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We show that a closed spin four-manifold with nonzero signature, even after being punctured, does not admit a complete metric with uniformly positive scalar curvature. In particular, the punctured surface does not admit such a metric. This is known to be false in higher dimensions. A key new observation, which could be of independent interest, is that Gromov’s -bubbles are a convenient class of boundaries for the APS boundary value problem for the Dirac operator.

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