[From Rick Marken (2007.07.16.1255)]
I changed the subject line because I think this is now about something
other than public health issues.
Bill Powers (2007.07.16.0800 MDT)--
It occurs to me that it might be worthwhile mining the public health data
bank for other relationships.
That would be fine. I may try. I presented the data I did only because
Martin had mentioned doing such an analysis so, give the easy access
to data on the internet and my love of spreadsheets, I thought I would
check to see what the relationship was between some of the variables
Martin mentioned.
I think a truer story about any statistical relationship is obtained by
calculating the chances that a decision made about an individual on the
basis of population statistics is incorrect.
That's true only when you are using the group data to make decisions
about individuals, which I think is _always_ wrong no matter what the
calculated odds for the individual. I think group level statistics are
useful only at the group level. If taking a drug improves the health
of 20% of heart patients and hurts the health of 1% then policy makers
(representing the group) have to decide whether they should recommend
(or even require) the drug. But the individuals taking the drug have
no idea whether it will help or hurt them. It's like seat belts, which
probably save the lives of 98% of people wearing them in an accident
and kill 2% _because_ they were wearing them. The policy is made at
the group level because it makes things better for the group and
doesn't seem to create a major inconvenience for most individuals.
The present discussion is about
a set of individual countries and their health-care systems.
That's true. It doesn't allow us to say whether a policy will make it
better for any particular country. The relationships observed pertain
to "countries" in general.
Statistics seems to be used in medicine and psychology mainly
as a way of salvaging some slight positive effect out of treatments
that, for any individual, are more often ineffective than effective.
I think this research is perfectly OK as long as the researchers know
that they are dealing with groups. Of course, researchers often don't
know this. Group level data is often used as a way to _study_
individuals. Thats when we have a problem. But if a drug (like the
cholesterol drug I'm taking) has some slight positive effect at the
group level and no negative effects at the individual level, then I'm
willing to take it. It would be nice if individuals were not mislead
into thinking that doing so will necessarily get good results for
them. It's just like wearing seat belts; it might work and it isn't a
big cost (because I have health insurance) if it doesn't.
Remember the "coefficient of uselessness"
Yes. I think it should be called "coefficient of uselessness for
individual decisions". And there already is something called the
standard error or estimate that tells you basically what the
"coefficient of uselessness" tells you.
As far as Richard Kennaway's nice mention of Phil Runkel, I would
point out that Phil's wonderful book on psychological research
(Casting Nets and Testing Specimens) was about using group statistics
properly; it was not about group statistics always being
inappropriate. When you are casting nets (doing what I call policy
research), where the group is the subject of study, then group
statistics are perfectly appropriate. When you are testing specimens,
where you are trying to understand the processes that underly the
behavior of individuals (which is presumably what psychology is
supposed to be doing) then group statistics are inappropriate at best
and misleading at worst.
Best
Rick
···
--
Richard S. Marken PhD
Lecturer in Psychology
UCLA
rsmarken@gmail.com