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The test that is usually wrong

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The question

A condition affects one person in a thousand. A test detects it 99 percent of the time and has a 5 percent false positive rate. You test positive. What is the probability you have it?

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The answer

About 2 percent.

Take 100,000 people. About 100 have the condition, and 99 of them test positive.

The other 99,900 do not, and 5 percent of them, around 4,995, also test positive.

So roughly 5,094 positives, of whom 99 are genuine: about 1.9 percent.

Working in counts rather than probabilities is faster and far less error prone out loud. The general lesson is that a rare event plus an imperfect test is dominated by false positives.

What it is testing

Base rates, which almost everyone underweights when the test sounds accurate.

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