2023-05-242022/23:SoU13 · p.9SoUHealth & social services
National screening programs
National screening programmes, including the age limit for mammography
What's at stake: The decision affects whether older women, for example over the age of 74, are offered mammography under the national screening programme on the same terms as younger women, or whether the current age limits remain until the regions themselves decide on changes.
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 parliament should take the initiative to expand national screening programmes, for example by raising or removing the age limit for mammography, or whether the design of such programmes should continue to be a matter for the healthcare principals within the framework of the existing prioritisation principles.
Yes Yes — the committee proposal
The committee rejects the motions on national screening programmes, including on equal access to mammography for women over 74. The committee maintains its assessment that parliament should not take the initiative to direct how individual care measures or screening programmes are designed - that is primarily the responsibility of the healthcare principals (the regions) - and bases this on the established prioritisation principles: the principle of human dignity, the principle of need and solidarity, and the principle of cost-effectiveness.
No No — the reservations
Reservation 15 (V)
The reservation (V) wants the government to work actively for equal access to mammography screening for women over the age of 74 as well, in order to counter age discrimination in cancer care.
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 15 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
What each plan points to — and how the party voted
For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/18/0/6 | follows the plan | confidence: medium | derived |
| S | No | Abstain 2/0/91/14 | departs from the plan | confidence: medium | derived |
| MP | No | Abstain 0/0/13/5 | departs from the plan | confidence: medium | derived |
| C | No | Yes 21/0/0/3 | departs from the plan | confidence: medium | derived |
| L | No | Yes 11/0/0/5 | departs from the plan | confidence: medium | derived |
| KD | No | Yes 14/0/0/5 | departs from the plan | confidence: high | derived |
| M | No | Yes 59/0/0/9 | departs from the plan | confidence: medium | derived |
| SD | No | Yes 63/0/0/9 | departs from the plan | confidence: medium | derived |
Broke with the party line
| SAnders Ygeman (S, Stockholms kommun) | Yes — party line: Abstain |
| SMattias Ottosson (S, Östergötlands län) | Yes — party line: Abstain |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
Parliament rejects the motions 2022/23:732 by Anna Starbrink (L) demands 1 and 2, 2022/23:1234 by Nooshi Dadgostar et al. (V) demand 21, 2022/23:1291 by Sanna Backeskog and Jim Svensk Larm (both S), 2022/23:1361 by Sanne Lennström and Sofia Skönnbrink (both S), 2022/23:1433 by Louise Thunström and Sofia Skönnbrink (both S), 2022/23:1483 by Adnan Dibrani et al. (S) and 2022/23:1606 by Catarina Deremar (C) demands 1 and 2.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:732 av Anna Starbrink (L) yrkandena 1 och 2, 2022/23:1234 av Nooshi Dadgostar m.fl. (V) yrkande 21, 2022/23:1291 av Sanna Backeskog och Jim Svensk Larm (båda S), 2022/23:1361 av Sanne Lennström och Sofia Skönnbrink (båda S), 2022/23:1433 av Louise Thunström och Sofia Skönnbrink (båda S), 2022/23:1483 av Adnan Dibrani m.fl. (S) och 2022/23:1606 av Catarina Deremar (C) yrkandena 1 och 2.
Riksdag decision: Parliament directs a request, a so-called tillkännagivande (formal request), to the government to draw up a national action and coordination plan for rare diseases. Parliament believes, among other things, that a coordinated approach is needed for the care of patients with rare diseases since these patients may have to wait a long time for diagnosis, and thus treatment and follow-up. The tillkännagivande came in connection with the committee handling motions that arrived during the general motion period 2022. Parliament rejected other motions on priorities in health and medical care. Parliament believes, among other things, that work is already underway in the areas that the motions address.
Counter-proposals
- The counter-proposal wants to ensure that every woman in childbirth is guaranteed a midwife at her side during labor. (V) — Reservation 15
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 requires that healthcare be equitable and accessible regardless of where in the country you live and regardless of who you are, that care be provided based on need and that the state take greater responsibility for equal conditions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that healthcare be equitable and accessible regardless of where in the country you live and regardless of who you are, that care be provided based on need and that the state take greater responsibility for equal conditions. The party programme does not tolerate discrimination based on age. That the state actively works for equitable mammography screening even for women over 74 years old follows from these commitments.
Original (Swedish)
Planen kräver att sjukvården är jämlik och tillgänglig oavsett var i landet du bor och oavsett vem du är, att vården ges efter behov och att staten tar ett större ansvar för lika förutsättningar. Partiprogrammet tolererar inte diskriminering på grund av ålder. Att staten aktivt verkar för jämlik mammografiscreening även för kvinnor över 74 år följer av dessa åtaganden.
- equitable healthcaredecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equitable, gender-equal and accessible, regardless of where in the country you live and regardless of who you are.”
- no age discrimination»kön, funktionsnedsättning, sexuell läggning eller könsidentitet, ålder,« (party programme ↗)“sex, disability, sexual orientation or gender identity, age,”
- care based on need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be provided based on people's needs and not based on capacity in incorrectly constructed systems.”
- state responsibility for equivalence»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 equitable care in Sweden the state must take greater responsibility for creating equal conditions.”
The plan's guiding principle is that welfare services are distributed according to need and that all residents throughout the country shall have equal access to healthcare.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's guiding principle is that welfare services are distributed according to need and that all residents throughout the country shall have equal access to healthcare. That the state actively works for mammography screening even for women over 74 follows from this and from the plan's stated goal that no one should need to worry about receiving timely care. The plan also sees age as one of the structures that must not determine people's living conditions. The plan therefore supports the requirement.
Original (Swedish)
Planens bärande princip är att välfärdstjänsterna ska fördelas efter behov och att alla invånare i hela landet ska ha likvärdig tillgång till vård. Att staten aktivt verkar för mammografiscreening även för kvinnor över 74 år följer av detta och av planens uttalade mål att ingen ska behöva känna oro över att få vård i tid. Planen ser dessutom ålder som en av de strukturer som inte får bestämma människors livsvillkor. Planen stöder därför kravet.
- care according to needdecisive»välfärdstjänsterna fördelas efter behov.« (party programme ↗)“welfare services are distributed according to need.”
- equal healthcare access across the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equal access to school, healthcare and care.”
- timely care»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one should need to worry about receiving timely care.”
- age should not limit»bestämd av klass, kön eller etnicitet, av funktionsförmåga eller ålder, av sexuell läggning« (party programme ↗)“determined by class, gender or ethnicity, by functional capacity or age, by sexual orientation”
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 healthcare on equal terms regardless of where one lives and observes that women often have to wait longer and have worse access to expensive treatments.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires healthcare on equal terms regardless of where one lives and observes that women often have to wait longer and have worse access to expensive treatments. Together with the principle of equal rights regardless of age this argues that the state works for equitable mammography screening also for women over 74 years. Screening programs' design is not explicitly addressed in the plan.
Original (Swedish)
Planen kräver vård på lika villkor oavsett var man bor och konstaterar att kvinnor ofta får vänta längre och har sämre tillgång till dyra behandlingar. Tillsammans med principen om lika rättigheter oavsett ålder talar det för att staten verkar för jämlik mammografi även för kvinnor över 74 år. Screeningprogrammens utformning behandlas inte uttryckligen i planen.
- women disadvantaged in healthcaredecisive»Kvinnor får ofta vänta längre på viktiga« (party programme ↗)“Women often have to wait longer for important”
- healthcare on equal terms»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You shall have the right to good healthcare, regardless of where in the country you live.”
- equal rights regardless of age»Alla ska åtnjuta lika rättigheter och möjligheter« (party programme ↗)“All shall enjoy equal rights and opportunities”
- better healthcare for the elderly»förbättra vård och omsorg för äldre och stärka resurserna till hemsjukvården.« (2022 manifesto ↗)“improve healthcare and care for the elderly and strengthen resources for home healthcare.”
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 requires that women and men receive equally good care and efforts for women's health, and the party programme states that no one shall be discriminated against on the basis of age and that all shall be secure with equivalent care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires that women and men receive equally good care and efforts for women's health, and the party programme states that no one shall be discriminated against on the basis of age and that all shall be secure with equivalent care. Working for equitable mammography screening also for women over 74 years follows from these commitments. The plan at the same time values the regions' main authority, which makes support for the commitment to equality rather than for state detailed control.
Original (Swedish)
Valmanifestet kräver att kvinnor och män ska få lika bra vård och satsningar på kvinnors hälsa, och partiprogrammet slår fast att ingen får diskrimineras på grund av ålder och att alla ska vara trygga med likvärdig vård. Att verka för jämlik mammografiscreening också för kvinnor över 74 år följer av dessa åtaganden. Planen värnar samtidigt regionernas huvudmannaskap, vilket gör stödet till ett sakligt stöd för jämlikheten snarare än för statlig detaljstyrning.
- equal caredecisive»Kvinnor och män ska få lika bra vård. Det borde vara en självklarhet.« (2022 manifesto ↗)“Women and men shall receive equally good care. It should be self-evident.”
- no age discrimination»Det har ingen betydelse på vilken grund detta sker; kön, ålder, sexuell läggning« (party programme ↗)“It is of no importance on what basis this occurs; gender, age, sexual orientation”
- equivalent care»alla ska vara trygga med att få en likvärdig vård« (party programme ↗)“all shall be secure with equivalent care”
- regional main authority»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 requires that all tendencies toward age discrimination be combated and that care be equitable regardless of age, which supports the counter-proposal's demand for equitable mammography screening also for women over 74.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that all tendencies toward age discrimination be combated and that care be equitable regardless of age, which supports the counter-proposal's demand for equitable mammography screening also for women over 74. The plan furthermore wishes to see expanded national coordination and greater state responsibility for healthcare's strategic planning, which gives the state a role in the matter. Screening programmes are not explicitly mentioned, but the principle of age-neutral care is unambiguous.
Original (Swedish)
Planen kräver att alla tendenser till åldersfördomar bekämpas och att vården är jämlik oavsett ålder, vilket bär motförslagets krav på jämlik mammografiscreening även för kvinnor över 74 år. Planen vill dessutom se en utökad nationell samordning och ett större statligt ansvar för sjukvårdens strategiska planering, vilket ger staten en roll i frågan. Screeningprogram nämns inte uttryckligen, men principen om åldersneutral vård är entydig.
- against age discriminationdecisive»Äldres rätt till självbestämmande ska hävdas och alla tendenser till åldersfördomar bekämpas.« (party programme ↗)“Older people's right to self-determination shall be asserted and all tendencies toward age discrimination be combated.”
- equitable care»Vården ska vara jämlik.« (party programme ↗)“Care shall be equitable.”
- national coordination of care»Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“Expanded national coordination and direction is needed.”
- greater state responsibility in care»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 skills supply.”
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 requires a society where people can age in security and dignity without age discrimination, and that where in the country you live shall not determine what healthcare you receive.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly requires a society where people can age in security and dignity without age discrimination, and that where in the country you live shall not determine what healthcare you receive. Care shall be need-based and equitable, with care and dignity guarantees grounded in ethical priorities. That the state actively works for equitable mammography screening even for women over 74 years old follows from these commitments.
Original (Swedish)
Planen kräver uttryckligen ett samhälle där människor kan åldras i trygghet och värdighet utan åldersdiskriminering, och att var i landet du bor inte ska avgöra vilken sjukvård du får. Vården ska vara behovsstyrd och jämlik, med vård- och värdighetsgarantier grundade på etiska prioriteringar. Att staten aktivt verkar för jämlik mammografiscreening även för kvinnor över 74 år följer av dessa åtaganden.
- no age discriminationdecisive»Vi vill bygga ett samhälle där människor kan åldras i trygghet och värdighet utan åldersdiskriminering.« (2022 manifesto ↗)“We want to build a society where people can age in security and dignity without age discrimination.”
- need-based care»Den solidariskt finansierade hälso- och sjukvården är välfärdens kärna och ska vara behovsstyrd.« (party programme ↗)“The jointly financed health and medical care is the core of welfare and shall be need-based.”
- equitable care 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 receive.”
- care and dignity guarantees»Vård- och värdighetsgarantier, som grundar sig på etiska prioriteringar, ska finnas.« (party programme ↗)“Care and dignity guarantees, which are grounded in ethical priorities, shall exist.”
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 everyone has the right to equivalent care delivered in time, and particularly points out that fewer than half of women with breast cancer receive care in time.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that everyone has the right to equivalent care delivered in time, and particularly points out that fewer than half of women with breast cancer receive care in time. Cancer care shall be prioritized and earlier diagnoses facilitated. The counter-proposal's demand for equal mammography screening even for women over 74 is in line with these commitments, although the screening age limits are not mentioned explicitly.
Original (Swedish)
Planen slår fast att alla har rätt till likvärdig vård som ges i rätt tid, och pekar särskilt ut att färre än hälften av kvinnorna med bröstcancer får vård i tid. Cancervården ska prioriteras och tidigare diagnoser möjliggöras. Motförslagets krav på jämlik mammografiscreening även för kvinnor över 74 år ligger i linje med dessa åtaganden, även om screeningens åldersgränser inte nämns uttryckligen.
- equivalent care for alldecisive»Alla har rätt till likvärdig vård – som kan ges i rätt tid och håller hög kvalitet.« (2022 manifesto ↗)“Everyone has the right to equivalent care - that can be delivered in time and maintains high quality.”
- shortcomings in breast cancer care»Färre än hälften av alla kvinnor med bröstcancer får vård i tid.« (2022 manifesto ↗)“Fewer than half of all women with breast cancer receive care in time.”
- earlier diagnoses»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve opportunities to make earlier diagnoses, among other things with the help of digital decision support and structured working methods such as risk profiling”
- prioritized cancer care»Prioritera cancervården och fördubbla stödet till barncancervården, som ska ges särskilt riktade resurser varje år« (2022 manifesto ↗)“Prioritize cancer care and double support for childhood cancer care, which shall receive specially targeted resources every year”
flags: citat_migrerat
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 wants to see equal care where men and women are treated equally and states that society has a responsibility for all citizens to age with dignity.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto wants to see equal care where men and women are treated equally and states that society has a responsibility for all citizens to age with dignity. The party programme requires that care is provided according to need and that all are treated equitably in regional operations. The counter-proposal's requirement for equitable mammography screening also for women over 74 years, to counteract age discrimination, follows from these commitments.
Original (Swedish)
Valmanifestet vill se en jämställd vård där män och kvinnor behandlas lika och slår fast att samhället har ett ansvar för att alla medborgare ska kunna åldras med värdighet. Partiprogrammet kräver att vården ges efter behov och att alla bemöts likvärdigt i regionernas verksamheter. Motförslagets krav på jämlik mammografiscreening även för kvinnor över 74 år, för att motverka åldersdiskriminering, följer av dessa åtaganden.
- equal caredecisive»Sverigedemokraterna vill verka för en jämställd vård där män och kvinnor behandlas lika.« (2022 manifesto ↗)“Sweden Democrats want to work for equal care where men and women are treated equally.”
- equitable treatment in care»Alla människor ska bemötas likvärdigt i landstingens och regionernas verksamheter.« (party programme ↗)“All people shall be treated equitably in regional and local government operations.”
- care according to need»hälso- och sjukvården ska vara solidariskt finansierad via skattsedeln, ges efter behov« (party programme ↗)“healthcare shall be solidarily financed via tax revenues, provided according to need”
- dignified aging»Samhället har ett ansvar i att alla svenska medborgare ska kunna åldras med värdighet.« (2022 manifesto ↗)“Society has a responsibility that all Swedish citizens shall be able to age with dignity.”
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 (2022/23:SoU13)
- Committee report full text (HA01SoU13)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1134 — Förbud mot icke-medicinsk omskärelse av Richard Jomshof (SD)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1151 — En trygg och human sjukförsäkring med individen i centrum av Clara Aranda m.fl. (SD)
- Motion 2022/23:1234 — En hälso- och sjukvård för jämlikhet och jämställdhet i hela landet av Nooshi Dadgostar m.fl. (V)
- Motion 2022/23:1259 — Självbestämmande i livets slutskede - utred förutsättningarna för aktiv dödshjälp av Janine Alm Ericson m.fl. (MP)
- Motion 2022/23:1291 — Borttagande av den övre åldersgränsen för mammografi av Sanna Backeskog och Jim Svensk Larm (båda S)
- Motion 2022/23:1301 — Regelverk kring blodgivning av Inga-Lill Sjöblom m.fl. (S)
- Motion 2022/23:1305 — Forskning om och behandling av lipödem av Marianne Fundahn (S)
- Motion 2022/23:1309 — Nationella riktlinjer för förlossningsvården av Alexandra Völker (S)
- Motion 2022/23:131 — Stöd vid missfall av Anna Wallentheim (S)
- Motion 2022/23:1310 — Samordnad vård för personer med sällsynta hälsotillstånd av Alexandra Völker (S)
- Motion 2022/23:1312 — Rätten till abort av Mathias Tegnér (S)
- Motion 2022/23:1324 — Nationella riktlinjer för vård och behandling av barn och unga vid psykisk ohälsa av Alexandra Völker (S)
- Motion 2022/23:1329 — Ätstörningsvården av Anna Wallentheim (S)
- Motion 2022/23:134 — Anmälan till donationsregistret via deklarationen av Louise Meijer (M)
- Motion 2022/23:135 — Införande av aktiv dödshjälp av Louise Meijer (M)
- Motion 2022/23:1358 — Stärkt förlossningsvård av Sanne Lennström och Sofia Skönnbrink (båda S)
- Motion 2022/23:1361 — Åtgärder för att förhindra utbredning av livmoderhalscancer av Sanne Lennström och Sofia Skönnbrink (båda S)
- Motion 2022/23:1372 — Regnbågsblod av Anna Wallentheim (S)
- Motion 2022/23:1433 — Slopad övre åldersgräns för cellprovtagning och mammografi av Louise Thunström och Sofia Skönnbrink (båda S)
Source: The Swedish Parliament