This study explored the relationship between visions of personalized medicine, for-profit companies, and state governance in the context of an ongoing discussion of “me” vs. “we” medicine. It took its empirical departure in a Scandinavian welfare state, Denmark, and a discourse analysis was conducted based on interviews, documents, webpages, and media sources from vital public and private stakeholders. The analysis demonstrated how the development of a program for personalized medicine in Denmark emerges as largely driven by the state. Although for-profit companies are involved, the Danish state governs the development of the personalized medicine program single-handedly. This results in a form of personalized medicine framed in both “me” and “we” discursive terms. The analysis revealed that the welfare state plays a dominating role and controls these discourses articulating certain ideas of “me” and “we.” When compared to other studies, these results showed how the role of welfare states may still remain potent in the development of personalized medicine, and in the case of a Scandinavian welfare state, this challenges established views of a “me” vs. “we” dichotomy.

中文翻译：

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福利国家推动“我”和“我们”医学——批判性话语分析

本研究在持续讨论“我”与“我们”医学的背景下，探讨了个性化医疗、营利性公司和国家治理的愿景之间的关系。它在斯堪的纳维亚福利国家丹麦进行了实证研究，并根据来自重要公共和私人利益相关者的访谈、文件、网页和媒体资源进行了话语分析。分析表明，丹麦个性化医疗计划的发展在很大程度上是由国家推动的。虽然涉及营利性公司，但丹麦政府单枪匹马地管理着个性化医疗计划的发展。这导致了一种以“我”和“我们”话语术语为框架的个性化医疗形式。分析表明，福利国家发挥着主导作用，并控制着这些表达“我”和“我们”某些想法的话语。与其他研究相比，这些结果表明福利国家在个性化医疗发展中的作用可能仍然有效，而在斯堪的纳维亚福利国家的情况下，这挑战了“我”与“我们”的既定观点二分法。