2023-04-192022/23:SoU20 · p.8SoUHealth & social services
Vaccination programmes for the elderly
Additional vaccination programmes for older people
What's at stake: More vaccination programmes for older people could reduce the disease burden and the number of severe cases among a group at greater risk from infections, but would also require new assessments of which vaccines should be offered free of charge and to whom. The issue therefore affects older people's protection from disease and how resources for vaccination efforts are prioritised.
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 government should instruct an authority to review the need for additional vaccination programmes for older people, beyond the free pneumococcal vaccination already introduced for everyone turning 75, or whether the outcome of the ongoing inquiry into the national vaccination programmes should be awaited.
Yes Yes — the committee proposal
The committee notes that a special investigator has been tasked with reviewing the regulation of the national vaccination programmes and the vaccination register, including whether further vaccination programmes for groups such as older people would be appropriate and effective. Pending the outcome of the inquiry, the committee considers there is no reason for the Riksdag to propose any measure, and rejects the motions.
No No — the reservations
Reservation 12 (S, V, MP)
The reservation (S, V, MP) calls for the government to instruct an appropriate authority to review the needs regarding further vaccination programmes for older people. The reasoning is that vaccination prevents serious illness and is one of the most effective measures for better public health, and that the new special vaccination programme has already given everyone turning 75 the right to a free vaccination against pneumococcal disease.
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 12 by S, V, MP.
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 0/21/0/3 | follows the plan | confidence: medium | not addressed |
| S | No | No 0/91/0/16 | follows the plan | confidence: medium | not addressed |
| MP | No | No 0/16/0/2 | follows the plan | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | departs from the plan | confidence: low | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: low | not addressed |
| KD | No | Yes 17/0/0/2 | departs from the plan | confidence: medium | not addressed |
| M | No | Yes 59/0/0/9 | departs from the plan | confidence: low | not addressed |
| SD | No | Yes 64/0/0/9 | departs from the plan | confidence: low | not addressed |
Committee proposal
The Riksdag rejects the motions 2022/23:85 by Karin Rågsjö et al. (V) clause 12 and 2022/23:2061 by Fredrik Lundh Sammeli et al. (S) clause 59.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:85 av Karin Rågsjö m.fl. (V) yrkande 12 och 2022/23:2061 av Fredrik Lundh Sammeli m.fl. (S) yrkande 59.
Riksdag decision: The Riksdag said no to approximately 60 proposals in motions that were submitted during the general motion period in 2022. The reason is among other things work that is already underway within the issues that the motions raise. The proposals concern for example the organisation of public health work and public health promotion measures, disease control and vaccinations.
Counter-proposals
- The counter-proposal wants Sweden to establish a public health law that clarifies responsibility distribution for public health work and makes violence in close relationships a priority area. (S, V, MP) — Reservation 12
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's decisive commitment is that more resources should be invested in healthcare and elderly care and that care should be provided according to need, equitable and accessible regardless of who you are.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan's decisive commitment is that more resources should be invested in healthcare and elderly care and that care should be provided according to need, equitable and accessible regardless of who you are. A task to review the need for additional vaccination programmes for the elderly is such a need-based and equitable measure. The plan does not mention vaccinations, so the position is derived.
Original (Swedish)
Planens avgörande åtagande är att mer resurser ska satsas på hälso- och sjukvården och äldreomsorgen och att vård ska ges efter behov, jämlikt och tillgängligt oavsett vem du är. Ett uppdrag att se över behovet av ytterligare vaccinationsprogram för äldre är en sådan behovsstyrd och jämlik insats. Planen nämner inte vaccinationer, så ställningstagandet är härlett.
- more resources to elderly caredecisive»Därför vill Vänsterpartiet satsa mer resurser på hälso- och sjukvården och äldreomsorgen, samt satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö.« (2022 manifesto ↗)“Therefore, the Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and working environment.”
- care according to need»Vård och omsorg måste ges efter behov oavsett om du bor på ett särskilt boende eller har insatser av hemtjänsten.« (2022 manifesto ↗)“Care and support must be provided according to need regardless of whether you live in a special residence or receive home care services.”
- equitable and accessible care»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equitable, equal and accessible, regardless of where in the country you live and regardless of who you are.”
- upgrade the care sector»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 care sector to cope with more normal shifts in care needs but also to be able to scale up capacity in crisis times.”
The plan establishes that it shall be safe to grow old in Sweden and requires an elderly care act that provides equally good care throughout the country.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that it shall be safe to grow old in Sweden and requires an elderly care act that provides equally good care throughout the country. Letting an authority review the need for more vaccination programmes for the elderly is a preventive health measure in that line, and the plan wishes that no one shall need to worry about getting care in time. Vaccination programmes are not mentioned explicitly.
Original (Swedish)
Planen slår fast att det ska vara tryggt att åldras i Sverige och kräver en äldreomsorgslag som ger lika bra omsorg i hela landet. Att låta en myndighet se över behovet av fler vaccinationsprogram för äldre är en förebyggande hälsoinsats i den linjen, och planen vill att ingen ska behöva känna oro över att få vård i tid. Vaccinationsprogram nämns inte uttryckligen.
- safe old agedecisive»Det ska vara tryggt att åldras i Sverige.« (2022 manifesto ↗)“It shall be safe to grow old in Sweden.”
- equivalent elderly care»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 wish for a new elderly care act that ensures everyone receives equally good care throughout the country and access to nurses around the clock.”
- care in time»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall need to worry about getting care in time.”
- equivalent care throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg. Det förutsätter en kommunal skatteutjämning så att inte olika skattekraft och skillnader i befolkningens sammansättning leder till skillnader i välfärd mellan olika kommuner.« (party programme ↗)“All residents throughout the country shall have equivalent access to school, care and elder care. That requires a municipal tax equalisation so that different tax capacity and differences in population composition do not lead to differences in welfare between different municipalities.”
The plan sees long-term investment in public health as equally important as healthcare and wants a national public health programme with support for those leading health promotion work.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan sees long-term investment in public health as equally important as healthcare and wants a national public health programme with support for those leading health promotion work. It also wants to improve care for the elderly. Tasking an authority with reviewing the need for more vaccination programmes for the elderly is such a health promotion measure and is therefore supported in substance.
Original (Swedish)
Planen ser en långsiktig satsning på folkhälsa som lika viktig som sjukvården och vill ha ett nationellt folkhälsoprogram med stöd till huvudmännen i det hälsofrämjande arbetet. Den vill också förbättra vård och omsorg för äldre. Att ge en myndighet i uppdrag att se över behovet av fler vaccinationsprogram för äldre är en sådan hälsofrämjande insats och stöds därför i sak.
- public health as important as healthcaredecisive»Vi menar att en långsiktig satsning på folkhälsa« (party programme ↗)“We mean that long-term investment in public health”
- national public health programme»därför se ett nationellt folkhälsoprogram och stödja« (party programme ↗)“therefore create a national public health programme and support”
- better care for the elderly»förbättra vård och omsorg för äldre och stärka resurserna till hemsjukvården.« (2022 manifesto ↗)“improve care for the elderly and strengthen resources for home care.”
The plan does not mention vaccination programs, but makes a preventive approach the prerequisite for sustainable welfare and demands that the public health perspective permeates all of society.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan does not mention vaccination programs, but makes a preventive approach the prerequisite for sustainable welfare and demands that the public health perspective permeates all of society. Vaccination of the elderly is such a preventive measure, and the plan furthermore promises a secure old age and improved quality in elder care. A mandate to review the needs thus aligns with the plan's principles.
Original (Swedish)
Planen nämner inte vaccinationsprogram, men gör ett förebyggande förhållningssätt till förutsättningen för en hållbar välfärd och kräver att folkhälsoperspektivet genomsyrar hela samhället. Vaccination av äldre är en sådan förebyggande insats, och planen lovar dessutom en trygg ålderdom och lyft kvalitet i äldreomsorgen. Ett uppdrag att se över behoven ligger därför i linje med planens principer.
- preventive public health workdecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt. Folkhälsoperspektivet måste genomsyra hela samhället för att ge resultat.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach. The public health perspective must permeate all of society to produce results.”
- secure old age»Alla ska kunna få en trygg ålderdom med hög livskvalitet och värdighet.« (party programme ↗)“Everyone should be able to have a secure old age with high quality of life and dignity.”
- care based on science»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet« (party programme ↗)“Good care and support throughout the country, based on science and proven experience”
- improved quality in elder care»Kvaliteten i sjukvården och äldreomsorgen ska lyftas.« (2022 manifesto ↗)“The quality of health care and elder care should be improved.”
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 does not address vaccination programs, but requires that preventive health measures rest on knowledge, that care be provided on a scientific basis, and that it be equal regardless of age.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan does not address vaccination programs, but requires that preventive health measures rest on knowledge, that care be provided on a scientific basis, and that it be equal regardless of age. A review of the need for additional vaccination programs for older people is an application of these principles. The plan uses the same logic when it wants to see national programs directed at special risk groups in dental care.
Original (Swedish)
Planen behandlar inte vaccinationsprogram, men kräver att de förebyggande hälsoinsatserna vilar på kunskap, att vården ges på vetenskaplig grund och att den är jämlik oavsett ålder. En översyn av behovet av ytterligare vaccinationsprogram för äldre är en tillämpning av dessa principer. Planen använder samma logik när den vill se nationella program riktade till särskilda riskgrupper inom tandvården.
- knowledge-based preventiondecisive»de förebyggande hälsoinsatserna ska vila på kunskap« (party programme ↗)“preventive health measures shall rest on knowledge”
- equal care regardless of age»Vården ska vara jämlik.« (party programme ↗)“Care shall be equal.”
- scientific basis»Vård, behandling och rehabilitering av fysiska och psykiska sjukdomar ska ges på vetenskaplig grund.« (party programme ↗)“Care, treatment, and rehabilitation of physical and mental illnesses shall be provided on a scientific basis.”
- programs for risk groups»nationella tandvårdsprogram för särskilda riskgrupper« (2022 manifesto ↗)“national dental care programs for special risk groups”
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 states that health-promoting work should be stimulated and that everyone should be able to age with dignity with accessible care based on need.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states that health-promoting work should be stimulated and that everyone should be able to age with dignity with accessible care based on need. A review of the need for more vaccination programmes for the elderly is such a health-promoting measure and is tested in the plan against the requirements for evidence and cost-effectiveness, which is precisely what a review is intended to clarify. The plan does not mention vaccination programmes, so the position is derived.
Original (Swedish)
Planen säger att hälsofrämjande arbete ska stimuleras och att alla ska kunna åldras med värdighet med tillgänglig vård utifrån behov. En översyn av behovet av fler vaccinationsprogram för äldre är en sådan hälsofrämjande insats och prövas i planen mot kraven på evidens och kostnadseffektivitet, vilket en översyn just är avsedd att klarlägga. Planen nämner inte vaccinationsprogram, varför ställningstagandet är härlett.
- health-promoting workdecisive»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work should be stimulated.”
- dignified ageing»Alla medborgare ska kunna åldras med värdighet.« (party programme ↗)“All citizens should be able to age with dignity.”
- evidence-based and cost-effective care»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad.« (party programme ↗)“The solidarily financed health and medical care should be appropriate and cost-effective, safe for patients and based on knowledge and proven experience, that is, evidence-based.”
- medical expertise for the elderly»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical expertise in elderly 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.
The plan states that elderly care was not equipped in the pandemic and that medical competence and continuity must be strengthened, and that emergency stocks of medicines and medical supplies shall be built better.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan states that elderly care was not equipped in the pandemic and that medical competence and continuity must be strengthened, and that emergency stocks of medicines and medical supplies shall be built better. Looking into the need for more vaccination programmes for older people is in line with the preventive mandate. However, the plan does not mention vaccination programmes.
Original (Swedish)
Planen slår fast att äldreomsorgen inte stod rustad i pandemin och att den medicinska kompetensen och kontinuiteten måste stärkas, samt att beredskapslagren av läkemedel och sjukvårdsmateriel ska byggas bättre. Att låta se över behovet av fler vaccinationsprogram för äldre ligger i linje med det förebyggande uppdraget. Planen nämner dock inte vaccinationsprogram.
- strengthened medical competence for older peopledecisive»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical competence and continuity must be strengthened in elderly care.”
- lessons from the pandemic»Coronakommissionens slutsatser om att äldreomsorgen inte stod förberedd och rustad att möta samhällsspridningen i pandemin måste leda till förändring.« (2022 manifesto ↗)“The Corona Commission's conclusions that elderly care was not prepared and equipped to meet community spread in the pandemic must lead to change.”
- preparedness for medicines»Bygga bättre beredskapslager« (2022 manifesto ↗)“Build better emergency stocks”
- cohesive care for older people»Se till att den patientansvariga läkarkontakten ska utgöra navet i äldres sjukvård« (2022 manifesto ↗)“Ensure that the patient-responsible doctor contact shall form the hub in older people's 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 plan does not mention vaccination programs, but states that preventive work should be given increased focus and more resources and that society has an obligation to provide for pensioners, including through special tracks for older patients.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan does not mention vaccination programs, but states that preventive work should be given increased focus and more resources and that society has an obligation to provide for pensioners, including through special tracks for older patients. Reviewing the need for more vaccination programs for the elderly is a preventive measure within a solidarity-financed care provided according to need. The committee's reasoning that the ongoing inquiry should be awaited is not addressed.
Original (Swedish)
Planen nämner inte vaccinationsprogram, men slår fast att förebyggande arbete ska ges ökat fokus och mer resurser och att samhället har en skyldighet att sörja för pensionärerna, bland annat genom särskilda spår för äldre patienter. Att se över behovet av fler vaccinationsprogram för äldre är en förebyggande åtgärd inom en solidariskt finansierad vård som ges efter behov. Utskottets skäl att den pågående utredningen bör avvaktas berörs inte.
- preventive health workdecisive»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources for preventive work and rehabilitation”
- society's responsibility for the elderly»Samhället har därför en skyldighet att sörja för pensionärerna.« (2022 manifesto ↗)“Society therefore has an obligation to provide for pensioners.”
- prioritization of older patients»Inrätta snabbspår för äldre patienter för att minska belastningen på akuten.« (2022 manifesto ↗)“Establish fast tracks for older patients to reduce the burden on emergency departments.”
- care according to need»hälso- och sjukvården ska vara solidariskt finansierad via skattsedeln, ges efter behov« (party programme ↗)“healthcare and medical care shall be solidarity financed via the tax return, provided according to need”
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.
Share and embed
Sources and documents
- The committee report on riksdagen.se (2022/23:SoU20)
- Committee report full text (HA01SoU20)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:110 — Åtgärder mot hälsofarliga kosttillskott av Saila Quicklund (M)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1359 — Avgiftsfritt TBE-vaccin för barn av Joakim Sandell m.fl. (S)
- Motion 2022/23:1399 — Att minska den antimikrobiella resistensen nationellt och internationellt av Marie-Louise Hänel Sandström m.fl. (M)
- Motion 2022/23:1456 — Händelseanalyser vid suicidförsök av Ulrika Westerlund och Marielle Lahti (båda MP)
- Motion 2022/23:1530 — Hälsosamtal från 40 år för alla av Cecilia Engström (KD)
- Motion 2022/23:1657 — Nationellt program för förbättrad hälsa hos unga av Anders Ådahl (C)
- Motion 2022/23:1851 — Vaccination mot TBE av Sten Bergheden (M)
- Motion 2022/23:1882 — En starkare liberal demokrati av Malin Björk m.fl. (C)
- Motion 2022/23:2061 — Utgiftsområde 9 Hälsovård, sjukvård och social omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:2075 — Helhetsbedömning av hur barn och unga påverkas av pornografi och sexualbrott av Ann-Sofie Alm och Ann-Sofie Lifvenhage (båda M)
- Motion 2022/23:2128 — En jämlik kunskapsskola utan vinstjakt av Åsa Westlund m.fl. (S)
- Motion 2022/23:2171 — Lands- och glesbygd med stark samhällsutveckling av Elin Söderberg m.fl. (MP)
- Motion 2022/23:2221 — Utredning av anmälnings- eller tillståndsplikt för kyltornsanläggningar av Eric Palmqvist (SD)
- Motion 2022/23:2277 — Jämställdhetspolitik av Märta Stenevi m.fl. (MP)
- Motion 2022/23:255 — Ohälsosamma livsmedels påverkan på folkhälsan av Angelica Lundberg (SD)
- Motion 2022/23:312 — Vaccinationsfrågor av Markus Wiechel (SD)
- Motion 2022/23:315 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2022/23:318 — Avveckla Folkhälsomyndigheten av Markus Wiechel (SD)
- Motion 2022/23:495 — TBE-vaccin av Mathias Tegnér (S)
Source: The Swedish Parliament