State responsibility for vaccines

The plan's overarching commitment is that care shall be equal regardless of where in the country you live and that the state therefore must take greater responsibility for equal conditions. The counter-proposal's demands for national procurement, financing and distribution of vaccines respond to precisely the inequality between regions that the plan wants to eliminate. That the plan wants the state to own the pharmacies and build its own drug production capacity points in the same direction, even though the plan rejects full nationalization of healthcare management.

• equal care throughout the countrydecisive»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.”
• the state takes greater responsibility»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.”
• state drug responsibility»Vi vill att staten äger apoteken och bygger upp en egen kapacitet« (party programme ↗)“We want the state to own the pharmacies and build up its own capacity”
• affordable drug costs»Kostnaderna för vård och läkemedel ska vara överkomliga för« (party programme ↗)“The costs for care and medicines shall be affordable for”

The party programme explicitly establishes that there shall be access to medicine, vaccines and other drugs throughout the country and that state responsibility and control over healthcare shall increase for national equivalence. The counter-proposal's requirement for national procurement, financing and distribution of vaccines is precisely the governance the plan seeks. The goal of equitable public health and equal right to healthcare points in the same direction.

• vaccines throughout the countrydecisive»Tillgång till medicin, vaccin och andra läkemedel i hela landet.« (party programme ↗)“Access to medicine, vaccines and other drugs throughout the country.”
• increased state responsibility for healthcare»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equivalence.”
• equitable public health»Jämlik och jämställd folkhälsa.« (party programme ↗)“Equitable public health.”
• equal right to healthcare»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good healthcare and medical care through society's provision.”

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.

The plan requires care according to need and not according to wallet or place of residence, and criticises that market adaptation has made access to care different between regions. It drives the same line about equality throughout the country for aids. A national responsibility for vaccine procurement, financing and distribution follows from these commitments.

• care according to need regardless of place of residencedecisive»Ett hållbart samhälle bygger på förebyggande hälsosatsningar och tillgång till vård efter behov - inte efter plånbok eller bostadsort.« (party programme ↗)“A sustainable society is built on preventive health investments and access to care according to need - not according to wallet or place of residence.”
• regional care differences criticised»En ökad marknadsanpassning har också bidragit till att tillgången till vård skiljer sig mellan regioner« (party programme ↗)“Increased market adaptation has also contributed to access to care differing between regions”
• equality throughout the country»MP ska verka för en likvärdig tillgång till rätt hjälpmedel över hela landet.« (party programme ↗)“MP shall work for equitable access to the right aids throughout the country.”
• resilience against infection»Vården måste bli mer motståndskraftig. Vi behöver en sjukvård som kan stå emot pandemier och antibiotikaresistens men också klimatkriser och säkerhetshot.« (party programme ↗)“Healthcare must become more resilient. We need healthcare that can withstand pandemics and antibiotic resistance but also climate crises and security threats.”

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 states that responsibility for care shall not be moved from the regions to the state and that operations shall be conducted close to patients. The counter-proposal requires the opposite, that procurement, financing and distribution of vaccines be nationalized. The party programme's decentralization principle points in the same direction: decisions that can be made closer to people should not be moved upward.

• care responsibility remains with the regionsdecisive»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna. Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“We want to defend freedom of choice in care and services and conduct operations close to patients. Responsibility for care shall not be moved from the regions to the state.”
• close welfare»Vi är övertygade om att vägen till en bättre välfärd går genom att bedriva den närmare invånarna i hela landet« (2022 manifesto ↗)“We are convinced that the path to better welfare goes through providing it closer to residents across the country”
• consistent decentralization»inom alla områden och på alla nivåer, att verka för decentralisering av beslut« (party programme ↗)“within all areas and at all levels, to work for decentralization of decisions”
• decisions close to the people»Beslut som endast berör en mer lokal nivå, eller bara individen själv, bör inte flyttas upp till en högre nivå,« (party programme ↗)“Decisions that only concern a more local level, or only the individual themselves, should not be moved up to a higher level,”

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.

The election manifesto wants the state to take greater responsibility for healthcare's strategic planning and preparedness, and the party programme requires expanded national coordination and steering to strengthen equality. Moving procurement, financing and distribution of vaccines to the national level is an application of precisely this. The plan's demand for equitable care regardless of place of residence speaks directly against regional differences in vaccination coverage.

• greater state responsibility in healthcaredecisive»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness and long-term competence supply.”
• national coordination for equality»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 ↗)“Expanded national coordination and steering is needed. It strengthens equality and freedom of choice, improves healthcare opportunities for rare diagnoses and increases access to healthcare in sparsely populated areas of the country.”
• equitable care regardless of place of residence»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi eller bostadsort.« (party programme ↗)“Care shall be equitable. Everyone has the right to good healthcare and elderly care regardless of background, sex, age, finances or place of residence.”
• review of care financing»Det behövs en bred översyn av vårdens organisering och finansiering.« (2022 manifesto ↗)“There needs to be a comprehensive review of care's organization and financing.”

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 wishes to abolish the regions' responsibility for healthcare and let the state take over with one common organization instead of 21 different, precisely to provide equitable healthcare on equal terms. The counter-proposal's demand to move procurement, financing and distribution of vaccines to national level is the same thing applied to vaccinations, and responds to the fact that where in the country you live shall not determine what healthcare you get. The demand is supported.

• state main responsibility for 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.”
• healthcare regardless of place of residence»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live shall not determine what healthcare you get.”
• equitable healthcare»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Healthcare shall be equitable and accessible to the entire population.”
• solidarity-financed medicines»Läkemedel ska efter särskilt godkännande omfattas av ett solidariskt finansierat system.« (party programme ↗)“Medicines shall after special approval be covered by a solidarity-financed system.”

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.

The plan is based on decisions being made at the lowest effective level and that choice and diversity, not central control, is the way to welfare that develops. Moving procurement, financing and distribution of vaccines to the state is a centralization of a regional responsibility that the plan does not advocate. The plan's requirement for equal care throughout the country pulls in the other direction, but its own tools are national coordination and performance-based resources rather than transferred ownership.

• beslut på lägsta effektiva nivådecisive»Det politiska systemet ska bygga på att beslut fattas på lägsta« (party programme ↗)“The political system shall be built on decisions being made at the lowest”
• valfrihet i välfärden»För Moderaterna är valfrihet en central del av den svenska« (party programme ↗)“For the Moderate Party, choice is a central part of the Swedish”
• likvärdig vård i hela landet»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equal care - which can be provided at the right time and is of high quality.”

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The plan's central commitment in health is to review how the state to a greater extent can take over primary responsibility for healthcare, with explicit criticism of steering via 21 regions creating lack of clarity and unequal access. The counter-proposal's demand for national responsibility for procurement, financing and distribution of vaccines is just such a shift to state level. The plan also wants to see national systems for coordination and increased self-sufficiency in critical goods.

• state primary responsibility for caredecisive»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården, med utgångspunkt i framgångsrika exempel i Norge och Danmark.« (2022 manifesto ↗)“Sweden Democrats also want to review how the state to a greater extent can take over primary responsibility for healthcare, based on successful examples in Norway and Denmark.”
• regional steering creates unequal care»Huvudproblemet handlar i betydande utsträckning om att styrningen via 21 olika regioner skapar otydlighet, målkonflikter, successivt ökande administration och brister i kompetensförsörjningen.« (2022 manifesto ↗)“The main problem is to a significant extent that steering via 21 different regions creates lack of clarity, goal conflicts, progressively increasing administration and shortcomings in skills recruitment.”
• national coordination in care»Införa ett nationellt patientjournalsystem« (2022 manifesto ↗)“Introduce a national patient record system”
• preparedness for critical goods»Öka den svenska självförsörjningsgraden av kritiska produkter och varor« (2022 manifesto ↗)“Increase Swedish self-sufficiency in critical products and goods”

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.