2025-04-292024/25:SoU17 · p.3SoUHealth & social services
National screening programs
National screening programmes and efforts against cervical cancer
What's at stake: The decision affects how quickly and consistently screening for, for example, cervical cancer reaches women across the country, particularly groups that currently take part less in screening, and how much room the regions retain to decide for themselves whether and when a programme should start.
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 Riksdag should take its own initiative on national screening programmes - including a targeted information effort against cervical cancer - or whether this should continue to be a matter for the national health agency's recommendations and the regions' own decisions.
Yes Yes — the committee proposal
The committee notes that the national health agency is tasked with producing recommendations for national screening programmes in order to achieve national coordination and more equal care, but that it is up to each region to decide whether and when a programme starts. The committee therefore sees no reason for Riksdag to take its own initiative, and the motions are rejected.
No No — the reservations
Reservation 5 (S)
The reservation (S) calls for the government to review how to eliminate cervical cancer and to take the initiative for a coordinated information effort aimed at women who currently take part less in screening, rather than leaving the matter entirely to the health agency's recommendations and the regions' own decisions.
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 5 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 0/0/18/6 | departs from the plan | confidence: medium | derived |
| S | No | No 0/87/0/19 | follows the plan | confidence: medium | derived |
| MP | No | Abstain 0/0/15/3 | departs from the plan | confidence: medium | derived |
| C | No | Yes 20/0/0/4 | departs from the plan | confidence: medium | derived |
| L | No | Yes 11/0/0/5 | departs from the plan | confidence: medium | derived |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | derived |
| M | No | Yes 55/0/0/13 | departs from the plan | confidence: medium | derived |
| SD | No | Abstain 0/0/62/10 | departs from the plan | confidence: medium | derived |
Committee proposal
The Riksdag rejects the motions 2024/25:74 by Johnny Svedin (SD), 2024/25:1359 by Carina Ståhl Herrstedt et al. (SD) motion item 3, 2024/25:1360 by Carina Ståhl Herrstedt et al. (SD) motion items 9-11, 2024/25:1923 by Nooshi Dadgostar et al. (V) motion item 36, 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) motion item 56 and 2024/25:3055 by Ulrika Westerlund et al. (MP) motion items 94 and 95.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:74 av Johnny Svedin (SD), 2024/25:1359 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 3, 2024/25:1360 av Carina Ståhl Herrstedt m.fl. (SD) yrkandena 9-11, 2024/25:1923 av Nooshi Dadgostar m.fl. (V) yrkande 36, 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkande 56 och 2024/25:3055 av Ulrika Westerlund m.fl. (MP) yrkandena 94 och 95.
Riksdag decision: The Riksdag rejected approximately 140 proposals in motions about priorities within healthcare, primarily citing ongoing work. The proposals were submitted during the general motion period 2024 and deal with, among other things, priorities, blood donation and assisted reproduction.
Counter-proposals
- The counter-proposal wants a national knowledge support for menopausal care to be developed according to the Social Board's recommendations. (S) — Reservation 5
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 equal and gender-equal healthcare regardless of where in the country you live and who you are, and that the state takes greater financial responsibility for equal conditions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires equal and gender-equal healthcare regardless of where in the country you live and who you are, and that the state takes greater financial responsibility for equal conditions. A coordinated information initiative directed at the women who participate least in screening responds directly to this, since participation today is socially skewed. The plan also sees healthcare as part of broader public health work.
Original (Swedish)
Planen kräver en jämlik och jämställd sjukvård oavsett var i landet man bor och vem man är, och att staten tar ett större ekonomiskt ansvar för jämlika förutsättningar. En samordnad informationsinsats riktad till de kvinnor som deltar minst i screeningen svarar direkt mot det, eftersom deltagandet i dag är socialt snedfördelat. Planen ser också vården som en del av ett bredare folkhälsoarbete.
- equal and gender-equal healthcaredecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, gender-equal, and accessible, regardless of where in the country you live and regardless of who you are.”
- state responsibility for equal conditions»staten ta ett större ekonomiskt ansvar för att ge dem goda och jämlika« (party programme ↗)“the state take greater financial responsibility to provide them with good and equal”
- public health perspective»Vården behöver ses som en del i det bredare arbetet med folkhälsa.« (party programme ↗)“Healthcare needs to be seen as part of the broader work on public health.”
- healthcare based on needs»evidens och prioriteras utifrån behov.« (party programme ↗)“evidence and prioritized based on needs.”
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 demands equivalent access to care throughout the country and the election manifesto wants to increase supervision and let the state guarantee care when a region does not meet its obligation.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme demands equivalent access to care throughout the country and the election manifesto wants to increase supervision and let the state guarantee care when a region does not meet its obligation. A coordinated information initiative to reach women who participate less in screening is a measure against just unequal care. The plan thus speaks for the counter-proposal's demands.
Original (Swedish)
Partiprogrammet kräver likvärdig tillgång till vård i hela landet och valmanifestet vill växla upp tillsynen samt låta staten garantera vård när en region inte klarar sitt uppdrag. En samordnad informationsinsats för att nå kvinnor som deltar mindre i screeningen är en åtgärd mot just ojämlik vård. Planen talar därför för motförslagets krav.
- equivalent care throughout the countrydecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country shall have equivalent access to school, care and health services.”
- national care guarantee»Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“If a region does not meet the care guarantee under the law, care shall be offered in another region.”
- strengthened supervision of care»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Supervision of the health service shall be increased to guarantee quality.”
- women's health and rights»Vi socialdemokrater står upp för alla kvinnors rätt att bestämma över sin egen kropp.« (2022 manifesto ↗)“We social democrats stand up for all women's right to decide over their own body.”
The plan states that access to healthcare is unevenly distributed and that women wait longer for important treatments, and it points to a higher degree of outreach activities as a remedy.
Plan documents: party programme
Reasoning and quotes
The plan states that access to healthcare is unevenly distributed and that women wait longer for important treatments, and it points to a higher degree of outreach activities as a remedy. It also wants to see a national public health programme and support the authorities in health-promoting work. A coordinated information initiative aimed at women who participate less in screening is exactly such a measure, so the plan supports the requirement.
Original (Swedish)
Planen konstaterar att tillgången till vård är ojämnt fördelad och att kvinnor får vänta längre på viktiga behandlingar, och den anvisar högre grad av uppsökande verksamhet som botemedel. Den vill också se ett nationellt folkhälsoprogram och stödja huvudmännen i det hälsofrämjande arbetet. En samordnad informationsinsats riktad till kvinnor som deltar mindre i screening är just en sådan åtgärd, varför planen stöder kravet.
- outreach activitiesdecisive»göras genom högre grad av uppsökande verksamhet« (party programme ↗)“be achieved through a higher degree of outreach activities”
- equal healthcare for women»socioekonomiska faktorer borde vara en självklarhet. Kvinnor får ofta vänta längre på viktiga« (party programme ↗)“socioeconomic factors should be a matter of course. Women often wait longer for important”
- national public health work»därför se ett nationellt folkhälsoprogram och stödja« (party programme ↗)“therefore see a national public health programme and support”
- unequal healthcare access»I dag är tillgången till vård ojämnt fördelad.« (party programme ↗)“Today, access to healthcare is unevenly distributed.”
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 lead Sweden towards more equal healthcare and invest especially in diseases affecting women, which bears a coordinated effort to reach women who participate less in screening.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to lead Sweden towards more equal healthcare and invest especially in diseases affecting women, which bears a coordinated effort to reach women who participate less in screening. The public health perspective must also permeate society as a whole, and screening is preventive care. Keeping care responsibility with the regions speaks for information and coordination rather than national direction of when programmes start.
Original (Swedish)
Planen vill leda Sverige till en mer jämställd sjukvård och satsa särskilt på kvinnosjukdomar, vilket bär en samordnad insats för att nå kvinnor som deltar mindre i screeningen. Folkhälsoperspektivet ska dessutom genomsyra hela samhället, och screening är förebyggande vård. Att vårdansvaret ska ligga kvar hos regionerna talar för information och samordning snarare än statlig styrning av när program startar.
- equal healthcare and diseases affecting womendecisive»Kvinnor och män ska få lika bra vård. Det borde vara en självklarhet. Vi vill inrätta ett nationellt forskningsprogram om kvinnosjukdomar och stärka den genusmedicinska kompetensen i hela vårdkedjan.« (2022 manifesto ↗)“Women and men shall get equally good care. That should be obvious. We want to establish a national research programme on diseases affecting women and strengthen gender medicine expertise throughout the care chain.”
- equal healthcare»Vi ska leda Sverige till en mer jämställd sjukvård.« (2022 manifesto ↗)“We shall lead Sweden towards more equal healthcare.”
- preventive public health»Folkhälsoperspektivet måste genomsyra hela samhället för att ge resultat.« (party programme ↗)“The public health perspective must permeate all of society to produce results.”
- regional care responsibility»Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“Responsibility for care should not be moved from the regions to the state.”
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 decisive commitment is that care shall be equitable regardless of place of residence and that expanded national coordination and governance is needed, which supports the counter-proposal's demand for a state initiative rather than relying solely on regions' own decisions.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's decisive commitment is that care shall be equitable regardless of place of residence and that expanded national coordination and governance is needed, which supports the counter-proposal's demand for a state initiative rather than relying solely on regions' own decisions. The election manifesto wants the state to take greater responsibility for healthcare's strategic planning. The plan also requires that knowledge about women's disease patterns is improved, which justifies a targeted information initiative on screening.
Original (Swedish)
Planens avgörande åtagande är att vården ska vara jämlik oavsett bostadsort och att en utökad nationell samordning och styrning behövs, vilket bär motförslagets krav på ett statligt initiativ i stället för att förlita sig enbart på regionernas egna beslut. Valmanifestet vill att staten tar ett större ansvar för sjukvårdens strategiska planering. Planen kräver dessutom att kunskapen om kvinnors sjukdomsbilder förbättras, vilket motiverar en riktad informationsinsats om screening.
- national coordination of caredecisive»Det behövs en utökad nationell samordning och styrning. Det stärker likvärdigheten och valfriheten, förbättrar vårdmöjligheterna för sällsynta diagnoser och ökar tillgången till hälso- och sjukvård i landets glest befolkade delar.« (party programme ↗)“There is a need for expanded national coordination and governance. It strengthens equality and choice, improves care options for rare diagnoses, and increases access to healthcare in sparsely populated parts of the country.”
- greater state responsibility»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness, and long-term workforce supply.”
- gender-equal healthcare»Kunskapen om skillnader mellan kvinnors och mäns sjukdomsbilder måste förbättras och hbtq-kompetensen inom vården stärkas.« (party programme ↗)“Knowledge about differences between women's and men's disease patterns must be improved and LGBTQ+ competence in healthcare strengthened.”
- equitable care regardless of place of residence»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 equitable. Everyone has the right to good care regardless of background, gender, age, economy, or place of residence.”
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 establishes that where in the country you live should not determine which healthcare you receive and wants to abolish the regions' responsibility for healthcare in favor of a common national organization.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that where in the country you live should not determine which healthcare you receive and wants to abolish the regions' responsibility for healthcare in favor of a common national organization. To rely on each region itself deciding on screening is therefore not the plan's line; a coordinated national information initiative to reach women who participate least instead aligns with the plan's requirements for health-promoting work and equitable care.
Original (Swedish)
Valmanifestet slår fast att var i landet du bor inte ska avgöra vilken sjukvård du får och vill avskaffa regionernas ansvar för vården till förmån för en gemensam nationell organisation. Att förlita sig på att varje region själv beslutar om screening är därför inte planens linje; en samordnad nationell informationsinsats för att nå de kvinnor som deltar minst ligger tvärtom nära planens krav på hälsofrämjande arbete och jämlik vård.
- equitable care throughout the countrydecisive»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live should not determine which healthcare you receive.”
- national responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare.”
- health-promoting work»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work should be stimulated.”
- broad public health responsibility»får därför inte inskränkas till hälso- och sjukvården« (party programme ↗)“can therefore not be limited to healthcare”
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 explicitly prioritises women's diseases and earlier diagnoses, among other things through structured procedures and risk profiling, and states that cancer care shall be prioritised.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly prioritises women's diseases and earlier diagnoses, among other things through structured procedures and risk profiling, and states that cancer care shall be prioritised. A targeted information initiative to increase screening participation among women who participate least is precisely such a means for early detection. The plan furthermore requires equivalent care regardless of where in the country one lives.
Original (Swedish)
Planen prioriterar uttryckligen kvinnors sjukdomar och tidigare diagnoser, bland annat genom strukturerade arbetssätt och riskprofilering, och slår fast att cancervården ska prioriteras. En riktad informationsinsats för att höja deltagandet i screening bland kvinnor som deltar minst är precis ett sådant medel för tidig upptäckt. Planen kräver dessutom likvärdig vård oavsett var i landet man bor.
- tidigare diagnoserdecisive»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve opportunities for earlier diagnoses, among other things with the help of digital decision support and structured procedures with, for example, risk profiling”
- prioriterad cancervård»Prioritera cancervården och fördubbla stödet till barncancervården, som ska ges särskilt riktade resurser varje år« (2022 manifesto ↗)“Prioritise cancer care and double support for child cancer care, which shall be given specially targeted resources every year”
- kvinnors hälsa eftersatt»Kvinnors sjukdomar har både inom forskning och i det kliniska arbetet under lång tid varit eftersatta.« (2022 manifesto ↗)“Women's diseases have for a long time been neglected both in research and in clinical work.”
- likvärdig vård i hela landet»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care – which can be provided at the right time and maintains high quality.”
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 considers it to be of utmost importance that health care is uniform and good throughout the country so that regional imbalances do not arise, and wants to advocate for equal health care where women's illnesses are taken as seriously.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan considers it to be of utmost importance that health care is uniform and good throughout the country so that regional imbalances do not arise, and wants to advocate for equal health care where women's illnesses are taken as seriously. The plan also emphasizes that poor accessibility leads to patients receiving care at a later and aggravated disease stage—precisely what screening should prevent. A coordinated effort for higher screening participation thereby aligns with the plan.
Original (Swedish)
Planen anser det vara av yttersta vikt att vården är jämn och god över hela landet så att regionala obalanser inte uppstår, och vill verka för en jämställd vård där kvinnors sjukdomar tas på samma allvar. Planen framhåller också att bristande tillgänglighet leder till att patienter får vård i ett senare och förvärrat sjukdomsstadium – exakt det screening ska förhindra. En samordnad insats för högre deltagande i screening ligger därför i linje med planen.
- equal care throughout the countrydecisive»anser det därför vara av yttersta vikt att det skapas en jämn och god vård över hela landet så att inte regionala obalanser uppstår« (party programme ↗)“therefore considers it to be of utmost importance that uniform and good care is created throughout the country so that regional imbalances do not arise”
- equal health care»Sverigedemokraterna vill verka för en jämställd vård där män och kvinnor behandlas lika.« (2022 manifesto ↗)“The Sweden Democrats want to advocate for equal health care where men and women are treated equally.”
- early detection saves lives»Bristerna leder till att patienter ofta får vård i ett senare och ofta förvärrat sjukdomsstadium än vad som hade varit möjligt med en mer tillgänglig vård.« (2022 manifesto ↗)“The shortcomings lead to patients often receiving care at a later and often aggravated disease stage than would have been possible with more accessible care.”
- national management of health care»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården« (2022 manifesto ↗)“The Sweden Democrats also want to review how the state can to a greater extent take over primary responsibility for health 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.
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Sources and documents
- The committee report on riksdagen.se (2024/25:SoU17)
- Committee report full text (HC01SoU17)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1010 — Rätten att avsluta sitt liv av Kerstin Lundgren (C)
- Motion 2024/25:1097 — Organdonationer av Helena Storckenfeldt (M)
- Motion 2024/25:1106 — Aktiv dödshjälp av Helena Storckenfeldt (M)
- Motion 2024/25:1199 — Tillsättning av en utredning om gråzoner i livets slutskede inklusive dödshjälp av Niels Paarup-Petersen (C)
- Motion 2024/25:1231 — Anmälan till donationsregistret via deklarationen av Louise Meijer (M)
- Motion 2024/25:1233 — Införande av aktiv dödshjälp av Louise Meijer och Erik Ottoson (båda M)
- Motion 2024/25:1279 — Utbyggnad av den palliativa vården av Mikael Oscarsson (KD)
- Motion 2024/25:131 — Ökat stöd till personer som genomgått intensivvård av Arber Gashi (S)
- Motion 2024/25:1357 — Astma- och allergivården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1358 — Den könsbekräftande vården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1359 — En jämlik diabetesvård i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1360 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1363 — En tillgänglig sjukvård i världsklass av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1389 — Familjerätt av Mikael Eskilandersson m.fl. (SD)
- Motion 2024/25:1412 — Jämställdhet och diskriminering av Michael Rubbestad m.fl. (SD)
- Motion 2024/25:1413 — Krafttag mot hedersrelaterat våld och förtryck av Sara Gille m.fl. (SD)
- Motion 2024/25:147 — Vård och behandling av sköldkörtelsjukdom av Ingela Nylund Watz (S)
- Motion 2024/25:1593 — Nej till surrogatmödraskap av Mikael Oscarsson (KD)
- Motion 2024/25:174 — Regler för blodgivning för män som haft sex med män av Anna Wallentheim (S)
- Motion 2024/25:177 — Förbättrad och jämlik vård vid ätstörningar av Anna Wallentheim (S)
Source: The Swedish Parliament