2024-05-222023/24:SfU13 · p.15SfUMigration & social insurance

The waiting period deduction

The waiting-period deduction for sick pay

What's at stake: The waiting-period deduction means the first day of sickness is unpaid, which hits people differently depending on income, working hours and working conditions, and according to critics can drive presenteeism – going to work despite being ill. The decision therefore affects how fairly income loss during shorter periods of illness is distributed among different groups in the labour market.

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 promptly resume the shelved inquiry into the waiting-period deduction and sick pay to make income loss during illness more solidarily and fairly distributed, or whether no new initiative is needed beyond the work already under way in the area of sickness insurance.

Yes Yes — the committee proposal

The committee rejects the motions on the waiting-period deduction. The specific reasoning for this exact point is not fully captured in the material, but it is connected to the committee's broader assessment that the basic principles of sickness insurance – compensating for income loss and supporting a return to work – already function well alongside ongoing development work on sick pay and rehabilitation, which argues against taking a new, separate initiative on the waiting-period deduction now.

No No — the reservations

Reservation 29 (S)

The reservation (S) wants the government to promptly resume the inquiry into the waiting-period deduction and sick pay that was set up in 2022 but shelved by the government, which chose instead to examine the issue internally within the Ministry of Health and Social Affairs. The purpose of the original inquiry was to ensure that income loss during illness is borne in a more solidary and distributionally accurate way, and to counter the risk of presenteeism.

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 29 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.

PlanVoteConfidenceEvidence
VNoYes 19/0/0/5departs from the planconfidence: highderived
Sown reservationNoNo 0/93/0/13follows the planconfidence: highexplicit
MPNoAbstain 0/0/16/2departs from the planconfidence: highexplicit
CYesYes 19/0/0/5follows the planconfidence: lowderived
LYesYes 11/0/0/5follows the planconfidence: mediumderived
KDNoYes 17/0/0/2departs from the planconfidence: lownot addressed
MYesYes 60/0/0/8follows the planconfidence: mediumderived
SDNoYes 62/0/0/10departs from the planconfidence: mediumderived

Committee proposal

Parliament rejects the motions 2023/24:814 by Kadir Kasirga (S), 2023/24:1004 by Louise Thunström (S), 2023/24:1587 by Gunilla Svantorp and Hanna Westerén (both S), 2023/24:1594 by Karin Sundin et al. (S), 2023/24:1666 by Mattias Jonsson and Johan Büser (both S), 2023/24:1856 by Olle Thorell and Lena Johansson (both S), 2023/24:2003 by Sofie Eriksson et al. (S), 2023/24:2037 by Sanna Backeskog et al. (S), 2023/24:2047 by Johan Andersson et al. (S), 2023/24:2545 by Sofia Amloh et al. (S), 2023/24:2623 by Anders Ygeman et al. (S) demand 4 and 2023/24:2677 by Annika Hirvonen et al. (MP) demand 5.

Original (Swedish)

Riksdagen avslår motionerna 2023/24:814 av Kadir Kasirga (S), 2023/24:1004 av Louise Thunström (S), 2023/24:1587 av Gunilla Svantorp och Hanna Westerén (båda S), 2023/24:1594 av Karin Sundin m.fl. (S), 2023/24:1666 av Mattias Jonsson och Johan Büser (båda S), 2023/24:1856 av Olle Thorell och Lena Johansson (båda S), 2023/24:2003 av Sofie Eriksson m.fl. (S), 2023/24:2037 av Sanna Backeskog m.fl. (S), 2023/24:2047 av Johan Andersson m.fl. (S), 2023/24:2545 av Sofia Amloh m.fl. (S), 2023/24:2623 av Anders Ygeman m.fl. (S) yrkande 4 och 2023/24:2677 av Annika Hirvonen m.fl. (MP) yrkande 5.

Riksdag decision: Parliament rejected approximately 180 proposals in motions on social security issues from the general motion period 2023. The proposals deal with, for example, security systems for entrepreneurs and students, sick leave insurance and rehabilitation, activity and sickness benefits as well as work injury compensation. Parliament refers, among other things, to the fact that work is already underway in areas that the motions address.

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 planderived

The election manifesto demands a humane sickness insurance where someone who becomes ill can rely on the compensation without having to struggle.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto demands a humane sickness insurance where someone who becomes ill can rely on the compensation without having to struggle. The party programme wants to see strong, general insurance that carries broad solidarity. The counter-proposal's demand that the investigation of the waiting period and sickness payment be resumed, so that income loss during illness is borne more solidaristically and sickness presenteeism decreases, follows directly from these commitments.

Original (Swedish)

Valplattformen kräver en mänsklig sjukförsäkring där den som blir sjuk kan lita på ersättningen utan att behöva stånga sig blodig. Partiprogrammet vill se starka, allmänna försäkringar som bär en bred solidaritet. Motförslagets krav att utredningen om karensavdraget och sjuklönen återupptas, så att inkomstbortfall vid sjukdom bärs mer solidariskt och sjuknärvaron minskar, följer direkt av dessa åtaganden.

  • humane sickness insurancedecisive»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see a humane sickness insurance and an end to the disqualification of sick people.”
  • general social insurance»Att socialförsäkringarna är allmänna och heltäckande gör dem« (party programme ↗)“That social insurance is general and comprehensive makes it”
  • solidarity financing»för att skapa en bred solidaritet kring dem.« (party programme ↗)“to create broad solidarity around them.”
  • reliable compensation when ill»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 ill or have a child you should be able to rely on receiving compensation from the Social Insurance Agency without having to struggle.”

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.

SSocialdemokraternaNoNofollows the planexplicit

The election manifesto explicitly promises a major reform during the term to change the waiting-day deduction, arguing that the deduction unfairly impacts those who must physically be at work.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto explicitly promises a major reform during the term to change the waiting-day deduction, arguing that the deduction unfairly impacts those who must physically be at work. The counter-proposal's requirement that investigation into the waiting-day deduction and sick leave be resumed promptly for a more equitable distribution of lost income is the same commitment. The plan also stresses that the sick should be able to rely on sickness insurance.

Original (Swedish)

Valmanifestet lovar uttryckligen en miljardreform under mandatperioden för att förändra karensavdraget, med motiveringen att avdraget slår orättvist mot dem som fysiskt måste vara på jobbet. Motförslagets krav på att utredningen om karensavdrag och sjuklön återupptas skyndsamt för en mer solidarisk fördelning av inkomstbortfallet är samma åtagande. Planen slår också vakt om att den sjuke ska kunna lita på sjukförsäkringen.

  • reform the waiting-day deductiondecisive»Därför vill vi under nästa mandatperiod genomföra en miljardreform för att förändra karensavdraget och öka rättvisan för alla som inte kan jobba hemifrån.« (2022 manifesto ↗)“That is why we want to implement a major reform during the next term to change the waiting-day deduction and increase fairness for all those who cannot work from home.”
  • the waiting-day deduction is class unjust»Karensavdraget skapar en ekonomisk orättvisa som slår hårt mot LO-förbundens medlemmar och andra som fysiskt måste vara på jobbet.« (2022 manifesto ↗)“The waiting-day deduction creates an economic injustice that hits hard against members of LO unions and others who must physically be at work.”
  • economic security during illness»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also during illness, greater economic security is necessary.”
  • protection against loss of income»Ett gott ekonomiskt skydd när den egna förvärvsinkomsten faller bort är grundläggande« (party programme ↗)“Good financial protection when one's own income disappears is fundamental”
MPMiljöpartietNoAbstaindeparts from the planexplicit

The election manifesto contains the explicit commitment to abolish the waiting period in sickness insurance and that sickness insurance should provide better security during sick leave.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto contains the explicit commitment to abolish the waiting period in sickness insurance and that sickness insurance should provide better security during sick leave. The counter-proposal's demand to promptly resume the investigation into the waiting period deduction, so that income loss is borne more solidaristically and absenteeism is counteracted, is a step towards precisely what the plan promises.

Original (Swedish)

Valmanifestet innehåller det uttryckliga åtagandet att slopa karensdagen i sjukförsäkringen och att sjukförsäkringen ska ge bättre trygghet vid sjukskrivning. Motförslagets krav på att skyndsamt återuppta utredningen om karensavdraget, så att inkomstbortfall bärs mer solidariskt och sjuknärvaro motverkas, är ett steg mot exakt det planen lovar.

  • abolished waiting perioddecisive»slopa karensdagen i sjukförsäkringen« (2022 manifesto ↗)“abolish the waiting period in sickness insurance”
  • more secure sickness insurance»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 ↗)“reform sickness insurance so it provides better security during sick leave and ensure that people are not passed between authorities when they need society's support”
  • basic economic security»Alla har rätt till grundläggande ekonomisk« (party programme ↗)“Everyone has the right to basic economic”
  • raised benefit levels»höja den lägsta nivån i sjuk- och aktivitetsersättningarna« (2022 manifesto ↗)“raise the lowest levels in sickness and activity benefits”

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.

CCenterpartietYesYesfollows the planderived

The plan contains no commitment to alleviate the waiting-period deduction; its line is instead that the work line should be protected and that more money should be spent on the core of welfare and less on benefits.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan contains no commitment to alleviate the waiting-period deduction; its line is instead that the work line should be protected and that more money should be spent on the core of welfare and less on benefits. Where the plan addresses sickness absence, it is about more flexible sick leave, better rehabilitation and lower costs for hiring, not higher compensation for illness. The counter-proposal's demand for a resumed inquiry for a more solidaristic income loss therefore does not receive support.

Original (Swedish)

Planen innehåller inget åtagande om att mildra karensavdraget; dess linje är i stället att arbetslinjen ska värnas och att mer pengar ska läggas på välfärdens kärna och mindre på bidrag. Där planen behandlar sjukfrånvaro handlar det om flexiblare sjukskrivning, bättre rehabilitering och lägre kostnader för att anställa, inte om högre ersättning vid sjukdom. Motförslagets krav på en återupptagen utredning för ett mer solidariskt burna inkomstbortfall får därför inte stöd.

  • protect the work linedecisive»Arbetslinjen måste värnas, och den som kan jobba ska inte leva på skattebetalarnas pengar.« (2022 manifesto ↗)“The work line must be protected, and the one who can work should not live on taxpayers' money.”
  • welfare core before benefits»Mer pengar ska läggas på välfärdens kärna, mindre på bidrag.« (2022 manifesto ↗)“More money should be spent on the core of welfare, less on benefits.”
  • flexible sick leave»Vi vill göra sjukskrivningen mer flexibel och förbättra rehabiliteringen.« (2022 manifesto ↗)“We want to make sick leave more flexible and improve rehabilitation.”
  • cheaper to hire»Det måste bli billigare och lättare att anställa, särskilt personer som står långt från arbetsmarknaden.« (2022 manifesto ↗)“It must become cheaper and easier to hire, especially people who are far from the labor market.”
LLiberalernaYesYesfollows the planderived

The plan establishes that social insurance shall always contain a deductible and that there shall be a clear link between benefits and paid premiums, while it shall always be worthwhile to work.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan establishes that social insurance shall always contain a deductible and that there shall be a clear link between benefits and paid premiums, while it shall always be worthwhile to work. An investigation aimed at shifting the income loss from illness away from the individual goes against that principle. The counter-proposal's requirement is therefore rejected, even though the plan wants to lighten businesses' sick leave responsibility.

Original (Swedish)

Planen slår fast att socialförsäkringarna alltid ska innehålla en självrisk och att det ska finnas ett tydligt samband mellan förmåner och inbetalade premier, samtidigt som det alltid ska löna sig att arbeta. En utredning som syftar till att flytta inkomstbortfallet vid sjukdom bort från den enskilde går emot den principen. Motförslagets krav avvisas därför, även om planen vill lätta företagens sjuklöneansvar.

  • deductible in social insurancedecisive»Även om det alltid behöver finnas en självrisk ska« (party programme ↗)“Even though there shall always need to be a deductible”
  • the work line»Det ska alltid löna sig att arbeta.« (2022 manifesto ↗)“It shall always be worthwhile to work.”
  • link between benefit and premium»Det ska finnas ett tydligt samband mellan förmåner och inbetalade premier.« (party programme ↗)“There shall be a clear link between benefits and paid premiums.”
  • lightened sick leave responsibility for businesses»I första hand bör ett avskaffande av den andra sjuklöneveckan prioriteras.« (party programme ↗)“First and foremost, elimination of the second sick leave week should be prioritized.”
KDKristdemokraternaNoYesdeparts from the plannot addressed

The party programme requires a solidarity-financed social security system that provides reasonable security in case of illness.

Plan documents: party programme

Reasoning and quotes

The party programme requires a solidarity-financed social security system that provides reasonable security in case of illness. Investigating the waiting deduction again so that the income loss is borne more solidaristically aligns with that commitment. At the same time, the plan wants replacement levels to be designed so that the individual is stimulated to take measures that lead to return to work, which qualifies this support.

Original (Swedish)

Principprogrammet kräver ett solidariskt finansierat socialförsäkringssystem som ger rimlig trygghet vid sjukdom. Att åter utreda karensavdraget för att inkomstbortfallet ska bäras mer solidariskt ligger i linje med det åtagandet. Samtidigt vill planen att ersättningsnivåerna utformas så att den enskilde stimuleras till åtgärder som leder till återgång i arbete, vilket kvalificerar stödet.

  • solidarity-based social securitydecisive»Ett solidariskt finansierat socialförsäkringssystem« (party programme ↗)“A solidarity-financed social security system”
  • reasonable security in case of illness»en rimlig trygghet vid sjukdom, arbetslöshet, arbetsskada och pension« (party programme ↗)“reasonable security in case of illness, unemployment, work injury and pension”
  • incentives for return to work»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder« (party programme ↗)“The levels of benefits shall be designed so that the individual is stimulated to participate in measures”

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.

MModeraternaYesYesfollows the planderived

The party programme establishes that taxes and benefit systems should be based on the work line, and the election manifesto explicitly warns that increased benefits weaken incentives to take jobs.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme establishes that taxes and benefit systems should be based on the work line, and the election manifesto explicitly warns that increased benefits weaken incentives to take jobs. The counter-proposal wants to make income loss during illness more solidarily borne, which in practice means higher benefits and weaker incentives. The plan provides no support for resuming an investigation in that direction.

Original (Swedish)

Idéprogrammet slår fast att skatter och bidragssystem ska utgå från arbetslinjen, och valmanifestet varnar uttryckligen för att höjda ersättningar försvagar drivkrafterna att ta jobb. Motförslaget vill göra inkomstbortfallet vid sjukdom mer solidariskt burnet, vilket i praktiken innebär högre ersättning och svagare drivkrafter. Planen ger inget stöd för att återuppta en utredning i den riktningen.

  • work line governs benefitsdecisive»Skatter och bidragssystem ska utgå från arbetslinjen.« (party programme ↗)“Taxes and benefit systems shall be based on the work line.”
  • work must always pay»De samlade bidragen ska aldrig bli så höga att det inte lönar sig att jobba.« (2022 manifesto ↗)“Combined benefits shall never be so high that it does not pay to work.”
  • higher benefits weaken work line»Arbetslinjen försvagas ytterligare av att regeringens höjning av a-kassan gjort att även de som nyss blivit arbetslösa tackar nej till jobb.« (2022 manifesto ↗)“The work line is further weakened by the government's increase in unemployment insurance making even those newly unemployed decline job offers.”
SDSverigedemokraternaNoYesdeparts from the planderived

The plan wants to abolish the waiting period for preschool staff and establishes that it should be possible to stay home when sick instead of working, which is exactly the absence-at-work situation the counter-proposal wants to prevent.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan wants to abolish the waiting period for preschool staff and establishes that it should be possible to stay home when sick instead of working, which is exactly the absence-at-work situation the counter-proposal wants to prevent. It also wants to lower sick-leave costs and ensure a secure and legally certain sickness insurance. Resuming an investigation into the waiting period and sick pay thus aligns with the plan's commitments.

Original (Swedish)

Planen vill slopa karensavdraget för förskolepersonal och slår fast att det ska vara möjligt att stanna hemma när man är sjuk i stället för att jobba, vilket är exakt den sjuknärvaro motförslaget vill motverka. Den vill också sänka sjuklönekostnaderna och se en trygg och rättssäker sjukförsäkring. Att återuppta en utredning om karensavdraget och sjuklönen ligger därmed i linje med planens åtaganden.

  • abolished waiting perioddecisive»Slopa karensavdraget för förskolepersonal« (2022 manifesto ↗)“Abolish the waiting period for preschool staff”
  • prevent absence-at-work»Det ska vara möjligt att stanna hemma då man är sjuk istället för att jobba.« (2022 manifesto ↗)“It should be possible to stay home when sick instead of working.”
  • lower sick-leave costs»Sänka arbetsgivaravgiften och sjuklönekostnaderna för småföretag« (2022 manifesto ↗)“Lower employer contributions and sick-leave costs for small businesses”
  • secure sickness insurance»Verka för en trygg och rättssäker sjukförsäkring« (2022 manifesto ↗)“Work for secure and legally certain sickness insurance”

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

Documents under consideration

Source: The Swedish Parliament