2026-02-172025/26:SoU14 · p.2SoUHealth & social services

Access to medication

Access to medicines across the country

What's at stake: The decision affects how easily people across the country - especially in rural areas and those with rare diseases - can obtain medicines, and how quickly shortages in the medicine supply can be addressed.

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 ongoing work on pharmacy services, the rural subsidy and the medicine supply is sufficient, or whether an agency should instead be tasked with producing concrete proposals - without a cost-neutrality requirement - to improve access to medicines, not least for rare health conditions.

Yes Yes — the committee proposal

The committee notes that TLV is monitoring developments in the pharmacy sector, that a state subsidy already exists to secure the medicine supply in rural areas, and that work is under way on a pharmacist service and on tackling medicine shortages. The committee therefore rejects the motions calling for further action by the Riksdag now.

No No — the reservations

Reservation 5 (V, MP)

The reservation (V, MP) calls for the government - building on a report on medicines for rare health conditions and without requiring proposals to be cost-neutral - to task a suitable agency with producing concrete measures to improve access to medicines.

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 5 by V, MP.

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
Vown reservationNoNo 0/19/0/3follows the planconfidence: mediumnot addressed
SNoAbstain 0/0/92/14departs from the planconfidence: mediumderived
MPown reservationNoNo 0/16/0/2follows the planconfidence: mediumnot addressed
CNoAbstain 0/0/21/3departs from the planconfidence: lownot addressed
LNoYes 14/0/0/2departs from the planconfidence: highnot addressed
KDNoYes 17/0/0/2departs from the planconfidence: mediumnot addressed
MYesYes 59/0/0/9follows the planconfidence: mediumnot addressed
SDNoYes 62/0/0/9departs from the planconfidence: lownot addressed

Committee proposal

The Riksdag rejects the motions 2025/26:1159 by Adrian Magnusson (S), 2025/26:3179 by Christofer Bergenblock et al. (C) motion 41, 2025/26:3542 by Nils Seye Larsen et al. (MP) motion 36 and 2025/26:3593 by Fredrik Olovsson et al. (S) motion 10.

Original (Swedish)

Riksdagen avslår motionerna 2025/26:1159 av Adrian Magnusson (S), 2025/26:3179 av Christofer Bergenblock m.fl. (C) yrkande 41, 2025/26:3542 av Nils Seye Larsen m.fl. (MP) yrkande 36 och 2025/26:3593 av Fredrik Olovsson m.fl. (S) yrkande 10.

Riksdag decision: The Riksdag rejected 93 proposals in motions on medication and dental care. The proposals were submitted during the general motion period of 2025 and concern, among other things, prescriptions, review of the pharmacy market, and dental care. The Riksdag refers, among other things, to the fact that work is ongoing on the matters addressed by the proposals.

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.

VVänsterpartietNoNofollows the plannot addressed

The plan requires that the costs of care and medication shall be affordable for all and that care shall be comprehensive, evidence-based and prioritized based on needs.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan requires that the costs of care and medication shall be affordable for all and that care shall be comprehensive, evidence-based and prioritized based on needs. A task to develop measures for increased medication availability without requirements for cost neutrality responds to the needs of patients with rare conditions. The plan also opposes resources needed for complex healthcare needs going to something else.

Original (Swedish)

Planen kräver att kostnaderna för vård och läkemedel ska vara överkomliga för alla och att vården ska vara heltäckande, bygga på evidens och prioriteras utifrån behov. Ett uppdrag att ta fram åtgärder för ökad läkemedelstillgång utan krav på kostnadsneutralitet svarar mot behoven hos patienter med sällsynta tillstånd. Planen vänder sig också mot att resurser som behövs för komplexa vårdbehov går till annat.

  • affordable medication costsdecisive»Kostnaderna för vård och läkemedel ska vara överkomliga för« (party programme ↗)“The costs of care and medication shall be affordable for”
  • care based on need»evidens och prioriteras utifrån behov.« (party programme ↗)“evidence and prioritized based on needs.”
  • resources for complex care needs»Det är inte acceptabelt att stora resurser, som behövs till människor med komplext eller långvarigt behov av vård istället går till nätläkartjänster för att behandla vanlig snuva och andra mindre åkommor hos friska människor.« (2022 manifesto ↗)“It is not acceptable that large resources, needed for people with complex or long-term care needs, go instead to online doctor services to treat common colds and other minor ailments in healthy people.”
  • state medication capacity»Vi vill att staten äger apoteken och bygger upp en egen kapacitet« (party programme ↗)“We want the state to own pharmacies and build up its own capacity”
SSocialdemokraternaNoAbstaindeparts from the planderived

The plan's explicit commitment to access to medicines and other drugs throughout the country, together with equal rights to good care through society's provision, speaks for measures that increase access even when they cost.

Plan documents: party programme

Reasoning and quotes

The plan's explicit commitment to access to medicines and other drugs throughout the country, together with equal rights to good care through society's provision, speaks for measures that increase access even when they cost. That the task is explicitly exempted from requirements for cost neutrality is in line with care being provided according to need and being at the medical frontier. The plan therefore supports the requirement.

Original (Swedish)

Planens åtagande om tillgång till medicin och andra läkemedel i hela landet, tillsammans med lika rätt till god vård genom samhällets försorg, talar för åtgärder som ökar tillgången även när de kostar. Att uppdraget uttryckligen befrias från krav på kostnadsneutralitet ligger i linje med att vården ska ges efter behov och vara i medicinsk framkant. Planen stöder därför kravet.

  • medicines throughout the countrydecisive»Tillgång till medicin, vaccin och andra läkemedel i hela landet.« (party programme ↗)“Access to medicines, vaccines and other drugs throughout the country.”
  • equal rights to care»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal rights for all to good health and medical care through society's provision.”
  • medical frontier»Sjukvård i teknisk och medicinsk framkant.« (party programme ↗)“Health care at the technical and medical frontier.”

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.

MPMiljöpartietNoNofollows the plannot addressed

The plan explicitly commits to improving support for people with rare diagnoses regardless of where in the country they live, and that life-saving medicines must reach those who need them.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan explicitly commits to improving support for people with rare diagnoses regardless of where in the country they live, and that life-saving medicines must reach those who need them. A government agency mandate to develop concrete measures to increase access to medicines for rare health conditions is a direct expression of that. That the mandate does not require cost neutrality aligns with the plan's principle that care is provided according to need, not ability to pay.

Original (Swedish)

Planen åtar sig uttryckligen att förbättra stödet för personer med sällsynta diagnoser oavsett var i landet man bor, och att livsnödvändiga läkemedel ska nå dem som behöver dem. Ett myndighetsuppdrag att ta fram konkreta åtgärder för ökad tillgång till läkemedel för sällsynta hälsotillstånd är ett direkt uttryck för det. Att uppdraget inte kräver kostnadsneutralitet stämmer med planens princip att vård ges efter behov, inte efter betalningsförmåga.

  • support for rare diagnosesdecisive»förbättra stödet för personer med funktionsnedsättning och sällsynta diagnoser oavsett var du bor i landet.« (2022 manifesto ↗)“improve support for people with disabilities and rare diagnoses regardless of where you live in the country.”
  • medicines must reach those who need them»Livsnödvändiga läkemedel som finns tillgängliga måste« (party programme ↗)“Life-saving medicines that are available must”
  • care according to need»förebyggande hälsosatsningar och tillgång till vård efter behov« (party programme ↗)“preventive health initiatives and access to care according to need”
CCenterpartietNoAbstaindeparts from the plannot addressed

The party programme establishes that care in publicly financed health care shall be provided according to need and not according to ability to pay and that publicly financed care shall be equivalent for everyone.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme establishes that care in publicly financed health care shall be provided according to need and not according to ability to pay and that publicly financed care shall be equivalent for everyone. Concrete measures to increase access to medicines for rare health conditions follow from that principle. However, that the mandate is explicitly exempted from cost-neutrality requirements clashes with the manifesto's demand to steward taxpayers' money, which makes the assessment uncertain.

Original (Swedish)

Partiprogrammet slår fast att vård i den offentligt finansierade sjukvården ska ges efter behov och inte efter betalningsförmåga och att det offentliga finansierade ska vara likvärdigt för alla. Konkreta åtgärder för att öka tillgången till läkemedel vid sällsynta hälsotillstånd följer av den principen. Att uppdraget uttryckligen befrias från krav på kostnadsneutralitet skaver dock mot manifestets krav på hushållning med skattebetalarnas pengar, vilket gör bedömningen osäker.

  • care according to needdecisive»att snabbt få vård i den offentligt finansierade sjukvården ska ges efter behov och inte efter betalningsförmåga.« (party programme ↗)“to quickly receive care in publicly financed health care shall be provided according to need and not according to ability to pay.”
  • equivalent public financing»Det som det offentliga finansierar ska vara likvärdigt för alla och med samma goda kvalitet till alla.« (party programme ↗)“What the public finances shall be equivalent for all and with the same good quality for all.”
  • the person at the centre of care»Vi ska bygga en vård och omsorg som sätter människan i centrum.« (2022 manifesto ↗)“We shall build care and support that puts people at the centre.”
  • stewardship of tax funds»Politiken ska hushålla med skattebetalarnas pengar.« (2022 manifesto ↗)“Politics shall steward taxpayers' money.”

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 plannot addressed

The party programme explicitly points out that expanded national coordination and governance shall improve care options for rare diagnoses and increase access to care in sparsely populated parts of the country.

Plan documents: party programme

Reasoning and quotes

The party programme explicitly points out that expanded national coordination and governance shall improve care options for rare diagnoses and increase access to care in sparsely populated parts of the country. An assignment to develop concrete measures for increased access to medicines, based on rare health conditions, directly addresses this. The plan also establishes that care should be organized based on the individual's needs and be equal regardless of place of residence.

Original (Swedish)

Partiprogrammet pekar uttryckligen ut att utökad nationell samordning och styrning ska förbättra vårdmöjligheterna för sällsynta diagnoser och öka tillgången till vård i glest befolkade delar av landet. Ett uppdrag att ta fram konkreta åtgärder för ökad tillgång till läkemedel, med utgångspunkt i sällsynta hälsotillstånd, svarar direkt mot detta. Planen slår också fast att vården ska organiseras utifrån individens behov och vara jämlik oavsett bostadsort.

  • better care for rare diagnosesdecisive»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. This strengthens equality and freedom of choice, improves care options for rare diagnoses, and increases access to healthcare in sparsely populated parts of the country.”
  • equal access to care»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi eller bostadsort.« (party programme ↗)“Care should be equal. Everyone has the right to good care and support regardless of background, gender, age, economy, or place of residence.”
  • access to modern medicines»Barn och unga med kroniska sjukdomar ska ha tillgång till medicin och medicinsk-tekniska behandlingar som är moderna och utgår från patientens behov och Socialstyrelsens riktlinjer.« (party programme ↗)“Children and young people with chronic diseases should have access to modern medicines and medical-technical treatments that are based on the patient's needs and National Board of Health and Welfare guidelines.”
  • needs-based publicly financed care»Vård och omsorg ska i huvudsak betalas över skattsedeln och ska alltid organiseras utifrån individens behov.« (party programme ↗)“Care and support should mainly be financed through taxes and should always be organized based on the individual's 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.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The party programme stipulates that the solidaristically financed care shall be needs-driven and explicitly opposes a policy based solely on utilitarian ethics.

Plan documents: party programme

Reasoning and quotes

The party programme stipulates that the solidaristically financed care shall be needs-driven and explicitly opposes a policy based solely on utilitarian ethics. Precisely for that reason the plan bears the counter-proposal's demand for measures to increase access to medicines without requirements for cost neutrality, based on medicines for rare health conditions. That medicines shall be covered by a solidaristically financed system points in the same direction.

Original (Swedish)

Partiprogrammet slår fast att den solidariskt finansierade vården ska vara behovsstyrd och vänder sig uttryckligen mot en politik som enbart baseras på nyttoetiken. Just därför bär planen motförslagets krav på åtgärder för ökad tillgång till läkemedel utan krav på kostnadsneutralitet, med utgångspunkt i läkemedel för sällsynta hälsotillstånd. Att läkemedel ska omfattas av ett solidariskt finansierat system pekar åt samma håll.

  • needs-driven caredecisive»Den solidariskt finansierade hälso- och sjukvården är välfärdens kärna och ska vara behovsstyrd.« (party programme ↗)“The solidaristically financed healthcare is the core of welfare and shall be needs-driven.”
  • no to pure cost-benefit calculation»Vi kristdemokrater vänder oss emot den politik, som enbart baseras på nyttoetiken« (party programme ↗)“We Christian Democrats oppose the policy which is based solely on utilitarian ethics”
  • solidaristically financed medicines»Läkemedel ska efter särskilt godkännande omfattas av ett solidariskt finansierat system.« (party programme ↗)“Medicines shall after special approval be covered by a solidaristically financed system.”
  • care even for the most vulnerable»Även människor som har svårt att nyttja sin valfrihet ska ha tillgång till en god, trygg och värdig vård.« (party programme ↗)“Even people who have difficulty exercising their choice shall have access to good, secure and dignified 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.

MModeraternaYesYesfollows the plannot addressed

The counter-proposal's core demand is that the assignment be given without a requirement for cost neutrality.

Plan documents: 2022 manifesto

Reasoning and quotes

The counter-proposal's core demand is that the assignment be given without a requirement for cost neutrality. The plan explicitly establishes that all new pledges and reforms need to be financed or fit within the surplus target and that the surplus target shall be protected, and that major needs require priorities. An assignment that is decoupled from financing in advance conflicts with that budget discipline, even though the plan's requirement for equitable care speaks for increased access in substance.

Original (Swedish)

Motförslagets bärande krav är att uppdraget ska ges utan krav på kostnadsneutralitet. Planen slår uttryckligen fast att alla nya löften och reformer behöver finansieras eller rymmas inom överskottsmålet och att överskottsmålet ska värnas, och att de stora behoven kräver prioriteringar. Ett uppdrag som på förhand frikopplas från finansiering strider mot den budgetdisciplinen, även om planens krav på likvärdig vård talar för ökad tillgång i sak.

  • new reforms must be financeddecisive»Alla nya löften och reformer – som till exempel våra inkomstskattesänkningar – behöver finansieras eller rymmas inom överskottsmålet.« (2022 manifesto ↗)“All new pledges and reforms – such as our income tax cuts – need to be financed or fit within the surplus target.”
  • surplus target protected»Överskottsmålet ska värnas och det är inte aktuellt att övergå till ett balansmål.« (2022 manifesto ↗)“The surplus target shall be protected and it is not appropriate to switch to a balanced budget target.”
  • clear prioritisation»Vi vet vad som måste göras – och vad som får vänta.« (2022 manifesto ↗)“We know what must be done – and what can wait.”
  • equitable care»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equitable care - that can be given at the right time and maintains high quality.”

flags: citat_migrerat

SDSverigedemokraternaNoYesdeparts from the plannot addressed

The plan establishes that Swedish healthcare must always have high medical quality with well-developed accessibility throughout Sweden and that citizens in a high-tax country have the right to expect good and accessible healthcare.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan establishes that Swedish healthcare must always have high medical quality with well-developed accessibility throughout Sweden and that citizens in a high-tax country have the right to expect good and accessible healthcare. A mandate to develop concrete measures for increased access to medicines, including for rare conditions, aligns with this. The plan, however, simultaneously requires clear results from every public investment, which makes support for the requirement to deviate from cost-neutrality less certain.

Original (Swedish)

Planen slår fast att svensk sjukvård alltid ska ha hög medicinsk kvalitet med väl utbyggd tillgänglighet över hela Sverige och att medborgare i ett högskatteland har rätt att förvänta sig god och tillgänglig vård. Ett uppdrag att ta fram konkreta åtgärder för ökad tillgång till läkemedel, även vid sällsynta tillstånd, ligger i linje med detta. Planen kräver dock samtidigt tydliga resultat för varje offentlig satsning, vilket gör stödet till kravet på avsteg från kostnadsneutralitet mindre säkert.

  • high quality and accessibilitydecisive»Svensk sjukvård ska alltid ha en mycket hög medicinsk kvalitet med väl utbyggd tillgänglighet över hela Sverige.« (2022 manifesto ↗)“Swedish healthcare must always have very high medical quality with well-developed accessibility throughout Sweden.”
  • good and accessible healthcare»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.”
  • access to critical goods»Öka den svenska självförsörjningsgraden av kritiska produkter och varor« (2022 manifesto ↗)“Increase Sweden's self-sufficiency in critical products and goods”
  • results requirement for public investments»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results from every public investment”

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