This essay is about how the government formulates its policy regarding the health insurance and how these ambitions are then translated in the steering of the Swedish Swedish Social Insurance Fund. We have formulated the following questions: ● How is government policy and governance formulated in terms of health insurance? ● How does government policy and governance differ in terms of health insurance policy during the period studied? ● How does government's policy orientation affect the overall governance they provide to the Social Insurance Fund? We also analyze whether there are differences in policy and governance and between governments that took place in 2006, 2010 and 2014. We have read political material such as election manifesto and the Prime ministers´statement of government policy and compared this with the governments appropriation directions to the Swedish Social Insurance Fund and directions in the state budget. For the analysis, we use text analysis and we have, under the results and conclusions, identified two themes that all three governments commute between: the labor theme and the security theme. Our theoretical approach is the theory formulated by Frank Baumgartner och Bryan Jones Punctuated Equilibrium. We find that although there are differences in policy depending on the government's political color, governance is relatively stable. The overall objectives of the Swedish Social Insurance Fund have only been changed once during the period we have studied. In our analysis we have a reasoning for our outcome based on our theoretical perspective.