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Jul 03, 2025
acx
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66 min 10,199 words 134 comments 94 likes podcast (61 min)
Scott Alexander responds to comments and criticism on his earlier post about 'Missing Heritability', discussing issues like gene-environment interactions, sequencing technology limitations, and the use of polygenic scores across ancestry groups. Longer summary
This post compiles and responds to notable comments on Scott's earlier post about 'Missing Heritability'. The post is structured in four sections, starting with responses from experts named in the original post, particularly Sasha Gusev who critiques the treatment of gene-environment interactions and cross-population polygenic scores. The second section features detailed technical comments from knowledgeable readers about topics like genetic interactions and sequencing technology limitations. The third section addresses specific corrections to the original post, while the final section covers various other interesting comments and discussions. Throughout, Scott engages with the criticisms and new perspectives while maintaining his original position on most key points. Shorter summary
Mar 06, 2017
ssc
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42 min 6,448 words 123 comments
Scott Alexander critically examines pharmacogenomic testing for antidepressants, particularly the GeneSight test, expressing skepticism about its current effectiveness and validity. Longer summary
Scott Alexander critically examines the field of pharmacogenomics for antidepressants, particularly focusing on the GeneSight test. He reviews the scientific evidence, discusses potential flaws in studies, and expresses skepticism about the current state and effectiveness of such testing. The post delves into the complexities of antidepressant metabolism, the challenges of predicting drug response, and the limitations of current genetic testing approaches. Shorter summary
Oct 29, 2015
ssc
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20 min 2,965 words 639 comments
A collection of interesting links covering science, education, politics and culture, with Scott Alexander's commentary and analysis on each. Longer summary
This is a links post collecting various interesting articles and studies. Notable topics include: an IQ study predicting US gains, a social site called Omnilibrium trying to improve filtering, FDA allowing 23andMe genetic tests at higher prices, evidence about pre-K education having potentially negative effects, and news about polio eradication. The post also covers topics like genetic engineering in China, studies about police reducing crime, and cultural analysis of urban violence. Many links come with Scott's brief commentary or analysis putting them in context. Shorter summary
Nov 12, 2014
ssc
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13 min 1,998 words 73 comments
Scott Alexander explains how to interpret 23andMe genetic data using SNPedia, listing various SNPs and their alleged effects while emphasizing the unreliability of such interpretations. Longer summary
Scott Alexander humorously explores how to use 23andMe genetic testing data 'irresponsibly' by looking up various SNPs (Single Nucleotide Polymorphisms) and their purported effects. He provides instructions on how to access raw genetic data from 23andMe and interpret it using SNPedia. The post then lists several interesting SNPs associated with traits like violence, empathy, anxiety, divorce risk, and longevity. Scott repeatedly emphasizes that these associations are often unreliable, exaggerated, or misinterpreted, and should be taken as entertainment rather than medical advice. Shorter summary
Jun 15, 2014
ssc
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15 min 2,213 words 90 comments podcast (16 min)
Scott Alexander examines overpriced medical products like Lovaza and Deplin, arguing they serve a purpose in the medical system, but criticizes exorbitant BRCA gene testing prices as harmful. Longer summary
Scott Alexander discusses two examples of overpriced medical products: Lovaza (fish oil) and Deplin (folate), which are essentially the same as much cheaper supplements. He argues that these products serve a purpose by making these substances 'Official' in the medical system, allowing doctors to prescribe them without fear of liability. The post then examines the case of BRCA gene testing, where a company charges exorbitant prices for a service that could be much cheaper. Scott criticizes this practice, contrasting it with the FDA's ban on 23andMe offering BRCA testing, suggesting potential conflicts of interest. Shorter summary
Jan 19, 2014
ssc
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5 min 734 words 31 comments
Scott Alexander critiques a study suggesting knowledge of ApoE4 gene status affects memory performance, arguing the results may be due to priming or stereotype threat rather than actual memory decline. Longer summary
Scott Alexander discusses a study by Lineweaver et al. that tested elderly adults for the ApoE4 gene, a risk factor for Alzheimer's. The study found that subjects who knew they had ApoE4 performed worse on memory tests than those who had it but didn't know. Scott critiques the study's methodology and interpretation, suggesting that the results might be due to priming effects or stereotype threat rather than actual memory decline. He expresses concern that the medical community might overinterpret these results and discourage genetic testing without sufficient evidence of harm. Shorter summary
Nov 26, 2013
ssc
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14 min 2,049 words 96 comments
Scott Alexander drafts a letter to the FDA arguing against their decision to halt 23andMe's genetic testing services, highlighting the benefits and addressing the FDA's concerns. Longer summary
Scott Alexander writes a letter to the FDA expressing concern about their decision to halt 23andMe's genetic testing services. He argues that personal genomics services like 23andMe provide valuable and affordable genetic information to patients and doctors, raise awareness about genetics, and contribute to genetic research. Scott counters the FDA's concerns about false positives, test validation, and patient self-management, suggesting that these issues are either manageable or apply to many other medical tests and information sources. He urges the FDA to work with 23andMe to ensure their service returns to the market quickly. Shorter summary
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