Besley’s Lab
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Interactive notebook

Bayes' Theorem

Why a 99%-accurate test can still be wrong most of the time it says yes.

The classic exam question: the answer is about 17%, and almost nobody guesses that low.

A proportional population grid showing true and false test results.
  • Sick, tested positive (99)
  • Healthy, tested positive (495)
  • Sick, tested negative (1)
  • Healthy, tested negative (9405)

You tested positive. The chance you actually have it:

16.7%

99 of the 594 people who tested positive are actually sick.

P(healthy | negative) 99.99%likelihood ratio 19.8×false positives 495missed cases 1

Most of the positives are blue — healthy people the test got wrong. There are simply far more healthy people to be wrong about.

The trap is that “99% accurate” describes the test, not your situation. What matters is how many healthy people get tested, because even a small error rate applied to a large healthy population can swamp the true positives entirely. Slide prevalence up and watch the answer transform without touching the test’s accuracy at all — same test, same person, completely different meaning.