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Health Care Standards and the Politics of Singularities: Shifting In and Out of Context

机译：卫生保健标准和奇异性政治：移入和移出上下文

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摘要

Context is a pivotal concept for social scientists in their attempt to weave singularities or universal to moral codes and political orders. However, in this, social scientists might be neglecting the ways in which individuals or groups who are excluded from the collective production of knowledge want to politicize their concerns also by claiming their uniqueness and singularity. In this article, drawing on the public controversy about access to dementia drugs on the U.K. National Health Service (NHS) and on the work of pioneering sociologist Helen McGill Hughes on "human interest stories," the author argues that the "politics of singularities" can be articulated in two related ways within technical controversies. First, it expresses the unraveling of sociotechnical ties caused by institutional failure to take concerns into account. Second, it expresses the concrete uniqueness of persons caught by standardized, "universal" and impersonal implements and/or policies. Both these effects are underpinned by resourcing to allegorical expression, a literary form that while fostering political imagination in technological democracies might weaken Science and Technology Studies' (STS) ambitions to influence decision making.
机译：对于社会科学家来说，语境是一个至关重要的概念，他们试图将奇异之处或普遍性融入道德准则和政治秩序。但是，在这种情况下，社会科学家可能会忽略那些被排除在集体知识生产之外的个人或群体想要通过声称自己的独特性和独特性而将其关注点政治化的方式。在这篇文章中，借鉴了英国国家卫生局（NHS）关于获得痴呆症药物的公开争议以及社会学家海伦·麦吉尔·休斯（Helen McGill Hughes）在“人类利益故事”方面的开创性工作，作者认为“奇点政治”在技​​术争议中可以通过两种相关方式进行阐述。首先，它表达了由于制度失误而引起的社会技术联系的瓦解。其次，它表达了被标准化的，“通用的”和非个人的工具和/或政策所抓捕的人的具体独特性。这两种影响都源于寓言表达，这是一种文学形式，尽管在技术民主国家中培养政治想象力可能会削弱科学技术研究（STS）的雄心壮志来影响决策。

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