2024-04-032023/24:SoU15 · p.2SoUHealth & social services
Equal Health, etc.
A national strategy for equal health
What's at stake: There are still health differences between socioeconomic groups in Sweden, with particular significance for children's and young people's health throughout life. The decision affects how targeted and structured society's work is to close these health gaps.
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 parliament should call on the government to introduce a dedicated national strategy for children's and young people's right to equal health, or whether the structural work on public health policy already under way is sufficient to close the health gaps between socioeconomic groups.
Yes Yes — the committee proposal
The Committee on Health and Welfare points to structural work already under way to strengthen public health policy — including coordination by the Public Health Agency, regional support from county administrative boards, a new national support function for municipalities and regions, and an inquiry into health-economic analyses — and considers this evidence-based work sufficient. The motions calling for a dedicated strategy on equal health are rejected.
No No — the reservations
Reservation 1 (S)
The Social Democrats note that despite generally good public health, differences in health between socioeconomic groups persist, and that conditions during childhood and youth greatly affect health throughout life. They want the government to introduce a national strategy for children's and young people's right to equal health and to take socially preventive measures, including to promote physical activity.
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 1 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 0/0/21/3 | departs from the plan | confidence: medium | not addressed |
| S | No | No 0/92/0/14 | follows the plan | confidence: medium | not addressed |
| MP | No | Abstain 0/0/14/4 | departs from the plan | confidence: medium | derived |
| C | No | Abstain 0/0/21/3 | departs from the plan | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: medium | derived |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | departs from the plan | confidence: medium | not addressed |
| SD | No | Yes 63/0/0/9 | departs from the plan | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2023/24:258 by Anna Wallentheim (S), 2023/24:1171 by Markus Wiechel (SD), 2023/24:2493 by Christofer Bergenblock et al. (C) motion 38 and 2023/24:2617 by Fredrik Lundh Sammeli et al. (S) motions 103 and 104.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:258 av Anna Wallentheim (S), 2023/24:1171 av Markus Wiechel (SD), 2023/24:2493 av Christofer Bergenblock m.fl. (C) yrkande 38 och 2023/24:2617 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 103 och 104.
Riksdag decision: The Riksdag rejected approximately 100 proposals on public health in motions from the general motion period of 2023. The Riksdag mainly refers to the fact that work is already underway within the issues that the proposals address. The motions deal with, among other things, vaccination and allergy issues, healthy lifestyle habits and mental health.
Counter-proposals
- The counter-proposal wants the government to introduce a national strategy for children's and young people's right to equal health. (S) — Reservation 1
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 election manifesto establishes that class determines health and life expectancy and that care shall be equal and accessible regardless of who you are.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that class determines health and life expectancy and that care shall be equal and accessible regardless of who you are. It also requires early intervention for children through school health services, recreational activities and social support, and the party programme puts children's best interests first. The counter-proposal's demands for a national strategy for children's and young people's equal health and socially preventive measures thus follow the plan's line.
Original (Swedish)
Valplattformen slår fast att klass avgör hälsa och livslängd och att vården ska vara jämlik och tillgänglig oavsett vem du är. Den kräver dessutom tidiga insatser för barn genom elevhälsa, fritidsverksamhet och socialt stöd, och partiprogrammet sätter barnens bästa främst. Motförslagets krav på en nationell strategi för barns och ungas jämlika hälsa och socialt förebyggande insatser följer därmed planens linje.
- class determines healthdecisive»Precis som att klass påverkar människor i en pandemi, påverkar klass vår livslängd och möjlighet till ett bra liv utanför en pandemi.« (2022 manifesto ↗)“Just as class affects people in a pandemic, class affects our life expectancy and opportunity for a good life outside a pandemic.”
- early intervention for children»Det krävs satsningar inte bara på undervisning utan också på elevhälsa, specialpedagoger, fritidsverksamhet och socialt stöd.« (2022 manifesto ↗)“Investments are required not only in teaching but also in school health services, special education teachers, recreational activities and social support.”
- equal and accessible care»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.”
- children's best interests first»Vänsterpartiets politik ska utformas så att barnens bästa kommer i första rummet.« (party programme ↗)“The Left Party's politics shall be designed so that children's best interests come first.”
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 is based on the fact that class and income today determine health and that children inherit that inequality, and gives school, healthcare and care a central role in the distribution of life chances.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan is based on the fact that class and income today determine health and that children inherit that inequality, and gives school, healthcare and care a central role in the distribution of life chances. A national strategy for children's and young people's right to equal health with socially preventive measures is a direct expression of this. The plan also wants to increase access to sports and leisure independent of parents' finances.
Original (Swedish)
Planen bygger på att klass och inkomst i dag styr hälsan och att barnen ärver den ojämlikheten, och ger skola, vård och omsorg en central roll för fördelningen av livschanser. En nationell strategi för barns och ungas rätt till jämlik hälsa med socialt förebyggande insatser är ett direkt uttryck för det. Planen vill dessutom öka tillgången till idrott och fritid oberoende av föräldrarnas plånbok.
- welfare distributes life chancesdecisive»Skola, vård och omsorg har en central roll för fördelningen av möjligheter i livet.« (party programme ↗)“School, healthcare and care have a central role in the distribution of life opportunities.”
- unequal health runs in families»drabbas av arbetslöshet och sämre hälsa« (party programme ↗)“are affected by unemployment and worse health”
- leisure independent of finances»Tillgången till fritidsaktiviteter till rimliga kostnader, både vad gäller idrott och kultur, behöver öka. Föräldrarnas plånbok ska inte avgöra.« (2022 manifesto ↗)“Access to leisure activities at reasonable costs, both sports and culture, needs to increase. Parents' finances should not determine.”
- equal conditions for children»Alla barn och ungdomar ska ha rätt till likvärdiga villkor« (party programme ↗)“All children and young people shall have the right to equal conditions”
The party programme wants to see a national public health programme supporting municipalities and regions, and states that economic hardship is a risk factor for children's health and school results.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme wants to see a national public health programme supporting municipalities and regions, and states that economic hardship is a risk factor for children's health and school results. Physical activity is highlighted as important for public health. A national strategy for children's and young people's equal health with socially preventive measures thus aligns with the plan's commitments.
Original (Swedish)
Partiprogrammet vill se ett nationellt folkhälsoprogram som stödjer kommuner och regioner, och konstaterar att ekonomisk utsatthet är en riskfaktor för barns hälsa och skolresultat. Fysisk rörelse lyfts fram som viktig för folkhälsan. En nationell strategi för barns och ungas jämlika hälsa med socialt förebyggande insatser ligger därmed i linje med planens åtaganden.
- national public health programmedecisive»Vi vill därför se ett nationellt folkhälsoprogram och stödja kommuner och landsting i deras hälsofrämjande arbete.« (party programme ↗)“We therefore want to see a national public health programme and support municipalities and county councils in their health-promoting work.”
- socioeconomic health disparities»Ekonomisk utsatthet är en riskfaktor för barns hälsa och för deras resultat i grundskolan.« (party programme ↗)“Economic hardship is a risk factor for children's health and for their results in primary school.”
- physical activity for public health»Fysisk rörelse är viktig för folkhälsan och välbefinnandet.« (party programme ↗)“Physical activity is important for public health and wellbeing.”
- strengthened student health»förstärka elevhälsan och satsa på fler skolsköterskor, specialpedagoger, psykologer och kuratorer i skolan.« (2022 manifesto ↗)“strengthen student health and invest in more school nurses, special education teachers, psychologists and counsellors in school.”
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 makes preventive work a prerequisite for sustainable welfare and requires that the public health perspective permeates society.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme makes preventive work a prerequisite for sustainable welfare and requires that the public health perspective permeates society. Strengthening opportunities for those who have it worst is, according to the plan, the way to lift the whole society, which carries a strategy for children's and young people's right to equal health. The election manifesto's view on the importance of movement for public health also supports socially preventive measures.
Original (Swedish)
Partiprogrammet gör förebyggande arbete till en förutsättning för hållbar välfärd och kräver att folkhälsoperspektivet genomsyrar hela samhället. Att stärka möjligheterna för dem som har det sämst är enligt planen vägen att lyfta hela samhället, vilket bär en strategi för barns och ungas rätt till jämlik hälsa. Valmanifestets syn på rörelsens betydelse för folkhälsan stöder också socialt förebyggande insatser.
- prevention as the main linedecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
- reduce health gaps»När vi stärker möjligheterna för dem som har det sämst lyfter vi hela samhället.« (party programme ↗)“When we strengthen opportunities for those who have it worst we lift the whole society.”
- broad public health perspective»Folkhälsoperspektivet måste genomsyra hela samhället för att ge resultat.« (party programme ↗)“The public health perspective must permeate society to produce results.”
- physical movement for health»Idrotten, friluftslivets och kulturens betydelse för folkhälsan är odiskutabel.« (2022 manifesto ↗)“Sports, outdoor life and culture's importance for public health is indisputable.”
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 places equality of opportunity first and wants to prioritize freedom for those who have the least freedom, with the requirement that care shall be equitable regardless of background and place of residence.
Plan documents: party programme
Reasoning and quotes
The plan places equality of opportunity first and wants to prioritize freedom for those who have the least freedom, with the requirement that care shall be equitable regardless of background and place of residence. Early and preventive measures are highlighted as crucial for children in difficult circumstances. A national strategy for children's and young people's equal health with socially preventive measures thus follows from the plan's commitments.
Original (Swedish)
Planen sätter jämlikhet i livschanser främst och vill prioritera friheten för dem som har minst frihet, med kravet att vården ska vara jämlik oavsett bakgrund och bostadsort. Tidiga och förebyggande insatser lyfts fram som avgörande för barn i utsatta situationer. En nationell strategi för barns och ungas jämlika hälsa med socialt förebyggande insatser följer därför av planens åtaganden.
- prioritize those with least freedomdecisive»friheten för dem som har minst frihet.« (party programme ↗)“freedom for those who have the least freedom.”
- equitable care»Vården ska vara jämlik.« (party programme ↗)“Care shall be equitable.”
- early preventive measures»Tidiga och förebyggande insatser är avgörande.« (party programme ↗)“Early and preventive measures are crucial.”
- science-based public health»Folkhälsoarbetet och de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“Public health work and preventive health measures shall be based on knowledge”
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 promises greatly strengthened student health with coordinated child and youth healthcare and parental support for all parents, which is exactly the combined investment in children's and young people's health that the counter-proposal seeks.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises greatly strengthened student health with coordinated child and youth healthcare and parental support for all parents, which is exactly the combined investment in children's and young people's health that the counter-proposal seeks. The party programme establishes that public health work cannot be limited to healthcare but requires cooperation between several societal actors and that health-promoting work shall be stimulated. The plan thus speaks for a national strategy for equitable health among children and young people and for socially preventive measures.
Original (Swedish)
Valmanifestet lovar kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastöd till alla föräldrar, vilket är just den samlade satsning på barns och ungas hälsa som motförslaget efterfrågar. Principprogrammet slår fast att folkhälsoarbetet inte får inskränkas till sjukvården utan kräver samverkan mellan flera samhällsaktörer och att hälsofrämjande arbete ska stimuleras. Planen talar därmed för en nationell strategi för barns och ungas jämlika hälsa och för socialt förebyggande insatser.
- coordinated child and youth healthcaredecisive»Kraftigt stärkt elevhälsa med en sammanhållen barn- och ungdomshälsovård och föräldrastödsprogram som erbjuds alla föräldrar.« (2022 manifesto ↗)“Greatly strengthened student health with coordinated child and youth healthcare and parental support programmes offered to all parents.”
- broad public health responsibility»Folkhälsoarbetet får därför inte inskränkas till hälso- och sjukvården utan kräver ett gemensamt ansvarstagande och samverkan mellan olika samhällsaktörer.« (party programme ↗)“Public health work therefore cannot be limited to healthcare but requires shared responsibility and cooperation between different societal actors.”
- health-promoting work»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work shall be stimulated.”
- children's safe growing conditions»Barn har rätt till en trygg uppväxtmiljö.« (party programme ↗)“Children have the right to a safe upbringing 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.
The plan contains several commitments of exactly the type the counter-proposal requires: a national strategy aimed at children's and young people's health, socially preventive measures and a special sports initiative that shall promote physical activity in disadvantaged areas.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan contains several commitments of exactly the type the counter-proposal requires: a national strategy aimed at children's and young people's health, socially preventive measures and a special sports initiative that shall promote physical activity in disadvantaged areas. The statutory care guarantee for children also proceeds from the assumption that unequal access to health should be met with targeted interventions early on. Substantively, the counter-proposal's requirement is therefore aligned with the plan, even though the plan's motivation is children's life chances rather than outcome equalisation.
Original (Swedish)
Planen innehåller flera åtaganden av precis den typ motförslaget kräver: en nationell strategi riktad mot barns och ungas hälsa, socialt förebyggande insatser och ett särskilt idrottslyft som ska främja fysisk rörelse i utsatta områden. Även den lagstadgade vårdgarantin för barn utgår från att ojämlik tillgång till hälsa ska mötas med riktade insatser tidigt. Sakligt sett ligger motförslagets krav därför i linje med planen, även om planens motiv är barns livschanser snarare än utfallsutjämning.
- sports initiative in disadvantaged areasdecisive»Genomföra ett särskilt idrottslyft för utsatta områden« (2022 manifesto ↗)“Carry out a special sports initiative for disadvantaged areas”
- national strategy for young people»Ta fram en nationell strategi mot självmord, med särskilt fokus på barn och unga« (2022 manifesto ↗)“Develop a national strategy against suicide, with particular focus on children and young people”
- socially preventive reform package»Det handlar om över 50 reformer för att stärka socialtjänst, skola och missbruksvård.« (2022 manifesto ↗)“It involves over 50 reforms to strengthen social services, schools and addiction care.”
- care guarantee for children»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory care guarantee for children”
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 establishes that girls and boys should have the same life prospects regardless of background and wants to see increased focus and more resources on preventive work.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that girls and boys should have the same life prospects regardless of background and wants to see increased focus and more resources on preventive work. It also advocates national strategies in the health field and more sport and movement for children and young people. The counter-proposal's demand for a national strategy for children's and young people's right to equal health with social preventive measures and promoted movement follows from these commitments.
Original (Swedish)
Planen slår fast att flickor och pojkar ska ha samma livsutsikter oavsett bakgrund och vill se ökat fokus och mer resurser på förebyggande arbete. Den förordar också nationella strategier på hälsoområdet och mer idrott och rörelse för barn och unga. Motförslagets krav på en nationell strategi för barns och ungas rätt till jämlik hälsa med socialt förebyggande insatser och främjad rörelse följer av dessa åtaganden.
- equal life prospects for childrendecisive»Att flickor och pojkar ska ha samma livsutsikter, oavsett bakgrund« (2022 manifesto ↗)“That girls and boys should have the same life prospects, regardless of background”
- prioritise preventive work»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources on preventive work and rehabilitation”
- national health strategies»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”
- more movement for children and young people»Idrottsundervisningen bör öka i skolan och fritidsbaserad barn- och ungdomsidrott bör stimuleras.« (2022 manifesto ↗)“Physical education teaching should increase in school and leisure-time children's and youth sports should 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.
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Sources and documents
- The committee report on riksdagen.se (2023/24:SoU15)
- Committee report full text (HB01SoU15)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1005 — Fler behöver TBE-vaccination av Åsa Westlund och Mathias Tegnér (båda S)
- Motion 2023/24:1171 — Barnaga klassat som folkhälsoproblem av Markus Wiechel (SD)
- Motion 2023/24:1173 — Ett utvecklat folkhälsoarbete av Markus Wiechel (SD)
- Motion 2023/24:1191 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2023/24:120 — Utredning av anmälnings- eller tillståndsplikt för kyltornsanläggningar av Eric Palmqvist (SD)
- Motion 2023/24:1258 — Förbättrad hälsa hos barn och unga av Anders Ådahl (C)
- Motion 2023/24:1276 — Minskning av den antimikrobiella resistensen både nationellt och internationellt av Marie-Louise Hänel Sandström m.fl. (M)
- Motion 2023/24:1306 — Avgiftsfritt TBE-vaccin för barn av Adrian Magnusson m.fl. (S)
- Motion 2023/24:1402 — Lex Rebecka - att orka leva, att våga leva av Ann-Sofie Alm (M)
- Motion 2023/24:1423 — Preventiva insatser mot suicid hos äldre av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1479 — Gratis TBE-vaccin för barn och unga under 18 år av Louise Thunström och Sofia Skönnbrink (båda S)
- Motion 2023/24:1512 — Främjande av vaccinering mot TBE i riskområden som Blekinge av Heléne Björklund (S)
- Motion 2023/24:171 — Ohälsosamma livsmedels påverkan på folkhälsan av Angelica Lundberg (SD)
- Motion 2023/24:1712 — Antibiotikaresistens är fortfarande ett globalt hälsoproblem av Margareta Cederfelt (M)
- Motion 2023/24:1799 — Kriskommission för barns och ungas psykiska hälsa av Lili André och Hans Eklind (båda KD)
- Motion 2023/24:189 — Psykisk ohälsa bland skuldsatta samt självmord av Magnus Jacobsson (KD)
- Motion 2023/24:1915 — Utökning av vaccinationsprogrammet för barn så att det också gäller TBE-vaccin av Magnus Manhammar (S)
- Motion 2023/24:1933 — Suicidprevention av Sofia Amloh och Louise Thunström (båda S)
- Motion 2023/24:2063 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2066 — Astma- och allergivården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
Source: The Swedish Parliament