2023-04-192022/23:SoU20 · p.2SoUHealth & social services
Public Health Promotion Measures
What's at stake: The decision concerns how actively the state should steer efforts to reduce health gaps between different groups in the population, which affects which preventive measures - such as sports and outdoor activities or health check-ups - are prioritized and reach people broadly.
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 take specific initiatives to strengthen health-promotion work, for example through a broader equality-focused policy and investment in preventive measures, or whether existing structures and ongoing work are sufficient.
Yes Yes — the committee proposal
The committee notes that there is already a cross-sector goal and follow-up structure for public health work with eight target areas, that the Public Health Agency has developed a support structure for coordinated efforts between authorities, and that the county administrative boards are tasked with supporting regional implementation. The committee also notes ongoing efforts to build knowledge about preventive measures. On that basis, the committee does not consider it necessary for the Riksdag to take any initiative regarding health-promotion measures, and rejects the motions.
No No — the reservations
Reservation 2 (S)
The reservation (S) shares the goal of creating societal conditions for good and equal health and closing avoidable health gaps within a generation, but argues that the government should take action to get there through a broad equality-oriented policy. The signatories stress that social preventive measures and preventive healthcare are crucial, want sports, community and outdoor activities supported with broader participation, and want more adults offered health check-ups and support to develop healthier habits.
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 S.
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 | Abstain 0/0/21/3 | departs from the plan | confidence: high | not addressed |
| S | No | No 0/91/0/16 | follows the plan | confidence: high | not addressed |
| MP | No | Abstain 0/0/16/2 | departs from the plan | confidence: high | explicit |
| C | No | Abstain 0/0/21/3 | departs from the plan | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: low | not addressed |
| KD | No | Yes 17/0/0/2 | departs from the plan | confidence: medium | derived |
| M | Yes | Yes 59/0/0/9 | follows the plan | confidence: low | not addressed |
| SD | No | Yes 64/0/0/9 | departs from the plan | confidence: low | not addressed |
Committee proposal
The Riksdag rejects the motions 2022/23:856 by Anders W Jonsson et al. (C) demands 12, 14 and 19, 2022/23:861 by Catarina Deremar et al. (C) demand 22, 2022/23:1530 by Cecilia Engström (KD), 2022/23:2061 by Fredrik Lundh Sammeli et al. (S) demand 61 and 2022/23:2171 by Elin Söderberg et al. (MP) demand 9.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:856 av Anders W Jonsson m.fl. (C) yrkandena 12, 14 och 19, 2022/23:861 av Catarina Deremar m.fl. (C) yrkande 22, 2022/23:1530 av Cecilia Engström (KD), 2022/23:2061 av Fredrik Lundh Sammeli m.fl. (S) yrkande 61 och 2022/23:2171 av Elin Söderberg m.fl. (MP) yrkande 9.
Riksdag decision: The Riksdag rejected approximately 60 proposals in motions submitted during the general motion period in 2022. The reason is, among other things, work that is already ongoing in the matters that the motions address. The proposals address, for example, the organization of public health work and health promotion measures, disease prevention and vaccinations.
Counter-proposals
- The counter-proposal wants to create societal conditions for equal health through broad equality-creating policy. (S) — 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 establishes that class determines lifespan and the possibility of a good life, which is precisely the analysis the counter-proposal is based on when it demands a broad equality-creating policy to close health gaps.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that class determines lifespan and the possibility of a good life, which is precisely the analysis the counter-proposal is based on when it demands a broad equality-creating policy to close health gaps. The plan wants to invest more resources in healthcare, give children and young people municipally supported leisure activities and regrets that sports have been depleted as fees have risen. Preventive measures and wider participation therefore follow from the plan.
Original (Swedish)
Planen slår fast att klass avgör livslängd och möjligheten till ett bra liv, vilket är just den analys motförslaget bygger på när det kräver en bred jämlikhetsskapande politik för att sluta hälsoklyftorna. Planen vill satsa mer resurser på vården, ge barn och unga kommunalt stödda fritidsaktiviteter och beklagar att idrotten utarmats när avgifterna stigit. Förebyggande insatser och breddat deltagande följer därför av planen.
- class-based health gapsdecisive»Precis som att klass påverkar människor i en pandemi, påverkar klass vår livslängd och möjlighet till ett bra liv utanför en pandemi.« (2022 manifesto ↗)“Just as class affects people in a pandemic, class affects our lifespan and opportunity for a good life outside a pandemic.”
- more resources to healthcare»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 elder care, and invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and working environment.”
- supported leisure activities»Ge barn och ungdomar möjligheter till kommunalt stödda fritidsaktiviteter, ge skolan bättre resurser för att stödja elever som behöver det för att klara betygen och förstärk socialtjänsten med tillräckliga resurser och kunskap för att arbeta både förebyggande och med barnskydd.« (2022 manifesto ↗)“Give children and young people opportunities for municipally supported leisure activities, give schools better resources to support students who need it to pass grades and strengthen social services with sufficient resources and knowledge to work both preventively and with child protection.”
- wider participation in sports»Även kulturen och idrotten har utarmats när skolbibliotek läggs ned, simskolan blivit dyrare och biografer finns på färre orter.« (2022 manifesto ↗)“Culture and sports have also been depleted as school libraries are closed, swimming schools have become more expensive and cinemas exist in fewer 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's public health analysis is that low income and short education give shorter life and more illness, and that welfare policy is an expression of freedom, equality and solidarity - thus exactly the counter-proposal's broad equality-creating approach.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme's public health analysis is that low income and short education give shorter life and more illness, and that welfare policy is an expression of freedom, equality and solidarity - thus exactly the counter-proposal's broad equality-creating approach. The election manifesto also promises increased access to leisure activities at reasonable costs and that no one shall need to worry about timely care. The goal structure for public health policy is, however, not addressed.
Original (Swedish)
Partiprogrammets folkhälsoanalys är att låg inkomst och kort utbildning ger kortare liv och mer sjuklighet, och att välfärdspolitiken är ett uttryck för frihet, jämlikhet och solidaritet - alltså precis motförslagets breda jämlikhetsskapande ansats. Valmanifestet lovar dessutom ökad tillgång till fritidsaktiviteter till rimliga kostnader och att ingen ska behöva oroa sig för vård i tid. Målstrukturen för folkhälsopolitiken behandlas däremot inte.
- class-related health gapsdecisive»utbildningsnivå lever kortare, är oftare sjuka, saknar oftare jobb, har sämre« (party programme ↗)“education level live shorter lives, are more often ill, more often lack jobs, have worse”
- equality-creating welfare policy»Den socialdemokratiska välfärdspolitiken är ett uttryck för de tre principerna om frihet,« (party programme ↗)“Social Democratic welfare policy is an expression of the three principles of freedom,”
- support for sport and community activities»Tillgången till fritidsaktiviteter till rimliga kostnader, både vad gäller idrott och kultur, behöver öka.« (2022 manifesto ↗)“Access to leisure activities at reasonable costs, both for sport and culture, needs to increase.”
- timely care»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall need to feel anxiety about receiving timely care.”
The party programme requires long-term investment in public health with focus on people's living conditions, a national public health programme and far more targeted health promotion and disease prevention work.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires long-term investment in public health with focus on people's living conditions, a national public health programme and far more targeted health promotion and disease prevention work. That supports the counter-proposal's demands for social preventive measures and preventive health care. The plan also wants to invest in mass-participation sports and outdoor recreation organizations so that more people participate.
Original (Swedish)
Partiprogrammet kräver en långsiktig satsning på folkhälsa med fokus på människors livsvillkor, ett nationellt folkhälsoprogram och långt mer målinriktat hälsofrämjande och sjukdomsförebyggande arbete. Det bär motförslagets krav på sociala förebyggande insatser och förebyggande vård. Planen vill dessutom satsa på breddidrott och friluftsorganisationer så att fler deltar.
- national public health programmedecisive»Vi menar att en långsiktig satsning på folkhälsa med fokus på människors livsvillkor är lika viktig som sjukvården för att främja god hälsa. Vi vill därför se ett nationellt folkhälsoprogram och stödja kommuner och landsting i deras hälsofrämjande arbete.« (party programme ↗)“We mean that a long-term investment in public health with focus on people's living conditions is as important as health care for promoting good health. We therefore want to see a national public health programme and support municipalities and county councils in their health promotion work.”
- more preventive measures»Miljöpartiet ser att vi i Sverige måste arbeta långt mer målinriktat med hälsofrämjande och sjukdomsförebyggande insatser.« (party programme ↗)“The Green Party sees that we in Sweden must work far more actively with targeted health promotion and disease prevention measures.”
- mass-participation sports for public health»Genom resurser till ungdoms- och breddidrotten, inklusive idrott för människor med funktionsnedsättning, korpidrott och motionsidrott, investerar vi i såväl livskvalitet som folkhälsa.« (party programme ↗)“Through resources to youth and mass-participation sports, including sports for people with disabilities, indoor sports and recreational sports, we invest in both quality of life and public health.”
- support for outdoor recreation»ge mer pengar till friluftsorganisationerna så att fler kan njuta av svensk natur.« (2022 manifesto ↗)“give more money to outdoor recreation organizations so that more people can enjoy Swedish nature.”
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 party programme establishes that sustainable welfare presupposes a preventive approach and that the public health perspective must permeate the whole of society, and the election manifesto calls sport, outdoor life, and culture's significance for public health indisputable.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that sustainable welfare presupposes a preventive approach and that the public health perspective must permeate the whole of society, and the election manifesto calls sport, outdoor life, and culture's significance for public health indisputable. Social and health-oriented preventive measures and support for voluntary associations and outdoor recreation thus align with the plan's direction. The plan simultaneously emphasises the individual's own responsibility for health and lifestyle rather than broad redistribution policy.
Original (Swedish)
Partiprogrammet slår fast att en hållbar välfärd förutsätter ett förebyggande förhållningssätt och att folkhälsoperspektivet måste genomsyra hela samhället, och valmanifestet kallar idrottens, friluftslivets och kulturens betydelse för folkhälsan odiskutabel. Sociala och hälsoinriktade förebyggande insatser samt stöd till förenings- och friluftsliv ligger därmed i planens riktning. Planen betonar samtidigt individens eget ansvar för hälsa och livsstil framför en bred omfördelningspolitik.
- preventive public health workdecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt. Folkhälsoperspektivet måste genomsyra hela samhället för att ge resultat.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach. The public health perspective must permeate society to produce results.”
- sport and outdoor recreation for public health»Idrotten, friluftslivets och kulturens betydelse för folkhälsan är odiskutabel.« (2022 manifesto ↗)“Sport, outdoor recreation's, and culture's significance for public health is indisputable.”
- prevent mental illness»Gör mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa.« (2022 manifesto ↗)“Do more to prevent, counteract, and rehabilitate stress-related mental illness.”
- individual health responsibility»förutsättningar för att individer ska kunna ta ansvar för sitt välbefinnande, sin hälsa och livsstil.« (party programme ↗)“conditions for individuals to take responsibility for their wellbeing, health, and 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 party programme establishes that preventive health measures shall be based on knowledge and that the individual's motivation shall guide the measures, while at the same time civil society shall have good conditions.
Plan documents: party programme
Reasoning and quotes
The party programme establishes that preventive health measures shall be based on knowledge and that the individual's motivation shall guide the measures, while at the same time civil society shall have good conditions. The counter-proposal's demands for preventive measures, support for sports, association and outdoor activities and support for healthier lifestyles align with these commitments. The plan however does not share the idea of broad equality-creating policy but emphasizes the individual's own responsibility for their health, which makes the support weaker.
Original (Swedish)
Partiprogrammet slår fast att de förebyggande hälsoinsatserna ska vila på kunskap och att den enskildes motivation ska styra insatserna, samtidigt som föreningslivet ska ha goda förutsättningar. Motförslagets krav på förebyggande insatser, stöd till idrotts-, förenings- och friluftsliv och stöd till hälsosammare levnadsvanor ligger i linje med dessa åtaganden. Planen delar däremot inte tanken på en bred jämlikhetsskapande politik utan betonar den enskildes eget ansvar för sin hälsa, vilket gör stödet svagare.
- knowledge-based public healthdecisive»de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“preventive health measures shall be based on knowledge”
- living civil society»engagera sig i en idrottsklubb, scoutkår, folkbildningsorganisation« (party programme ↗)“engage in a sports club, scout troop, folk education organization”
- individual's self-determination»Den enskildes motivation ska styra alla insatser som erbjuds.« (party programme ↗)“The individual's motivation shall guide all offered measures.”
- own responsibility for health»ta ansvar för sin egen hälsa och sina levnadsvanor« (party programme ↗)“take responsibility for their own health and their lifestyles”
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 says that health-promoting work shall be stimulated and that public health work must not be confined to healthcare but requires cooperation between many societal actors.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan says that health-promoting work shall be stimulated and that public health work must not be confined to healthcare but requires cooperation between many societal actors. The counter-proposal's emphasis on social preventive measures, support for sports and association activities and health examinations lies within this commitment. The plan's association line and the requirement for strengthened student health support the same direction, even though the plan does not speak of a broad equality policy as a method.
Original (Swedish)
Planen säger att hälsofrämjande arbete ska stimuleras och att folkhälsoarbetet inte får inskränkas till sjukvården utan kräver samverkan mellan många samhällsaktörer. Motförslagets betoning av sociala förebyggande insatser, stöd till idrotts- och föreningsliv och hälsoundersökningar ligger inom detta åtagande. Planens föreningslinje och kravet på stärkt elevhälsa stödjer samma inriktning, även om planen inte talar om en bred jämlikhetspolitik som metod.
- health-promoting workdecisive»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work shall be stimulated.”
- broad public health responsibility»utan kräver ett gemensamt ansvarstagande och samverkan mellan olika samhällsaktörer.« (party programme ↗)“but requires shared responsibility-taking and cooperation between different societal actors.”
- support for sport and exercise»Hälsa, motion och olika former av idrott ska främjas och stödjas av kommunerna.« (party programme ↗)“Health, exercise and various forms of sport shall be promoted and supported by municipalities.”
- preventive healthcare for young people»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Greatly strengthened student health with a coordinated child and young people's healthcare and parental support programmes offered to all parents.”
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 health commitment is to shorten care queues and particularly prioritize cancer care and child and adolescent psychiatry, not to expand public health work through a broad equality-creating policy.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's health commitment is to shorten care queues and particularly prioritize cancer care and child and adolescent psychiatry, not to expand public health work through a broad equality-creating policy. The programme establishes that the goal is greater life chances, not requirements for exact or static outcomes. The plan however supports sports initiatives in disadvantaged areas, but this does not support the counter-proposal's main demand.
Original (Swedish)
Planens hälsoåtagande är att korta vårdköerna och särskilt prioritera cancervården och BUP, inte att bygga ut folkhälsoarbetet genom en bred jämlikhetsskapande politik. Programmet slår fast att målet är större livschanser, inte krav på exakta eller statiska utfall. Planen stöder däremot idrottssatsningar i utsatta områden, men det bär inte motförslagets huvudkrav.
- care queues are the core problemdecisive»Bristerna handlar framför allt om långa vårdköer, väntetider och bristande tillgänglighet.« (2022 manifesto ↗)“The shortcomings are mainly about long care queues, waiting times and lack of accessibility.”
- prioritize cancer care and child and adolescent psychiatry»Moderaterna vill korta tiden som du behöver vänta på att få vård men särskilt prioritera cancervård och barn- och ungdomspsykiatrin.« (2022 manifesto ↗)“The Moderate Party wishes to shorten the time you need to wait to receive care but particularly prioritize cancer care and child and adolescent psychiatry.”
- life chances, not outcome equality»och medlet är större livschanser, inte krav på exakta eller« (party programme ↗)“and the means is greater life chances, not requirements for exact or”
- sports initiative in disadvantaged areas»Genomföra ett särskilt idrottslyft för utsatta områden« (2022 manifesto ↗)“Implement a special sports initiative for disadvantaged areas”
The plan wishes to see increased focus and more resources on preventive work and emphasizes that stimulated sport is a cheap way to improve physical and mental health.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wishes to see increased focus and more resources on preventive work and emphasizes that stimulated sport is a cheap way to improve physical and mental health. The counter-proposal's concrete demands for preventive measures, support for sports, associations and outdoor life and more health checks align with this. The plan, however, gives no support for a broad equality-creating policy as a method and demands clear citizen benefit for every initiative, so the support is weak.
Original (Swedish)
Planen vill se ökat fokus och mer resurser på förebyggande arbete och betonar att stimulerad idrott är ett billigt sätt att förbättra den fysiska och psykiska hälsan. Motförslagets konkreta krav om förebyggande insatser, stöd till idrotts-, förenings- och friluftsliv och fler hälsoundersökningar ligger i linje med detta. Planen ger däremot inget stöd för en bred jämlikhetsskapande politik som metod och kräver tydlig medborgarnytta för varje satsning, varför stödet är svagt.
- preventive health workdecisive»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources for preventive work and rehabilitation”
- sport as public health measure»Att stimulera idrotten är ett billigt sätt att förbättra den fysiska och psykiska hälsan i samhället och bidrar till sammanhållning mellan dess invånare.« (2022 manifesto ↗)“Stimulating sport is a cheap way to improve physical and mental health in society and contributes to cohesion among its inhabitants.”
- increased sport participation»Öka idrottandet i hela befolkningen« (2022 manifesto ↗)“Increase sports participation across the population”
- result requirements on initiatives»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for every public initiative”
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 (2022/23:SoU20)
- Committee report full text (HA01SoU20)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:110 — Åtgärder mot hälsofarliga kosttillskott av Saila Quicklund (M)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1359 — Avgiftsfritt TBE-vaccin för barn av Joakim Sandell m.fl. (S)
- Motion 2022/23:1399 — Att minska den antimikrobiella resistensen nationellt och internationellt av Marie-Louise Hänel Sandström m.fl. (M)
- Motion 2022/23:1456 — Händelseanalyser vid suicidförsök av Ulrika Westerlund och Marielle Lahti (båda MP)
- Motion 2022/23:1530 — Hälsosamtal från 40 år för alla av Cecilia Engström (KD)
- Motion 2022/23:1657 — Nationellt program för förbättrad hälsa hos unga av Anders Ådahl (C)
- Motion 2022/23:1851 — Vaccination mot TBE av Sten Bergheden (M)
- Motion 2022/23:1882 — En starkare liberal demokrati av Malin Björk m.fl. (C)
- Motion 2022/23:2061 — Utgiftsområde 9 Hälsovård, sjukvård och social omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:2075 — Helhetsbedömning av hur barn och unga påverkas av pornografi och sexualbrott av Ann-Sofie Alm och Ann-Sofie Lifvenhage (båda M)
- Motion 2022/23:2128 — En jämlik kunskapsskola utan vinstjakt av Åsa Westlund m.fl. (S)
- Motion 2022/23:2171 — Lands- och glesbygd med stark samhällsutveckling av Elin Söderberg m.fl. (MP)
- Motion 2022/23:2221 — Utredning av anmälnings- eller tillståndsplikt för kyltornsanläggningar av Eric Palmqvist (SD)
- Motion 2022/23:2277 — Jämställdhetspolitik av Märta Stenevi m.fl. (MP)
- Motion 2022/23:255 — Ohälsosamma livsmedels påverkan på folkhälsan av Angelica Lundberg (SD)
- Motion 2022/23:312 — Vaccinationsfrågor av Markus Wiechel (SD)
- Motion 2022/23:315 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2022/23:318 — Avveckla Folkhälsomyndigheten av Markus Wiechel (SD)
- Motion 2022/23:495 — TBE-vaccin av Mathias Tegnér (S)
Source: The Swedish Parliament