Financing of the reform

The plan requires that redistribution from state to region and municipality increase, with special regard for those municipalities and regions that cannot balance their budgets, and that the state take greater responsibility for creating equal conditions for equitable healthcare. The counter-proposal's requirement for full financing through redistribution and state funds for principals' extra costs responds directly to that. The committee's line that no new permanent state funds are needed goes against the plan.

• increased redistribution to municipalitiesdecisive»Omfördelningen från stat till region och kommun måste öka och särskild hänsyn ska tas till de många kommuner och regioner som idag inte får ihop sin ekonomi samtidigt som de redan har bland landets högsta skatter totalt sett.« (2022 manifesto ↗)“Redistribution from state to region and municipality must increase and special regard must be taken for the many municipalities and regions that today cannot balance their budgets whilst already having among the country's highest taxes in total.”
• state responsibility for equitable healthcare»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 nationalise healthcare but to ensure equitable healthcare in Sweden the state must take greater responsibility for creating equal conditions.”
• increased healthcare resources»Resurserna till hälso- och sjukvården måste öka för att täcka behoven« (party programme ↗)“Resources for healthcare must increase to meet needs”

The plan wants to continue increasing state grants to municipalities and regions and requires welfare with long-term and sustainable financing. A reform that is left without full financing of the extra costs the providers incur risks precisely the unequal care the plan wants to avoid. The requirement for clear redistribution supplemented with state financing therefore corresponds to the plan's commitments.

• increased state grantsdecisive»Öka resurserna till välfärden i hela landet. Vi vill fortsätta öka statens bidrag till kommuner och regioner. Stora skattesänkningar omöjliggör det.« (2022 manifesto ↗)“Increase resources for welfare throughout the country. We want to continue increasing state grants to municipalities and regions. Large tax cuts make it impossible.”
• sustainable welfare financing»En välfärd med långsiktig och hållbar finansiering.« (party programme ↗)“Welfare with long-term and sustainable financing.”
• national equality»Ökat statligt ansvar och kontroll över sjukvården för nationell likvärdighet.« (party programme ↗)“Increased state responsibility and control over healthcare for national equality.”
• equalization between municipalities»Kommunalt utjämningssystem för nationell likvärdighet.« (party programme ↗)“Municipal equalization system for national equality.”

The counter-proposal wants the reform to be fully funded, partly through redistribution between municipalities and regions, partly through state funding of the principal bodies' extra costs, to ensure equitable care throughout the country. The plan requires care according to need, not place of residence, points to large differences between regions and means that policy needs greater control over how shared resources are allocated. Secured funding follows from that.

• care according to needdecisive»samhälle bygger på förebyggande hälsosatsningar och tillgång till vård efter behov - inte« (party programme ↗)“society is built on preventive health investments and access to care according to need - not”
• equitable care between regions»otillräcklig och ojämnt fördelad, med stora skillnader mellan regioner och olika grupper i« (party programme ↗)“insufficient and unevenly distributed, with large differences between regions and different groups in”
• control of shared resources»Politiken behöver därför ha större rådighet över hur våra gemensamma resurser fördelas.« (party programme ↗)“Policy therefore needs greater control over how our shared resources are allocated.”
• publicly funded welfare»Välfärden ska byggas utifrån solidaritet, inte marknadslogik. Vinstintressen hör inte« (party programme ↗)“Welfare should be built on solidarity, not market logic. Profit interests do not belong”

The election manifesto promises better state support to the regions, adapted to their conditions and needs, and that welfare shall be equal regardless of where one lives. That the reform is fully financed through clear redistribution between the providers plus state coverage of the extra costs follows from this. At the same time, the plan demands that taxpayers' money be used for the core of welfare, which speaks for costs being disclosed openly.

• state support to the providersdecisive»Vi vill korta köerna och skapa fler vårdplatser där det behövs genom satsningar på fler sjuksköterskor och bättre statligt stöd till regionerna som är anpassade efter deras förutsättningar och behov.« (2022 manifesto ↗)“We want to shorten waiting times and create more care beds where needed through investments in more nurses and better state support to the regions adapted to their conditions and needs.”
• equal welfare throughout the country»Alla invånare ska ha tillgång till en likvärdig och pålitlig välfärd oavsett var de bor, och den offentliga servicen ska finnas där när man behöver den.« (2022 manifesto ↗)“All inhabitants shall have access to equal and reliable welfare regardless of where they live, and public services shall be available where needed.”
• prioritize the core of welfare»Mer pengar ska läggas på välfärdens kärna, mindre på bidrag.« (2022 manifesto ↗)“More money shall be put into the core of welfare, less into benefits.”
• equal public financing»Det som det offentliga finansierar ska vara likvärdigt för alla och med samma goda kvalitet till alla.« (party programme ↗)“What the public finances shall be equal for all and with the same good quality for all.”

The plan wants to shift financing responsibility to the state to create more equal conditions and requires the state to take greater responsibility for healthcare planning and staffing. It also requires that municipalities' and regions' economic conditions be equalized for factors beyond their control. A requirement for clear financing structure with state coverage of principals' additional costs follows from this.

• state financing responsibilitydecisive»Vi vill skapa mer likvärdiga villkor och skatter genom att flytta finansieringsansvaret för bland annat skolan och LSS till staten.« (2022 manifesto ↗)“We want to create more equal conditions and taxes by shifting financing responsibility for, among other things, schools and LSS to the state.”
• greater state responsibility for healthcare»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state should take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness, and long-term staffing.”
• equalized municipal conditions»De ekonomiska villkoren för kommuner och regioner behöver därför utjämnas med avseende på faktorer som inte går att påverka.« (party programme ↗)“The economic conditions for municipalities and regions therefore need to be equalized with respect to factors beyond their control.”
• equivalent healthcare throughout the country»Oavsett bostadsort har individer rätt att få likvärdig kvalitet på vården, omsorgen, socialtjänsten och andra välfärdstjänster.« (party programme ↗)“Regardless of residence, individuals have the right to equivalent quality in healthcare, care services, social services, and other welfare services.”

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 requires that the financing principle be respected when the state assigns tasks to municipalities and that the state supports municipalities that lack sufficient tax base. The counter-proposal's requirement for a clear economic structure for redistribution and state financing of the principal authorities' extra costs follows from this. The goal of equitable care across the country points in the same direction.

• the financing principledecisive»Finansieringsprincipen måste respekteras när staten ålägger« (party programme ↗)“The financing principle must be respected when the state assigns”
• state support to weak municipalities»Det är en statlig uppgift att stödja kommuner som inte har ett tillräckligt skatteunderlag för« (party programme ↗)“It is a state task to support municipalities that do not have a sufficient tax base for”
• equitable care»Vården ska vara jämlik och tillgänglig för hela befolkningen.« (party programme ↗)“Care shall be equitable and accessible to the entire population.”
• state municipal equalization»Systemet för kommunal utjämning ska vara statligt och så utformat att konsekvenserna av« (party programme ↗)“The system for municipal equalization shall be state-based and designed so that the consequences of”

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 state spending shall decrease and all new reforms must be financed or fit within the surplus target. A demand that the state moreover shall cover principals' extra costs adds a permanent expense for a reform that does not create new tasks. The plan's promise of equivalent welfare across the country points partly the other way, hence confidence is low.

• reduced state spendingdecisive»Statens utgifter ska minska – vi ska stoppa slöseriet med skattepengar« (2022 manifesto ↗)“State spending shall decrease – we shall stop wasting public funds”
• reforms shall be financed»Alla nya löften och reformer – som till exempel våra inkomstskattesänkningar – behöver finansieras eller rymmas inom överskottsmålet.« (2022 manifesto ↗)“All new promises and reforms – such as our income tax cuts – need to be financed or fit within the surplus target.”
• equivalent welfare across the country»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should be able to feel secure that welfare works regardless of where in the country you live.”

The party programme states that the state should never make decisions on new cost-driving commitments for municipalities without fully compensating them. The counter-proposal's requirement for a clear financing structure, where the state covers the principals' additional costs and resources are redistributed between municipalities and regions, follows directly from that principle. The plan also emphasizes that care shall be even and good throughout the country, and that the principal's economy must not determine quality.

• kommunal finansieringsprincipdecisive»Staten bör aldrig fatta beslut om nya kostnadsdrivande åtaganden för kommunerna utan att fullt ut kompensera dem för kostnaderna.« (party programme ↗)“The state should never make decisions on new cost-driving commitments for municipalities without fully compensating them for the costs.”
• jämlik vård i hela landet»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 to be of utmost importance that even and good care is created throughout the country so that regional imbalances do not arise”
• ekonomi får ej styra vårdkvalitet»Regionens, kommunens eller stadsdelens ekonomi får inte vara avgörande för vilken kvalitet av vård och omsorg som äldre, svaga och sjuka skall få.« (party programme ↗)“The region's, municipality's or city district's economy must not be decisive for what quality of care that elderly, weak and sick shall receive.”
• omprioritera medel till välfärden»Se över offentliga utgifter och rikta om medel till välfärden och rättsväsendet« (2022 manifesto ↗)“Review public expenditures and redirect funds to welfare and the justice system”

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.