leva är mycket viktig för Sverigedemokraterna.« (party programme ↗)“The principle that all of Sweden shall live is very important to Sverigedemokraterna.”
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
- The committee report on riksdagen.se (2025/26:SoU16)
- Committee report full text (HD01SoU16)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:1024 — Psykisk ohälsa av Jamal El-Haj (-)
- Motion 2025/26:1039 — Utökad kommunal vård av Magnus Jacobsson och Dan Hovskär (båda KD)
- Motion 2025/26:1173 — Psykisk ohälsa och diskriminering av Martina Johansson och Ulrika Heie (båda C)
- Motion 2025/26:1220 — Rättspsykiatrin av Eva Lindh (S)
- Motion 2025/26:1325 — Åtgärder för att förhindra att den offentligt drivna primärvården avvecklas genom bolagisering och utförsäljning av Sanna Backeskog m.fl. (S)
- Motion 2025/26:1340 — Nationellt psykiatrilyft - hela vårdkedjan, hela landet av Sanna Backeskog m.fl. (S)
- Motion 2025/26:1634 — Lagen om valfrihetssystem av Markus Kallifatides m.fl. (S)
- Motion 2025/26:171 — Politik för äldres rättigheter och välmående av Nadja Awad m.fl. (V)
- Motion 2025/26:1781 — Skärpta möjligheter till tvångsvård för farliga personer av Jan Ericson (M)
- Motion 2025/26:2035 — Synen och sjukvårdssystemet av Ann-Sofie Lifvenhage (M)
- Motion 2025/26:205 — Husläkare och artificiell intelligens av Josef Fransson (SD)
- Motion 2025/26:2077 — Samverkan kring psykiatrisk vård av Ann-Sofie Lifvenhage (M)
- Motion 2025/26:2157 — Ambulansflyg och ambulanshelikoptrar av Ann-Sofie Lifvenhage (M)
- Motion 2025/26:2205 — Upplåtelseavtal med fokus på kvinnohälsa av Ann-Sofie Lifvenhage (M)
- Motion 2025/26:2211 — Kvalitetssäkring av ambulanssjukvården av Ann-Sofie Lifvenhage (M)
- Motion 2025/26:230 — Uppsökande verksamhet och hembesök som förstahandsalternativ inom barn- och ungdomspsykiatrin av Johnny Svedin (SD)
- Motion 2025/26:238 — Omvårdnad och terapeutisk behandling som första åtgärd inom bup av Johnny Svedin (SD)
- Motion 2025/26:2427 — Kvinnors valfrihet och rätt till vård av Merit Frost Lindberg m.fl. (M)
- Motion 2025/26:2433 — Diskriminering av kvinnors företagande av Merit Frost Lindberg m.fl. (M)
- Motion 2025/26:2448 — Sammanhållen vård för multisjuka av Ann-Sofie Lifvenhage (M)
Source: The Swedish Parliament