Skip to content

Probability Intuition

Bayes' Theorem: The Medical Test

9 min+80 XPStep 1/10

The test that 'lies'

A disease affects 1 in 1,000 people. A test is 99% accurate: it catches 99% of cases and correctly clears 99% of healthy people. You test positive. How likely are you sick?

Almost everyone — doctors included — guesses ~99%. Watch what actually happens in a town of 100,000:

  • Sick: ~100 people → the test flags ~99 of them
  • Healthy: ~99,900 → the test still flags ~999 of them (1% false alarms)

Total positives: ~1,098. Actually sick: ~99. Your real odds: about 9%.

insight

A rare disease plus an imperfect test means most positives are false alarms. The base rate swamps the test's accuracy.