Bayesian Investor Blog

Book review: Mindless Eating: Why We Eat More Than We Think by Brian Wansink.
This well-written book might help a few people lose a significant amount of weight, and many to lose a tiny bit.
Some of his advice seems to demand as much willpower for me as a typical diet (e.g. eat slowly), but he gives many small suggestions and advises us to pick and choose the most appropriate ones. There’s enough variety and novelty among his suggestions that most people are likely to find at least one feasible method to lose a few pounds.
A large fraction of his suggestions require none of the willpower that a typical diet requires, but will be rejected by most people because their ego will cause them to insist that only people less rational than them are making the kind of mistakes that the book’s suggestions will fix.
Most of the book’s claims seem to be backed up by careful research. But I couldn’t find any research to back up the claim that approaches which cause people to eat 100 calories per day less for days will cause people to lose 10 pounds in ten months. He presents evidence that such a diet doesn’t need to make people feel deprived over the short time periods they’ve been studied. But there’s been speculation among critics of diet books that our bodies have a natural “set point” weight, and diets which work for a while have no long-term effect because lower body weights cause increased desire to return to the set point. This book offers only weak anecdotal evidence against that possibility.
But even if it fails as a diet book, it may help you understand how the taste of your food is affected by factors other than the food itself.

Book Review: The Last Well Person: How to Stay Well Despite the Health-care System by Nortin M. Hadler
There appears to be a large discrepancy between how effective most people think modern medical practices are and the evidence that experts have presented suggesting that it does very little to extend life. This book gives the impression of describing a pattern of ineffective or harmful practices that might be offsetting the benefits of the practices that are known to work. But there are enough flaws in his argument that I can’t decide how much of his conclusions I should accept.
He starts by saying he’s a Popperian, but often acts like he’s following some other, more dogmatic, philosophy. I’m particularly annoyed at his certain feelings of inevitability that we will die by about age 85:

I am aware of no data to support the premise that we can alter the date of death. … When high-functioning octogenarians decline, it is because their time is approaching.

He starts by making a plausible claim that many people get cardiovascular surgery when there’s no evidence that it will benefit them (and is likely to create some risks).
But starting in the next chapter it becomes easy to find flaws in his arguments. He raises some plausible doubts about the evidence for statins, but then tries to imply that if the imperfect evidence that’s available shows that less than 2% of people who are prescribed statins will benefit, then we should doubt that those people ought to take statins.
He presents evidence that prostate cancer treatments save fewer lives than is commonly thought. It appears that sometimes the treatment merely changes the cause of death to something else. Yet he concludes that the treatment is useless, when the data he presents indicate nontrivial benefits. He hints that the evidence doesn’t meet the usual standard of statistical significance, but feels comfortable concluding (without even saying how close it is to being statistically significant) that the lack of proof is strong evidence of ineffectiveness.
He has a somewhat interesting proposal that the final phase of drug testing be done by the FDA rather than by drug companies. If the FDA were run by angels, that would solve a number of problems with the existing regulatory incentives, but with an FDA run by humans it would replace them with new problems. For instance, the choice of which drugs to test is something that only a few special interest voters (i.e. mainly those working for large drug companies) would understand, so their interests would be likely to influence those choices to the benefit of those companies.

Book Review: Fantastic Voyage : Live Long Enough to Live Forever by Ray Kurzweil, Terry Grossman
This book provides a lot of interesting ideas for improving your health, but it is a bit too ambitious and I’m often left wondering whether they researched a particular idea well even that I should respect their opinion. They often seem to be more interested in showing off how many different topics they know something about than they are on focusing on the most important steps that a typical reader should be taking.
They are somewhat biased toward technological solutions, but occasionally surprise me with other approaches, such as pointing out some clear evidence that some kinds of meditation improve longevity.
I’m fairly suspicious of their advice about aluminum. It’s unclear why we should consider aluminum dangerous enough to be worth worrying about, but if it is then choosing the right baking powder and antacids are at least as important as the aluminum sources the book mentions (minor gripe: the index doesn’t have entries for aluminum or metals). Parts of the book leaves me wondering whether a close examination would reveal similar questionable aspects to their advice.