2023-12-132023/24:SfU1 · p.1SfUMigration & social insurance
Target for Budget Area 10
Goal for expenditure area 10 – financial security in case of illness
What's at stake: The wording of the goal steers what the Social Insurance Agency prioritises; a focus on low sick-leave figures can, according to critics, come into conflict with giving sick individuals the security and support they need, particularly during events such as a pandemic.
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 the goal for expenditure area 10 should be changed from keeping sick leave at a long-term low and stable level to instead emphasising financial security and effective support for returning to work.
Yes Yes — the committee proposal
The committee has previously rejected a similar motion to change the goal and sees no reason to make a different assessment now, and therefore rejects the motion.
No No — the reservations
Reservation 1 (V)
The reservation holds that the sickness insurance system has for too long been governed by goals of pushing down sick-leave figures rather than being needs-based, which became clear during the pandemic, and wants the goal instead formulated as financial security in case of illness and effective support for individuals to regain their capacity to work and return to work.
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 1 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: CCenterpartiet, KDKristdemokraterna, LLiberalerna, MPMiljöpartiet
Ja 278–19Ja 213–84
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 0/19/0/5 | match | confidence: high | explicit |
| S | No | Yes 92/0/0/15 | differs | confidence: medium | not addressed |
| MP | No | Yes 16/0/0/2 | differsagainst own programme | confidence: high | explicit |
| C | No | Yes 21/0/0/3 | differsagainst own programme | confidence: high | explicit |
| L | No | Yes 12/0/0/4 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| M | No | Yes 58/0/0/10 | differs | confidence: medium | not addressed |
| SD | No | Yes 62/0/0/10 | differs | confidence: medium | not addressed |
Committee proposal
Parliament rejects motion 2023/24:2339 by Nooshi Dadgostar et al. (V) demand 3.
Original (Swedish)
Riksdagen avslår motion 2023/24:2339 av Nooshi Dadgostar m.fl. (V) yrkande 3.
Riksdag decision: In total, approximately 117 billion kronor from the state budget for 2024 go to the budget area Economic Security in Case of Illness and Disability. Parliament approved the government's proposal in the 2024 budget proposition on how funds within the budget area should be allocated. The largest amount, just over 50 billion kronor, goes to activity allowance and sickness benefit, and almost 50 billion kronor goes to sickness insurance and rehabilitation. The Social Insurance Agency receives just over 9.5 billion. Parliament also approved the government's proposal on an authorization regarding financial commitments. At the same time, Parliament rejected alternative budget proposals and proposals for a new target for the budget area that have been brought forward in motions. Parliament makes decisions on the state budget in two stages. First, decisions are made on the frameworks for the 27 budget areas. Parliament decided this on November 29, 2023. Subsequently, Parliament determines in a second stage how the funds shall be allocated within each budget area. This decision concerns stage two of the decision-making process.
Counter-proposals
- The counter-proposal wants the goal for expenditure area 10 changed to focus on economic security and support for work capacity restoration. (V) — Reservation 1
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 a humane sickness insurance and an end to denying benefits to the sick, and that those who become ill can rely on compensation without having to fight tooth and nail.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan demands a humane sickness insurance and an end to denying benefits to the sick, and that those who become ill can rely on compensation without having to fight tooth and nail. Formulating the goal as economic security during illness and effective support for return to work, instead of pushing down sickness figures, is exactly this commitment. The plan says nothing about the committee's reasons for previously rejecting a similar change.
Original (Swedish)
Planen kräver en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka, och att den som blir sjuk ska kunna lita på ersättning utan att behöva stånga sig blodig. Att formulera målet som ekonomisk trygghet vid sjukdom och effektivt stöd för återgång i arbete, i stället för att pressa ned sjuktalen, är just detta åtagande. Planen säger inget om utskottets skäl att en liknande ändring tidigare avvisats.
- humane sickness insurancedecisive»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see a humane sickness insurance and an end to denying benefits to the sick.”
- secure compensation during illness»När du blir sjuk eller föder barn ska du kunna lita på att få ersättning från Försäkringskassan utan att behöva stånga dig blodig.« (2022 manifesto ↗)“When you become ill or give birth you should be able to rely on receiving compensation from the Social Insurance Agency without having to fight tooth and nail.”
- strengthened social insurance»Att stärka framför allt arbetslöshets- och sjukförsäkringarna, så att fler kan omfattas« (party programme ↗)“Strengthening above all unemployment and sickness insurance so that more can be covered”
- income replacement principle»Socialförsäkringarna ska vara individuella och ge människor en inkomstrelaterad ersättning vid sjukdom« (party programme ↗)“Social insurance should be individual and provide people with income-replacement compensation during illness”
The plan's decisive commitment is that those too ill to work can rely on sickness insurance and that economic security in sickness needs to become greater, built on the income replacement principle.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's decisive commitment is that those too ill to work can rely on sickness insurance and that economic security in sickness needs to become greater, built on the income replacement principle. A goal formulated as economic security in sickness and effective support to regain work capacity expresses this, rather than steering towards pressed sick leave figures. The plan does not take a position on that a similar change was previously rejected.
Original (Swedish)
Planens avgörande åtagande är att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen och att den ekonomiska tryggheten vid sjukdom behöver bli större, byggd på inkomstbortfallsprincipen. Ett mål formulerat som ekonomisk trygghet vid sjukdom och effektivt stöd för att återfå arbetsförmågan uttrycker detta, i stället för styrning mot pressade sjuktal. Planen tar inte ställning till att en liknande ändring tidigare avvisats.
- trust in sickness insurancedecisive»vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen« (2022 manifesto ↗)“we guard the principle that those who are too ill to work can rely on sickness insurance”
- economic security in sickness»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also in sickness it is necessary with greater economic security.”
- income replacement principle»Ett gott ekonomiskt skydd när den egna förvärvsinkomsten faller bort är grundläggande« (party programme ↗)“A good economic protection when the own earned income falls away is fundamental”
- protect security systems»Vi står upp för trygghetspensionen, som utmanas av krafter från höger« (2022 manifesto ↗)“We stand up for the retirement pension, which is challenged by forces from the right”
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 demands that health insurance be changed so that it provides better security during sick leave, that no one is forced to work despite illness, and that people are not passed between agencies.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands that health insurance be changed so that it provides better security during sick leave, that no one is forced to work despite illness, and that people are not passed between agencies. The party programme establishes the right to basic economic security and that society should actively support the individual's return to work through rehabilitation. A goal formulated as economic security during illness and effective support for return to work is precisely this.
Original (Swedish)
Valmanifestet kräver att sjukförsäkringen förändras så att den ger bättre trygghet vid sjukskrivning, att ingen tvingas jobba trots sjukdom och att människor inte bollas mellan myndigheter. Partiprogrammet slår fast rätten till grundläggande ekonomisk trygghet och att samhället aktivt ska stödja individens väg tillbaka till arbete genom rehabilitering. Ett mål formulerat som ekonomisk trygghet vid sjukdom och effektivt stöd till återgång i arbete är just detta.
- security during sick leavedecisive»förändra sjukförsäkringen så den ger bättre trygghet vid sjukskrivning och se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd.« (2022 manifesto ↗)“change health insurance so it provides better security during sick leave and ensure that people are not passed between agencies when they need support from society.”
- no one should be forced to work while ill»ingen tvingas jobba trots att man är sjuk« (2022 manifesto ↗)“no one is forced to work despite being ill”
- basic economic security»Alla har rätt till grundläggande ekonomisk« (party programme ↗)“Everyone has the right to basic economic”
- rehabilitation and support for work»stödja individens möjligheter till arbete exempelvis« (party programme ↗)“support the individual's opportunities to work, for example”
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 establishes that those affected by illness shall be guaranteed economic security and that sickness insurance shall help the individual recover and get the rehabilitation required to return to work.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that those affected by illness shall be guaranteed economic security and that sickness insurance shall help the individual recover and get the rehabilitation required to return to work. This is essentially the same goal formulation as the counter-proposal seeks to introduce. The plan additionally wants to improve rehabilitation and make sick leave more flexible, which further supports a need-driven goal instead of a goal of reducing sick rates.
Original (Swedish)
Planen slår fast att den som drabbats av sjukdom ska garanteras en ekonomisk grundtrygghet och att sjukförsäkringen ska hjälpa den enskilda att tillfriskna och få den rehabilitering som krävs för att kunna återgå i arbete. Det är i sak samma målformulering som motförslaget vill införa. Planen vill dessutom förbättra rehabiliteringen och göra sjukskrivningen mer flexibel, vilket ytterligare stöder ett behovsstyrt mål i stället för ett mål om sänkta sjuktal.
- rehabilitation and return to workdecisive»den enskilda att tillfriskna och få den rehabilitering som krävs för att kunna återgå i arbete« (party programme ↗)“the individual to recover and get the rehabilitation required to return to work”
- economic security in case of illness»De som drabbats av sjukdom, funktionsnedsättning eller arbetslöshet ska därutöver garanteras en ekonomisk grundtrygghet« (party programme ↗)“Those affected by illness, disability or unemployment shall furthermore be guaranteed economic security”
- better rehabilitation»Vi vill förbättra rehabiliteringen och göra sjukskrivningen mer flexibel.« (2022 manifesto ↗)“We want to improve rehabilitation and make sick leave more flexible.”
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 formulates the sick leave insurance's task almost exactly as the counter-proposal's goal: it shall provide economic security in both short-term and chronic illness and be linked to support and rehabilitation to facilitate return to work.
Plan documents: party programme
Reasoning and quotes
The plan formulates the sick leave insurance's task almost exactly as the counter-proposal's goal: it shall provide economic security in both short-term and chronic illness and be linked to support and rehabilitation to facilitate return to work. A goal aimed at pressing down sick leave is in conflict with the needs-based security that the plan requires. The plan therefore supports the proposed reformulation.
Original (Swedish)
Planen formulerar sjukförsäkringens uppgift nästan exakt som motförslagets mål: den ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom och vara kopplad till stöd och rehabilitering för att underlätta återgång till arbete. Ett mål inriktat på att pressa ned sjuktalen står i strid med den behovsbaserade trygghet som planen kräver. Planen stöder därför den föreslagna omformuleringen.
- security in illnessdecisive»Sjukförsäkringen ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom« (party programme ↗)“Sick leave insurance shall provide economic security in both short-term and chronic illness”
- support and rehabilitation to work»kopplad till stöd och rehabilitering för att underlätta återgång till arbete.« (party programme ↗)“linked to support and rehabilitation to facilitate return to work.”
- general social insurance»Socialförsäkringarna ska erbjuda trygghet när individen inte kan försörja sig själv vid sjukdom,« (party programme ↗)“Social security shall offer security when the individual cannot support themselves due to illness,”
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 formulates social insurance's task as providing economic security during different stages of life and that replacement levels shall be designed so that individuals are stimulated to take measures leading to good health and return to working life.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan formulates social insurance's task as providing economic security during different stages of life and that replacement levels shall be designed so that individuals are stimulated to take measures leading to good health and return to working life. This is substantively the same goal formulation that the counter-proposal wants to introduce, instead of a goal to push down sick leave rates. The plan moreover wants to introduce security compensation for those who have worn out their bodies.
Original (Swedish)
Planen formulerar socialförsäkringens uppgift som att ge ekonomisk trygghet under livets olika skeenden och att ersättningsnivåerna ska utformas så att den enskilde stimuleras till åtgärder som leder till god hälsa och återgång till arbetslivet. Det är i sak samma målformulering som motförslaget vill införa, i stället för mål om att pressa ned sjuktalen. Planen vill dessutom införa trygghetsersättning för dem som slitit ut kroppen.
- return to working lifedecisive»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder« (party programme ↗)“Replacement levels shall be designed so that individuals are stimulated to participate in measures”
- economic security during illness»ska finnas för att ge ekonomisk trygghet under livets« (party programme ↗)“shall exist to provide economic security during life's”
- reasonable security in illness»en rimlig trygghet vid sjukdom, arbetslöshet, arbetsskada och pension.« (party programme ↗)“reasonable security in case of illness, unemployment, work injury and retirement.”
- security compensation for the worn out»Inför trygghetsersättning, för dem som har ett fåtal år kvar till pensionen men som slitit ut kroppen.« (2022 manifesto ↗)“Introduce security compensation for those who have a few years left until retirement but whose bodies have worn out.”
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 establishes that welfare should protect those affected but constantly aim to help people back to work and self-sufficiency, and that tax and benefit systems should be based on the work line.
Plan documents: party programme
Reasoning and quotes
The plan establishes that welfare should protect those affected but constantly aim to help people back to work and self-sufficiency, and that tax and benefit systems should be based on the work line. A goal formulated as economic security in illness combined with effective support to regain work capacity and return to work directly addresses that order. The plan simultaneously acknowledges the state's responsibility for those who cannot work for medical reasons.
Original (Swedish)
Planen slår fast att välfärden ska skydda den som är utsatt men hela tiden syfta till att hjälpa människor tillbaka till arbete och självförsörjning, och att skatte- och bidragssystem ska utgå från arbetslinjen. Ett mål som formuleras som ekonomisk trygghet vid sjukdom kombinerat med effektivt stöd för att återfå arbetsförmågan och återgå i arbete svarar direkt mot den ordningen. Planen erkänner samtidigt statens ansvar för den som av medicinska skäl inte kan arbeta.
- welfare leads back to workdecisive»och som hela tiden syftar till att hjälpa människor tillbaka till arbete och självförsörjning.« (party programme ↗)“and which constantly aims to help people back to work and self-sufficiency.”
- work line guides systems»Skatter och bidragssystem ska utgå från arbetslinjen.« (party programme ↗)“Taxes and benefit systems should be based on the work line.”
- security for those who cannot work»skäl inte kan arbeta har staten ett ansvar.« (party programme ↗)“by reason cannot work, the state has a responsibility.”
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 counter-proposal wants to formulate the goal as financial security during illness and effective support for regaining work capacity, rather than targeting lower sickness benefit numbers.
Plan documents: 2022 manifesto
Reasoning and quotes
The counter-proposal wants to formulate the goal as financial security during illness and effective support for regaining work capacity, rather than targeting lower sickness benefit numbers. The plan explicitly criticises how the steering has focused on reducing the number on sickness benefits and how it has led to unjust denials of insurance, and requires a secure and fair sick leave insurance with more resources for rehabilitation. The reformulation the counter-proposal requests corresponds to the plan's own direction.
Original (Swedish)
Motförslaget vill formulera målet som ekonomisk trygghet vid sjukdom och effektivt stöd för att återfå arbetsförmågan, i stället för en styrning mot lägre sjuktal. Planen riktar uttrycklig kritik mot att styrningen fokuserat på att pressa ned antalet med sjukpenning och att det lett till ohållbara utförsäkringar, och kräver en trygg och rättssäker sjukförsäkring med mer resurser till rehabilitering. Den omformulering motförslaget begär motsvarar planens egen inriktning.
- criticism of sickness benefit targetingdecisive»Detta tillsammans med en styrning från regeringen som fokuserat på att spara på kostnader genom få ner antalet med sjukpenning har lett ohållbara utförsäkringar.« (2022 manifesto ↗)“This, together with government steering focused on saving costs by reducing the number on sickness benefits, has led to unjust denials of insurance.”
- secure and fair sick leave insurance»Verka för en trygg och rättssäker sjukförsäkring« (2022 manifesto ↗)“Work for a secure and fair sick leave insurance”
- rehabilitation and return to work»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources on preventive work and rehabilitation”
- financial security during illness»Sjukförsäkringen ska utformas på ett rättssäkert sätt med villkor som säkerställer att den som behöver lägga sitt egna fokus på att återhämta sig från sjukdom inte samtidigt tvingas till en personlig och privatekonomisk kris.« (2022 manifesto ↗)“Sick leave insurance shall be designed in a fair manner with conditions that ensure that someone who needs to focus on recovering from illness is not simultaneously forced into a personal and financial 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.
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Sources and documents
- The committee report on riksdagen.se (2023/24:SfU1)
- Committee report full text (HB01SfU1)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:2339 — En fungerande sjukförsäkring av Nooshi Dadgostar m.fl. (V)
- Motion 2023/24:2351 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Nooshi Dadgostar m.fl. (V)
- Motion 2023/24:2623 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Anders Ygeman m.fl. (S)
- Motion 2023/24:2710 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Annika Hirvonen m.fl. (MP)
- Motion 2023/24:2726 — Utgiftsområde 10 Ekonomisk trygghet vid sjukdom och funktionsnedsättning av Martina Johansson m.fl. (C)
- Proposition 2023/24:1 — Budgetpropositionen för 2024
Source: The Swedish Parliament