權力的技術與技術的權力：台灣疫苗採用的歷程分析

Technology of Power and Power of Technology: An Analysis of the History of Vaccine Adoption in Taiwan

本論文從疫苗的生命權力和疫苗使用對社會中的權力關係產生的效果，來理解如台灣的後進社會中，疫苗防疫制度如何被建立起來，又何以產生各樣的問題。本論文將台灣疫苗採用的歷史分為兩階段，以疫苗技術物為中心，分別就疫苗的治理性、疫苗的政治性，以及其相互的關係進行分析。本論文發現疫苗治理在台灣的建立與發展，是透過不同時代疫苗技術物的引進，配合當時在地的決策條件，經由疫苗採用的真理論述，決定出採用的模式，而呈現不同階段的治理現象。另外，一旦疫苗被採用之後，會進一步確立專家的位置、制度的形式，以及與國內外相關行動者的權力網絡關係，以致於影響到次一階段的治理合理性，而呈現路徑依賴效果。本論文亦指出二十一世紀以後新興疫苗所發生的治理性危機，是源於分裂的真理論述、分權化的干預策略及分散的治理現象。

By connecting biopolitics and the politics of vaccines, this article explains how, in a latecomer society such as Taiwan, an immunization system is established and why various problems are thus produced. The analysis is based on an artifact-centered perspective, in which the governmentality and political effects of vaccines are considered in the history of immunization in Taiwan. The article argues that the governmentality of vaccines results from the acceptance of imported technologies in a domestic regime of truth in accordance with local networks of truth-telling. Domestic implications of the technology further enforce or reshape the network for the acceptance of new vaccines, thus showing the effect of path-dependence. A governmentality crisis is envisaged for the early 21th century, however, because of disintegrated discourses, decentralized strategies, and dispersed governance of emerging high-valued vaccines.