2025-02-192024/25:SoU14 · p.14SoUHealth & social services

Staff recruitment and preventive dental care

Access to dental staff and preventive dental care in rural areas

What's at stake: A shortage of dentists in sparsely populated areas makes it harder for residents there to get regular dental care, which can mean problems are caught late and require more expensive, more complicated treatment. How the issue is handled therefore affects both individuals' oral health and regional disparities in access to care.

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 government should be specifically urged to strengthen preventive dental care and consider targeted measures - including incentives modelled on schemes used elsewhere - to increase the supply of dental staff in sparsely populated areas, or whether this should be handled within the broader dental-care reform and efforts already under way.

Yes Yes — the committee proposal

The committee rejects the motion. It points to a dental-care reform that has already been announced and is to be introduced in stages, with the first stage aimed at older people, along with ongoing work and consideration of dental care for children and young people in state care, and does not consider that the Riksdag should take a separate initiative on staffing and preventive dental care beyond this.

No No — the reservations

Reservation 25 (SD)

The reservation (SD) argues that preventive dental care is crucial for reducing long-term health problems but is not sufficiently widespread, and that patients often seek care only once problems have become serious. It also points to a significant shortage of dentists in several regions and wants the government to consider targeted measures - including incentives such as student-loan reduction modelled on schemes used in, among other places, the United States - to increase the supply of dental staff in rural and sparsely populated areas.

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 25 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 19/0/0/5departs from the planconfidence: mediumnot addressed
SNoYes 90/0/0/16departs from the planconfidence: mediumnot addressed
MPNoYes 13/0/0/5departs from the planconfidence: mediumnot addressed
CNoYes 21/0/0/3departs from the planconfidence: mediumnot addressed
LNoYes 12/0/0/4departs from the planconfidence: mediumderived
KDNoYes 14/0/0/5departs from the planconfidence: mediumnot addressed
MNoYes 57/0/0/11departs from the planconfidence: mediumnot addressed
SDown reservationNoNo 0/63/0/9follows the planconfidence: mediumderived

Committee proposal

Parliament rejects motion 2024/25:1355 by Carina Ståhl Herrstedt et al. (SD) motions 2 and 3.

Original (Swedish)

Riksdagen avslår motion 2024/25:1355 av Carina Ståhl Herrstedt m.fl. (SD) yrkandena 2 och 3.

Riksdag decision: Parliament rejected approximately 90 proposals about medicines and dental care. The proposals were submitted during the general parliamentary motion session 2024 and are about, among other things, the prescription of medicines, review of the pharmacy market and the high cost protection for dental care. Parliament refers primarily to the fact that work is already underway within the areas that the proposals cover.

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 wants dental care to be included in healthcare with the same fees and states that the state has an overarching responsibility for there being trained professionals throughout the country.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan wants dental care to be included in healthcare with the same fees and states that the state has an overarching responsibility for there being trained professionals throughout the country. Targeted measures against the dentist shortage in sparsely and rural areas, and more preventive dental care, follow directly from that. The election manifesto moreover demands a dental insurance with high-cost protection so that no one refrains from treatment for economic reasons.

Original (Swedish)

Planen vill att tandvården inkluderas i hälso- och sjukvården med samma taxor och slår fast att staten har ett övergripande ansvar för att det finns utbildad profession i hela landet. Riktade insatser mot tandläkarbristen i gles- och landsbygd, och mer förebyggande tandvård, följer direkt av det. Valplattformen kräver dessutom en tandvårdsförsäkring med högkostnadsskydd så att ingen avstår vård av ekonomiska skäl.

  • profession throughout the countrydecisive»det finns utbildad profession i hela landet.« (party programme ↗)“there are trained professionals throughout the country.”
  • dental insurance»Vänsterpartiet vill därför införa en tandvårdsförsäkring liknande den som finns inom övrig hälso- och sjukvård« (2022 manifesto ↗)“Left Party therefore wants to introduce a dental insurance similar to the one that exists within other healthcare”
  • dental care as healthcare»Vi vill att tandvården inkluderas i hälso- och sjukvården, med samma« (party programme ↗)“We want dental care to be included in healthcare, with the same”
  • welfare throughout the country»Välfärden måste vara till för alla och finnas överallt.« (2022 manifesto ↗)“Welfare must be for everyone and exist everywhere.”

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 establishes that the state has responsibility for skills supply in welfare and that the educational supply shall be linked to the personnel needs that exist, while all throughout the country shall have equivalent access to care.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan establishes that the state has responsibility for skills supply in welfare and that the educational supply shall be linked to the personnel needs that exist, while all throughout the country shall have equivalent access to care. Targeted efforts to bring dental care personnel to sparsely populated and rural areas follow from that, as does the commitment that the state shall be present throughout the country. Dentistry is not mentioned explicitly, so the support is derived.

Original (Swedish)

Planen slår fast att staten har ansvar för kompetensförsörjningen i välfärden och att utbildningsutbudet ska kopplas till de personalbehov som finns, samtidigt som alla i hela landet ska ha likvärdig tillgång till vård. Riktade insatser för att få tandvårdspersonal till gles- och landsbygd följer av det, liksom av åtagandet att staten ska finnas närvarande i hela landet. Tandvården nämns inte uttryckligen, så stödet är härlett.

  • state responsibility for skills supplydecisive»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has responsibility for ensuring skills supply, not least in welfare.”
  • equivalent care throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equivalent access to school, care and support.”
  • education matched to personnel needs»Det ska finns en starkare koppling mellan de utbildningar som erbjuds och de behov av personal som finns i samhället.« (2022 manifesto ↗)“There shall be stronger linkage between the education offered and the personnel needs that exist in society.”
  • state presence throughout the country»Staten ska finnas närvarande i hela landet.« (2022 manifesto ↗)“The state shall be present throughout 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.

MPMiljöpartietNoYesdeparts from the plannot addressed

The election manifesto requires that dental care be equated with other healthcare and included in the same cost-sharing ceiling, and the party programme states that access to care today is unevenly distributed and that queues shall be reduced.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto requires that dental care be equated with other healthcare and included in the same cost-sharing ceiling, and the party programme states that access to care today is unevenly distributed and that queues shall be reduced. The plan also wants to see a long-term investment in public health focused on people's living conditions. Targeted initiatives for preventive dental care and for more dental-care employees in sparsely populated and rural areas follow from these commitments.

Original (Swedish)

Valmanifestet kräver att tandvården jämställs med övrig hälso- och sjukvård och ingår i samma högkostnadsskydd, och partiprogrammet konstaterar att tillgången till vård i dag är ojämnt fördelad och att köerna ska minska. Planen vill dessutom se en långsiktig satsning på folkhälsa med fokus på människors livsvillkor. Riktade insatser för förebyggande tandvård och för fler tandvårdsanställda i gles- och landsbygd följer av dessa åtaganden.

  • dental care as other caredecisive»att tandvården ska jämställas med övrig hälso- och sjukvård, och ingå i samma högkostnadsskydd.« (2022 manifesto ↗)“that dental care shall be equated with other healthcare and be included in the same cost-sharing ceiling.”
  • equal access to care»I dag är tillgången till vård ojämnt fördelad.« (party programme ↗)“Today, access to care is unevenly distributed.”
  • preventive public health work»Vi menar att en långsiktig satsning på folkhälsa« (party programme ↗)“We mean that a long-term investment in public health”
  • shorter healthcare queues»Köerna i vården ska minska« (party programme ↗)“Queues in healthcare shall be reduced”

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.

CCenterpartietNoYesdeparts from the plannot addressed

The plan requires that public service and proximate care exist throughout the country regardless of where one lives, and already uses student loan forgiveness and graduation bonuses as tools to staff shortage occupations throughout the country.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires that public service and proximate care exist throughout the country regardless of where one lives, and already uses student loan forgiveness and graduation bonuses as tools to staff shortage occupations throughout the country. The counter-proposal's targeted efforts with reduced study debt for dental care staff in sparsely populated and rural areas are the same kind of measure, and the party programme's preventive public health perspective supports investment in preventive dental care. However, dental care is not explicitly mentioned.

Original (Swedish)

Planen kräver att offentlig service och nära vård finns i hela landet oavsett var man bor, och använder redan studiemedelsavskrivning och examenspremie som verktyg för att bemanna bristyrken i hela landet. Motförslagets riktade insatser med studieskuldsreduktion för tandvårdspersonal i gles- och landsbygd är samma slags åtgärd, och partiprogrammets förebyggande folkhälsoperspektiv stöder satsningen på förebyggande tandvård. Tandvård nämns dock inte uttryckligen.

  • close care nationwidedecisive»Offentlig service ska vara nära och pålitlig i hela landet. Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Public service must be close and reliable throughout the country. Everyone must have safe police presence, an equal school and safe and close care and support — regardless of where they live.”
  • student loan forgiveness as a tool»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 student loan forgiveness we can recruit more qualified teachers throughout the country.”
  • bonuses for shortage occupations»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 bonus and paying during specialist studies.”
  • preventive public health work»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”

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.

LLiberalernaNoYesdeparts from the planderived

The plan wants dental insurance to stimulate preventive measures and regular checks and subsidy rates gradually increase for groups with worst oral health – that is exactly the counter-proposal's starting point that preventive dental care must reach more in time.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan wants dental insurance to stimulate preventive measures and regular checks and subsidy rates gradually increase for groups with worst oral health – that is exactly the counter-proposal's starting point that preventive dental care must reach more in time. The plan also establishes that no one shall be forced to forgo dental care and that shortage occupations shall become dream jobs, which bears the requirement for targeted measures against dentist shortage in sparse and rural areas. The specific tool study loan reduction is not mentioned, so the conclusion is partly derived.

Original (Swedish)

Planen vill att tandvårdsförsäkringen stimulerar förebyggande åtgärder och regelbundna kontroller och att subventionsgraden gradvis ökar för de grupper som har sämst munhälsa – det är precis motförslagets utgångspunkt att förebyggande tandvård måste nå fler i tid. Planen slår också fast att ingen ska tvingas avstå från tandvård och att bristyrken ska bli drömjobb, vilket bär kravet på riktade insatser mot tandläkarbristen i gles- och landsbygd. Det specifika verktyget studieskuldsreduktion nämns inte, så slutsatsen är delvis härledd.

  • preventive dental caredecisive»Tandvårdsförsäkringen ska vara generell och stimulera till förebyggande åtgärder och regelbundna« (party programme ↗)“Dental insurance shall be general and encourage preventive measures and regular”
  • prioritize worst oral health»Nästa steg är gradvis ökande subventionsgrad för de grupper som har sämst munhälsa och nationella tandvårdsprogram för särskilda riskgrupper.« (2022 manifesto ↗)“The next step is gradually increasing subsidy rates for groups with worst oral health and national dental care programs for special risk groups.”
  • address personnel shortage in healthcare»Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“Shortage occupations shall become dream jobs.”
  • 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.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The election manifesto commits to strengthening dental care, training more staff and improving conditions in shortage occupations in healthcare, and stipulates that place of residence shall not determine what care one receives.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto commits to strengthening dental care, training more staff and improving conditions in shortage occupations in healthcare, and stipulates that place of residence shall not determine what care one receives. The party programme includes dental care in health and medical care where everyone shall have access to good dental care and wishes to promote health-promoting work. Targeted measures for dental care personnel in sparsely populated areas and more preventive dental care follows from this.

Original (Swedish)

Valmanifestet åtar sig att stärka tandvården, utbilda mer personal och förbättra villkoren i vårdens bristyrken samt att vården ska finnas nära även på landsbygden, och slår fast att bostadsorten inte ska avgöra vilken vård man får. Partiprogrammet räknar tandvården till hälso- och sjukvården där alla ska ha tillgång till god tandvård och vill stimulera hälsofrämjande arbete. Riktade insatser för tandvårdspersonal i glesbygd och mer förebyggande tandvård följer av detta.

  • strengthened dental caredecisive»Stärkt tandvård för äldre bland annat genom att sänka högkostnadsskyddet för tandvård.« (2022 manifesto ↗)“Strengthened dental care for the elderly, among other things by lowering the high-cost protection for dental care.”
  • care close by in the whole country»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet« (2022 manifesto ↗)“More health centres in rural areas and simpler for individual doctors to start their own practice”
  • more trained in shortage occupations»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Train more staff for healthcare. Improved conditions in shortage occupations in healthcare and reduce the need for expensive hired staff.”
  • preventive health work»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work shall be stimulated.”

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 plannot addressed

The plan uses write-off of student loans as a tool to solve staff shortages in a shortage occupation and wants to improve the welfare sector's skills supply through national coordination of education places.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan uses write-off of student loans as a tool to solve staff shortages in a shortage occupation and wants to improve the welfare sector's skills supply through national coordination of education places. It is also built on the principle that the whole of Sweden shall function with equal access to welfare. Targeted measures with student loan reduction for dental care staff in sparsely populated and rural areas thus align with the plan, although the plan does not specifically mention dental care.

Original (Swedish)

Planen använder just avskrivning av studieskulder som verktyg för att lösa personalbrist i ett bristyrke och vill förbättra välfärdens kompetensförsörjning genom nationell samordning av utbildningsplatser. Den bygger också på att hela Sverige ska fungera med likvärdig tillgång till välfärd. Riktade insatser med studieskuldsreduktion för tandvårdspersonal i gles- och landsbygd ligger därför i linje med planen, som dock inte nämner tandvården.

  • student loan write-off as a 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”
  • the whole of Sweden shall function»Moderaterna vill ta vara på hela Sveriges möjligheter.« (2022 manifesto ↗)“The Moderates want to make use of the whole of Sweden's possibilities.”
  • coordinated skills supply»Få på plats en nationell samordning över samhällets behov av antalet utbildningsplatser för att förbättra kompetensförsörjningen« (2022 manifesto ↗)“Establish a national coordination of society's needs for the number of education places to improve skills supply”
  • strengthened healthcare staff»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön« (2022 manifesto ↗)“Strengthen healthcare staff, among other things by improving the working environment”

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 planderived

The plan establishes that all citizens should be offered dental care on the same terms as other healthcare and that the public sector should take the same responsibility for oral and dental health as for other health.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan establishes that all citizens should be offered dental care on the same terms as other healthcare and that the public sector should take the same responsibility for oral and dental health as for other health. It furthermore requires good and accessible healthcare even outside major cities and a policy for all of Sweden. The counter-proposal's targeted measures to place dental care personnel in sparsely populated and rural areas thereby align with the plan's direction.

Original (Swedish)

Planen slår fast att alla medborgare ska erbjudas tandvård på samma villkor som annan vård och att det offentliga ska ta samma ansvar för mun- och tandhälsa som för annan hälsa. Den kräver dessutom god och tillgänglig vård även utanför storstäderna och en politik för hela Sverige. Motförslagets riktade insatser för att få tandvårdspersonal till gles- och landsbygd ligger därmed i planens linje.

  • dental care as other healthcaredecisive»Att alla medborgare ska erbjudas tandvård på samma villkor som annan vård« (2022 manifesto ↗)“That all citizens should be offered dental care on the same terms as other healthcare”
  • accessible healthcare throughout the country»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, even outside major cities.”
  • public responsibility for dental health»Ambitionen ska vara att det offentliga ska ta samma ansvar för medborgarnas mun- och tandhälsa, som för annan hälsa.« (2022 manifesto ↗)“The ambition should be that the public sector takes the same responsibility for citizens' oral and dental health as for other healthcare.”
  • all of Sweden shall thrive»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