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He did say that you tune them to minimize false negatives.

I do find it interesting that in the early days of HIV testing even most people who got a "positive" result were in fact negative. The tests have since greatly improved and the number of people taking a test due to hysteria rather than likelihood of infection declined.

But I can imagine a world in which we get very many forms of liquid biopsies like this every year, and false positives become a thing we understand and are used to.




Whether one should bias to allow more false positives or false negatives depends on the next steps after a false positive vs the risks after a false negative.

False positive: more costly scans

False negative: untreatable terminal illness


He did say that you tune them to minimize false negatives.

That's a bit hand-wavy for something that appears to be the core issue with "test early, test often", isn't it?


Well, it would seem hand-wavy to whichever scientists are tasked with improving it I'm sure! There's probably a lot of work involved.

But it's pretty standard for new tests. The first ones are never the most reliable. Obviously the rate of false positives and expense of follow-up testing determine whether it's overall a good idea, but it probably will start out with a positive ROI that becomes a highly positive ROI pretty fast.

I mean, yes, some people are going to freak out no matter how many times their doctor tells them about false negatives before they get the test. But overall this will save a lot of lives and as the test improves, a lot of money too.




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