Government legislative proposals

The plan demands equal care regardless of where in the country you live and criticizes that care has been fragmented between levels and actors so that people are passed around. It bears the counter-proposal's objection that municipal doctor employment for patient-near work risks double structures, hollowed out regional responsibility and more unequal care. The plan also asserts that care shall be provided after needs and not after capacity in incorrectly constructed systems. The committee's reasoning about unchanged division of responsibility thus directly meets this.

• against fragmented caredecisive»Vården och omsorgen har styckats upp, mellan nivåer och aktörer, människor bollas runt i en stor administrativ apparat och det är ofta en kamp för den enskilde och dess anhöriga att få rätt tillgång till vård.« (2022 manifesto ↗)“Care and services have been fragmented, between levels and actors, people are passed around in a large administrative apparatus and it is often a struggle for the individual and their relatives to get proper access to care.”
• equal care nationwide»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.”
• care after need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be provided after people's needs and not after capacity in incorrectly constructed systems.”
• clear principal 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 preconditions.”

The plan requires increased state responsibility and control of healthcare for national equity and equal right to good care regardless of where in the country one lives. An arrangement where municipalities' different ability to hire doctors determines medical competence risks exactly the inequality the plan wants to eliminate. Limiting that part but maintaining regulation of agreements on doctor participation corresponds to the plan's requirement for clear principal responsibility.

• national equity in healthcaredecisive»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control of healthcare for national equity.”
• equal right to care»Lika rätt för alla till god hälso- och sjukvård genom samhällets försorg.« (party programme ↗)“Equal right for all to good health and medical care provided by society.”
• equitable welfare throughout the country»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare for citizens regardless of where in the country they live.”
• 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 law that ensures everyone receives equally good care throughout the country and access to nurses around the clock.”

The plan states that primary care shall be the hub of accessible care and that care shall be provided according to need, not according to place of residence, and warns that market adaptation has made access to care unequal. The counter-proposal wants to limit municipalities' ability to hire doctors for patient-close clinical work, because it risks double structures and more unequal care, which follows from the plan's commitments.

• primary care as hubdecisive»Primärvården ska vara navet i en nära och förebyggande vård, med hälsofrämjande insatser i hemtjänst, elevhälsa, socialtjänst och äldreomsorg.« (party programme ↗)“Primary care shall be the hub of accessible and preventive care, with health-promoting efforts in home care, school health services, social services and elderly care.”
• equal care according to need»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.”
• unequal access to care»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”
• needs-driven elderly care»Äldreomsorgen ska vara behovsstyrd och offentligt finansierad.« (party programme ↗)“Elderly care shall be needs-driven and publicly financed.”

The plan's central principle for welfare is that healthcare shall be conducted closer to residents and that cooperation between municipal and regional healthcare shall increase. Restricting municipalities' ability to engage doctors for patient-facing work pulls in the opposite direction and moves decisions upward, contrary to the party programme's decentralisation principle. The counter-proposal's requirement is therefore rejected.

• healthcare closer to residentsdecisive»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 conducting it closer to residents throughout the country”
• cooperation between municipality and region»Genom en platsmiljard och ökat samarbete mellan kommunal och regional hälso- och sjukvård ökar vi möjligheterna att nå målet om en beläggningsgrad på 90% på våra sjukhus.« (2022 manifesto ↗)“Through a location investment and increased cooperation between municipal and regional healthcare we increase the possibilities of achieving the goal of 90% occupancy levels in our hospitals.”
• decisions close to 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 affect a more local level, or only the individual themselves, should not be moved to a higher level”
• close care and choice»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna.« (2022 manifesto ↗)“We want to defend freedom of choice within healthcare and conduct activities close to patients.”

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 explicitly demands that the prohibition on municipalities employing physicians in elder care be removed, as a security reform for municipal care. The counter-proposal wishes to limit precisely the part that allows municipalities to employ physicians for patient-centered clinical work and thus goes directly against the plan's commitment. The plan's other line on strengthened primary care and reduced hospital stays point in the same direction.

• municipalities shall be allowed to employ physiciansdecisive»För att öka tryggheten vill vi ta bort förbudet för kommuner att anställa läkare i äldreomsorgen.« (2022 manifesto ↗)“To increase security we wish to remove the prohibition on municipalities employing physicians in elder care.”
• strengthened municipal care»För patientens skull ska vistelserna på akutsjukhus så långt möjligt minimeras och kommunerna ha hög beredskap att ta emot patienter som behöver fortsatt omsorg.« (party programme ↗)“For the patient's sake hospital stays at acute hospitals shall be minimized as much as possible and municipalities have high readiness to receive patients needing continued care.”
• strengthened primary care»Primärvårdens roll i sjukvårdssystemet ska stärkas.« (party programme ↗)“The role of primary care in the healthcare system shall be strengthened.”
• national quality governance»Den nationella styrningen av äldreomsorgens kvalitet behöver stärkas.« (party programme ↗)“National governance of elder care quality needs to be strengthened.”

The election manifesto demands increased medical expertise in elderly care and more care in people's own homes, which speaks for municipalities being able to hire doctors. The plan does not safeguard the regions' organisation as such but rather wants to move the main responsibility for care to achieve equal care. The counter-proposal's demand to limit precisely that part therefore goes against the documents' line.

• medical expertise in elderly caredecisive»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical expertise in elderly care.”
• care in one's own home»Ökad möjlighet att vårdas i egna hemmet, särskilt för multisjuka, genom mobila sjukvårdsenheter som kan ge vård i hemmet.« (2022 manifesto ↗)“Increased opportunity to be cared for in one's own home, particularly for those with multiple illnesses, through mobile healthcare units that can provide care in the home.”
• regions' responsibility not sacrosanct»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 regions' responsibility for healthcare. Let the state take over responsibility for care with a shared organisation instead of 21 different ones. This gives high-quality, efficient and equitable care on equal terms to the entire population.”
• doctors close to the patient»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet - så att vården finns nära till hands.« (2022 manifesto ↗)“More doctor's clinics in rural areas and easier for individual doctors to start their own activities - so that care is close at hand.”

The plan requires that medical expertise and continuity be strengthened in elderly care and that a patient-responsible physician contact forms the hub of elderly healthcare. Giving municipalities the authority to hire physicians serves that purpose, whereas the counter-proposal wants to strike out precisely that part. The plan is also based on choice and on decisions being made close to those affected. The requirement is rejected.

• strengthened medical expertise in elderly caredecisive»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical expertise and continuity must be strengthened within elderly care.”
• patient-responsible doctor as hub»Se till att den patientansvariga läkarkontakten ska utgöra navet i äldres sjukvård« (2022 manifesto ↗)“Ensure that the patient-responsible physician contact forms the hub of elderly healthcare”
• choice and diversity in welfare»För Moderaterna är valfrihet en central del av den svenska« (party programme ↗)“For the Moderates, choice is a central part of the Swedish”
• decisions close to citizens»Det politiska systemet ska bygga på att beslut fattas på lägsta« (party programme ↗)“The political system should be based on decisions being made at the lowest”

The plan requires a new unified healthcare system and wants the state to take greater primary responsibility, which speaks against building up a separate municipal doctor organization for patient-facing work. The plan also states that care should be even and good throughout the country without regional imbalances, which supports the counter-proposal's concern for inequality. The demand for strengthened primary care is shared by the plan.

• unified healthcaredecisive»För att åstadkomma det krävs en ny sammanhållen sjukvård i Sverige.« (2022 manifesto ↗)“To achieve that requires a new unified healthcare system in Sweden.”
• 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 ↗)“The Sweden Democrats look to all of Sweden's benefit and therefore believe it is of utmost importance to create even and good care throughout the country so that regional imbalances do not arise.”
• review of care organization»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review the organization of healthcare”
• strengthened primary care»Satsa på primärvården« (2022 manifesto ↗)“Invest in primary care”

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.