Organization and Management of Health and Medical Care

The election manifesto explicitly says the solution is not to nationalise healthcare, but that the state must take greater responsibility for equal conditions. At the same time, the plan demands more resources for healthcare and notes that Sweden has the EU's smallest number of hospital beds and an all-too-poorly developed primary care. The counter-proposal's requirement—no to investigation of state ownership, yes to strengthened and adequately resourced care—thus directly responds to the plan.

• no to nationalised healthcaredecisive»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 nationalise healthcare but to ensure equal care in Sweden the state must take greater responsibility for creating equal conditions.”
• more resources to care»Därför vill Vänsterpartiet satsa mer resurser på hälso- och sjukvården och äldreomsorgen, samt satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö.« (2022 manifesto ↗)“Therefore the Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so that we simultaneously get rid of the staff shortage and strengthen staff's terms and working environment.”
• underdimensioned 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 an all-too-poorly developed primary care.”
• increased redistribution to regions»Omfördelningen från stat till region och kommun måste öka« (2022 manifesto ↗)“Redistribution from state to region and municipality must increase”

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 election manifesto's crucial commitment is to increase resources for welfare and continue to increase the state's grants to municipalities and regions, and that large tax cuts shall not take precedence. The plan builds further on the regions as principal actors, among other things through the care guarantee and the possibility to receive care in another region. The counter-proposal's demand for strengthened care with adequate resources rather than a state principal actor is thus in line with the plan.

• increased resources to regionsdecisive»Öka resurserna till välfärden i hela landet. Vi vill fortsätta öka statens bidrag till kommuner och regioner. Stora skattesänkningar omöjliggör det.« (2022 manifesto ↗)“Increase resources for welfare throughout the country. We want to continue increasing the state's grants to municipalities and regions. Large tax cuts make it impossible.”
• resources before tax cuts»En avgörande fråga i höstens val är om vi ska fortsätta öka resurserna till välfärden, eller om stora skattesänkningar ska gå före.« (2022 manifesto ↗)“A decisive question in this autumn's election is whether we shall continue increasing resources for welfare, or whether large tax cuts shall take precedence.”
• regions as principal actors»Ingen ska behöva känna oro över att få vård i tid. Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“No one shall have to worry about receiving care in time. If a region does not fulfill the care guarantee according to law, care shall be offered in another region.”
• equal healthcare throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country shall have equal access to education, healthcare and care.”

The party programme's decentralist basic principle is that decisions should be made as close as possible to those affected and that regions should be given increased responsibility, which speaks against bringing healthcare governance under state control. At the same time, the election manifesto promises precisely what the counter-proposal instead demands: raised wages, investments in primary care and strengthened resources for healthcare. The plan does not mention the governance question explicitly, so the position is inferred from decentralism.

• decisions close to the peopledecisive»Beslut ska fattas så nära de människor som berörs som möjligt.« (party programme ↗)“Decisions should be made as close as possible to the people who are affected.”
• increased regional responsibility»Miljöpartiet har en decentralistisk grundsyn som bland annat tar sig uttryck i att vi vill att regioner och kommuner ges ett ökat ansvar och inflytande över de politiska beslut som berör regionen och kommunen.« (party programme ↗)“The Greens have a decentralist basic outlook which among other things expresses itself in that we wish regions and municipalities to be given increased responsibility and influence over the political decisions that affect the region and municipality.”
• 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 mental health care.”
• more resources for healthcare»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise wages and secure good working conditions 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 explicitly states that responsibility for healthcare should not be transferred from regions to the state, which is exactly what the counter-proposal requires. Instead, the plan wants to strengthen healthcare where it is conducted, with place-investment and better support to regions. This also follows from the plan's consistent decentralization principle that decisions should be made close to those affected.

• regional governance is retaineddecisive»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 healthcare and care and conduct activities close to patients. Responsibility for healthcare should not be transferred from regions to the state.”
• more resources to healthcare»Vi vill skapa fler vårdplatser där det behövs med hjälp av en platsmiljard och bättre stöd till regionerna.« (2022 manifesto ↗)“We want to create more care places where needed with the help of place-investment and better support to regions.”
• decentralize more»Decentralisera mera. Människor ska få bestämma mer själva, och politiska beslut ska fattas nära dem som berörs.« (2022 manifesto ↗)“Decentralize more. People should be able to decide more for themselves, and political decisions should be made close to those affected.”
• decisions close to people»Beslut som endast berör en mer lokal nivå, eller bara individen själv, bör inte flyttas upp till en högre nivå« (party programme ↗)“Decisions that only affect a more local level, or only the individual themselves, should not be moved up to a higher level.”

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 election manifesto explicitly requires a broad review of health care organization and financing and that the state takes greater responsibility, and the party programme wants to see increased national coordination and governance. The counter-proposal instead wants to stop an investigation on state ownership. This stands in direct conflict with the plan's line, even though the plan shares the requirement for more resources and more staffed hospital beds.

• greater state responsibility for health caredecisive»Det behövs en bred översyn av vårdens organisering och finansiering. Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“There must be a broad review of health care organization and financing. The state shall take greater responsibility for health care's strategic planning, placement of highly specialized care, readiness and long-term workforce supply.”
• increased national governance»Sjukvårdens organisation och finansiering står inför flera utmaningar. Det behövs en utökad nationell« (party programme ↗)“Health care's organization and financing faces several challenges. There must be increased national”
• shift financing responsibility to state»Vi vill skapa mer likvärdiga villkor och skatter genom att flytta finansieringsansvaret för bland annat skolan och LSS till staten.« (2022 manifesto ↗)“We want to create more equivalent conditions and taxes by shifting financing responsibility for among other things schools and LSS to the state.”
• more staffed hospital beds»Vi vill därför nästa mandatperiod se en nationell kraftsamling för fler bemannade vårdplatser i hela landet så att du som patient kan få vård snabbare.« (2022 manifesto ↗)“We therefore want during the next term to see a national push for more staffed hospital beds across the country so that you as a patient can receive care faster.”

The election manifesto's central healthcare commitment is to abolish the regions' responsibility and let the state take over healthcare in a common organization. The counter-proposal, by contrast, requires that a study of state ownership stops, which directly contradicts the plan. That the plan simultaneously wants to strengthen healthcare with more care places does not change the outcome, since the counter-proposal's core is to reject the ownership question.

• state ownership of healthcaredecisive»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with one common organization instead of 21 different ones.”
• national healthcare brokerage»Inför en nationell vårdförmedling som matchar vårdbehovet med den vårdkapacitet som finns i hela landet« (2022 manifesto ↗)“Introduce a national healthcare brokerage that matches healthcare needs with the healthcare capacity that exists throughout the country”
• more care places»Fler vårdplatser.« (2022 manifesto ↗)“More care places.”
• burden of proof in centralization»Om en överordnad gemenskap vill överta en funktion från en underordnad ligger bevisbördan för bättre ändamålsenlighet« (party programme ↗)“If a higher-level community wants to take over a function from a lower-level one, the burden of proof for better purpose-appropriateness”

The party programme establishes that decisions shall be made at the lowest effective level and that regions shall be able to choose different paths, and warns that a monolithic centrally controlled welfare system will be poorly equipped for the future. That argues against investigating a nationalised primary responsibility. Meanwhile, the plan calls queues and inadequate access a failure that requires healthcare to be strengthened, which is the counter-proposal's second element.

• no to centralised welfaredecisive»centralstyrt välfärdssystem kommer stå illa rustat« (party programme ↗)“centrally controlled welfare system will be poorly equipped”
• decisions at lowest effective level»tillåta att olika regioner och kommuner väljer« (party programme ↗)“allow different regions and municipalities to choose”
• decisions close to citizens»Beslut ska fattas på lägsta möjliga nivå, så nära medborgarna som möjligt.« (2022 manifesto ↗)“Decisions shall be made at the lowest possible level, so close to citizens as possible.”
• healthcare must be strengthened»Köer till välfärdstjänster är ett misslyckande« (party programme ↗)“Queues to welfare services are a failure”

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 explicitly wants to review how the state can take greater responsibility for healthcare, using Norway and Denmark as examples, and identifies governance through 21 regions as the main problem. The counter-proposal opposes precisely an investigation into state responsibility and thus goes against the plan's commitment. The fact that healthcare simultaneously needs more resources does not change this assessment.

• state responsibilitydecisive»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården, med utgångspunkt i framgångsrika exempel i Norge och Danmark.« (2022 manifesto ↗)“Sweden Democrats also want to review how the state can take greater responsibility for healthcare, based on successful examples in Norway and Denmark.”
• regional governance is the problem»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 is to a significant extent that governance through 21 different regions creates confusion, conflicting goals, progressively increasing administration and shortcomings in competence provision.”
• unified healthcare»För att åstadkomma det krävs en ny sammanhållen sjukvård i Sverige.« (2022 manifesto ↗)“To achieve this requires a new unified healthcare system in Sweden.”
• reconsidered healthcare organization»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review the organization of healthcare”