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43 posts
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Your Book Review: This Is Going To Hurt

Two psychiatrists conduct an adversarial review of Adam Kay's 'This Is Going To Hurt,' debating whether his NHS memoir represents institutional failure causing PTSD or a self-inflicted martyr complex, while examining the book's comedy, structure, and impact on healthcare discourse.

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Sep 18, 2026 12,952 words 183 likes 358 comments Read Read

Response to Hanson On Health Care

Scott Alexander responds to Robin Hanson's reply on medical effectiveness, clarifying interpretations and reiterating arguments about the limitations of insurance experiments in evaluating medical care.

acx
Apr 30, 2024 6,243 words 124 likes 360 comments Listen · 34 min Read Read

Contra Hanson On Medical Effectiveness

Scott Alexander challenges Robin Hanson's claim that medicine doesn't work by analyzing health insurance studies and presenting evidence of medicine's effectiveness.

acx
Apr 24, 2024 7,819 words 165 likes 491 comments Listen · 44 min Read Read

Links For February 2024

A compilation of 55 diverse links and brief commentaries on various topics, including scientific studies, historical anecdotes, cultural phenomena, and technological developments.

acx
Feb 29, 2024 5,036 words 114 likes 545 comments Listen · 32 min Read Read

Singing The Blues

Scott Alexander proposes a theory of depression as a recalibrated happiness set point, drawing parallels with fever and anorexia, to explain why depressed people seek out sad stimuli.

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Jan 3, 2024 2,509 words 365 likes 377 comments Listen · 15 min Read Read

Attempts To Put Statistics In Context, Put Into Context

Scott Alexander explores the difficulties in contextualizing statistics, providing numerous examples to show how the same data can be presented to seem significant or trivial.

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Jun 8, 2023 1,355 words 252 likes 209 comments Listen · 8 min Read Read

All Medications Are Insignificant In The Eyes Of God And Traditional Effect Size Criteria

The post challenges the notion that effect sizes below 0.50 for medications are clinically insignificant, using antidepressants as a case study and comparing them to other common drugs.

acx
May 31, 2023 1,578 words 301 likes 201 comments Listen · 11 min Read Read

Skills Plateau Because Of Decay And Interference

Scott Alexander examines why skills plateau, proposing decay and interference hypotheses to explain the phenomenon across various fields.

acx
Aug 18, 2022 1,823 words 169 likes 234 comments Listen · 14 min Read Read

Your Book Review: Exhaustion

Anna Schaffner's 'Exhaustion: A History' traces explanations for chronic fatigue from ancient times to modern Chronic Fatigue Syndrome, showing how they reflect contemporary cultural and scientific ideas.

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Aug 5, 2022 4,346 words 79 likes 186 comments Listen · 31 min Read Read

Links For July

Scott Alexander presents a diverse collection of interesting links and news items from July, covering topics from linguistics and AI to politics and economics.

acx
Jul 29, 2022 3,007 words 92 likes 429 comments Listen · 24 min Read Read

Obscure Pregnancy Interventions: Much More Than You Wanted To Know

Scott Alexander examines obscure pregnancy interventions that may improve child outcomes, rating them by evidence quality and potential impact.

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Apr 13, 2022 12,326 words 102 likes 201 comments Listen · 91 min Read Read

Links For February

Scott Alexander shares a diverse collection of links on topics ranging from scientific studies to cultural phenomena, with brief commentary on each.

acx
Feb 22, 2022 4,149 words 65 likes 561 comments Listen · 32 min Read Read

The Phrase "No Evidence" Is A Red Flag For Bad Science Communication

Scott Alexander criticizes the misleading use of 'no evidence' in science communication and suggests more nuanced alternatives.

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Dec 17, 2021 1,478 words 400 likes 491 comments Listen · 14 min Read Read

When Will The FDA Approve Paxlovid?

Scott Alexander critiques the FDA's slow approval process for Paxlovid, a promising COVID-19 treatment, despite its proven effectiveness.

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Nov 23, 2021 1,382 words 115 likes 461 comments Listen · 11 min Read Read

Ivermectin: Much More Than You Wanted To Know

Scott Alexander analyzes ivermectin studies for COVID-19, finding most positive results likely due to methodological flaws, fraud, or confounding by parasitic infections.

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Nov 17, 2021 16,786 words 445 likes 2,113 comments Listen · 128 min Read Read

Links For October

A compilation of 30 diverse links on various topics including science, history, technology, and culture, with brief commentaries by Scott Alexander.

acx
Oct 14, 2021 2,850 words 64 likes 463 comments Listen · 24 min Read Read

Long COVID: Much More Than You Wanted To Know

Scott Alexander examines the current research on Long COVID, analyzing its prevalence, symptoms, and potential impacts to assess personal risk and societal implications.

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Sep 2, 2021 7,628 words 101 likes 259 comments Listen · 56 min Read Read

COVID/Vitamin D: Much More Than You Wanted To Know

Scott Alexander critically evaluates the evidence for Vitamin D's role in COVID-19 prevention and treatment, ultimately leaning towards skepticism while acknowledging the low risk of supplementation.

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Feb 16, 2021 2,989 words 161 likes 274 comments Listen · 18 min Read Read

Coronavirus: Links, Discussion, Open Thread

Scott Alexander analyzes the COVID-19 pandemic's progress, predicts future waves, and speculates on its long-term impact and transition to an endemic disease.

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Feb 16, 2021 3,287 words 154 likes 631 comments Listen · 21 min Read Read

The Vision Of Vilazodone And Vortioxetine

Scott Alexander examines the development and effectiveness of vilazodone and vortioxetine, two antidepressants designed to work faster and better than SSRIs, but which ultimately failed to live up to expectations.

ssc
Jun 15, 2020 3,750 words 0 likes 94 comments Listen · 27 min Read Read

A Failure, But Not Of Prediction

Scott Alexander argues that the media's failure in coronavirus coverage was not about prediction, but about poor probabilistic reasoning and decision-making under uncertainty.

ssc
Apr 14, 2020 4,215 words 0 likes 863 comments Listen · 26 min Read Read

Coronalinks 4/10: Second Derivative

Scott Alexander provides updates on coronavirus trends, discusses various pandemic-related topics, and analyzes different countries' responses and policy proposals.

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Apr 10, 2020 3,781 words 0 likes 829 comments Listen · 23 min Read Read

SSC Journal Club: MacIntyre On Cloth Masks

Scott Alexander analyzes a study suggesting cloth masks may be harmful, but remains cautiously in favor of their use despite the uncertainty.

ssc
Mar 31, 2020 1,652 words 0 likes 124 comments Listen · 11 min Read Read

Coronalinks 3/19/20

Scott Alexander provides updates and speculations on various aspects of the COVID-19 pandemic, including case estimates, strategies, medical issues, and societal responses.

ssc
Mar 19, 2020 3,668 words 0 likes 705 comments Listen · 25 min Read Read

For, Then Against, High-Saturated-Fat Diets

The post explores a controversial theory linking saturated fats to weight control, critically examines the evidence, and discusses the paradox of historical vs. modern diets and obesity rates.

ssc
Mar 10, 2020 4,099 words 0 likes 451 comments Listen · 29 min Read Read
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