Thesis

The Number They Show You Is Not The Number

3 min read

There are two ways to describe the same result — one honest, one that sells. Learn the difference between relative risk and absolute risk and you can read almost any health headline.

I am a nurse. I spent years reading charts, giving medications, and explaining to families what the numbers meant. It took me a long time to realize how often I was explaining numbers that had already been dressed up before they reached me. Here is the thing almost nobody is taught, including most of us in healthcare.

Two ways to describe the same result

There are two ways to describe the same result. One of them is honest. The other one sells. Say a condition affects 2 people out of 100,000. A study finds something that pushes it to 4 out of 100,000. The headline version: "Doubles your risk." The real version: your risk went from 0.002% to 0.004%. Both are true. One of them makes you afraid. One of them makes you informed. That first number is called relative risk. The second is absolute risk. Relative risk is almost always the bigger, louder number, which is why it is the one that ends up in the headline, the press release, and the ad.

It works in both directions

This works both ways. It is used to make risks look terrifying. It is also used to make treatments look far more powerful than they are. A treatment that "cuts your risk by 50%" might be taking you from 2 in 1,000 down to 1 in 1,000. Real, but small. Worth knowing before you decide anything.

The one question to carry for the rest of your life

So here is the question I want you to carry with you: Out of how many, and compared to what? That one question does more work than anything else I could teach you. Ask it of any health claim. Ask it of a headline. Ask it of a supplement ad. Ask it of me. If somebody cannot answer it, they either do not know their own data, or they are counting on you not asking. Your body, your decision. But you cannot make a real decision on a number that was shaped before it got to you. Measure. Know. Improve.

Key Takeaways

  • Relative risk is the big, loud number ("doubles your risk"); absolute risk is the real one (0.002% to 0.004%). Both can be true.
  • The same trick makes treatments look stronger than they are — "cuts risk 50%" can mean 2 in 1,000 down to 1 in 1,000.
  • Carry one question everywhere: out of how many, and compared to what?
  • If someone can't answer that, they either don't know their data or are counting on you not asking.