A national support and coordination function

The plan establishes that the state has the overall responsibility for welfare and that the state must take greater responsibility for creating equal conditions so that care becomes equal regardless of where in the country you live. A national support and coordination function with a long-term mandate is a means for precisely that equivalence in implementation. The counter-proposal's demands therefore align with the plan.

• state responsibility for equal caredecisive»Lösningen är inte att förstatliga sjukvården men för att säkerställa en jämlik vård i Sverige måste staten ta ett större ansvar för att skapa lika förutsättningar.« (2022 manifesto ↗)“The solution is not to nationalize healthcare but to ensure equal care in Sweden the state must take greater responsibility for creating equal conditions.”
• equal care throughout the country»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, equitable and accessible, regardless of where in the country you live and regardless of who you are.”
• state's responsibility for welfare»övergripande ansvaret för välfärden.« (party programme ↗)“overall responsibility for welfare.”

The plan demands increased state responsibility and control over healthcare for national equality and good service and welfare regardless of where you live in the country. A national support and coordination function that provides guidance and concrete support to administrators is a tool for precisely that equality. Without such support the reform risks being implemented differently in different parts of the country, which the plan opposes.

• state responsibility for equal caredecisive»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equality.”
• equal welfare throughout the country»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare to citizens regardless of where in the country they live.”
• equal conditions»Större statligt ansvar för likvärdiga förutsättningar i hela Sverige.« (party programme ↗)“Greater state responsibility for equal conditions throughout Sweden.”
• equal care throughout the country»Vi vill ha en ny äldreomsorgslag som säkerställer att alla får en lika bra omsorg i hela landet och tillgång till sjuksköterskor dygnet runt.« (2022 manifesto ↗)“We want a new elderly care act that ensures everyone receives equally good care throughout the country and access to nurses round the clock.”

The counter-proposal wants to give an authority a long-term commission to establish a national support and coordination function so that the reform is implemented equally throughout the country. The plan points precisely to the fact that access to support is inadequate and unevenly distributed between regions and wants to see increased collaboration between actors as well as integrated care. The requirement thus lies in the plan's direction, although derived.

• equitable access to supportdecisive»otillräcklig och ojämnt fördelad, med stora skillnader mellan regioner och olika grupper i« (party programme ↗)“inadequate and unevenly distributed, with large differences between regions and different groups in”
• increased collaboration»Vi vill se ökad samverkan mellan olika aktörer för att uppnå en god folkhälsa, då vården i« (party programme ↗)“We want to see increased collaboration between different actors to achieve good public health, as care in”
• integrated substance abuse care»En effektiv narkotikapolitik måste kombinera förebyggande arbete med skademinimering« (party programme ↗)“An effective drug policy must combine preventive work with harm reduction”
• accessible care for mental illness»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental illness.”

The plan requires that welfare is equivalent and reliable regardless of where one lives and that the state provides better support to the authorities adapted to their conditions. A national support and coordination function that provides guidance and spreads good examples throughout implementation meets that. The plan does not, however, want to move responsibility from the regions to the state, which sets a limit on how far the support can go.

• equivalent welfare across the countrydecisive»Alla invånare ska ha tillgång till en likvärdig och pålitlig välfärd oavsett var de bor, och den offentliga servicen ska finnas där när man behöver den.« (2022 manifesto ↗)“All residents shall have access to equivalent and reliable welfare regardless of where they live, and public services shall be available where needed.”
• state support to the authorities»Vi vill korta köerna och skapa fler vårdplatser där det behövs genom satsningar på fler sjuksköterskor och bättre statligt stöd till regionerna som är anpassade efter deras förutsättningar och behov.« (2022 manifesto ↗)“We want to shorten queues and create more care places where needed through investments in more nurses and better state support to the regions that is adapted to their conditions and needs.”
• close and reliable service»Offentlig service ska vara nära och pålitlig i hela landet.« (2022 manifesto ↗)“Public service shall be close and reliable across the country.”
• care responsibility remains with the regions»Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“Responsibility for care shall not be moved from the regions to the state.”

The plan requires expanded national coordination and governance of care and that the state take greater responsibility for strategic planning and competence provision, precisely so that quality does not depend on where one lives. A national support and coordination function during implementation is an application of that. The plan also emphasizes close cooperation between social services and health and medical care for persons with substance abuse.

• national coordination of caredecisive»Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“There is a need for expanded national coordination and governance.”
• 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 should take greater responsibility for health care's strategic planning, placement of highly specialized care, preparedness and long-term competence provision.”
• equivalent welfare throughout the country»Oavsett bostadsort har individer rätt att få likvärdig kvalitet på vården, omsorgen, socialtjänsten och andra välfärdstjänster.« (party programme ↗)“Regardless of place of residence, individuals have the right to receive equivalent quality of care, services, social services and other welfare services.”
• cooperation on substance-abuse care»En nära samverkan mellan socialtjänst, hälso- och sjukvård och rättsväsende är viktig för att personer som hamnat i missbruk ska erbjudas hjälp.« (party programme ↗)“Close cooperation between social services, health and medical care and the legal system is important so that persons who have gotten into substance abuse are offered help.”

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 requires equitable healthcare on equal terms throughout the country and even wishes to gather main responsibility nationally to avoid 21 different solutions. A national support and coordination function that provides guidance to the providers serves the same purpose, as do the requirements for national standards and well-developed cooperation between providers.

• nationally coordinated and equitable healthcaredecisive»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika. Det ger en högkvalitativ, effektiv och jämlik vård på lika villkor till hela befolkningen.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with one common organization instead of 21 different. This gives high-quality, efficient and equitable healthcare on equal terms to the entire population.”
• equitable and accessible healthcare»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Healthcare shall be equitable and accessible to the entire population.”
• national standards in healthcare»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation. Information om patienten ökar möjligheterna för en god vård.« (2022 manifesto ↗)“Ensure patient safety with national standards and technical specifications for all digital healthcare information. Information about the patient increases the possibilities for good healthcare.”
• cooperation between providers»Samverkan mellan olika huvudmän ska vara väl utvecklad.« (party programme ↗)“Cooperation between different providers shall be well developed.”

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 does not address any national support and coordination function for this reform. Its closest principle is that policy shall prioritise and make choices about what not to do, and that a large state leads to a weaker society, which speaks against adding another coordination structure on top of the assignments that already exist. The plan does want to strengthen addiction care in substance, however. The stance is derived and uncertain.

• prioritise and choosedecisive»Politiken har en viktig uppgift att prioritera och välja bort« (party programme ↗)“Policy has an important task to prioritise and choose not to do things”
• limited state superstructure»En stor stat leder till ett svagare samhälle.« (party programme ↗)“A large state leads to a weaker society.”
• strengthened social services and addiction care»Moderaterna vill därför genomföra det största brottsförebyggande reformpaketet i modern tid.« (2022 manifesto ↗)“The Moderate Party therefore wants to carry out the largest crime prevention reform package in modern times.”

The plan requires new structures for improved cooperation between ministries, authorities and other actors as well as clear national steering on health matters. The counter-proposal's demand for a national support and coordination function with a long-term mandate to an authority follows from these commitments. The plan also emphasises that care should be equal and good throughout the country, which requires support to the responsible authorities in implementation.

• national cooperation structuresdecisive»Det behöver skapas nya strukturer för ett förbättrat samarbete mellan departement, myndigheter och andra relevanta aktörer.« (2022 manifesto ↗)“New structures need to be created for improved cooperation between ministries, authorities and other relevant actors.”
• national steering»Sverigedemokraterna förespråkar därför en tydlig nationell pådrivande styrning där Folkhälsomyndighetens roll förstärks och förtydligas.« (2022 manifesto ↗)“Sweden Democrats therefore advocate clear national steering where the role of the Public Health Agency is strengthened and clarified.”
• national strategy»Ta fram en nationell strategi för det fortsatta arbetet med psykisk hälsa« (2022 manifesto ↗)“Develop a national strategy for the continued work on mental health”
• equal care throughout the country»Sverigedemokraterna ser till hela Sveriges bästa och 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 ↗)“Sweden Democrats look to the whole of Sweden's benefit and therefore consider it of utmost importance that equal and good care is created throughout the country so that regional imbalances do not arise.”

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.