99% Accurate Test, Positive Result: Only 50% Sick?

A 99% accurate test says you're positive. So you're 99% likely sick, right? Wrong. Here's the base-rate trap in Bayes' theorem, shown by counting 10,000 people.

Hook

99% Accurate. Positive.

Your test is ninety-nine percent accurate, and it says positive. Are you ninety-nine percent sick? No.

  • Test is 99% accurate
  • Result: positive
  • Are you 99% sick?

Setup

10,000 People

Say a disease affects one percent of people. Take ten thousand people and line them up.

  • Disease rate: 1%
  • Population: 10,000

Count the sick

Sick vs Healthy

One percent is sick. That's one hundred people. The other nine thousand nine hundred are healthy.

  • Sick: 100
  • Healthy: 9,900

True positives

True Positives: 99

The test catches ninety-nine percent of the sick. That's ninety-nine true positives.

  • 99% of 100 sick
  • = 99 caught

False positives

False Positives: 99

But it also wrongly flags one percent of the healthy. That's ninety-nine false alarms.

  • 1% of 9,900
  • = 99 false alarms

Reveal

Everyone Who Tested Positive

Now everyone who tested positive stands together. Ninety-nine sick, ninety-nine healthy.

  • 99 truly sick
  • 99 healthy

Formula

The Real Probability

So the real chance you're sick is ninety-nine out of one hundred ninety-eight. About fifty percent.

  • 99 / 198
  • About 50%

Payoff

Don't Ignore the Base Rate

The trap is ignoring the base rate. Rare things stay rare, even after a test. Follow for more math that sticks.

  • Rare stays rare
  • Follow for more