2023-04-132022/23:SoU11 · p.5SoUHealth & social services
Proposals concerning healthcare preparedness
Pace of work on healthcare supply readiness
What's at stake: The issue concerns how quickly Sweden strengthens its ability to secure access to medicines and medical equipment during crises, which affects patients and healthcare staff if shortages arise.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The Riksdag decides whether the government's work to strengthen healthcare supply readiness should continue at the pace the government judges suitable, or whether the work should be accelerated and reported to parliament on an ongoing basis.
Yes Yes — the committee proposal
The committee shares the government's assessment that work to strengthen healthcare supply readiness should be pursued with a long-term perspective and in several steps, at the pace required by the threat and risk picture and the political direction for civil defence and crisis preparedness, without the Riksdag requesting further reporting.
No No — the reservations
Reservation 4 (S, V, MP)
S, V and MP believe the government should ensure that work to strengthen healthcare supply readiness is carried out successively as soon as possible, and should report to parliament on how remaining proposals from the Inquiry on Healthcare Preparedness — including on municipalities' and regions' stockpiling obligations — will be handled.
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 4 by S, V, MP.
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: LLiberalerna, MModeraterna, SDSverigedemokraterna
Ja 171–126Nej 35–262
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 0/20/0/4 | match | confidence: high | derived |
| S | No | No 0/93/0/14 | match | confidence: high | explicit |
| MP | No | No 0/13/0/5 | match | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | differs | confidence: medium | derived |
| L | No | Yes 13/0/0/3 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 14/0/0/5 | differs | confidence: medium | not addressed |
| M | No | Yes 59/0/0/9 | differsagainst own programme | confidence: high | explicit |
| SD | No | Yes 64/0/0/9 | differsagainst own programme | confidence: high | explicit |
Committee proposal
Parliament rejects the motions 2022/23:2325 by Karin Rågsjö et al. (V) proposal 1 and 2022/23:2329 by Fredrik Lundh Sammeli et al. (S) proposal 1.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:2325 av Karin Rågsjö m.fl. (V) yrkande 1 och 2022/23:2329 av Fredrik Lundh Sammeli m.fl. (S) yrkande 1.
Riksdag decision: Parliament approved the government's bill to clarify requirements for healthcare providers conducting healthcare activities. This concerns that they must supply healthcare products needed to provide good care. Healthcare products are understood to mean medicines, medical devices, personal protective equipment, food for special medical purposes, and manufacturing materials. The proposals also mean that outpatient pharmacies have an obligation to stock medicines and wholesale dealers have a supply obligation to hospital pharmacies. A penalty fee is introduced for companies that do not notify the Medical Products Agency about the cessation, temporary or permanent, of sales of a medicine. Information about any shortage in the availability of medicines or medical devices is proposed to be subject to confidentiality when the information is transferred from the Medical Products Agency to regions or municipalities in connection with investigation. The legislative changes will enter into force on 1 July 2023. Parliament also approved the government's proposal for the state-owned company Apotek Produktion & Laboratorier AB to receive an expanded public assignment. This means that the company shall maintain its operations even during peacetime crises, elevated preparedness, and ultimately war. This could for example be to ensure the availability of active substances, excipients, and packaging materials for products needed for care that cannot wait.
Counter-proposals
- The counter-proposal wants the health care law to be supplemented to protect healthcare personnel's health and safety regarding personal protective equipment. (S, V, MP) — Reservation 4
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 concludes that preparations for protective equipment were inadequate and demands that the entire healthcare sector is upgraded so that capacity can be scaled up in times of crisis.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan concludes that preparations for protective equipment were inadequate and demands that the entire healthcare sector is upgraded so that capacity can be scaled up in times of crisis. It also points out that drug supply already falls short in large parts of the country. That supply preparedness is implemented progressively as soon as possible, with reporting of municipalities' and regions' stock holding, follows directly from this.
Original (Swedish)
Planen drar slutsatsen att förberedelserna med skyddsutrustning var för dåliga och kräver att hela vårdsektorn rustas upp så att kapaciteten kan växlas upp i kristider. Den pekar också på att läkemedelstillgången redan brister i stora delar av landet. Att försörjningsberedskapen genomförs successivt så snart som möjligt, med redovisning av kommuners och regioners lagerhållning, följer direkt av detta.
- scaled-up healthcare capacity in crisisdecisive»Sverige behöver rusta upp hela vårdsektorn för att kunna klara de mer normala skiftningarna i vårdbehov men också för att kunna växla upp kapaciteten i kristider.« (2022 manifesto ↗)“Sweden needs to upgrade the entire healthcare sector to manage the more normal shifts in healthcare needs but also to be able to scale up capacity in times of crisis.”
- inadequate supply preparedness»Det fanns för få vårdplatser, alltför belastade vårdcentraler, för lite personal och för dåliga förberedelser med skyddsutrustning.« (2022 manifesto ↗)“There were too few care beds, overstretched health centres, too little staff and inadequate preparations for protective equipment.”
- secured drug supply»I stora delar av Sverige är det svårt att få tag på medicin, fast i storstädernas rikare områden finns det flera olika apotek i varje gathörn.« (2022 manifesto ↗)“In large parts of Sweden it is difficult to get medicine, but in wealthier areas of major cities there are several different pharmacies on every street corner.”
- care according to need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be provided according to people's needs and not according to the capacity of incorrectly designed systems.”
The election manifesto explicitly promises increased resources to equip and build supply reserves for healthcare as part of strengthening civil defence, and that private healthcare providers shall be obliged to contribute in crisis or war.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises increased resources to equip and build supply reserves for healthcare as part of strengthening civil defence, and that private healthcare providers shall be obliged to contribute in crisis or war. The counter-proposal's demand that supply readiness be implemented as soon as possible and that storage obligations be reported thus lies in the plan. The plan also discusses the pace, that is, the committee's reasoning.
Original (Swedish)
Valmanifestet lovar uttryckligen ökade resurser för att rusta och bygga beredskapslager för sjukvården som en del av att rusta upp det civila försvaret, och att privata vårdgivare ska vara skyldiga att bidra i kris eller krig. Motförslagets krav på att försörjningsberedskapen genomförs så snart som möjligt och att lagerhållningsskyldigheten redovisas ligger därmed i planen. Planen talar också om takten, alltså om utskottets skäl.
- supply reserves for healthcaredecisive»Rusta upp det civila försvaret. Arbetet att förstärka det civila försvaret och krisberedskapen måste fortsätta, bland annat genom ökade resurser för att rusta och bygga beredskapslager för sjukvården« (2022 manifesto ↗)“Strengthen civil defence. Work to strengthen civil defence and crisis preparedness must continue, among other things through increased resources to equip and build supply reserves for healthcare”
- healthcare's duties in crisis»Privata vårdgivare ska vara skyldiga att bidra med personal och vårdplatser i händelse av kris eller krig.« (2022 manifesto ↗)“Private healthcare providers shall be obliged to contribute personnel and hospital beds in the event of crisis or war.”
- broader civil preparedness»och öka beredskapen i transportsektorn. Arbetet för att stärka förmågan att stå emot cyberattacker och desinformation ska stärkas.« (2022 manifesto ↗)“and increase preparedness in the transport sector. Work to strengthen the ability to resist cyber attacks and disinformation shall be strengthened.”
- healthcare as social responsibility»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 opportunities in life.”
Worldstate weighed in: NATO membership and the deteriorated security situation — sharpens the requirement for prompt supply readiness in healthcare
The election manifesto wants to invest more in civil defence and increase appropriations for crisis preparedness, and the party programme establishes that Sweden and local communities must become more self-sufficient and less vulnerable.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto wants to invest more in civil defence and increase appropriations for crisis preparedness, and the party programme establishes that Sweden and local communities must become more self-sufficient and less vulnerable. To strengthen health and medical care supply preparedness as soon as possible, including inventory holdings, follows from this. Medical care preparedness is not explicitly mentioned, hence the derivation.
Original (Swedish)
Valmanifestet vill satsa mer på det civila försvaret och öka anslagen till krisberedskapen, och partiprogrammet slår fast att Sverige och lokalsamhällena måste bli mer självförsörjande och mindre sårbara. Att stärka hälso- och sjukvårdens försörjningsberedskap så snart som möjligt, inklusive lagerhållning, följer av detta. Sjukvårdens beredskap nämns inte uttryckligen, därav härledning.
- strengthened civil defencedecisive»satsa en större andel av försvarets pengar på det civila försvaret, och öka anslagen till krisberedskap.« (2022 manifesto ↗)“allocate a larger share of defence spending to civil defence, and increase appropriations for crisis preparedness.”
- increased self-sufficiency»Sverige som land och även lokalsamhällena måste bli mer självförsörjande och mindre sårbara.« (party programme ↗)“Sweden as a country and also local communities must become more self-sufficient and less vulnerable.”
- robust backup solutions»Därför förordar vi att fler alternativa och lokala lösningar skapas som komplement för ett mer robust samhälle.« (party programme ↗)“Therefore we advocate that more alternative and local solutions are created as a complement to a more robust society.”
- preparedness inventory and supply»stärka det svenska jordbruket för ökad självförsörjning med baslivsmedel« (2022 manifesto ↗)“strengthen Swedish agriculture for increased self-sufficiency in basic foodstuffs”
The plan commits the party to strengthen civil defence and society's preparedness for war and crisis, and to do so quickly, forcefully and in the long term.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan commits the party to strengthen civil defence and society's preparedness for war and crisis, and to do so quickly, forcefully and in the long term. It also emphasizes that supply is vital in the event of war or crisis. To implement remaining proposals on health and medical care supply preparedness, including stockpiling, as soon as possible follows from these commitments.
Original (Swedish)
Planen förbinder partiet att rusta civilförsvaret och samhällets beredskap inför krig och kris, och att göra det snabbt, kraftfullt och långsiktigt. Den framhåller också att försörjningen är livsviktig i händelse av krig eller kris. Att genomföra kvarvarande förslag om hälso- och sjukvårdens försörjningsberedskap, inklusive lagerhållning, så snart som möjligt följer av dessa åtaganden.
- strengthen civil preparednessdecisive»Även det civila försvaret är livsviktigt. Vi måste rusta civilförsvaret och samhällets beredskap inför krig och kris.« (2022 manifesto ↗)“Civil defence is also vital. We must strengthen civil defence and society's preparedness for war and crisis.”
- rapid strengthening of preparedness»Vi vill rusta det militära försvaret snabbt, kraftfullt och långsiktigt.« (2022 manifesto ↗)“We want to strengthen the military defence quickly, forcefully and in the long term.”
- supply security in crisis»Den är viktig i goda tider och livsviktig i händelse av krig eller kris.« (2022 manifesto ↗)“It is important in good times and vital in the event of war or crisis.”
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 gives the state greater responsibility for strategic health care planning and preparedness and requires that civil defense is strengthened at the same pace as military.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto gives the state greater responsibility for strategic health care planning and preparedness and requires that civil defense is strengthened at the same pace as military. That supply readiness is implemented successively as soon as possible, with reporting of remaining proposals on storage, follows directly from these commitments. The plan also calls for a broad review of health care organization.
Original (Swedish)
Valmanifestet ger staten ett större ansvar för sjukvårdens strategiska planering och beredskap och kräver att det civila försvaret stärks i samma takt som det militära. Att försörjningsberedskapen genomförs successivt så snart som möjligt, med redovisning av kvarvarande förslag om lagerhållning, följer direkt av dessa åtaganden. Planen efterlyser också en bred översyn av vårdens organisering.
- state preparedness responsibility in health caredecisive»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 strategic health care planning, placement of highly specialized care, preparedness and long-term competence supply.”
- strengthened civil defense»det civila försvaret stärkas i samma takt som det militära« (2022 manifesto ↗)“civil defense is strengthened at the same pace as the military”
- review of health care organization»Det behövs en bred översyn av vårdens organisering och finansiering.« (2022 manifesto ↗)“There is a need for a broad review of health care organization and financing.”
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 that Sweden can in principle provide for the population's subsistence and that comprehensive defence provides good protection against the effects of civil disasters, which speaks for stockpiling and supply preparedness being carried out as soon as possible.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that Sweden can in principle provide for the population's subsistence and that comprehensive defence provides good protection against the effects of civil disasters, which speaks for stockpiling and supply preparedness being carried out as soon as possible. Everyone should be able to rely on healthcare being available when needed, and the election manifesto demands more hospital beds. Reporting how remaining proposals are being handled follows from the plan's preparedness requirements.
Original (Swedish)
Planen kräver att Sverige i princip kan svara för befolkningens försörjning och att totalförsvaret ger ett gott skydd mot effekterna av civila katastrofer, vilket talar för att lagerhållning och försörjningsberedskap genomförs så snart som möjligt. Alla ska kunna förlita sig på att vården finns när den behövs, och valmanifestet kräver fler vårdplatser. Att redovisa hur kvarvarande förslag tas om hand följer av planens beredskapskrav.
- national supply capacitydecisive»kunna svara för befolkningens livsmedels- och energi« (party programme ↗)“to be able to provide for the population's food and energy”
- protection in civil disasters»skydd mot effekterna av såväl civila katastrofer som« (party programme ↗)“protection against the effects of both civil disasters and”
- healthcare when needed»Alla ska kunna förlita sig på att den vård och omsorg man en dag kommer att behöva då står till förfogande.« (party programme ↗)“Everyone should be able to rely on the healthcare and care they one day need being available when needed.”
- expanded healthcare capacity»Fler vårdplatser.« (2022 manifesto ↗)“More hospital beds.”
Worldstate weighed in: Sweden's NATO membership and the war in Ukraine — makes the plan's requirement for comprehensive defence supply preparedness in healthcare current
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 clear that Sweden needs to build up better emergency stockpiles of among other things medicines and healthcare materials and that civil preparedness shall be strengthened with secured long-term planning.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes clear that Sweden needs to build up better emergency stockpiles of among other things medicines and healthcare materials and that civil preparedness shall be strengthened with secured long-term planning. To implement the remaining proposals of supply preparedness as soon as possible, including storage obligations, is precisely that commitment.
Original (Swedish)
Planen slår fast att Sverige behöver bygga upp bättre beredskapslager av bland annat läkemedel och sjukvårdsmateriel och att den civila beredskapen ska stärkas med en säkrad långsiktig planering. Att genomföra försörjningsberedskapens kvarvarande förslag så snart som möjligt, inklusive lagerhållningsskyldighet, är just det åtagandet.
- emergency stockpiles of medicinesdecisive»Utöver bättre livmedelsberedskap behöver Sverige bygga upp bättre beredskapslager av till exempel läkemedel och sjukvårdsmateriel.« (2022 manifesto ↗)“Beyond better food supply preparedness, Sweden needs to build up better emergency stockpiles of for example medicines and healthcare materials.”
- strengthened civil preparedness»Vi ska stärka den civila beredskapen« (2022 manifesto ↗)“We shall strengthen civil preparedness”
- long-term preparedness planning»Säkra en långsiktig planering för det civila försvaret« (2022 manifesto ↗)“Secure long-term planning for civil defence”
- preparedness as part of total defence»Fungerar inte det civila försvaret så kan inte heller det militära försvaret lösa sina uppgifter.« (2022 manifesto ↗)“If civil defence does not function, neither can military defence solve its tasks.”
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 wants to re-establish general emergency stockpiles dimensioned for the entire population's needs and requires that self-sufficiency of medical material increases and can quickly be scaled up during prolonged disruptions.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to re-establish general emergency stockpiles dimensioned for the entire population's needs and requires that self-sufficiency of medical material increases and can quickly be scaled up during prolonged disruptions. The counter-proposal's demand that emergency preparedness work is carried out successively as soon as possible, including storage obligations for municipalities and regions, directly responds to this.
Original (Swedish)
Planen vill återupprätta allmänna beredskapslager dimensionerade för hela befolkningens behov och kräver att självförsörjningen av medicinskt material ökar och snabbt kan skalas upp vid långvariga störningar. Motförslagets krav på att beredskapsarbetet genomförs successivt så snart som möjligt, inklusive lagerhållningsskyldighet för kommuner och regioner, svarar direkt mot detta.
- re-established emergency stockpilesdecisive»Sverigedemokraterna vill också återupprätta beredskapslager för att täcka kritiska behov som kan uppstå utifrån olika scenarier.« (2022 manifesto ↗)“The Sweden Democrats also want to re-establish emergency stockpiles to cover critical needs that may arise from various scenarios.”
- supply of medical material»Sveriges självförsörjning av energi, livsmedel och medicinskt material behöver öka och snabbt kunna skalas upp vid långvariga störningar.« (2022 manifesto ↗)“Sweden's self-sufficiency in energy, food and medical material needs to increase and quickly be able to scale up during prolonged disruptions.”
- general emergency stockpiles»Återupprätta allmänna beredskapslager« (2022 manifesto ↗)“Re-establish general emergency stockpiles”
- increased self-sufficiency»Öka den svenska självförsörjningsgraden av kritiska produkter och varor« (2022 manifesto ↗)“Increase Swedish self-sufficiency of critical products and goods”
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.
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU11)
- Committee report full text (HA01SoU11)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:2325 — med anledning av prop. 2022/23:45 Vissa frågor om hälso- och sjukvårdens försörjningsberedskap av Karin Rågsjö m.fl. (V)
- Motion 2022/23:2327 — med anledning av prop. 2022/23:45 Vissa frågor om hälso- och sjukvårdens försörjningsberedskap av Anders W Jonsson m.fl. (C)
- Motion 2022/23:2329 — med anledning av prop. 2022/23:45 Vissa frågor om hälso- och sjukvårdens försörjningsberedskap av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:2331 — med anledning av prop. 2022/23:45 Vissa frågor om hälso- och sjukvårdens försörjningsberedskap av Ulrika Westerlund (MP)
- Proposition 2022/23:45 — Vissa frågor om hälso- och sjukvårdens försörjningsberedskap
Source: The Swedish Parliament