2026-04-222025/26:SoU17 · p.5SoUHealth & social services
Strategy for cardiovascular health
What's at stake: Cardiovascular disease is the most common cause of death in Sweden, and a national strategy could reduce the large regional differences in prevention, early detection and treatment - but it would also break with the committee's principle of not singling out individual disease groups in Riksdag decisions.
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 be tasked with drawing up a national strategy for cardiovascular health, or whether such priorities should continue to be a matter for the regional healthcare principals without a Riksdag-initiated strategy.
Yes Yes — the committee proposal
The committee rejects the motion. It holds to its longstanding principle of not backing proposals to fund individual diseases, since such trade-offs are primarily the responsibility of the regional healthcare principals, guided by the ethical platform and the prioritization tools developed from it.
No No — the reservations
Reservation 10 (C, MP)
The reservation calls on the government to task relevant authorities with drawing up a national cardiovascular strategy, arguing that cardiovascular disease is the most common cause of death in Sweden and that care today is unequal between regions. The strategy should cover prevention, primary care's early detection and treatment, and specialized care, and could also coordinate research and innovation.
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 10 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.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | Yes 16/0/0/6 | departs from the plan | confidence: medium | derived |
| S | No | Yes 90/0/0/16 | departs from the plan | confidence: medium | derived |
| MP | No | No 0/13/0/5 | follows the plan | confidence: medium | derived |
| C | No | No 0/20/0/4 | follows the plan | confidence: medium | derived |
| L | No | Yes 11/0/0/5 | departs from the plan | confidence: medium | derived |
| KD | No | Yes 14/0/0/5 | departs from the plan | confidence: medium | derived |
| M | No | Yes 55/0/0/11 | departs from the plan | confidence: low | derived |
| SD | No | Yes 60/0/0/10 | departs from the plan | confidence: medium | derived |
Committee proposal
The Riksdag rejects the motions 2025/26:3179 by Christofer Bergenblock et al. (C) demand 37 and 2025/26:3542 by Nils Seye Larsen et al. (MP) demand 44.
Original (Swedish)
Riksdagen avslår motionerna 2025/26:3179 av Christofer Bergenblock m.fl. (C) yrkande 37 och 2025/26:3542 av Nils Seye Larsen m.fl. (MP) yrkande 44.
Riksdag decision: The Riksdag rejected 172 proposals in motions from the general motion period 2025. The proposals concern priorities in healthcare and other medico-ethical questions. The Riksdag considers it the responsibility of healthcare principals to assess the need for initiatives on individual diseases and how care for patients with these diseases should be organized. Furthermore, the Riksdag refers to ongoing work and earlier treatments.
Counter-proposals
- The counter-proposal wants to strengthen childbirth care, cancer care, and develop a strategy for neuropsychiatric conditions. (C, MP) — Reservation 10
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 demands that the state takes greater responsibility for creating equal conditions so that care is equitable, and that care is provided according to need rather than according to system design.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan demands that the state takes greater responsibility for creating equal conditions so that care is equitable, and that care is provided according to need rather than according to system design. A national strategy whose stated purpose is to counteract unequal care between regions for the country's most common cause of death follows from that commitment. The plan does not, however, take a position on strategies for specific disease groups.
Original (Swedish)
Planen kräver att staten tar ett större ansvar för att skapa lika förutsättningar så att vården blir jämlik, och att vård ges efter behov snarare än efter systemens konstruktion. En nationell strategi vars uttalade syfte är att motverka ojämlik vård mellan regioner vid landets vanligaste dödsorsak följer av det åtagandet. Planen tar dock inte ställning till strategier för enskilda sjukdomsgrupper.
- state responsibility for equitable caredecisive»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 and not according to the capacity of incorrectly designed systems.”
- evidence-based need prioritization»Sjukvården ska vara heltäckande, bygga på evidens och prioriteras utifrån behov.« (party programme ↗)“Healthcare shall be comprehensive, based on evidence and prioritized according to need.”
- state overall responsibility»Staten har också ett övergripande ansvar för att det finns utbildad profession i hela landet.« (party programme ↗)“The state also has an overarching responsibility for there to be trained professionals 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.
The plan requires increased state responsibility and control over healthcare precisely for national equity, which is the problem the counter-proposal wants to solve with a national cardiovascular strategy.
Plan documents: party programme
Reasoning and quotes
The plan requires increased state responsibility and control over healthcare precisely for national equity, which is the problem the counter-proposal wants to solve with a national cardiovascular strategy. The goals of equal public health and equal right to good care through public provision point in the same direction. The plan also wants to see healthcare at the technical and medical frontier, which the strategy's research and innovation component answers to.
Original (Swedish)
Planen kräver ett ökat statligt ansvar och kontroll över sjukvården just för nationell likvärdighet, vilket är det problem motförslaget vill lösa med en nationell hjärt- och kärlstrategi. Målen om jämlik folkhälsa och lika rätt till god vård genom samhällets försorg pekar åt samma håll. Planen vill dessutom se en sjukvård i teknisk och medicinsk framkant, vilket strategins forsknings- och innovationsdel svarar mot.
- state governance for equitydecisive»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equity.”
- equal public health»Jämlik och jämställd folkhälsa.« (party programme ↗)“Equal and equitable public health.”
- equal right to good care»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good health and medical care through public provision.”
- care at the medical frontier»Sjukvård i teknisk och medicinsk framkant.« (party programme ↗)“Healthcare at the technical and medical frontier.”
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 wishes healthcare to contribute to health and not just treat disease, and that health inequalities decrease so that healthcare is not determined by place of residence.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan wishes healthcare to contribute to health and not just treat disease, and that health inequalities decrease so that healthcare is not determined by place of residence. A national strategy that links prevention, early detection in primary care and specialized care meets both these commitments. The plan does not mention cardiovascular disease in particular, so the support is inferred.
Original (Swedish)
Planen vill att vården ska bidra till hälsa och inte bara behandla sjukdom, och att hälsoklyftorna minskar så att vården inte avgörs av bostadsort. En nationell strategi som binder ihop prevention, primärvårdens tidiga upptäckt och specialiserad vård svarar mot båda dessa åtaganden. Planen nämner inte hjärt- och kärlsjukdom särskilt, varför stödet är härlett.
- health-promoting and preventive caredecisive»Miljöpartiet vill att vården ska bidra till hälsa, inte bara behandla sjukdom.« (party programme ↗)“The Greens wish healthcare to contribute to health, not just treat disease.”
- equal healthcare between regions»inte längre avgörs av storleken på plånboken eller var man bor.« (party programme ↗)“no longer determined by wallet size or where one lives.”
- early detection in primary care»Primärvården ska vara navet i en nära och förebyggande vård« (party programme ↗)“Primary care shall be the hub in a close and preventive care”
- shorter healthcare queues throughout the country»korta köerna till behandling i hela landet.« (2022 manifesto ↗)“shorten waiting times for treatment throughout the country.”
The plan wants to shorten queues and strengthen equality in healthcare throughout the country and itself favours national programmes in healthcare, for example a national research programme on women's diseases.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to shorten queues and strengthen equality in healthcare throughout the country and itself favours national programmes in healthcare, for example a national research programme on women's diseases. The party programme makes preventive public health work a cornerstone of sustainable welfare. A national strategy against unequal cardiovascular healthcare with preventive interventions and early detection aligns with this.
Original (Swedish)
Planen vill korta köerna och stärka likvärdigheten i vården i hela landet och förordar själv nationella program på vårdområdet, exempelvis ett nationellt forskningsprogram om kvinnosjukdomar. Partiprogrammet gör förebyggande folkhälsoarbete till en grundsten i en hållbar välfärd. En nationell strategi mot ojämlik hjärt- och kärlvård med förebyggande insatser och tidig upptäckt ligger i linje med detta.
- equal healthcare throughout the countrydecisive»Så kortar vi köerna och stärker likvärdigheten i hela landet.« (2022 manifesto ↗)“So we shorten queues and strengthen equality throughout the country.”
- national healthcare programmes»Vi vill inrätta ett nationellt forskningsprogram om kvinnosjukdomar och stärka den genusmedicinska kompetensen i hela vårdkedjan.« (2022 manifesto ↗)“We want to establish a national research programme on women's diseases and strengthen gender medicine expertise throughout the healthcare chain.”
- preventive public health work»Folkhälsoperspektivet måste genomsyra hela samhället för att ge resultat.« (party programme ↗)“The public health perspective must permeate the whole society to produce results.”
The party programme requires increased national coordination and management of healthcare and that care shall be equal regardless of place of residence, which is exactly the regional inequality the counter-proposal wants to address.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires increased national coordination and management of healthcare and that care shall be equal regardless of place of residence, which is exactly the regional inequality the counter-proposal wants to address. The election manifesto also shows that the plan accepts national programmes directed at particular risk groups, such as in dental care. A national cardiovascular strategy with preventive measures is thus in line with the plan's direction.
Original (Swedish)
Partiprogrammet kräver utökad nationell samordning och styrning av sjukvården och att vården ska vara jämlik oavsett bostadsort, vilket är just den regionala ojämlikhet motförslaget vill komma åt. Valmanifestet visar också att planen accepterar nationella program riktade mot särskilda riskgrupper, som inom tandvården. En nationell hjärt- och kärlstrategi med förebyggande insatser ligger därmed i planens riktning.
- increased national managementdecisive»Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“Increased national coordination and management is needed.”
- equal care regardless of place»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi eller bostadsort.« (party programme ↗)“Care shall be equal. Everyone has the right to good care and support regardless of background, sex, age, economy or place of residence.”
- national programmes for risk groups»Nästa steg är gradvis ökande subventionsgrad för de grupper som har sämst munhälsa och nationella tandvårdsprogram för särskilda riskgrupper.« (2022 manifesto ↗)“The next step is gradually increasing subsidization for groups with poorest oral health and national dental care programmes for particular risk groups.”
- preventive public health work»Hälso- och sjukvården ska erbjuda stöd för förändringar av levnadsvanor.« (party programme ↗)“Healthcare shall offer support for changes in lifestyle.”
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 central health care promise is that where in the country you live should not determine what care you receive, and that the regions' responsibility should be abolished in favor of a joint national organization.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto's central health care promise is that where in the country you live should not determine what care you receive, and that the regions' responsibility should be abolished in favor of a joint national organization. A national strategy against unequal heart and vascular care is consistent with the national governance the plan seeks. However, the plan's requirement for needs-based prioritization argues against singling out a single disease group.
Original (Swedish)
Valmanifestets bärande sjukvårdslöfte är att var i landet man bor inte ska avgöra vilken vård man får, och att regionernas ansvar ska avskaffas till förmån för en gemensam nationell organisation. En nationell strategi mot ojämlik hjärt- och kärlvård ligger i linje med den nationella styrning planen efterlyser. Planens krav på behovsstyrda prioriteringar talar dock mot att lyfta ut en enskild sjukdomsgrupp.
- vård oberoende av bostadsortdecisive»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live should not determine what health care you receive.”
- nationell styrning av vården»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 health care. Let the state take over responsibility for health care with a joint organization instead of 21 different ones.”
- jämlik vård»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Health care should be equal and accessible to the entire population.”
- behovsstyrd prioritering»En efterfrågestyrd hälso- och sjukvård bryter mot principen om alla människors« (party programme ↗)“Demand-driven health and medical care contradicts the principle of all human”
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 itself uses national strategies and targeted investments as tools in care and points out large regional differences in quality and waiting times as a problem.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan itself uses national strategies and targeted investments as tools in care and points out large regional differences in quality and waiting times as a problem. A national heart and circulatory disease strategy against unequal care aligns with this, even though the plan prioritises cancer care and child psychiatry and does not mention heart and circulatory disease. The support therefore rests on inference, not on an explicit commitment.
Original (Swedish)
Planen använder själv nationella strategier och riktade satsningar som verktyg i vården och pekar ut stora regionala skillnader i kvalitet och väntetider som ett problem. En nationell hjärt- och kärlstrategi mot ojämlik vård ligger i linje med det, även om planen prioriterar cancervård och barnpsykiatri och inte nämner hjärt- och kärlsjukdom. Stödet vilar därför på härledning, inte på ett uttryckligt åtagande.
- national strategies as toolsdecisive»Ta fram en nationell strategi mot självmord, med särskilt fokus på barn och unga« (2022 manifesto ↗)“Produce a national strategy against suicide, with particular focus on children and young people”
- reduce regional differences»Det finns också stora regionala skillnader i kvalitet och väntetider.« (2022 manifesto ↗)“There are also large regional differences in quality and waiting times.”
- equal care»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equal care - which can be provided in good time and maintains high quality.”
- 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 opportunities to make earlier diagnoses, among other things with the help of digital decision support and structured working methods with for example risk profiling”
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 wants to review how the state can take greater responsibility for healthcare precisely to avoid healthcare varying between regions, and itself uses national strategies as a tool in the public health field.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to review how the state can take greater responsibility for healthcare precisely to avoid healthcare varying between regions, and itself uses national strategies as a tool in the public health field. The counter-proposal's demand for a national cardiovascular strategy against unequal healthcare aligns with that governance ambition and with the requirement for shorter queues and earlier treatment.
Original (Swedish)
Planen vill se över hur staten i högre grad kan ta huvudansvaret för sjukvården just för att undvika att vården varierar mellan regionerna, och använder själv nationella strategier som verktyg inom folkhälsoområdet. Motförslagets krav på en nationell hjärt- och kärlstrategi mot ojämlik vård ligger i linje med den styrningsambitionen och med kravet på kortare köer och tidigare behandling.
- strengthened state governance of healthcaredecisive»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.”
- equivalent healthcare throughout the country»Sverigedemokraterna anser att medborgare i ett högskatteland har rätt att förvänta sig en god och tillgänglig sjukvård, även utanför storstäderna.« (2022 manifesto ↗)“Sweden Democrats believe that citizens in a high-tax country have the right to expect good and accessible healthcare, also outside major cities.”
- national strategies as tools»Ta fram en nationell strategi för det fortsatta arbetet med psykisk hälsa« (2022 manifesto ↗)“Develop a national strategy for ongoing work on mental health”
- shorter healthcare queues»Avskaffa vårdköerna och införa en riktig vårdgaranti« (2022 manifesto ↗)“Abolish healthcare queues and introduce a genuine healthcare guarantee”
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:SoU17)
- Committee report full text (HD01SoU17)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2025/26:1081 — Tillgång till profylaxkurs för alla blivande föräldrar av Sofia Skönnbrink (S)
- Motion 2025/26:1095 — Intersexpersoners rätt till samtycke av Anna Lasses (C)
- Motion 2025/26:1188 — Nationella riktlinjer för EDS och HSD av Ulrika Heindorff (M)
- Motion 2025/26:1190 — Fortsatt ökning av kunskapen om ME/CFS av Ulrika Heindorff (M)
- Motion 2025/26:1198 — Nationella riktlinjer för diagnostik och behandling av lipödem av Ulrika Heindorff (M)
- Motion 2025/26:1206 — Enhetliga rutiner för igångsättning - vård på lika villkor av Caroline Högström (M)
- Motion 2025/26:1222 — Ge fler möjligheten att donera av Eva Lindh m.fl. (S)
- Motion 2025/26:1237 — Utvecklad vård och behandling av sköldkörtelsjukdomar av Ingela Nylund Watz (S)
- Motion 2025/26:1262 — Stärkt arbete mot kvinnlig könsstympning av Louise Thunström m.fl. (S)
- Motion 2025/26:1515 — Utredning om assisterad dödshjälp av Kristina Axén Olin (M)
- Motion 2025/26:1547 — Aktiv dödshjälp av Alireza Akhondi (C)
- Motion 2025/26:1567 — En nationell samordnare för sällsynta diagnoser av Heléne Björklund (S)
- Motion 2025/26:1574 — Tillgång till rätt behandling för patienter med lipödem av Marianne Fundahn (S)
- Motion 2025/26:1579 — Rättighet att söka genetiska halvsyskon av Lina Nordquist och Jakob Olofsgård (båda L)
- Motion 2025/26:1585 — Förbättrad övergångsvård av Malin Danielsson (L)
- Motion 2025/26:1623 — Minska risken för förlossningsskador av Magnus Manhammar och Heléne Björklund (båda S)
- Motion 2025/26:1686 — Finansiering av epilepsiregistret av Margareta Cederfelt (M)
- Motion 2025/26:1819 — Undersökning av bröstcancer av Peter Hultqvist (S)
- Motion 2025/26:1848 — Jämlik transplantationsvård i Sverige av Anna-Belle Strömberg m.fl. (S)
- Motion 2025/26:1861 — Jämlik vård vid ätstörningar i hela landet av Anna Wallentheim (S)
Source: The Swedish Parliament