Humane and accessible services are still designed at scale, rather than on an individual level.
Of course. In context, I read "anything at scale does this" to mean "anything at scale dehumanizes its users" which is the point that I disagree with. A scaled-up service can still honour the client -- it takes intention and good design, but it's certainly possible.
E.g. a government may not know all its citizens in a personal sense, but it can establish charters of rights and freedoms, it can design humane and accessible services, etc. Scale doesn't prevent these things, rather it necessitates them.