2023-02-232022/23:UbU3 · p.6UbUEducation

Write-off of student loans for certain professional groups

Student loan debt write-off for doctors and nurses in rural areas

What's at stake: The question concerns the ability to recruit healthcare staff to rural areas, where shortages of doctors and nurses threaten the quality of care and patient safety. It also touches on the principle that student aid should apply equally to everyone, regardless of profession or place of residence.

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

What the vote decides

The vote concerns whether the state should be able to write off student debt for doctors and nurses working in rural areas, or whether student aid should remain neutral with respect to profession and region.

Yes Yes — the committee proposal

The committee rejects the motions. Under current rules there is no possibility of writing off student debt for someone who takes a job in a particular part of the country or trains for a particular profession, and the committee has previously judged that such write-offs risk being seen as unfair by borrowers and are difficult to use as a regional-policy tool. The committee sees no reason to change the existing rules.

No No — the reservations

Reservation 9 (SD)

The reservation (SD) calls for the government to investigate a system where doctors who commit to working a number of years in rural areas get their student debt reduced as a bonus, modeled on rural areas in the United States. A similar system could also be applied to nurses, to make less attractive locations and rural areas more appealing to work in.

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 9 by SD.

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
VNoYes 20/0/0/4departs from the planconfidence: mediumnot addressed
SNoYes 93/0/0/14departs from the planconfidence: lownot addressed
MPNoYes 13/0/0/5departs from the planconfidence: lownot addressed
CNoYes 20/0/0/4departs from the planconfidence: highderived
LYesYes 12/0/0/4follows the planconfidence: mediumderived
KDNoYes 14/0/0/5departs from the planconfidence: mediumderived
MNoYes 59/0/0/9departs from the planconfidence: mediumderived
SDown reservationNoNo 0/63/0/10follows the planconfidence: mediumnot addressed

Committee proposal

Parliament rejects the motions 2022/23:1141 by Linda Lindberg et al. (SD) demand 5 and 2022/23:2240 by Mattias Eriksson Falk (SD).

Original (Swedish)

Riksdagen avslår motionerna 2022/23:1141 av Linda Lindberg m.fl. (SD) yrkande 5 och 2022/23:2240 av Mattias Eriksson Falk (SD).

Riksdag decision: Parliament rejected approximately thirty proposals in motions from the general motion period 2022 about study support. This with reference to applicable regulations, ongoing work, and measures taken. The motions deal, among other things, with the conditions within the study support system, study allowance for retraining and further education, the free amount, study loans for sick leave and for persons with disabilities, and write-off of student loans.

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.

VVänsterpartietNoYesdeparts from the plannot addressed

The plan requires that healthcare be equitable and accessible regardless of where in the country one lives and that staff shortages be addressed, and that education and study funding not depend on the thickness of one's wallet or place of residence.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires that healthcare be equitable and accessible regardless of where in the country one lives and that staff shortages be addressed, and that education and study funding not depend on the thickness of one's wallet or place of residence. Investigating reduced student debt for doctors and nurses working in rural areas aligns with these commitments.

Original (Swedish)

Planen kräver att sjukvården är jämlik och tillgänglig oavsett var i landet man bor och att personalbristen åtgärdas, samt att utbildning och studieekonomi inte ska hänga på plånbokens tjocklek eller bostadsort. Att utreda reducerade studieskulder för läkare och sjuksköterskor som arbetar i glesbygd ligger i linje med dessa åtaganden.

  • equitable healthcare 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, equal and accessible, regardless of where in the country you live and regardless of who you are.”
  • address staff shortages»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, Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and working environment.”
  • study funding shall not hinder»Det måste bli lättare att utbilda sig efter grundskolan oavsett vem du är, tjockleken på din plånbok eller var i landet du bor.« (2022 manifesto ↗)“It must become easier to pursue education after primary school regardless of who you are, the thickness of your wallet or where in the country you live.”
  • education to more places»utlokalisering av utbildningar till fler orter i landet« (party programme ↗)“relocation of education programmes to more places in 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.

SSocialdemokraternaNoYesdeparts from the plannot addressed

The plan places an explicit state responsibility for skills provision in welfare and wants to give more support to specialist education for nurses, while the state should be present throughout the country and healthcare be equivalent everywhere.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan places an explicit state responsibility for skills provision in welfare and wants to give more support to specialist education for nurses, while the state should be present throughout the country and healthcare be equivalent everywhere. Investigating reduced student debt for doctors and nurses working in rural areas is a means to precisely this goal. However, the plan does not identify debt forgiveness as a tool, so the support must be inferred.

Original (Swedish)

Planen lägger ett uttalat statligt ansvar för kompetensförsörjningen i välfärden och vill ge mer stöd till specialistutbildningar för sjuksköterskor, samtidigt som staten ska finnas närvarande i hela landet och vården vara likvärdig överallt. Att utreda reducerade studieskulder för läkare och sjuksköterskor som arbetar i glesbygd är ett medel för just detta mål. Planen pekar dock inte ut skuldavskrivning som verktyg, varför stödet får härledas.

  • state responsibility for skills provisiondecisive»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has responsibility for securing skills provision, especially in welfare.”
  • support for specialist education in healthcare»mer stöd till specialistutbildningar i vården, exempelvis för sjuksköterskor och undersköterskor« (2022 manifesto ↗)“more support for specialist education in healthcare, for example for nurses and nursing assistants”
  • state presence throughout the country»Staten ska finnas närvarande i hela landet.« (2022 manifesto ↗)“The state shall be present throughout the country.”
  • equivalent 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 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 plan states that healthcare should maintain the same quality regardless of where in the country one lives and that study support should be strengthened.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan states that healthcare should maintain the same quality regardless of where in the country one lives and that study support should be strengthened. A system that reduces student loans for doctors and nurses who commit to working in rural areas lies in line with both these commitments and with the plan's requirement for welfare across the country. The plan, however, does not take a position on debt write-off aimed at certain professions, so the conclusion is derived.

Original (Swedish)

Planen slår fast att vården ska hålla samma kvalitet oavsett var i landet man bor och att studiestödet ska stärkas. Ett system som minskar studieskulden för läkare och sjuksköterskor som binder sig till glesbygdsarbete ligger i linje med båda dessa åtaganden och med planens krav på välfärd i hela landet. Planen tar dock inte ställning till avskrivning riktad till vissa yrkesgrupper, så slutsatsen är härledd.

  • equivalent healthcare across the countrydecisive»Du ska ha rätt till en bra vård, oavsett var i landet du bor« (2022 manifesto ↗)“You shall have the right to good healthcare, regardless of where in the country you live”
  • strengthened study support»höja studiestödet och förbättra studenters a-kassa och sjukförsäkring« (2022 manifesto ↗)“raise study support and improve students' unemployment insurance and sick leave insurance”
  • welfare across the country»Ett fungerande samhälle bygger på välfärd, utveckling och högkvalificerade jobb i hela landet« (party programme ↗)“A functioning society is built on welfare, development and highly qualified jobs across the country”
  • education across the country»Tillgången på högre utbildning ska vara god i hela« (party programme ↗)“Access to higher education shall be good across the”

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 election manifesto explicitly uses study grant write-off as a tool to recruit staff to occupations with labour shortages throughout the country, and the same logic supports the counter-proposal's requirement for reduced student loans for doctors and nurses in sparsely populated areas.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto explicitly uses study grant write-off as a tool to recruit staff to occupations with labour shortages throughout the country, and the same logic supports the counter-proposal's requirement for reduced student loans for doctors and nurses in sparsely populated areas. The plan also wants to attract more nurses with targeted economic incentives such as graduation premiums and salary during specialist studies. Since the plan requires safe and close care regardless of where you live and accepts regional policy instruments, it argues for investigating such a system.

Original (Swedish)

Valmanifestet använder uttryckligen studiemedelsavskrivning som verktyg för att rekrytera personal till bristyrken i hela landet, och samma logik bär motförslagets krav om reducerade studieskulder för läkare och sjuksköterskor i glesbygd. Planen vill dessutom locka fler sjuksköterskor med riktade ekonomiska incitament som examenspremie och lön under specialiststudietiden. Eftersom planen kräver en trygg och nära vård oavsett var man bor, och godtar regionalpolitiska styrmedel, talar den för att utreda ett sådant system.

  • study grant write-off as recruitment tooldecisive»Med hjälp av fler vägar in i läraryrket och studiemedelsavskrivning kan vi rekrytera fler behöriga lärare i hela landet.« (2022 manifesto ↗)“With more pathways into teaching and study grant write-off, we can recruit more qualified teachers throughout the country.”
  • economic incentives for healthcare staff»Vi vill rekrytera fler sjuksköterskor genom att införa en examenspremie och ge lön under specialiststudietiden.« (2022 manifesto ↗)“We want to recruit more nurses by introducing a graduation premium and providing salary during specialist studies.”
  • equivalent care throughout the country»Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Everyone must have safe police presence, an equivalent school and safe and close care and support — regardless of where they live.”
  • active regional policy»Alla delar av landet ska ges likvärdiga förutsättningar för utveckling och tillväxt.« (party programme ↗)“All parts of the country must be given equivalent conditions for development and growth.”

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.

LLiberalernaYesYesfollows the planderived

The plan's instruments for staffing care across the entire country are working conditions, more colleagues and wage development so that shortage professions become dream jobs, not targeted write-offs of student loans.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan's instruments for staffing care across the entire country are working conditions, more colleagues and wage development so that shortage professions become dream jobs, not targeted write-offs of student loans. On student finance, the plan wants a general five-year CSN pause and incentives tied to degree completion, not occupational choice or place of residence. The counter-proposal's demand for reduced student loans for doctors and nurses in sparsely populated areas thus falls outside the plan's line.

Original (Swedish)

Planens instrument för att bemanna vården i hela landet är arbetsvillkor, fler kollegor och löneutveckling så att bristyrken blir drömjobb, inte riktade avskrivningar av studieskulder. På studiemedelsområdet vill planen en generell femårig CSN-paus och drivkrafter kopplade till examen, inte till yrkesval eller bostadsort. Motförslagets krav på reducerade studieskulder för läkare och sjuksköterskor i glesbygd ligger därför utanför planens linje.

  • conditions and wages solve shortagesdecisive»För att klara det måste de som arbetar inom vården mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling. Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“To manage that, those working in healthcare must face good working conditions, more colleagues and good wage development. Shortage professions shall become dream jobs.”
  • general CSN pause»vill vi dessutom införa en femårig CSN-paus, så att du när du vill ska kunna ta ett uppehåll från din återbetalning« (2022 manifesto ↗)“we also want to introduce a five-year CSN pause, so that you when you want can take a break from your repayment”
  • incentives tied to degree completion»Det ska finnas drivkrafter för studenter att tillgodogöra sig en examen med normal eller högre studietakt,« (party programme ↗)“There shall be incentives for students to acquire a degree at normal or higher study pace,”
KDKristdemokraternaNoYesdeparts from the planderived

The election manifesto makes it a main objective that care should be available throughout the country and that place of residence should not determine what healthcare you receive, with more health centres in rural areas.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto makes it a main objective that care should be available throughout the country and that place of residence should not determine what healthcare you receive, with more health centres in rural areas. The party programme allows that general regional policy stimuli can be complemented with targeted measures. To investigate reduced study loans for doctors and nurses in sparsely populated areas thus lies within the plan's line.

Original (Swedish)

Valmanifestet gör det till en huvudlinje att vården ska finnas nära i hela landet och att bostadsorten inte ska avgöra vilken sjukvård man får, med fler vårdcentraler på landsbygden. Partiprogrammet tillåter att generella regionalpolitiska stimulanser kompletteras med riktade åtgärder. Att utreda reducerade studieskulder för läkare och sjuksköterskor i glesbygd ligger därför inom planens linje.

  • care close by throughout the countrydecisive»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet« (2022 manifesto ↗)“More health centres in rural areas and easier for individual doctors to start their own operations”
  • care regardless of place of residence»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live should not determine what healthcare you receive.”
  • general stimuli first»Regionalpolitiken ska medverka till att en god grund för näringslivet i sysselsättningssvaga områden skapas i första hand genom generella stimulansåtgärder.« (party programme ↗)“Regional policy shall contribute to a good foundation for business in low-employment areas being created in the first instance through general stimulus measures.”
  • targeted measures as complement»Dessa insatser kan sedan kompletteras med riktade åtgärder.« (party programme ↗)“These efforts can then be complemented with targeted measures.”

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 plan itself uses student loan write-off as a tool to staff a prioritized profession: student loans are to be written off for those who train and begin work as police.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan itself uses student loan write-off as a tool to staff a prioritized profession: student loans are to be written off for those who train and begin work as police. The same instrument tested on doctors and nurses in sparsely populated areas aligns with the plan's demand for more hands in care and better competence supply, and with welfare functioning regardless of where in the country one lives. Therefore, the plan supports the request to investigate such a system.

Original (Swedish)

Planen använder själv avskrivning av studielån som verktyg för att bemanna ett prioriterat yrke: studielånen ska skrivas av för den som utbildar sig och börjar arbeta som polis. Samma instrument prövat på läkare och sjuksköterskor i glesbygd ligger i linje med planens krav på fler händer i vården och bättre kompetensförsörjning, och med att välfärden ska fungera oavsett var i landet man bor. Därför stöder planen kravet att utreda ett sådant system.

  • write-off as a recruitment tooldecisive»Skriva av studielånen för den som utbildar sig och börjar arbeta som polis« (2022 manifesto ↗)“Write off student loans for those who train and begin work as police”
  • more hands in care»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning – det behövs fler händer i vården som kan korta vårdköerna och avlasta personalen« (2022 manifesto ↗)“Strengthen care workers, among other things by improving working conditions and opportunities for further training - more hands are needed in care to shorten care queues and relieve staff”
  • equal care throughout the country»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should be able to feel secure that welfare works regardless of where in the country you live.”
  • strengthened competence supply»Få på plats en nationell samordning över samhällets behov av antalet utbildningsplatser för att förbättra kompetensförsörjningen« (2022 manifesto ↗)“Put in place a national coordination of society's need for the number of training places to improve competence supply”

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.

SDSverigedemokraternaNoNofollows the plannot addressed

The plan commits to good and accessible healthcare also outside major cities and to ensuring care in sparsely populated regions, and identifies inadequate professional recruitment as a main problem.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan commits to good and accessible healthcare also outside major cities and to ensuring care in sparsely populated regions, and identifies inadequate professional recruitment as a main problem. Investigating reduced study debts for doctors and nurses working in rural areas is a means for precisely that goal. The plan says nothing about the committee's reason that such debt relief may be perceived as unfair and is difficult regional policy instrument.

Original (Swedish)

Planen förbinder sig till god och tillgänglig sjukvård även utanför storstäderna och till att säkerställa vård i glest befolkade regioner, och pekar ut bristande kompetensförsörjning som ett huvudproblem. Att utreda reducerade studieskulder för läkare och sjuksköterskor som arbetar i glesbygd är ett medel för just det målet. Planen säger inget om utskottets skäl att sådan avskrivning kan uppfattas som orättvis och är ett svårt regionalpolitiskt instrument.

  • accessible care throughout the countrydecisive»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.”
  • care in rural areas»säkerställa att det finns akut- och förlossningsvård över hela landet, även i glest befolkade regioner« (2022 manifesto ↗)“ensure that there is acute and maternity care throughout the country, also in sparsely populated regions”
  • professional recruitment in healthcare»brister i kompetensförsörjningen« (2022 manifesto ↗)“shortages in professional recruitment”
  • policy for all of Sweden»Bedriva en politik för hela Sverige« (2022 manifesto ↗)“Pursue a policy for all of Sweden”

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Sources and documents

Documents under consideration

Source: The Swedish Parliament