Things I’ve heard rationalists say
I just wrote about this!
Eliezer said this a while ago, and people have been mocking him for it ever since.
Then the person who said this to me was just quoting Eliezer and maybe not thinking his own thoughts. The context for this quote though, was a general denying of calories in/calories out weight loss models.
We now have a bet going where he is monitoring his calories and exercise carefully by eating soylent/mealsquares and wearing a fitbit. If I can fit an energy balance relationship to his resulting weight data, I win. If his weight loss/gain is unrelated to his energy balance, he wins.
I approve of this strategy!
I should add that Eliezer does not deny calorie-in calorie-out models, and as far as I know none of the serious paleo people (Taubes, etc) do either.
The position I hear from many people including Eliezer is that it’s entirely determined by how many calories you take in and out, but those are determined by appetite and activity-level-drive and these things are variable based on various factors. For example, Taubes says that eating fat makes you more satiated per calorie than eating carbs does, and that too many carbs give you insulin resistance which means that when you need energy your body will be less likely to burn fat and more likely to just make you hungrier.
I don’t like Taubes’ exact biochemical sequence of what happens, but something at least vaguely along those lines (ie there being factors that seriously affect hunger/satiety drive/metabolism) must be true to explain eg why so many medications make you gain weight as a side effect.
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This is certainly a reference to MetaMed, which is run by a math PhD with journal access. They’re not legally allowed to “diagnose” people but they do a heck of a lot of telling doctors “Hey, have you noticed this matches all the signs and symptoms of this rare disease, maybe you’d like to test for that, hint hint?”
No, it was not a reference to MetaMed. It was someone I went to gradschool with who despite fantastic health insurance and being pretty ill refused to go the hospital, and had his wife and two of her friends reading through journal articles to try to figure out how to treat him.
That is extremely stupid and if it happens again please give them my email address ( scott[at]shireroth[dot]org ) and I will try to convince them otherwise with whatever community cred I have.
Also, I had no idea MetaMed was at all tied to Less Wrong?, and I’m not actually that familiar with their exact model or who they are really. I did look at a few reports they had put together because a client was thinking of using them to supplement info from Up-to-Date, but their report was a shorter version of the same recommendations in Up-to-Date, and they were WAY more expensive (I think the charge was per-report and not access to a report database like Up-to-Date, but it was a while ago and I’m super fuzzy on the exact details)
MetaMed was started by rationalists and is led (?) by Michael Vassar, who’s a former MIRI something-or-other-important. I worked there briefly. What you describe is definitely its main failure mode - often the patient would have a competent doctor, the literature wouldn’t have any big surprises, and then we’d give them a report that matched what everyone else said but demand lots of money for it. Having that happen once too often was one reason I didn’t really enjoy working for them as much as I should have, and I’ve kind of warned some people who aren’t super-rich away from the company for that reason. The times we did find something were fun, though.
There were also the all-too-frequent “We aren’t finding anything especially novel, but your doctor is an idiot and missed things in plain sight” issues. I complain a lot of about doctors who prescribe antipsychotics for sleep, but the things that some MetaMed customers’ doctors prescribed for sleep are infinitely worse.