Additional Costs for Higher Material Standards

The plan establishes that your insurance or position in society shall not determine which healthcare you receive, and explicitly criticises a policy that has allowed some to buy priority. That the patient has to pay the difference for a higher material standard leads precisely to such stratification in tax-funded dentistry. The plan wants instead to put an end to market healthcare, and therefore provides no support for the counter-proposal's demand.

• healthcare independent of walletdecisive»Din försäkring eller position i samhället ska inte avgöra vilken vård du får.« (2022 manifesto ↗)“Your insurance or position in society shall not determine which healthcare you receive.”
• no one shall buy priority»Ojämlikheten i tillgång till hälso- och sjukvård har blivit större, bland annat på grund av en politik som låtit vissa köpa sig förtur.« (party programme ↗)“Inequality in access to healthcare has grown, among other things because of a policy that has allowed some to buy priority.”
• end to market healthcare»Vi vill sätta punkt för marknadsvården.« (party programme ↗)“We want to put an end to market healthcare.”

The election manifesto states that the person who has a private healthcare insurance should not be able to get better or faster help in the publicly financed healthcare, and the party programme that care should be provided based on need and not on the ability to pay. Letting the patient pay the difference for higher material standard within publicly financed dental care creates precisely such a payment-dependent quality difference. The counter-proposal is rejected.

• no fasttrack for those who paydecisive»Den som har en privat sjukvårdsförsäkring ska inte kunna få bättre eller snabbare hjälp i den offentligfinansierade vården.« (2022 manifesto ↗)“The person who has private healthcare insurance shall not be able to get better or faster help in the publicly financed healthcare.”
• care according to need»vård utifrån behov, och inte utifrån möjligheten att betala« (party programme ↗)“care based on need, and not on the ability to pay”
• no private financing in public healthcare»Inga privata sjukvårdsförsäkringar i offentligt finansierad sjukvård.« (party programme ↗)“No private healthcare insurance in publicly financed healthcare.”
• equal dental care»Jämlik tandvård som integreras i övrig hälso- och sjukvård.« (party programme ↗)“Equal dental care integrated into other healthcare.”

The plan states that dental care should be financed like other healthcare precisely to prevent good dental health from becoming a class issue, and that care should be provided according to need and not according to ability to pay. That the patient themselves has to pay the difference for higher material standards makes quality dependent on their wallet. The counter-proposal's demand therefore goes against the plan's distributive policy commitment.

• dental health not a class issuedecisive»motverka att det är en klassfråga att ha god tandhälsa.« (party programme ↗)“prevent it from being a class issue to have good dental health.”
• dental care financed as healthcare»Tandvården ska finansieras på samma sätt som övrig sjukvård för att« (party programme ↗)“Dental care should be financed the same way as other healthcare to”
• care according to need»tillgång till vård efter behov« (party programme ↗)“access to care according to need”
• need-based prioritization»Människor med störst behov ska prioriteras.« (party programme ↗)“People with the greatest need should be prioritized.”

The plan states that people must have great freedom to, in addition to the public healthcare and welfare commitment, themselves invest in their own health, and that choice in healthcare and welfare must be defended. Having the patient themselves pay the difference for a higher material standard than the reference price is precisely such a choice beyond the public commitment. The counter-proposal's requirement therefore aligns with the plan.

• right to invest in own healthdecisive»Samtidigt ska människor ha stor frihet att, utöver det offentliga vård-, omsorgs- och välfärdsåtagandet, själva investera i sin egen hälsa och sin egen utveckling.« (party programme ↗)“At the same time, people must have great freedom to, in addition to the public healthcare, welfare and welfare commitment, invest in their own health and own development.”
• choice in healthcare and welfare»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 choice in healthcare and welfare and conduct the activities close to care recipients. Responsibility for care should not be moved from the regions to the state.”
• choice and self-determination»Valfrihet är viktigt för människors« (party programme ↗)“Choice is important for people's”
• own and free choices»Alla ska kunna bestämma över sina egna liv genom egna och fria val.« (party programme ↗)“Everyone must be able to determine their own lives through own and free choices.”

The plan's overarching principle in healthcare is a shift of power to the patient, who shall have choice in all areas where this is possible. That the patient themselves pays the difference for a higher material standard is such a choice option and does not restrict the subsidized basic level. The plan's commitment that no one shall be forced to forgo dental care due to low income speaks against making the choice a prerequisite for good care, but not against the possibility itself.

• patient choicedecisive»Patienten ska ha valfrihet inom alla områden där så är möjligt, och rätt till information om var behandlingen kan ges.« (party programme ↗)“The patient shall have choice in all areas where this is possible, and the right to information about where treatment can be provided.”
• shift of power to the patient»Det behövs en maktförskjutning inom hälso- och sjukvården till patienterna.« (party programme ↗)“There must be a shift of power in healthcare to the patients.”
• great power to choose»Var och en som behöver vård och omsorg i någon form ska ges stor makt att välja.« (party programme ↗)“Everyone who needs care and support in some form shall be given great power to choose.”
• dental care regardless of income»Ingen ska tvingas avstå från tandvård på grund av låg inkomst.« (party programme ↗)“No one shall be forced to forgo dental care due to low income.”

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 draws a boundary between the solidaristically financed commitment and that which lies outside it: such initiatives should be chosen, financed and prioritized by the individual themselves. An option-in where the patient themselves pays the difference for higher material standards is exactly such an initiative outside the solidaristic commitment. The plan also emphasizes choice and the individual's self-determination in healthcare.

• own financing outside solidaristic caredecisive»Sådana insatser bör den enskilde själv välja,« (party programme ↗)“Such initiatives should be chosen by the individual themselves,”
• choice in healthcare»Medborgarna ska ges frihet att själva välja vårdgivare.« (party programme ↗)“Citizens shall be given freedom to choose their own healthcare provider.”
• quality and choice in healthcare»Vår gemensamma hälso- och sjukvård ska kännetecknas av kvalitet,« (party programme ↗)“Our common healthcare shall be characterized by quality,”

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 makes choice a central part of the welfare model and establishes that welfare society should combine public and private in both delivery and financing. That the patient himself can pay the difference for a higher material standard is precisely such an individual choice with personal financing. The plan likewise gives the patient the right to choose another provider and have extra costs reimbursed.

• private co-financing alloweddecisive»välfärdssamhälle kombinerar offentligt och privat i såväl utförande som finansiering.« (party programme ↗)“welfare society combines public and private in both delivery and financing.”
• choice and diversity»En mångfald av aktörer är också en förutsättning för förnyelse och innovation.« (party programme ↗)“A diversity of actors is also a prerequisite for renewal and innovation.”
• patient's own choice»Införa en förstärkt vårdgaranti för cancerpatienter – om inte vården kan ges inom angivna tidsgränser ska patienten ha rätt att vända sig till annan vårdgivare och bli ersatt för de merkostnader detta innebär« (2022 manifesto ↗)“Introduce an enhanced care guarantee for cancer patients – if care cannot be provided within specified time limits, the patient should have the right to turn to another provider and be reimbursed for the extra costs this entails”

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 defends choice within welfare and places no inherent value in how care is delivered so long as quality is good; national quality requirements are specified as a minimum standard that must not be undercut, not as a ceiling. The counter-proposal's requirement that patients themselves may pay the difference for higher material standards fits within that choice principle. The plan does not however address optional add-ons within dental care reimbursement, so the support is derived.

• choice within welfaredecisive»Sverigedemokraterna ser att marknadsekonomi, valfrihet inom välfärden och internationell handel gynnar samhället och är viktigt att försvara« (2022 manifesto ↗)“The Sweden Democrats see that market economy, choice within welfare and international trade benefit society and are important to defend”
• quality requirements as minimum standard»Nationella kvalitetskrav inom vård och omsorg måste finnas och får inte underskridas.« (party programme ↗)“National quality requirements in care and welfare must exist and must not be undercut.”
• best care per krona»vår ledstjärna är bästa möjliga vård per krona« (party programme ↗)“our guiding star is the best possible care per krona”

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.