2025-04-292024/25:SoU17 · p.1SoUHealth & social services
Care and treatment of various diseases
Priority-setting principles for care and treatment of different diseases
What's at stake: The decision affects whether patients with particular diseases can expect parliament-driven investment and uniformly organised care, or whether this continues to be decided by the regions - which can mean differences between regions, for example in the care of gynaecological cancer.
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 Riksdag should make targeted investments in, or specially organise care for, individual diseases - such as gynaecological cancer - or whether such decisions should continue to rest with the healthcare providers within the existing priority-setting principles.
Yes Yes — the committee proposal
The committee maintains that priority-setting in healthcare should rest on the principles of human dignity, need and solidarity, and cost-effectiveness, and that it is the responsibility of the healthcare providers - not Riksdag - to decide on investments in, or special organisation of, care for individual diseases. Riksdag should therefore not take its own initiative, and the motions are rejected.
No No — the reservations
Reservation 3 (V)
The reservation (V) calls for the government to come back with proposals to strengthen care for gynaecological cancer and make it equal across the country, pointing to large differences between regions today.
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 3 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: MModeraterna
Ja 100–18Nej 45–73
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/18/0/6 | match | confidence: medium | derived |
| S | No | Abstain 0/0/87/19 | differs | confidence: medium | derived |
| MP | No | Abstain 0/0/15/3 | differs | confidence: high | derived |
| C | No | Yes 19/0/1/4 | differs | confidence: medium | derived |
| L | No | Yes 11/0/0/5 | differs | confidence: medium | derived |
| KD | No | Yes 15/0/0/4 | differs | confidence: medium | derived |
| M | No | Yes 55/0/0/13 | differsagainst own programme | confidence: high | explicit |
| SD | No | Abstain 0/0/62/10 | differs | confidence: medium | derived |
Broke with the party line
| CHelena Lindahl (C, Västerbottens län) | Abstain — party line: Yes |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
The Riksdag rejects the motions 2024/25:70 by Johnny Svedin (SD) motion item 1, 2024/25:131 by Arber Gashi (S), 2024/25:917 by Magnus Manhammar and Heléne Björklund (both S), 2024/25:1359 by Carina Ståhl Herrstedt et al. (SD) motion item 1, 2024/25:1363 by Carina Ståhl Herrstedt et al. (SD) motion item 14, 2024/25:1412 by Michael Rubbestad et al. (SD) motion item 21, 2024/25:1852 by Jessica Rodén and Petter Löberg (both S) motion items 1-4, 2024/25:1923 by Nooshi Dadgostar et al. (V) motion item 37, 2024/25:2574 by Ann-Sofie Lifvenhage (M) and 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) motion item 49.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:70 av Johnny Svedin (SD) yrkande 1, 2024/25:131 av Arber Gashi (S), 2024/25:917 av Magnus Manhammar och Heléne Björklund (båda S), 2024/25:1359 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 1, 2024/25:1363 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 14, 2024/25:1412 av Michael Rubbestad m.fl. (SD) yrkande 21, 2024/25:1852 av Jessica Rodén och Petter Löberg (båda S) yrkandena 1-4, 2024/25:1923 av Nooshi Dadgostar m.fl. (V) yrkande 37, 2024/25:2574 av Ann-Sofie Lifvenhage (M) och 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkande 49.
Riksdag decision: The Riksdag rejected approximately 140 proposals in motions about priorities within healthcare, primarily citing ongoing work. The proposals were submitted during the general motion period 2024 and deal with, among other things, priorities, blood donation and assisted reproduction.
Counter-proposals
- The counter-proposal wants to strengthen gynecological cancer care and make it equitable across the country. (V) — Reservation 3
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 plan demands equal and equitable care regardless of where in the country you live and establishes that the state must take greater responsibility for creating equal conditions, even though principal responsibility remains with the regions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan demands equal and equitable care regardless of where in the country you live and establishes that the state must take greater responsibility for creating equal conditions, even though principal responsibility remains with the regions. That the state develops proposals to make gynaecological cancer care equal throughout the country thus aligns with the plan. The plan also wants resources for care to increase and that priorities are made based on need.
Original (Swedish)
Planen kräver en jämlik och jämställd vård oavsett var i landet man bor och slår fast att staten måste ta ett större ansvar för att skapa lika förutsättningar, även om huvudmannaskapet ligger kvar hos regionerna. Att staten tar fram förslag för att göra vården vid gynekologisk cancer jämlik över landet ligger därmed i linje med planen. Planen vill också att resurserna till vården ökar och att prioriteringar görs utifrån behov.
- state responsibility for equal conditionsdecisive»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 and equitable 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.”
- increased resources for care»Resurserna till hälso- och sjukvården måste öka för att täcka behoven« (party programme ↗)“Resources for healthcare must increase to meet needs”
- care based on need»evidens och prioriteras utifrån behov.« (party programme ↗)“evidence and priorities are made based on need.”
The party programme requires equal access to healthcare throughout the country and sees healthcare as decisive for the distribution of life chances.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires equal access to healthcare throughout the country and sees healthcare as decisive for the distribution of life chances. The election manifesto is prepared to let the state intervene when the regions cannot meet the care guarantee and wants to step up oversight. State proposals to make healthcare for gynaecological cancer equal across the country are thus in line with the plan.
Original (Swedish)
Partiprogrammet kräver likvärdig tillgång till vård i hela landet och ser vården som avgörande för fördelningen av livschanser. Valmanifestet är berett att låta staten gripa in när regionerna inte klarar vårdgarantin och vill växla upp tillsynen. Statliga förslag för att göra vården vid gynekologisk cancer jämlik över landet ligger därmed i linje med planen.
- equal healthcare throughout the countrydecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents in the entire country shall have equal access to education, healthcare and care.”
- state care guarantee»Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“If a region does not meet the care guarantee according to the law, healthcare shall be offered in another region.”
- strengthened oversight»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Oversight of healthcare shall be stepped up to guarantee quality.”
- healthcare distributes life chances»Skola, vård och omsorg har en central roll för fördelningen av möjligheter i livet.« (party programme ↗)“Education, healthcare and care have a central role in the distribution of opportunities in life.”
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 asserts that you have the right to good care regardless of where in the country you live and states that access is currently unevenly distributed, and that women often have to wait longer for important treatments.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan asserts that you have the right to good care regardless of where in the country you live and states that access is currently unevenly distributed, and that women often have to wait longer for important treatments. It also wants to shorten waiting times for treatment throughout the country. State proposals for equitable care for gynaecological cancer follow directly from these commitments.
Original (Swedish)
Planen slår fast att man ska ha rätt till bra vård oavsett var i landet man bor och konstaterar att tillgången i dag är ojämnt fördelad, och att kvinnor ofta får vänta längre på viktiga behandlingar. Den vill också korta köerna till behandling i hela landet. Statliga förslag för en jämlik vård vid gynekologisk cancer följer direkt av dessa åtaganden.
- equitable care throughout the countrydecisive»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You have the right to good care, regardless of where in the country you live.”
- women's healthcare is neglected»socioekonomiska faktorer borde vara en självklarhet. Kvinnor får ofta vänta längre på viktiga« (party programme ↗)“socioeconomic factors should be a matter of course. Women often have to wait longer for important”
- inequitable healthcare access»I dag är tillgången till vård ojämnt fördelad.« (party programme ↗)“Today access to care is unevenly distributed.”
- shorter queues throughout the country»korta köerna till behandling i hela landet.« (2022 manifesto ↗)“shorten waiting times for treatment throughout the country.”
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 makes more equal healthcare a goal in its own right and wants to invest especially in women's diseases and gender medicine expertise, which supports the demand for proposals that make care for gynaecological cancer equitable.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes more equal healthcare a goal in its own right and wants to invest especially in women's diseases and gender medicine expertise, which supports the demand for proposals that make care for gynaecological cancer equitable. The manifesto also explicitly promises to strengthen equality across the country. The fact that care responsibility should remain with the regions means that the state's role should be knowledge and equality, not taking over the principal responsibility.
Original (Swedish)
Planen gör en mer jämställd sjukvård till ett eget mål och vill satsa särskilt på kvinnosjukdomar och genusmedicinsk kompetens, vilket bär kravet på förslag som gör vården vid gynekologisk cancer jämlik. Manifestet lovar dessutom uttryckligen att stärka likvärdigheten i hela landet. Att vårdansvaret ska ligga kvar hos regionerna innebär att statens roll bör vara kunskap och likvärdighet, inte övertaget huvudmannaskap.
- investment in women's diseasesdecisive»Vi vill inrätta ett nationellt forskningsprogram om kvinnosjukdomar och stärka den genusmedicinska kompetensen i hela vårdkedjan.« (2022 manifesto ↗)“We want to establish a national research programme on women's diseases and strengthen gender medicine expertise throughout the care chain.”
- equal care across the country»Så kortar vi köerna och stärker likvärdigheten i hela landet.« (2022 manifesto ↗)“Thus we shorten queues and strengthen equality across the country.”
- equal healthcare»Vi ska leda Sverige till en mer jämställd sjukvård.« (2022 manifesto ↗)“We will lead Sweden to more equal healthcare.”
- regional principal responsibility»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 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's decisive commitment is that care shall be equitable regardless of place of residence and that expanded national coordination and steering is needed, which bears the counter-proposal's demands for state proposals for equitable care for gynaecological cancer.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's decisive commitment is that care shall be equitable regardless of place of residence and that expanded national coordination and steering is needed, which bears the counter-proposal's demands for state proposals for equitable care for gynaecological cancer. The election manifesto wants the state to take greater responsibility for healthcare's strategic planning and placement of highly specialized care. The plan also requires better knowledge about women's disease patterns.
Original (Swedish)
Planens avgörande åtagande är att vården ska vara jämlik oavsett bostadsort och att det behövs en utökad nationell samordning och styrning, vilket bär motförslagets krav på statliga förslag för en jämlik vård vid gynekologisk cancer. Valmanifestet vill att staten tar ett större ansvar för sjukvårdens strategiska planering och placeringen av högspecialiserad vård. Planen kräver också bättre kunskap om kvinnors sjukdomsbilder.
- equitable care regardless of place of residencedecisive»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.”
- state responsibility for planning»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»Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“Expanded national coordination and steering is needed.”
- knowledge about women's disease patterns»Kunskapen om skillnader mellan kvinnors och mäns sjukdomsbilder måste förbättras och hbtq-kompetensen inom vården stärkas.« (party programme ↗)“Knowledge about differences between women's and men's disease patterns must be improved and LGBTQ+ competence in healthcare strengthened.”
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's core healthcare commitment is that where in the country you live shall not determine what healthcare you get, and that the regions' responsibility for healthcare shall therefore be abolished in favour of a common national organization.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto's core healthcare commitment is that where in the country you live shall not determine what healthcare you get, and that the regions' responsibility for healthcare shall therefore be abolished in favour of a common national organization. The state developing proposals to make healthcare for gynaecological cancer equitable across the country is in line with this, as is the plan's requirement for needs-based and solidarity-financed healthcare with the right care at the right time.
Original (Swedish)
Valmanifestets bärande vårdåtagande är att var i landet du bor inte ska avgöra vilken vård du får, och att regionernas ansvar för sjukvården därför ska avskaffas till förmån för en gemensam nationell organisation. Att staten tar fram förslag för att göra vården vid gynekologisk cancer jämlik över landet ligger i linje med detta, liksom med planens krav på en behovsstyrd och solidariskt finansierad vård med rätt vård i rätt tid.
- national responsibility for healthcaredecisive»Avskaffa regionernas ansvar för sjukvården.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare.”
- equitable healthcare across the country»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.”
- needs-based healthcare»Den solidariskt finansierade hälso- och sjukvården är välfärdens kärna och ska vara behovsstyrd.« (party programme ↗)“Solidarity-financed health and healthcare is the core of welfare and shall be needs-based.”
- the right care at the right time»och behandling, att få rätt vård i rätt tid och ett bra bemötande av vårdpersonalen« (party programme ↗)“and treatment, to get the right care at the right time and good treatment from healthcare staff”
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 promises enhanced healthcare guarantee for cancer patients and itself points out major regional differences in quality and waiting times as a problem, while women's diseases are said to be neglected.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan promises enhanced healthcare guarantee for cancer patients and itself points out major regional differences in quality and waiting times as a problem, while women's diseases are said to be neglected. That the state develops proposals for equitable gynaecological cancer care throughout the country is thereby precisely what the plan requires. The requirement for equal care regardless of where in the country you live is explicit.
Original (Swedish)
Planen lovar en förstärkt vårdgaranti för cancerpatienter och pekar själv ut stora regionala skillnader i kvalitet och väntetider som ett problem, samtidigt som kvinnors sjukdomar sägs vara eftersatta. Att staten tar fram förslag för en jämlik gynekologisk cancervård över hela landet är därmed just vad planen kräver. Kravet på likvärdig vård oavsett var i landet man bor är uttryckligt.
- förstärkt vårdgaranti vid cancerdecisive»Införa en förstärkt vårdgaranti för cancerpatienter – om inte vården kan ges inom angivna tidsgränser ska patienten ha rätt att vända sig till annan vårdgivare och bli ersatt för de merkostnader detta innebär« (2022 manifesto ↗)“Introduce an enhanced healthcare guarantee for cancer patients – if care cannot be provided within specified time limits, the patient shall have the right to turn to another provider and be reimbursed for the additional costs this entails”
- regionala skillnader ska bort»Det finns också stora regionala skillnader i kvalitet och väntetider.« (2022 manifesto ↗)“There are also major regional differences in quality and waiting times.”
- likvärdig vård»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.”
- prioritera kvinnors sjukdomar»Stärka forskningen gällande sjukdomar som drabbar kvinnor« (2022 manifesto ↗)“Strengthen research regarding diseases that affect women”
flags: citat_migrerat
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 considers it of utmost importance that care is equal and good throughout the country so that regional imbalances do not arise, and wants to review how the state can to a greater extent take over primary responsibility for healthcare.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan considers it of utmost importance that care is equal and good throughout the country so that regional imbalances do not arise, and wants to review how the state can to a greater extent take over primary responsibility for healthcare. A state initiative to make care for gynaecological cancer equal thus aligns with the plan, which also points out that cancer patients have died in care queues. The requirement for equitable care where women's illnesses are taken with equal seriousness supports the same conclusion.
Original (Swedish)
Planen anser det vara av yttersta vikt att vården är jämn och god över hela landet så att regionala obalanser inte uppstår, och vill se över hur staten i högre grad kan ta över huvudansvaret för sjukvården. Ett statligt initiativ för att göra vården vid gynekologisk cancer jämlik ligger därmed i linje med planen, som dessutom pekar ut att cancerpatienter dött i vårdköer. Kravet på jämställd vård där kvinnors sjukdomar tas på lika stort allvar stödjer samma slutsats.
- equal care throughout the countrydecisive»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 ↗)“considers it therefore of utmost importance that equal and good care is created throughout the country so that regional imbalances do not arise”
- state primary responsibility for care»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården« (2022 manifesto ↗)“Sweden Democrats also want to review how the state to a greater extent can take over primary responsibility for healthcare”
- cancer care without queues»Redan innan pandemin hade vårdköerna vuxit sig så långa att cancerpatienter dog i väntan på vård.« (2022 manifesto ↗)“Even before the pandemic, care queues had grown so long that cancer patients died waiting for care.”
- equitable care»Sverigedemokraterna vill verka för en jämställd vård där män och kvinnor behandlas lika.« (2022 manifesto ↗)“Sweden Democrats want to work for equitable care where men and women are treated equally.”
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 (2024/25:SoU17)
- Committee report full text (HC01SoU17)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1010 — Rätten att avsluta sitt liv av Kerstin Lundgren (C)
- Motion 2024/25:1097 — Organdonationer av Helena Storckenfeldt (M)
- Motion 2024/25:1106 — Aktiv dödshjälp av Helena Storckenfeldt (M)
- Motion 2024/25:1199 — Tillsättning av en utredning om gråzoner i livets slutskede inklusive dödshjälp av Niels Paarup-Petersen (C)
- Motion 2024/25:1231 — Anmälan till donationsregistret via deklarationen av Louise Meijer (M)
- Motion 2024/25:1233 — Införande av aktiv dödshjälp av Louise Meijer och Erik Ottoson (båda M)
- Motion 2024/25:1279 — Utbyggnad av den palliativa vården av Mikael Oscarsson (KD)
- Motion 2024/25:131 — Ökat stöd till personer som genomgått intensivvård av Arber Gashi (S)
- Motion 2024/25:1357 — Astma- och allergivården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1358 — Den könsbekräftande vården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1359 — En jämlik diabetesvård i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1360 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1363 — En tillgänglig sjukvård i världsklass av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1389 — Familjerätt av Mikael Eskilandersson m.fl. (SD)
- Motion 2024/25:1412 — Jämställdhet och diskriminering av Michael Rubbestad m.fl. (SD)
- Motion 2024/25:1413 — Krafttag mot hedersrelaterat våld och förtryck av Sara Gille m.fl. (SD)
- Motion 2024/25:147 — Vård och behandling av sköldkörtelsjukdom av Ingela Nylund Watz (S)
- Motion 2024/25:1593 — Nej till surrogatmödraskap av Mikael Oscarsson (KD)
- Motion 2024/25:174 — Regler för blodgivning för män som haft sex med män av Anna Wallentheim (S)
- Motion 2024/25:177 — Förbättrad och jämlik vård vid ätstörningar av Anna Wallentheim (S)
Source: The Swedish Parliament