2022-12-202022/23:SfU1 · p.1SfUMigration & social insurance
Goals for Expenditure Area 10
Objective for expenditure area 10: economic security in case of illness and disability
What's at stake: The wording of the goal governs how the Social Insurance Agency prioritises its work and which results it is measured against. It affects people on sick leave and those with reduced work capacity, and how easy or difficult it becomes to be granted sickness benefit during the time it takes to return to work.
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 goal for the expenditure area should remain a stable and low level of sickness absence, as it is today, or be changed to a goal of economic security and effective support for the insured person to regain work capacity and return to work.
Yes Yes — the committee proposal
The committee finds no reason to make a different assessment than before and continues to consider that absence from work due to illness should remain at a stable and low level, with a focus on preventive, rehabilitative and coordinated measures. The motion calling for the goal to be changed is therefore rejected.
No No — the reservations
Reservation 1 (V)
The reservation (V) wants the government to change the goal for the expenditure area to providing economic security in case of illness and effective support for the insured person to regain work capacity and return to work. The reasoning is that the current goal has led to a tightening of sickness insurance, and that the Social Insurance Agency should instead invest in preventive work, a more sustainable working life, rehabilitation and greater opportunities for the insured person to be granted sickness benefit.
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 1 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: KDKristdemokraterna, LLiberalerna, MPMiljöpartiet, SSocialdemokraterna, SDSverigedemokraterna
Ja 279–20Nej 78–221
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/20/0/4 | match | confidence: high | explicit |
| S | No | Yes 91/0/0/16 | differsagainst own programme | confidence: high | explicit |
| MP | No | Yes 16/0/0/2 | differsagainst own programme | confidence: high | explicit |
| C | No | Yes 21/0/0/3 | differs | confidence: high | derived |
| L | No | Yes 13/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: medium | explicit |
| M | Yes | Yes 57/0/0/11 | match | confidence: medium | derived |
| SD | No | Yes 64/0/0/9 | differsagainst own programme | confidence: high | explicit |
Committee proposal
Parliament rejects the motion 2022/23:1228 by Ida Gabrielsson et al. (V) demand 3.
Original (Swedish)
Riksdagen avslår motion 2022/23:1228 av Ida Gabrielsson m.fl. (V) yrkande 3.
Riksdag decision: In total, 106.4 billion kronor from the state budget for 2023 goes to the expenditure area Economic Security in Illness and Disability. Parliament said yes to the government's proposal. Most money, 45.6 billion kronor, goes to sick leave and rehabilitation and 45.4 billion kronor goes to activity and sickness benefits. Försäkringskassan (Swedish Social Insurance Agency) receives just over 9 billion kronor. Parliament said yes to the government's proposal to extend the temporary exemption from certain assessments of sick leave benefits in case of deferred care or rehabilitation until the end of 2023. Parliament also said yes to the government's proposal on authorizations (bemyndiganden), powers, and economic commitments. At the same time, parliament said no to motions with alternative budget proposals. Parliament decides the state budget in two steps. First, the framework for the 27 expenditure areas in the budget is decided. Parliament decided this on 13 December 2022. Subsequently, parliament in a second step determines how the money shall be allocated within each expenditure area. This decision concerns step two in the decision process.
Counter-proposals
- The counter-proposal wants to change the goal for social insurance to provide economic security during illness and effective support to help the insured regain work ability. (V) — Reservation 1
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 requires humane sickness insurance and an end to exclusion from the insurance of the sick, as well as that unemployment and sickness insurance be strengthened so that more are covered.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires humane sickness insurance and an end to exclusion from the insurance of the sick, as well as that unemployment and sickness insurance be strengthened so that more are covered. A goal formulated as economic security and support for regaining work capacity, instead of a goal about low sick leave rates, follows directly from this.
Original (Swedish)
Planen kräver en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka, samt att arbetslöshets- och sjukförsäkringarna stärks så att fler omfattas. Ett mål formulerat som ekonomisk trygghet och stöd för att återfå arbetsförmågan, i stället för ett mål om låg sjukfrånvaro, följer direkt av detta.
- humane sickness insurancedecisive»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see humane sickness insurance and an end to exclusion from the insurance of the sick.”
- strengthened social insurance»Att stärka framför allt arbetslöshets- och sjukförsäkringarna, så att fler kan omfattas« (party programme ↗)“To strengthen especially unemployment and sickness insurance, so that more can be covered”
- secure compensation for sickness»När du blir sjuk eller föder barn ska du kunna lita på att få ersättning från Försäkringskassan utan att behöva stånga dig blodig.« (2022 manifesto ↗)“When you become sick or have a child you should be able to rely on receiving compensation from the Social Insurance Agency without having to fight with your life savings.”
- sustainable working life»Trygghet på arbetsmarknaden är också att alla ska orka jobba hela vägen fram till pensionen.« (2022 manifesto ↗)“Security in the labor market is also that everyone should be able to work throughout until retirement.”
The plan explicitly establishes that in case of illness greater financial security is needed and that those too ill to work should be able to rely on sickness insurance.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly establishes that in case of illness greater financial security is needed and that those too ill to work should be able to rely on sickness insurance. A goal that places financial security and support for return to work at the centre directly addresses this, while a goal of low absence levels risks tightening. The plan also wants to improve sickness benefits and values the security pension.
Original (Swedish)
Planen slår uttryckligen fast att det vid sjukdom behövs större ekonomisk trygghet och att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen. Ett mål som sätter ekonomisk trygghet och stöd för återgång i arbete i centrum svarar direkt mot detta, medan ett mål om låg frånvaronivå riskerar åtstramning. Planen vill dessutom förbättra sjukersättningen och värnar trygghetspensionen.
- financial security in case of illnessdecisive»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also in case of illness it is necessary with greater financial security.”
- trust in sickness insurance»vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen« (2022 manifesto ↗)“we protect the principle that those who are too ill to work should be able to rely on sickness insurance”
- protect the security pension»Vi står upp för trygghetspensionen, som utmanas av krafter från höger« (2022 manifesto ↗)“We stand up for the security pension, which is challenged by forces from the right”
- the income-replacement principle»Socialförsäkringarna ska bygga på inkomstbortfallsprincipen.« (party programme ↗)“Social insurance should be built on the income-replacement principle.”
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 wants to change sick leave insurance so it provides better security during sick leave, raise the lowest level of sickness and activity allowances and abolish the waiting day, and the party programme establishes that society actively shall support the individual's return through rehabilitation.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto wants to change sick leave insurance so it provides better security during sick leave, raise the lowest level of sickness and activity allowances and abolish the waiting day, and the party programme establishes that society actively shall support the individual's return through rehabilitation. A goal that puts economic security during illness and return to work at the center, instead of low sick leave rates, is the same thing in substance. The plan therefore supports the counter-proposal.
Original (Swedish)
Valmanifestet vill förändra sjukförsäkringen så att den ger bättre trygghet vid sjukskrivning, höja den lägsta nivån i sjuk- och aktivitetsersättningarna och slopa karensdagen, och partiprogrammet slår fast att samhället aktivt ska stödja individens väg tillbaka genom rehabilitering. Ett mål som sätter ekonomisk trygghet vid sjukdom och återgång i arbete i centrum, i stället för låg sjukfrånvaro, är samma sak i sak. Planen stöder därför motförslaget.
- security before cutbacksdecisive»förändra sjukförsäkringen så den ger bättre trygghet vid sjukskrivning och se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd.« (2022 manifesto ↗)“change sick leave insurance so it provides better security during sick leave and ensure that people are not passed between agencies when they need society's support.”
- raised allowance level»höja den lägsta nivån i sjuk- och aktivitetsersättningarna.« (2022 manifesto ↗)“raise the lowest level of sickness and activity allowances.”
- rehabilitation back to work»genom åtgärder för rehabilitering och utbildning.« (party programme ↗)“through measures for rehabilitation and education.”
- economic security during illness»Alla har rätt till grundläggande ekonomisk« (party programme ↗)“Everyone has the right to basic economic”
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 plan's commitment on sick leave is precisely what the counter-proposal wants to make a goal: better rehabilitation, more flexible sick leave and an easy path to support, with employers taking greater responsibility for preventive measures.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's commitment on sick leave is precisely what the counter-proposal wants to make a goal: better rehabilitation, more flexible sick leave and an easy path to support, with employers taking greater responsibility for preventive measures. It also promises economic basic security for those affected by illness. A goal focused on economic security and effective support for return to work therefore follows from the plan.
Original (Swedish)
Planens åtagande om sjukförsäkringen är just det motförslaget vill göra till mål: bättre rehabilitering, mer flexibel sjukskrivning och en enkel väg in till stöd, med arbetsgivare som tar större ansvar för förebyggande insatser. Den lovar också ekonomisk grundtrygghet för den som drabbas av sjukdom. Ett mål inriktat på ekonomisk trygghet och effektivt stöd för återgång i arbete följer därför av planen.
- prevent and rehabilitatedecisive»Gör mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa. Vi vill göra sjukskrivningen mer flexibel och förbättra rehabiliteringen.« (2022 manifesto ↗)“Do more to prevent, counter and rehabilitate stress-related mental ill-health. We want to make sick leave more flexible and improve rehabilitation.”
- easy access and flexibility»Vi vill att den som söker vård ska erbjudas en enkel väg in för stöd och hjälp, att vården ska få bättre verktyg för behandling och att sjukskrivningen ska bli mer flexibel.« (2022 manifesto ↗)“We want those seeking healthcare to be offered an easy path to support and help, for healthcare to be given better tools for treatment and for sick leave to become more flexible.”
- economic basic security in illness»De som drabbats av sjukdom, funktionsnedsättning eller arbetslöshet ska därutöver garanteras en ekonomisk grundtrygghet« (party programme ↗)“Those affected by illness, disability or unemployment shall moreover be guaranteed economic basic security”
- employer preventive responsibility»Arbetsgivare bör ta ett större ansvar för förebyggande insatser och rehabilitering.« (2022 manifesto ↗)“Employers should take greater responsibility for preventive measures and rehabilitation.”
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 wording is nearly verbatim the one the counter-proposal wants to make into an objective: sickness insurance shall provide economic security in both short-term and chronic illness and be linked to support and rehabilitation to facilitate return to work.
Plan documents: party programme
Reasoning and quotes
The plan's wording is nearly verbatim the one the counter-proposal wants to make into an objective: sickness insurance shall provide economic security in both short-term and chronic illness and be linked to support and rehabilitation to facilitate return to work. The plan also wants someone who has been on long-term sickness leave to be able to try working and if necessary return to the insurance. This supports an objective that places security and return to work at the centre rather than a low absence level.
Original (Swedish)
Planens formulering är nästan ordagrant den som motförslaget vill göra till mål: sjukförsäkringen ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom och vara kopplad till stöd och rehabilitering för att underlätta återgång till arbete. Planen vill också att den som varit långtidssjukskriven ska kunna prova att arbeta och vid behov återgå till försäkringen. Det stöder ett mål som sätter trygghet och återgång i arbete i centrum snarare än en låg frånvaronivå.
- economic security in illnessdecisive»Sjukförsäkringen ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom« (party programme ↗)“Sickness insurance shall provide economic security in both short-term and chronic illness”
- rehabilitation and return»stöd och rehabilitering för att underlätta återgång till arbete.« (party programme ↗)“support and rehabilitation to facilitate return to work.”
- security to try working»arbeta ska kunna göra detta och sedan om så krävs återgå till sjukförsäkringen.« (party programme ↗)“work shall be able to do this and then if necessary return to sickness insurance.”
- general social insurance»Socialförsäkringarna ska erbjuda trygghet när individen inte kan försörja sig själv vid sjukdom, arbetsskada,« (party programme ↗)“Social insurance shall offer security when the individual cannot support themselves due to illness, work injury,”
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 counter-proposal wants the goal formulated as economic security during illness and effective support to regain working capacity and return to work.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The counter-proposal wants the goal formulated as economic security during illness and effective support to regain working capacity and return to work. The party programme describes social insurance in precisely these terms: a solidarily financed system that provides economic security, with replacement levels that encourage participation in efforts for good health and return to working life. The election manifesto's security payment for the worn-out points in the same direction.
Original (Swedish)
Motförslaget vill att målet formuleras som ekonomisk trygghet vid sjukdom och ett effektivt stöd för att återfå arbetsförmågan och återgå i arbete. Principprogrammet beskriver socialförsäkringen i just dessa termer: ett solidariskt finansierat system som ger ekonomisk trygghet, med ersättningsnivåer som stimulerar insatser för god hälsa och återgång till arbetslivet. Valmanifestets trygghetsersättning för utslitna pekar i samma riktning.
- support for return to workdecisive»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder« (party programme ↗)“The levels of payments shall be designed so that the individual is encouraged to participate in efforts”
- economic security during illness»Ett solidariskt finansierat socialförsäkringssystem« (party programme ↗)“A solidarily financed social insurance system”
- reasonable security in social insurance»en rimlig trygghet vid sjukdom, arbetslöshet, arbetsskada och pension.« (party programme ↗)“reasonable security during illness, unemployment, occupational injury and pension.”
- security for the worn-out»Inför trygghetsersättning, för dem som har ett fåtal år kvar till pensionen men som slitit ut kroppen.« (2022 manifesto ↗)“Introduce security payment, for those who have a few years left until pension but who have worn out their bodies.”
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 counter-proposal wants to change the goal for sick leave insurance and increase opportunities to receive sickness benefits, criticizing that today's goal has tightened the insurance.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The counter-proposal wants to change the goal for sick leave insurance and increase opportunities to receive sickness benefits, criticizing that today's goal has tightened the insurance. The plan's basic promise is the work line: taxes and benefit systems shall be based on it, a benefit cap shall ensure that benefits never exceed wages from work, and the benefit systems shall be reformed to break exclusion. The demand pulls in the opposite direction and is rejected.
Original (Swedish)
Motförslaget vill lägga om målet för sjukförsäkringen och öka möjligheterna att beviljas sjukpenning, med kritik mot att dagens mål stramat åt försäkringen. Planens grundläggande löfte är arbetslinjen: skatter och bidragssystem ska utgå från den, ett bidragstak ska göra att bidrag aldrig överstiger lön från arbete och bidragssystemen ska reformeras för att bryta utanförskapet. Kravet drar i motsatt riktning och avvisas.
- the work line as a promisedecisive»Det är löftet om arbetslinjen; om en fungerande arbetsmarknad där den som kan försörjer sig själv.« (party programme ↗)“It is the promise of the work line; about a functioning labor market where those who can support themselves.”
- benefit cap»Införa ett bidragstak så att de samlade bidragen aldrig kan bli högre än lönen från ett arbete« (2022 manifesto ↗)“Introduce a benefit cap so that the combined benefits can never exceed wages from work”
- the work line guides the benefits»Skatter och bidragssystem ska utgå från arbetslinjen.« (party programme ↗)“Taxes and benefit systems shall be based on the work line.”
- benefit reform»Genomföra en stor bidragsreform för att bryta utanförskapet« (2022 manifesto ↗)“Conduct a major benefit reform to break exclusion”
The counter-proposal wants to change the goal to economic security during illness and effective investment in return to work, because today's goal has contributed to tightening.
Plan documents: 2022 manifesto
Reasoning and quotes
The counter-proposal wants to change the goal to economic security during illness and effective investment in return to work, because today's goal has contributed to tightening. The plan explicitly states that a direction aimed at reducing the number on sick leave has led to unsustainable benefit denials, and requires a secure and legally sound sickness insurance with more resources for preventive work and rehabilitation. The goal formulation in the counter-proposal is precisely the plan's direction.
Original (Swedish)
Motförslaget vill ändra målet till ekonomisk trygghet vid sjukdom och effektivt stöd för återgång i arbete, eftersom dagens mål bidragit till åtstramning. Planen slår uttryckligen fast att en styrning inriktad på att pressa ned antalet med sjukpenning lett till ohållbara utförsäkringar, och kräver en trygg och rättssäker sjukförsäkring med mer resurser till förebyggande arbete och rehabilitering. Målformuleringen i motförslaget är just planens inriktning.
- criticism of tightened sickness insurancedecisive»Detta tillsammans med en styrning från regeringen som fokuserat på att spara på kostnader genom få ner antalet med sjukpenning har lett ohållbara utförsäkringar.« (2022 manifesto ↗)“This together with government steering focused on saving costs by reducing the number on sick leave has led to unsustainable benefit denials.”
- secure sickness insurance»Verka för en trygg och rättssäker sjukförsäkring« (2022 manifesto ↗)“Work for secure and legally sound sickness insurance”
- rehabilitation and prevention»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“Place increased focus and more resources on preventive work and rehabilitation”
- stop benefit denials»Svårt sjuka har utförsäkrats och hänvisats till arbete, människor har sett sina sjukdagar försvinna i väntan på vård och en del fastnar i utanförskap trots önskan att arbeta eller studera.« (2022 manifesto ↗)“Severely ill people have been denied benefits and directed to work, people have seen their sick days disappear while waiting for care and some are trapped in exclusion despite wanting to work or study.”
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.
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Sources and documents
- The committee report on riksdagen.se (2022/23:SfU1)
- Committee report full text (HA01SfU1)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1228 — En fungerande sjukförsäkring av Ida Gabrielsson m.fl. (V)
- Motion 2022/23:1282 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Nooshi Dadgostar m.fl. (V)
- Motion 2022/23:2059 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Anders Ygeman m.fl. (S)
- Motion 2022/23:2104 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Annika Hirvonen m.fl. (MP)
- Motion 2022/23:2211 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Martina Johansson m.fl. (C)
- Proposition 2022/23:1 — Budgetpropositionen för 2023
Source: The Swedish Parliament