National Audit Office Report on the Social Insurance Agency's Use of Overriding Reasons in 180-Day Sick Leave

The plan's clearest commitment in this area is humane sickness insurance and an end to exclusions of sick people from insurance, and that people should be able to rely on compensation from the Social Insurance Agency without having to bash their head bloody. A special review of how the exception about compelling reasons is applied at 180 days follows directly from that. The committee's objection is that a review is already underway, which the plan does not comment on.

• end to insurance exclusionsdecisive»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see humane sickness insurance and an end to exclusions of sick people from insurance.”
• secure compensation from the Social Insurance Agency»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 bash your head bloody.”
• strong social insurance»Vi vill se starka försäkringar som skapar trygghet för var och en under« (party programme ↗)“We want to see strong insurance schemes that create security for each person”
• universal and comprehensive insurance»Att socialförsäkringarna är allmänna och heltäckande gör dem« (party programme ↗)“That social insurance is universal and comprehensive is what makes them”

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's core commitment is that those too sick to work can rely on the insurance. A review of how the exception for overriding reasons is applied aims precisely at higher accuracy and consistency, which strengthens that confidence. The party also establishes that authorities shall be objective and that all are equal before the law. The plan therefore supports the counter-proposal's demand.

• confidence in the insurancedecisive»vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen« (2022 manifesto ↗)“we uphold the principle that those too sick to work can rely on the insurance”
• equality before the law»Vi är lika inför lagbokens paragrafer och i våra myndigheter arbetar plikttrogna tjänstemän med hög integritet.« (2022 manifesto ↗)“We are equal before the law's paragraphs and in our authorities work dutiful officials with high integrity.”
• economic security in illness»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also in sickness there is need for greater economic security.”
• income protection»Ett gott ekonomiskt skydd när den egna förvärvsinkomsten faller bort är grundläggande« (party programme ↗)“Good economic protection when own earned income falls away is fundamental”

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 change the sickness insurance so that it provides better security when on sick leave and that no one is forced to work despite being sick. The party programme states that those lacking income shall be guaranteed support that is possible to live on and that society shall actively support rehabilitation. A review of an exception provision with shortcomings in precision is in line with that.

• safer sickness insurancedecisive»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 the sickness insurance so it provides better security when on sick leave and ensure that people are not passed between agencies when they need society's support.”
• no sick person shall be forced to work»ingen tvingas jobba trots att man är sjuk« (2022 manifesto ↗)“no one is forced to work despite being sick”
• support that is possible to live on»Vår vision är att alla som saknar inkomst ska vara garanterade ett stöd som går att leva på« (party programme ↗)“Our vision is that all who lack income shall be guaranteed support that is possible to live on”
• rehabilitation before rejection»Samhället ska aktivt stödja individens möjligheter till arbete exempelvis genom åtgärder för rehabilitering och utbildning.« (party programme ↗)“Society shall actively support the individual's opportunities for work for example through measures for rehabilitation and education.”

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 says nothing about the specific exception on overriding grounds at day 180, but it demands that sickness leave be made more flexible and rehabilitation better, and that government administration is fair and efficient. A review that increases precision in application lies in line with the demand that safety nets shall provide good basic security without anyone falling through. The material is however general, so security is low.

• more flexible sickness leavedecisive»Vi vill förbättra rehabiliteringen och göra sjukskrivningen mer flexibel.« (2022 manifesto ↗)“We wish to improve rehabilitation and make sickness leave more flexible.”
• economic basic security»Välfärden ska innefatta sociala skyddsnät som förmår skapa en god ekonomisk grundtrygghet.« (party programme ↗)“Welfare shall include social safety nets that can provide good economic basic security.”
• fair government administration»Alla som bor i Sverige ska kunna få sin sak prövad. Ledtiderna för handläggning och myndighetsutövning i domstolar och myndigheter måste kortas och tillgången till ombud förbättras.« (2022 manifesto ↗)“Everyone living in Sweden shall be able to get their case examined. Processing times for handling and government administration in courts and agencies must be shortened and access to counsel improved.”

The plan establishes that sickness insurance shall provide economic security for both short-term and chronic illness and that the individual's opportunity to assert their rights against government agencies must increase. Oversight of the exercise of authority by government agencies against individuals shall moreover be developed. A special review of how the exception provision is applied therefore follows from the plan's legal security commitments.

• individual's rights against agenciesdecisive»Den enskildes möjligheter att hävda sina rättigheter gentemot myndigheterna måste öka.« (party programme ↗)“The individual's opportunity to assert their rights against government agencies must increase.”
• security in illness»Sjukförsäkringen ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom« (party programme ↗)“Sickness insurance shall provide economic security for both short-term and chronic illness”
• oversight of authority»Tillsynen över myndigheternas maktutövning mot enskilda behöver utvecklas genom starka« (party programme ↗)“Oversight of the exercise of authority by government agencies against individuals needs to be developed through strong”
• general social insurance»Socialförsäkringarna ska erbjuda trygghet när individen inte kan försörja sig själv vid sjukdom,« (party programme ↗)“Social insurance shall offer security when the individual cannot support themselves due to illness,”

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 social insurance systems provide everyone with reasonable security in case of illness and that social policy measures are characterised by respect for the individual. If an exception provision in practice is used as the main rule with shortcomings in targeting, that security is undermined. The plan also makes evaluation and quality control an important political task, which supports the counter-proposal's requirement for a special review.

• reasonable security in case of illnessdecisive»Socialförsäkringssystemen ska vara utformade så att alla får en rimlig trygghet vid sjukdom, arbetslöshet, arbetsskada och pension.« (party programme ↗)“Social insurance systems shall be designed so that everyone receives reasonable security in case of illness, unemployment, work injury and old-age pension.”
• monitoring as a political task»Utvärdering, kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska uppgifter.« (party programme ↗)“Evaluation, cost monitoring and quality control are therefore important political tasks.”
• respect for the individual»Socialpolitiska insatser måste präglas av respekt för den personliga integriteten och ge förutsättningar för inflytande och delaktighet från den enskilde, för såväl vuxna som barn.« (party programme ↗)“Social policy measures must be characterised by respect for personal integrity and provide conditions for influence and participation from the individual, for both adults and children.”
• well-targeted sick insurance»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder som leder till så god hälsa som möjligt och återgång till arbetslivet.« (party programme ↗)“Benefit levels shall be designed so that the individual is encouraged to participate in measures leading to the best possible health and return to working life.”

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 wants to establish a benefit fraud unit at the Social Insurance Agency and stop large amounts from being paid out incorrectly, and states that taxes and benefit systems should be based on the work principle. The counter-proposal requires a review of the exception clause on overriding grounds being used as the main rule, i.e. the accuracy of sick leave benefits. This aligns with the plan's requirement for order, control and economy in transfer systems.

• control at the Social Insurance Agencydecisive»Inrätta en bidragsbrottsenhet på Försäkringskassan« (2022 manifesto ↗)“Establish a benefit fraud unit at the Social Insurance Agency”
• the work principle in transfers»Skatter och bidragssystem ska utgå från arbetslinjen.« (party programme ↗)“Taxes and benefit systems should be based on the work principle.”
• stop incorrect payments(2022 manifesto)
• combat public waste»Offentligt slöseri i alla former ska bekämpas.« (party programme ↗)“All forms of public waste should be combated.”

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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 criticises that severely ill people have been de-insured and referred to work and requires more legally secure decisions, strengthened quality in investigations and increased individualisation in disability insurance. A special review of how the exception provision for overriding reasons is applied directly responds to the requirement for accuracy and legal security. The plan therefore supports the counter-proposal's requirements.

• legally secure decisionsdecisive»Sverigedemokraterna vill också verka för kortare handläggningstider, mer rättssäkra beslut och kvalitetssäkring i utredningsarbetet.« (2022 manifesto ↗)“Sweden Democrats also want to work for shorter processing times, more legally secure decisions and quality assurance in investigation work.”
• quality in investigations»Verka för stärkt kvalitet på utredningar och förkortade handläggningstider« (2022 manifesto ↗)“Work for strengthened quality in investigations and shortened processing times”
• individualised assessment»Öka flexibiliteten och individanpassningen i beslutsfattandet« (2022 manifesto ↗)“Increase flexibility and individualisation in decision-making”
• secure disability insurance»Verka för en trygg och rättssäker sjukförsäkring« (2022 manifesto ↗)“Work for a secure and legally sound disability insurance”

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.