Beware of Quacks. Alternative Medicine is Injurious to Health

This is the 30th installment of The Rationalist, my column for the Times of India.

I often write this column sitting at a cafe somewhere, but am doing this particular instalment from the safety of my home. I’m taking Covid-19 seriously, and doing all I can in terms of social distancing, personal hygiene and so on. People tend to underestimate the nature of exponential growth, and I worry that many of my fellow countrymen are still too complacent. But there is an ongoing epidemic I worry about just as much as Covid-19 – it is the epidemic of ignorance that causes people to believe in alternative medicine.

Over the last few weeks, we’ve seen all kinds of dubious assertions about Covid-19. Homeopaths and Ayurvedic practitioners have suggested medications, bovine urine has been offered as a prophylactic, groups of people have chanted ‘Go Corona Go’ to the supposedly obedient virus, and there is even a suggestion that clapping hands drives bacteria away. These alleged remedies, and the belief systems they are based on, are wrong. They are also dangerous, which is why it is necessary to fight them with the same commitment with which we need to fight literal viruses.

To begin with, I have a visceral objection to the term ‘alternative medicine’. Most of the quackery we put in that category is not medicine at all. There are only two kinds of treatment: those that work, and those that don’t. Real medicine on one hand – and quackery on the other. The term ‘alternative medicine’ dignifies quackery, and implies an equivalence that does not exist.

And here you say, but so much of what I call quackery seems to work. Why so? Let me offer two reasons.

The first, as is commonly known, is the placebo effect. Basically, merely believing that a medicine will work can sometimes make the patient better. A classic example of this comes from World War 2, when Henry Beecher, an American anaesthetist, ran out of morphine and was forced to use salt water instead for an operation. The patient did not know this, and the salt water worked. Or rather, the placebo effect worked. (Salt water is not an anaesthetic.)

For this reason, when scientific trials are carried out to determine whether a medicine works or not, the standard is not whether the patients get better. Instead, the medicine being tested has to perform better than placebo. This is done through what is called a double-blind placebo-controlled test. Patients are divided into two groups, one of which is given a placebo and the other is given the medication being tested. Neither the patients nor the doctors know which is which. If the medication outperforms the placebo, we know it works. No homeopathic medicine has ever passed such a test.

A second reason for why quackery seems to work is regression to the mean. Many illnesses, like the common cold and some migraines, function in a cycle and get better on their own. Patients often ascribe credit for this to the medication they took. This is especially likely if they already believe in it, in which case the confirmation bias kicks in – the tendency to see only evidence that confirms our biases.

But homeopathy is harmless, right? Only sugar pills? So what is the problem?

There are two problems with using alternative medicines. One, what economists would call the opportunity cost: you are not using medicine that actually works, and that could kill the patient. A famous example of this is the Australian couple who insisted on treating their daughter’s eczema with homeopathy. (The father was a homeopathic ‘doctor’.) The girl died, and the parents were correctly convicted of manslaughter.

Two, people who believe in such treatments can become complacent about the danger they are facing. Watch the viral video of those gentlemen chanting ‘Go Corona Go’, and it is clear that they are standing too close to one another. My favourite app TikTok is full of videos from people claiming that religion, the oldest form of fake news, will protect them. These false beliefs are dangerous not just to them but to others around them as well. (I guess that video might be viral in more than one metaphorical sense.)

Even when the horrors of Covid-19 is behind us, this epidemic of ignorance will continue to take lives. This is especially when the Indian state itself spends taxes coerced from us on this nonsense – the Ministry of AYUSH should be abolished. It is not just believers at risk, but those around them.

What can you do about it, you ask? Well, first, be a skeptic. Examine every assertion, read up on any subject on which you have an opinion. Two great books I recommend on this subject are Bad Science by Ben Goldacre and Trick or Treatment by Simon Singh and Edzard Ernst. Sites like Alt News also do a great job of debunking nonsense. Use them to correct those pesky uncles in your whatsapp groups and housing societies. It is your civic duty to speak up.

Embrace the Technology!

This is the 36th installment of Lighthouse, my monthly column for BLink, a supplement of the Hindu Business Line.

At the very moment you read this, there is a Test match going on and two batsmen consulting out in the middle about whether they should use the DRS.

“Was I really lbw? Should I refer? Do you think it was missing?”

“I don’t know. But whatever you do, don’t look at the pavilion. Control your neck. Control it. Hold it if you have to. Here, I’ll hold it for you. Control!”

Crack.

The big cricket story of last week, somehow, was not India’s excellent comeback in the Test series against Australia, but the DRS controversy. Batsmen are not supposed to look at the pavilion for advice when deciding whether or not to go for a decision review. Those are the rules, Steve Smith broke the rule, and it was fair enough that he was asked to leave the field of play. But the rules themselves are ridiculous.

I’ve been ranting about this for years, and still these people don’t learn. You would think no one reads me. Gah. Anyway, because I care about you, here, once again, are my thoughts on technology in cricket. And in life, which, by the way, is futile. (I don’t shy away from the big questions.)

First up, a question: why do umpires exist in cricket? After all, cricket is about batsmen batting, bowlers bowling and fielders fielding. No one goes to a ground to watch an umpire umpire. Well, umpires exist purely as a means to an end. They have to take decisions about whether a batsman is out or not, and lubricate the action in the game by communicating to scorers exactly what is going on. A secondary function is to step in if there is physical conflict, and to maintain decorum. Their job is not to be the action, but to keep the action flowing smoothly.

In other words, umpires are a technology.

Think of anything that is a means to an end as a technology. Umpires are a conventional technology for arriving at the right decisions on a cricket field. Now, the last couple of decades have seen rapid upgradations to pretty much every other technology there is. And so it is in the case of cricket. The decision-making mechanisms in cricket have been enhanced with new technologies meant to supplement (and not replace) the umpires.

The most significant of these is Hawk-Eye. Umpires, being human (as of now), are prone to all kinds of optical illusions, such as the parallax error, which impede their decision-making ability. Hawk-Eye, in every respect, makes better decisions than an umpire can. (And it makes them in real time – the time-consuming replays you see you on TV are only for the benefit of viewers.) But for the longest time, luddites fought the use of Hawkeye in decision-making, which led to the ridiculous situation that everyone watching a game had accurate information about whether a batsman was out or not – except the bloody umpire. It was ridiculous.

Cricket authorities have since become more open to the use of technology, but not enough. They almost seem to use it grudgingly. Consider DRS, for example. If the idea of the technology called umpires is to make correct decisions, and there is more technology that will lead to even better decisions, then why don’t we use it as much as possible? Why should DRS appeals be limited for a batting side? Why should every dismissal not be reviewed as a matter of course? Reviewing a dismissal would not take more time than a batsman walking back to the pavilion, so this should be a no-brainer.

Steve Smith wouldn’t be so embarrassed then, eh?

But really, the larger issue here is that the world is changing rapidly, and our minds are not adjusting fast enough. It’s not just cricket. As a species, we don’t have enough clarity about means and ends. For example, just as umpires are a technology for making correct decisions on a cricket field, consider that animals are a technology for growing food. And now that scientists have figured out a way to grow meat in labs without sentient animals being involved, they may soon be an outdated technology, at least for this use case. That might lead to goats going extinct. (Not puppies, though, because puppies can be hugged.)

Equally, hugs are a technology for oxytocin generation. Romance is a technology for the way it makes us feel and the chemicals it releases. If we could pop a pill and feel the same way, would we bother to fall in love, or hug or cuddle or caress, or even woo? Are we so arrogant enough to believe that the love we feel for anyone is truly transcendent, and not mere technology? And also, is humanity any loftier than just a carrier for the trillions of bacteria that inhabit us? What suckers we are, that we behave as if we’re the rulers of the universe?

Okay, excuse the digression, your life has meaning. Happy now? Get back to watching the cricket, but do think about how it makes you feel, and the purpose of it all.

Three Reasons Why A Cashless Society Would Be A Disaster

This is a guest column published today in the Sunday Times of India edit page.

I am a great admirer of Mahatma Gandhi, but the man had some strange views. In Hind Swaraj, written shortly after he turned 40 in 1909, Gandhi tore into some of the symbols of the modern age. “Hospitals are institutions for propagating sin,” he wrote. “To study European medicine is to deepen our slavery.” He railed against the railways, saying “it is beyond dispute that they propagate evil.” He argued against lawyers, despite being one himself, saying they had “impoverished the country.” But here’s a thing to note: despite these personal views, he never once suggested that railways, hospitals and lawyers should be banned.

There is a notion being spread these days that is as absurd as the ideas above: it is the notion that there is something wrong with using cash, and that we should head towards being a cashless society.  This is nonsense. A cashless society would be a disaster for India. Here’s why.

One, a fully cashless society would mean the end of privacy. There would be a digital trail of every action you take through your purchases and transfers. If you buy AIDS medication or a porn magazine or book a hotel room for a romantic alliance, this information can be accessed by the government – or any hacker with the requisite skills – and used against you. India has no privacy laws, and data protection is also a big worry – every week we hear stories of some some big hacking or the other, from the Congress in India to the Democratic Party in the US.

Two, a fully cashless society could mean the end of dissent. The government can use any data it gathers against you. (Even if you commit no crime, there is much you may be embarrassed by.) What’s more, they could make any opponent a pauper with one keystroke, freezing your bank account while they investigate alleged misdeeds. Just the fact that they have this power could have a chilling effect on dissent. Those in government now may well salivate over this, but tables turn fast, and when they are in opposition, would they want their opponents to have such power over them?

Three, a fully cashless society endangers freedom. Cash is empowerment: ask the young wife who saves spare cash from her alcoholic husband; or the old mother who stuffs spare notes under her mattress for years because it gives her a sense of autonomy. Indeed, in a misogynist country like India, cashlessness would hit women the hardest.

It is a myth that an advanced society must necessarily be cashless. In Germany, a country which knows the perils of authoritarianism, more than 80% of transactions are in cash, as citizens safeguard their privacy and freedom. Even in the USA, 45% of transactions are in cash. Note that Germany and the USA actually have the banking and technological infrastructure to enable cashlessness. In India, 600 million people have no bank account, and less than 20% of all Indians have a smartphone. Internet penetration is iffy, as is power. (By ‘power’, I mean electricity, not the government’s control over you.) Trying to make India cashless is akin to putting a bullock cart in an F1 race, and whipping the driver because he’s too slow.

It is true that many technologies imperil our privacy, like any app we download on our phones, for example. But those actions are voluntary, and we can choose to avoid them. That is the crux of the matter. My objection here is not to cashlessness per se, but to the coercion implicit in the currency swap of November 8 and its aftermath. A cashless society would only be good if we evolve towards it, not if we are forced into it.

At the moment, the common Indian is wary, for good reason. Digital payments involve transaction costs, are unreliable because of infrastructure issues, and hey, who would trust an Indian bank after what the RBI just did? The beneficiaries of forced cashlessness are not consumers, but vested interests like banks and payment companies. Indeed, this might even be the largest redistribution of wealth from poor to rich in the history of humanity.

The BJP itself continues to take cash donations and shift goalposts. When the demonetisation was announced, they said it was meant to attack black money and counterfeit currency. Once it became apparent that those reasons were nonsense, the government tried to change the narrative into one about a cashless society. Within a fortnight of that, they are already backtracking and saying they meant ‘less cash’ when they said ‘cashless’. The truth is this: demonetisation was a humanitarian disaster that is crippling our economy, and no matter how many times Modi and gang try to rationalise it, it cannot be done. One day, these men will stop trying. When they cannot justify any more, they will distract.

Sickness and Health

The Economist begins a piece on Alzheimer’s disease with these two sentences:

Like cancers and heart disease, Alzheimer’s is a sickness of the wealthy.That is because it is a sickness of the old.

Reflect on that a bit, and consider the irony of how bad news can be good news. The proliferation of these diseases stands testament to much our species has advanced. That is awesome—but only till it’s my turn.

Letter From a Cow

This is the 17th installment of Lighthouse, my monthly column for BLink, a supplement of the Hindu Business Line.

Dear Amit

Thank you for the recent love song, She Mooooves Me, which you wrote and dedicated to ‘all the cows on Planet Earth’. Me and my friends here in England have it on loop on CowTube. There are few humans we like—you lot enslave us, molest us for milk every morning, and kill us and sell our meat after that. So we’re not very fond of your species. But you, Amit, we have always liked you, because you understand us, you’re a good listener, and you’re so so cute! But this is not mere fanmail. I am unwell right now, hugely under the weather, and I need to rant. And like I said, you’re a good listener. So here goes.

I won’t go into the details of my illness with you, except to say it’s not just a mere cold. Serious shit is going down, and I’m in a lot of pain everyday. And how am I being treated? With sugar pills. Sugar fuckin’ pills. Oh yes, you may pick your jaw up from the floor now, you don’t want a snail entering while you’re all astonished. (Happened to Lucy once.) This is for real, so let me quote from a report last month in the London Telegraph.

The report says: “British organic farmers are being forced to treat their livestock with homeopathic remedies under European Commission rules branded ‘scientifically illiterate’ by vets. Although homeopathy has been branded as ‘rubbish’ by the government’s Chief Medical Officer Dame Sally Davies, organic farmers have been told they must try it first under an EU directive which came into force last year.”

Yes, that’s right. There are serious issues with my liver, I need antibiotics badly, the pain is excruciating, and my owners are being forced to treat me with bloody sugar pills! You’re a rationalist, Amit, I know you feel my pain right now. (Well, not literally, for that you’d need my liver, but you know what I mean.) That some humans believe in this nonsense is understandable, you’re a nonsense species, and by all means do whatever you want to yourselves. But why force it on us cows?

I first got to know homeopathy was bunkum thanks to your writings. First, there’s the science behind it. The idea of homeopathy is that the substance that is to be used to treat the patient is so diluted that it is unlikely that there is a single molecule of the substance in the pills the patient ends up consuming. As Martin Gardner once said, it is “equivalent to taking one grain of rice, crushing it to a powder, dissolving it in a sphere of water the size of the solar system, with the sun at the centre and the orbit of Pluto at the outside, and then repeating that process 2 million times.” My mind boggles at imagining the scale of this: not the solar system, but the idiocy.

Naturally, homeopathy doesn’t work. The standard scientific way of testing medicines is via double-blind placebo-controlled tests, and homeopathy has repeatedly failed those. I have read accounts of this in two great books you recommended, Ben Goldacre’s Bad Science and Trick or Treatment by Simon Singh and Edzard Ernst. I no longer have copies of those books – let’s just say that they’ve been chewed and digested – but I recommend them to all those who wish to argue with me on the subject.

My friend Lucy is not into books, though – that’s why her brain is full of grass. And she said to me the other day, “Well, I had indigestion from accidentally swallowing a snail, and I was given homeopathy, and now I’m fine. So surely it works.” I get this all the time, which proves that some cows can be as thick as some humans. So I explained to Lucy the fallacies in such thinking.

First, I told her about the placebo effect. Sometimes, even if you’ve been given a pill containing no medicine at all, if you think you’ve been given proper medicine, you start responding to it. In Bad Science Goldacre wrote about an American anaesthetist during World War 2, Henry Beecher, who had to perform an operation on a soldier with “horrific injuries”. Morphine wasn’t available so he used salt water. And it worked! The placebo effect is an incredibly powerful and well documented effect, which is why when new medicines are tested, they are tested against placebos. Only if they do better than placebos are they considered effective. Homeopathic medicines always fail these tests, because hey, they’re just sugar pills as well.

Another phenomenon I explained to Lucy is regression to the mean. Many ailments work in a natural cycle, where you get worse and then get better, quite on your own. This is true for colds, backaches, migraines, and also Lucy’s indigestion. But if you are inclined to believe that a particular treatment works, you will take the medicine, get better on your own, and ascribe it to the medicine. This is the Confirmation Bias at work, and also that other one, I forget the name, you write about it often, which mistakes correlation for causation.

Anyway, so I patiently explained all this to Lucy, and you know what she did? She said ‘Whatever.’ Then she swished her tail, turned around and stepped into a pile of her own dung. I’d do a facepalm if I could.

Anyway, enough ranting. I just want to thank you again for your song. If you’ve visiting England sometime, please come over to the farm and meet the girls, we’d be sooooo happy. We can’t offer much in terms of hospitality, but I’ll gladly share my sugar pills with you.

Yours forever

Dorothy (but you can call me Dotty, tee hee).

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And from XKCD:

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(Previous posts on cows: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31 , 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116.)

Poker at Lake Wobegon

This is the 33rd installment of my fortnightly poker column in the Economic Times, Range Rover.

One of the ironies of poker is that at a nine-handed poker table, all nine players believe that they are profitable, if not the best player at the table. This obviously cannot be the case. Poker is a negative-sum game: the rake takes a percentage of each pot or tournament, and winners win less than what losers lose. Also, easily more than 90% of players are long-term losers, and most of the winners are just marginal winners. So what’s going on here?

I have two answers for you: 1. The nature of poker as a game. 2. Human nature itself. Let’s get the easy one out of the way.

Every game contains differing elements of luck, and although poker is unquestionably a game of skill, the quantum of luck in it is far higher than in other games. A winning player’s edge translates into a profit only in the long-term. Over a short span of time, it is difficult to tell from results who is the fish and who the shark. Losers win their fair share of pots and tournaments, which fosters the belief that they are better than they really are. But their flawed self-assessment is a consequence not just of the nature of poker, but of human nature itself.

A few decades ago, the writer Garrison Keillor created a fictional town named Lake Wobegon, where, he wrote, “all the women are strong, all the men are good looking, and all the children are above average.” This gave its name to the Lake Wobegon Effect, also known as Illusory Superiority, a tendency humans have of overestimating their abilities. This tendency crops ups across contexts: in studies, people have been known to overestimate their driving skills (everyone can’t be above average) and terminally ill cancer patients have also, poignantly, overestimated their chances of survival.

You will see the Lake Wobegon Effect in poker, as also its sister, the Dunning-Kruger Effect. Wikipedia defines the Dunning-Kruger Effect as ‘a cognitive bias wherein unskilled individuals suffer from illusory superiority, mistakenly rating their ability much higher than is accurate. This bias is attributed to a metacognitive inability of the unskilled to recognize their ineptitude.’

In the context of poker, a player may think he is better than he is because he lacks understanding of the game, or the intellectual tools to perceive his own weaknesses. I see this around me in many players. They don’t understand the long-term nature of the game, focus only on their own hand and don’t think in terms of ranges or equities, are results-oriented rather than process-oriented, and consider pots they win to be a validation of their skill while attributing their losses to bad luck. Some of these guys avoid putting in the hard work to get better, and rationalise this sloth; some of them are simply not capable of improving. This is not a defect in character any more than being human is.

How can you guard against the Lake Wobegon Effect and the Dunning-Kruger Effect in yourself? Here are two things you can do. One, always ask yourself what your edge is in any game you go to. If you can’t define this precisely in terms of how you are exploiting the specific weaknesses of others, you don’t have an edge. Two, keep track of all your scores, and see how much money you make over a decent sample size of sessions. Your brain might deceive you—but the numbers won’t lie.

The Interpreter

This is the 24th installment of my weekly poker column in the Economic Times, Range Rover.

If there is one quality that distinguishes humans from other species, it is our arrogance. We think we are masters of the universe – but really, we are not even masters of our own selves.

In the 1960s and ‘70s, the cognitive neuroscientists Michael Gazzaniga and Roger Sperry carried out a series of studies on split-brain patients that are now legendary in the field. One of the treatments for severe epilepsy is to cut the corpus callosum, the collection of neural fibres that connects the two hemispheres of the brain. This results in what is known as a split brain, when the two halves of the brain cannot communicate with each other. (In popular psychology, the left brain is considered to control rational thought while the right brain is more intuitive and creative. This is a simplification, but a useful one.) Gazzaniga and Sperry’s experiments aimed to find out what consequence this had on behaviour, and what it revealed about the brain.

The good doctors separated the visual fields of the two hemispheres, and flashed an instruction to the right hemisphere. In one example: “Walk”. The subject got up and started walking. When asked why he suddenly got up and started walking, he replied, “To get a Coke,” – and here’s the remarkable thing: he actually believed that was the reason. Time after time, across instructions, across split-brain subjects, the docs found that the right hemisphere responded to one thing and the left hemisphere, having no way of knowing what the right brain was responding to, would rationalise the actions the person took.

Steven Pinker, in his influential book The Blank Slate, referred to these experiments and called the conscious mind “a spin doctor, not the commander in chief.” Gazzaniga himself referred to the left brain as merely “the interpreter.” VS Ramachandran wrote in Phantoms in the Brain, “[t]he left hemisphere’s job is to create a belief system or model and to fold new experiences into that belief system. If confronted with some new information that doesn’t fit the model, it relies on Freudian defence mechanisms to deny, repress or confabulate – anything to preserve the status quo.”

Consider this possibility: we do many things, some would even argue all things, driven by forces we can’t control. We are slaves of our wiring, our brain chemistry, of impulses and drives we may not even be aware of. Our left brain, our ‘spin doctor’, our ‘interpreter’, neatly rationalises all this and comes up with reasons for everything we do. Why are we walking? Because we want a Coke. There’s a reason for everything we do; but it’s not necessarily the real reason, even if we believe it to be so.

This brings up the obvious question of the existence of free will, and Gazzaniga actually wrote a fascinating book about this, Who’s in Charge: Free Will and the Science of the Brain. (Contrary to what you might expect, he actually makes a case for free will.) But that is a complex philosophical subject that is beyond the ambit of this column, which, after all, is about poker.

All the time, on the poker table, I see players articulate reasons for actions that sound just like the bullshitting of the left hemisphere. I see addicts, chasing one more dopamine rush, playing every hand, but rationalising any particular call. (“I was in position.” “I thought I’ll outplay him postflop.” “What if I hit?”) I see them making terrible calls because they’ve gotten attached to their hands and can’t let go, and give silly reasons after the fact. (“He was polarised there.” “He often bluffs, I have history with him.”) I see them unable to get up from sessions when they should book their hefty profits, and ditto when they should just book their losses. (“The table was so juicy, I thought I will clean it up/recover.”) I see players not in control of themselves, and with reasons for everything.

So when you play poker, or do anything at all in your life for that matter, watch out for the interpreter at work. Always ask yourself hard questions, and remember, the easy answers are usually wrong.

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For more of my poker columns, do check out the Range Rover archives.

Unlikely is Inevitable

This is the 11th installment of my weekly poker column in the Economic Times, Range Rover.

A few days ago, a friend rang me up to tell me a bad-beat story. He called a preflop raise in a home game with 33. The flop came A83r. The initial raiser c-bet, my friend raised, villain overbet- shoved for 500bb, my friend called, villain showed ATo. The turn was an ace. The river was an 8. ‘He was 2% to win the hand,’ my friend moaned. ‘How unlikely is that?’ ‘It’s unlikely,’ I replied. ‘But it’s also inevitable.’

That sounds contradictory, but it’s true, once you account for the lens through which you view poker. From a short-term perspective, the beat that my friend got is unlikely: it will happen one in 50 times. But the long view is that over the millions of hands that my friend will play in his life, this beat will happen to him again and again and again. To understand this, allow me to introduce you to a term coined by the mathematician David J Hand: ‘The Improbability Principle.’

In an excellent book by the same name, Hand lays out the Improbability Principle: ‘Extremely improbable events are commonplace.’ This seems counter-intuitive, but Hand elaborates upon it with a series of mathematical laws. The first of them is the Law of Inevitability: ‘If you make a complete list of possible outcomes, then one of them must occur.’ Lotteries are an illustration of this. Let’s say you buy a lottery ticket, and stand a 1 in 10 million chance of winning it. Every single person who has bought a ticket to that lottery has the odds stacked against him – and yet, someone will win: improbably, but inevitably.

Millions of poker hands are played every day across the world, mostly online.  At a conservative estimate, let’s assume that every week, 100,000 sets run into top pair. At 50-1 to lose,it’s likely that 2000 of these will be busted. Yours could be one of them.

The next law, the Law of Truly Large Numbers states: ‘With a large enough number of opportunities, any outrageous thing is likely to happen.’ If you play enough poker, you will run AA into a smaller pair repeatedly. You’re supposed to win around 80% of those, so if you play 10,000 such hands, you should expect to lose 2000 of those. And yet, I know people who whimper like a baby every time their AA is cracked by 88. In poker, everything that is unlikely in the short run is inevitable in the long run. 

Also consider the Law of Selection: ‘You can make probabilities as high as you like after the event.’ Let’s go back to the previous example of AA being cracked by a smaller pair. Over a sample size of 10k iterations, not only will this happen to you 2k times, but it’s likely that somewhere in there, you will receive that beat 4 times in a row. It would be a mistake to ignore the other 9996 times, select that sequence of four in a row, and whine, ‘My aces got busted all 4 times that I got them today, there’s a 1 in 625 chance of that happening, this site is rigged.’

Hand’s book has more math laws that explain the Improbability Principle, and I’d recommend it strongly to all my readers, not just to poker players. We are pattern-seeking creatures, and tend to give too much significance to coincidences and improbable events. Conspiracy theories and pseudosciences feed upon our misunderstanding of probabilities. Indeed, I think belief in God also relies, to a large extent, on our innumeracy. Perhaps my heresy is responsible for all my bad beats?

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Previously on Range Rover:

The Colors of Money
Finding Your Edge
Raking Bad
Om Namah Volume
Make No Mistake…
Kitne Big Blind The
Sweet Dopamine
The Balancing Act
The Numbers Game
The Bookshop Romeo

What Summers Has To Say

Via Felix Salmon, here’s an excellent interview of Larry Summers.

Key quotes you may find interesting:

We don’t really have a problem that there aren’t enough television sets in our society.  We really don’t.  I mean we did once.  I mean it used to be that some people had television sets and some people don’t.  We don’t have that problem anymore in America.

and

When somebody writes the human history of Americans, the fact that 25 years from now we will have done most of the following:  cure Alzheimer’s, apply stem cells to prevent diabetes, develop approaches that enable most of us to be the weight we want to be, rather than the weight we are, and find a solution for dementia, the fact that 25 years from now we will have done not all of those things, but we will have done most of those things, I think that looms enormously large.

and

If you look at the price earnings ratio for technology companies relative to the price earnings ratios for all industrial companies, you take that ratio, PE technology divided by PE industrial, you can plot that ratio over the last 40 years, and it is at the lowest point that it’s ever been.

So if you look at the large tech sector, it’s very, very hard to see a bubble. […] What is true is that the Internet, the last time there was an Internet bubble, was 120 million people dialing up.

The Internet today is two billion people and two billion mobile devices, with wireless connectivity at a far more rapid pace.  Today, the businesses have cash flow, which they didn’t ten years ago.  So I think it’s a little facile to assume that just because the numbers are big, that it’s obviously a bubble.

There’s a section in which Summers talks about the different styles of the two presidents he’s worked for, Bill Clinton and Barack Obama. Most interesting.

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And yeah, I’m encouraged by his prediction that 25 years from now, I’ll be the weight I want to be. An exercise regime, in these circumstances, seems short-sighted.

Cellphones, Brain Damage and Furious Copulation

Do cellphones cause brain damage? The evidence is far from conclusive, but Alex Tabarrok writes:

[T]he fact of the matter is that cell phones do cause brain damage. Cell phones cause brain (and body) damage when people use them while driving. Cell phones distract, whether we measure in the lab or on the road, and they distract enough to make cell phone use not all that different from driving under the influence of alcohol (at the illegal level). In marked contrast to the studies on cell phones and brain cancer the studies on cell phones and driving are broadly consistent and suggestive of a small but significant increase in death (your own and that of others). [Links in the original.]

Men are worse at multi-tasking than women, for evolutionary reasons, but it’s certainly true that anyone who speaks on the phone while driving is doing something profoundly stupid. But leave that aside, here’s a thought I have: if speaking on the phone impairs a driver’s facilities in the same way that alcohol does, then would it also be the case that it has the same effect on other activities? Is multi-tasking, thus, as potentially hazardous in the short term as alcohol?

To take just one random activity as an example, would a man having sex while talking on the phone perform as poorly as a very drunk man? This is certainly an experiment worth carrying out, and I encourage you to go for it. In the interests of science.