essay

300 words, don’t use any reference, only our only thoughts. 

We all use heuristics in our everyday lives and even in our jobs. Provide three concrete examples of recent work decisions (yours or your coworker’s or even your boss’s) that were biased by the three judgmental heuristics in this reading. Show that you understand the psychology by explaining the source of bias in each decision. For each bias, how can you improve your decision process in the future (please use course concepts and be realistic)? 

Many decisions are based on beliefs
concerning the likelihood of uncertain
events such as the outcome of an elec-
tion, the guilt of a defendant, or the
future value of the dollar. These beliefs
are usually expressed in statements such
as “I think that . .. ,” “chances are
. . .,” “it is unlikely that . .. ,” and
so forth. Occasionally, beliefs concern-
ing uncertain events are expressed in
numerical form as odds or subjective
probabilities. What determines such be-
liefs? How do people assess the prob-
ability of an uncertain event or the
value of an uncertain quantity? This
article shows that people rely on a
limited number of heuristic principles
which reduce the complex tasks of as-

sessing probabilities and predicting val-
ues to simpler judgmental operations.
In general, these heuristics are quite
useful, but sometimes they lead to severe
and systematic errors.

The subjective assessment of proba-
bility resembles the subjective assess-
ment of physical quantities such as
distance or size. These judgments are
all based on data of limited validity,
which are processed according to heu-
ristic rules. For example, the apparent
distance of an object is determined in

part by its clarity. The more sharply the

object is seen, the closer it appears to
be. This rule has some validity, because
in any given scene the more distant

objects are seen less sharply than nearer

objects. However, the reliance on this
rule leads to systematic errors in the
estimation of distance. Specifically, dis-
tances are often overestimated when

visibility is poor because the contours
of objects are blurred. On the other
hand, distances are often underesti-

mated when visibility is good because
the objects are seen sharply. Thus, the
reliance on clarity as an indication of
distance leads to common biases. Such
biases are also found in the intuitive
judgment of probability. This article
describes three heuristics that are em-
ployed to assess probabilities and to
predict values. Biases to which these
heuristics lead are enumerated, and the
applied and theoretical implications of
these observations are discussed.

Representativeness

Many of the probabilistic questions
with which people are concerned belong
to one of the following types: What is
the probability that object A belongs to
class B? What is the probability that
event A originates from process B?
What is the probability that process B
will generate event A? In answering
such questions, people typically rely on
the representativeness heuristic, in
which probabilities are evaluated by the

degree to which A is representative of
B, that is, by the degree to which A
resembles B. For example, when A is

highly representative of B, the proba-
bility that A originates from B is judged
to be high. On the other hand, if A is
not similar to B, the probability that A
originates from B is judged to be low.

For an illustration of judgment by
representativeness, consider an indi-
vidual who has been described by a
former neighbor as follows: “Steve is

very shy and withdrawn, invariably
helpful, but with little interest in peo-
ple, or in the world of reality. A meek
and tidy soul, he has a need for order
and structure, and a passion for detail.”
How do people assess the probability
that Steve is engaged in a particular

occupation from a list of possibilities
(for example, farmer, salesman, airline
pilot, librarian, or physician)? How do
people order these occupations from
most to least likely? In the representa-
tiveness heuristic, the probability that
Steve is a librarian, for example, is
assessed by the degree to which he is
representative of, or similar to, the
stereotype of a librarian. Indeed, re-
search with problems of this type has
shown that people order the occupa-
tions by probability and by similarity
in exactly the same way (1). This ap-
proach to the judgment of probability
leads to serious errors, because sim-
ilarity, or representativeness, is not in-
fluenced by several factors that should
affect judgments of probability.

Insensitivity to prior probability of
outcomes. One of the factors that have
no effect on representativeness but
should have a major effect on probabil-
ity is the prior probability, or base-rate
frequency, of the outcomes. In the case
of Steve, for example, the fact that
there are many more farmers than li-
brarians in the population should enter
into any reasonable estimate of the
probability that Steve is a librarian
rather than a farmer. Considerations of
base-rate frequency, however, do not
affect the similarity of Steve to the

stereotypes of librarians and farmers.
If people evaluate probability by rep-
resentativeness, therefore, prior proba-
bilities will be neglected. This hypothesis
was tested in an experiment where prior
probabilities were manipulated (1).
Subjects were shown brief personality
descriptions of several individuals, al-

legedly sampled at random from a

group of 100 professionals-engineers
and lawyers. The subjects were asked
to assess, for each description, the prob-
ability that it belonged to an engineer
rather than to a lawyer. In one experi-
mental condition, subjects were told
that the group from which the descrip-
tions had been drawn consisted of 70
engineers and 30 lawyers. In another
condition, subjects were told that the
group consisted of 30 engineers and 70

lawyers. The odds that any particular
description belongs to an engineer
rather than to a lawyer should be

higher in the first condition, where there
is a majority of engineers, than in the
second condition, where there is a

majority of lawyers. Specifically, it can
be shown by applying Bayes’ rule that
the ratio of these odds should be (.7/.3)2,
or 5.44, for each description. In a sharp
violation of Bayes’ rule, the subjects
in the two conditions produced essen-

SCIENCE, VOL. 185

Judgment under Uncertainty:
Heuristics and Biases

Biases in judgments reveal some heuristics of

thinking under uncertainty.

Amos Tversky and Daniel Kahneman

The authors are members of the department of
psychology at the Hebrew University, Jerusalem,
Tsrael.

1124

tially the same probability judgments.
Apparently, subjects evaluated the like-
lihood that a particular description be-
longed to an engineer rather than to a
lawyer by the degree to which this
description was representative of the
two stereotypes, with little or no regard
for the prior probabilities of the cate-
gories.

The subjects used prior probabilities
correctly when they had no other infor-
mation. In the absence of a personality
sketch, they judged the probability that
an unknown individual is an engineer
to be .7 and .3, respectively, in the two
base-rate conditions. However, prior
probabilities were effectively ignored
when a description was introduced,
even when this description was totally
uninformative. The responses to the
following description illustrate this phe-
nomenon:

Dick is a 30 year old man. He is mar-
ried with no children. A man of high
ability and high motivation, he promises
to be quite successful in his field. He is
well liked by his colleagues.
This description was intended to convey
no information relevant to the question
of whether Dick is an engineer or a
lawyer. Consequently, the probability
that Dick is an engineer should equal
the proportion of engineers in the
group, as if no description had been
given. The subjects, however, judged
the probability of Dick being an engi-
neer to be .5 regardless of whether the
stated proportion of engineers in the
group was .7 or .3. Evidently, people
respond differently when given no evi-
dence and when given worthless evi-
dence. When no specific evidence is
given, prior probabilities are properly
utilized; when worthless evidence is
given, prior probabilities are ignored
(1).

Insensitivity to sample size. To eval-
uate the probability of obtaining a par-
ticular result in a sample drawn from
a specified population, people typically
apply the representativeness heuristic.
That is, they assess the likelihood of
a sample result, for example, that the
average height in a random sample of
ten men will be 6 feet (180 centi-
meters), by the similarity of this result
to the corresponding parameter (that
is, to the average height in the popula-
tion of men). The similarity of a sam-
ple statistic to a population parameter
does not depend on the size of the
sample. Consequently, if probabilities
are assessed by representativeness, then
the judged probability of a sample sta-
tistic will be essentially independent of

27 SEPTEMBER 1974

sample size. Indeed, when subjects
assessed the distributions of average
height for samples of various sizes,
they produced identical distributions.
For example, the probability of obtain-
ing an average height greater than 6
feet was assigned the same value for
samples of 1000, 100, and 10 men (2).
Moreover, subjects failed to appreciate
the role of sample size even when it
was emphasized in the formulation of
the problem. Consider the following
question:

A certain town is served by two hos-
pitals. In the larger hospital about 45
babies are born each day, and in the
smaller hospital about 15 babies are born
each day. As you know, about 50 percent
of all babies are boys. However, the exact
percentage varies from day to day. Some-
times it may be higher than 50 percent,
sometimes lower.

For a period of 1 year, each hospital
recorded the days on which more than 60
percent of the babies born were boys.
Which hospital do you think recorded
more such days?

– The larger hospital (21)
– The smaller hospital (21)
– A!bout the same (that is, within 5

percent of each other) (53)
The values in parentheses are the num-
ber of undergraduate students who
chose each answer.

Most subjects judged the probability
of obtaining more than 60 percent boys
to be the same in the small and in the
large hospital, presumably because these
events are described by the same sta-
tistic and are therefore equally repre-
sentative of the general population. In
contrast, sampling theory entails that
the expected number of days on which
more than 60 percent of ithe babies are
boys is much greater in the small hos-
pital than in the large one, because a
large sample is less likely to stray from
50 percent. This fundamental notion
of statistics is evidently not part of
people’s repertoire of intuitions.

A similar insensitivity to sample size
has been reported in judgments of pos-
terior probability, that is, of the prob-
ability that a sample has been drawn
from one population rather than from
another. Consider the following ex-
ample:

Imagine an urn filled with balls, of
which 2/3 are of one color and ?3 of
another. One individual has drawn 5 balls
,from the urn, and found that 4 were red
and 1 was white Another individual has
drawn 20 balls and found that 12 were
red and 8 were white. Which of the two
individuals should feel more confident that
the urn contains 2/3 red balls and 1/3 white
balls, rather than the opposite? What odds
should each individual give?

In this problem, the correct pos,terior
odds are 8 to 1 for the 4: 1 sample
and 16 to 1 for the 12: 8 sample, as-
suming equal prior probabilities. How-
ever, most people feel that the first
sample provides much stronger evidence
for the hypothesis ithat the urn is pre-
dominantly red, because the proportion
of red balls is larger in the first than in
the second sample. Here again, intuitive
judgments are dominated by the sample
proportion and are essentially unaffected
by the size of the sample, which plays
a crucial role in the determination of
the actual posterior odds (2). In ad-
dition, intuitive estimates of posterior
odds are far less extreme than the cor-
rect values. The underestimation of the
impact of evidence has been observed
repeatedly in problems of this type (3, 4).
It has been labeled “conservatism.”

Misconceptions of chance. People ex-
pect that a sequence of events generated
by a random process will represent the
essential characteristics of that process
even when the sequence is short. In
considering tosses of a coin for heads
or tails, for example, people regard the
sequence H-T-H-T-T-H to be more
likely than the sequence H-H-H-T-T-T,
which does not appear random, and
also more likely than the sequence H-H-
H-H-T-H, which does not represent the
fairness of the coin (2). Thus, people
expect that the essential characteristics
of the process will be represented, not
only globally in the entire sequence,
but also locally in each of its parts. A
locally representative sequence, how-
ever, deviates systematically from chance
expectation: it contains too many al-
ternations and too few runs. Another
consequence of the belief in local rep-
resentativeness is the well-known gam-
bler’s fallacy. After observing a long
run of red on the roulette wheel. for
example, most people erroneously be-
lieve that black is now due, presumably
because the occurrence of black will
result in a more representative sequence
than the occurrence of an additional
red. Chance is commonly viewed as a
self-correcting process in which a devi-
ation in one direction induces a devia-
tion in the opposite direction to restore
the equilibrium. In fact, deviations are
not “corrected” as a chance process
unfolds, they are merely diluted.

Misconceptions of chance are not
limited to naive subjects. A study of
the statistical intuitions of experienced
research psychologists (5) revealed a
lingering belief in what may be called
the “law of small numbers,” according
to which even small samples are highly

1125

representative of the populations from
which they are drawn. The responses
of these investigators reflected the ex-
pectation that a valid hypothesis about
a population will be represented by a
statistically significant result in a sam-
ple-with little regard for its size. As
a consequence, the researchers put too
much faith in the results of small sam-
ples and grossly overestimated the
replicability of such results. In the
actual conduct of research, this bias
leads to ithe selection of samples of
inadequate size and to overinterpretation
of findings.

Insensitivity to predictability. People
are sometimes called upon to make such
numerical predictions as the future value
of a stock, the demand for a commod-
ity, or the outcome of a football game.
Such predictions are often made by
representativeness. For example, sup-
pose one is given a description of a
company and is asked to predict its
future profit. If the description of ithe
company is very favorable, a very
high profit will appear most represen-
tative of that description; if the descrip-
tion is mediocre, a mediocre perform-
ance will appear most representative.
The degree to which the description is
favorable is unaffected by the reliability
of that description or by the degree to
which it permits accurate prediction.
Hence, if people predict solely in terms
of the favorableness of the description,
their predictions will be insensitive to
the reliability of the evidence and to
the expected accuracy of the prediction.

This mode of judgment violates the
normative statistical theory in which
the extremeness and the range of pre-
dictions are controlled by considerations
of predictability. When predictability
is nil, the same prediction should be
made in all cases. For example, if the
descriptions of companies provide no
information relevant to profit, then the
same value (such as average profit)
should be predicted for all companies.
If predictability is perfect, of course,
the values predicted will match the
actual values and the range of predic-
tions will equal the range of outcomes.
In general, the higher the predictability,
the wider the range of predicted values.

Several studies of numerical predic-
tion have demonstrated that intuitive
predictions violate this rule, and that
subjects show little or no regard for
considerations of predictability (1). In
one of these studies, subjects were pre-
sented with several paragraphs, each

describing the performance of a stu-

1126

dent teacher during a particular prac-
tice lesson. Some subjects were asked
to evaluate the quality of the lesson
described in the paragraph in percentile
scores, relative to a specified population.
Other subjects were asked to predict,
also in percentile scores, the standing
of each student teacher 5 years after
the practice lesson. The judgments made
under the two conditions were identical.
That is, the prediction of a remote
criterion (success of a teacher after 5
years) was identical to the evaluation
of the information on which the predic-
tion was based (the quality of the
practice lesson). The students who made
these predictions were undoubtedly
aware of the limited predictability of
teaching competence on the basis of a
single trial lesson 5 years earlier; never-
theless, their predictions were as ex-
treme as their evaluations.

The illusion of validity. As we have
seen, people often predict by selecting
the outcome (for example, an occupa-
tion) that is most representative of the
input (for example, the description of
a person). The confidence they have
in their prediction depends primarily
on the degree of representativeness
(that is, on the quality of the match
between the selected outcome and the
input) with little or no regard for the
factors that limit predictive accuracy.
Thus, people express great confidence
in the prediction that a person is a
librarian when given a description of
his personality which matches the
stereotype of librarians, even if the
description is scanty, unreliable, or out-
dated. The unwarranted confidence
which is produced by a good fit between
the predicted outcome and the input
information may be called the illusion
of validity. This illusion persists even
when the judge is aware of the factors
that limit the accuracy of his predic-
tions. It is a common observation that

psychologists who conduct selection
interviews often experience considerable
confidence in their predictions, even
when they know of the vast literature
that shows selection interviews to be
highly fallible. The continued reliance
on the clinical interview for selection,
despite repeated demonstrations of its

inadequacy, amply attests to the strength
of this effect.

The internal consistency of a pattern
of inputs is a major determinant of
one’s confidence in predictions based
on these inputs. For example, people
express more confidence in predicting the
final grade-point average of a student

whose first-year record consists entirely
of B’s than in predicting the grade-
point average of a student whose first-
year record includes many A’s and C’s.
Highly consistent patterns are most
often observed when the input vari-
ables are highly redundant or correlated.
Hence, people tend to have great con-
fidence in predictions based on redun-
dant input variables. However, an
elementary result in the statistics of cor-
relation asserts that, given input vari-
ables of stated validity, a prediction
based on several such inputs can
achieve higher accuracy when they are
independent of each other than when
they are redundant or correlated. Thus,
redundancy among inputs decreases
accuracy even as it increases confidence,
and people are often confident in pre-
dictions that are quite likely to be off
the mark (1).

Misconceptions of regression. Suppose
a large group of children has been
examined on two equivalent versions of
an aptitude test. If one selects ten chil-
dren from among those who did best on
one of the two versions, he will usually
find their performance on the second
version to be somewhat disappointing.
Conversely, if one selects ten children
from among those who did worst on
one version, they will be found, on the
average, to do somewhat better on the
other version. More generally, consider
two variables X and Y which have the
same distribution. If one selects indi-
viduals whose average X score deviates
from the mean of X by k units, then
the average of their Y scores will usual-
ly deviate from the mean of Y by less
than k units. These observations illus-
trate a general phenomenon known as
regression toward the mean, which was
first documented by Galton more than
100 years ago.

In the normal course of life, one
encounters many instances of regression
toward the mean, in the comparison
of the height of fathers and sons, of
the intelligence of husbands and wives,
or of the performance of individuals
on consecutive examinations. Neverthe-
less, people do not develop correct in-
tuitions about this phenomenon. First,
they do not expect regression in many
contexts where it is bound to occur.
Second, when they recognize the occur-
rence of regression, they often invent
spurious causal explanations for it (1).
We suggest that the phenomenon of re-
gression remains elusive because it is in-

compatible with the belief that the
predicted outcome should be maximally

SCIENCE, VOL. 185

representative of the input, and, hence,
that the value of the outcome variable
should be as extreme as the value of
the input variable.

The failure to recognize the import
of regression can have pernicious con-
sequences, as illustrated by the follow-
ing observation (1). In a discussion
of flight training, experienced instruc-
tors noted that praise for an exception-
ally smooth landing is typically followed
by a poorer landing on the next try,
while harsh criticism after a rough
landing is usually followed by an im-
provement on the next try. The instruc-
tors concluded that verbal rewards are
detrimental to learning, while verbal
punishments are beneficial, contrary to
accepted psychological doctrine. This
conclusion is unwarranted because of
the presence of regression toward ithe
mean. As in other cases of repeated
examination, an improvement will usu-
ally follow a poor performance and
a deterioration will usually follow an
outstanding performance, even if the
instructor does not respond to ,the
trainee’s achievement on the first at-
tempt. Because the instructors had
praised their trainees after good land-
ings and admonished them after poor
ones, they reached the erroneous and
potentially harmful conclusion that pun-
ishment is more effective than reward.

Thus, the failure to understand the
effect of regression leads one to over-
estimate the effectiveness of punish-
ment and to underestimate the effec-
tiveness of reward. In social interaction,
as well as in training, rewards are typ-
ically administered when performance
is good, and punishments are typically
administered when performance is
poor. By regression alone, therefore,
behavior is most likely to improve after
punishment and most likely to deterio-
rate after reward. Consequently, the
human condition is such that, by chance
alone, one is most often rewarded for
punishing others and most often pun-
ished for rewarding them. People are
generally not aware of this contingency.
In fact, the elusive role of regression
in determining the apparent conse-
quences of reward and punishment
seems to have escaped the notice of stu-
dents of this area.

Availability

There are situations in which people
assess the frequency of a class or the
probability of an event by the ease with
27 SEPTEMBER 1974

which instances or occurrences can be
brought to mind. For example, one may
assess the risk of heart attack among
middle-aged people by recalling such
occurrences among one’s acquaintances.
Similarly, one may evaluate the proba-
bility that a given business venture will
fail by imagining various difficulties it
could encounter. This judgmental heu-
ristic is called availability. Availability
is a useful clue for assessing frequency
or probability, because instances of
large classes are usually recalled better
and faster than instances of less fre-
quent classes. However, availability is
affected by factors other than frequency
and probability. Consequently, the re-
liance on availability leads to predicta-
ble biases, some of which are illustrated
below.

Biases due to the retrievability of in-
stances. When the size of a class is
judged by the availability of its in-
stances, a class whose instances are
easily retrieved will appear more nu-
merous than a class of equal frequency
whose instances are less retrievable. In
an elementary demonstration of this ef-
fect, subjects heard a list of well-known
personalities of both sexes and were
subsequently asked to judge whether the
list contained more names of men than
of women. Different lists were presented
to different groups of subjects. In some
of the lists the men were relatively more
famous than the women, and in others
the women were relatively more famous
than the men. In each of the lists, the
subjects erroneously judged that the
class (sex) that had the more famous
personalities was the more numerous
(6).

In addition to familiarity, there are
other factors, such as salience, which
affect the retrievability of instances. For
example, the impact of seeing a house
burning on the subjective probability of
such accidents is probably greater than
the impact of reading about a fire in
the local paper. Furthermore, recent oc-
currences are likely to be relatively
more available than earlier occurrences.
It is a common experience that the
subjective probability of traffic accidents
rises temporarily when one sees a car
overturned by the side of the road.

Biases due to the effectiveness of a
search set. Suppose one samples a word
(of three letters or more) at random
from an English text. Is it more likely
that the word starts with r or that
r is the third letter? People approach
this problem by recalling words that

begin with r (road) and words that
have r in the third position (car) and
assess the relative frequency by the
ease with which words of the two types
come to mind. Because it is much easier
to search for words by their first letter
than by their third letter, most people
judge words that begin with a given
consonant to be more numerous than
words in which the. same consonant ap-
pears in the third position. They do so
even for consonants, such as r or k,
that are more frequent in the third
position than in the first (6).

Different tasks elicit different search
sets. For example, suppose you are
asked to rate the frequency with which
abstract words (thought, love) and con-
crete words (door, water) appear in
written English. A natural way to
answer this question is to search for
contexts in which the word could ap-
pear. It seems easier to think of
contexts in which an abstract concept
is mentioned (love in love stories) than
to think of contexts in which a concrete
word (such as door) is mentioned. If
the frequency of words is judged by the
availability of the contexts in which
they appear, abstract words will be
judged as relatively more numerous than
concrete words. This bias has been ob-
served in a recent study (7) which
showed that the judged frequency of
occurrence of abstract words was much
higher than that of concrete words,
equated in objective frequency. Abstract
words were also judged to appear in a
much greater variety of contexts than
concrete words.

Biases of imaginability. Sometimes
one has to assess the frequency of a
class whose instances are not stored in
memory but can be generated accord-
ing to a given rule. In such situations,
one typically generates several instances
and evaluates frequency or probability
by the ease with which the relevant in-
stances can be constructed. However,
the ease of constructing instances does
not always reflect their actual frequency,
and this mode of evaluation is prone
to biases. To illustrate, consider a group
of 10 people who form committees of
k members, 2 < k < 8. How many different committees of k members can be formed? The correct answer to this problem is given by the binomial coef- ficient (10) which reaches a maximum ri -kr\/ rrivrI/~il O IULLUL of 252 for k = 5. Clearly, the number of committees of k members equals the number of committees of (10 - k) members, because any committee of k

1127

members defines a unique group of
(10 – k) nonmembers.

One way to answer this question with-
out computation is to mentally con-
struct committees of k members and
to evaluate their number by the ease
with which they come to mind. Com-
mittees of few members, say 2, are
more available than committees of many
members, say 8. The simplest scheme
for the construction of committees is a
partition of the group into disjoint sets.
One readily sees that it is easy to con-
struct five disjoint committees of 2
members, while it is impossible to gen-
erate even two disjoint committees of
8 members. Consequently, if fre-
quency is assessed by imaginability, or
by availability for construction, the
small committees will appear more num-
erous than larger committees, in con-
trast to the correct bell-shaped func-
tion. Indeed, when naive subjects were
asked to estimate the number of distinct
committees of various sizes, their esti-
mates were a decreasing monotonic
function of committee size (6). For
example, the median estimate of the
number of committees of 2 members
was 70, while the estimate for com-
mittees of 8 members was 20 (the cor-
rect answer is 45 in both cases).

Imaginability plays an important role
in the evaluation of probabilities in real-
life situations. The risk involved in an
adventurous expedition, for example, is
evaluated by imagining contingencies
with which the expedition is not

equipped to cope. If many such difficul-
ties are vividly portrayed, the expedi-
tion can be made to appear exceedingly
dangerous, although the ease with which
disasters are imagined need not reflect
their actual likelihood. Conversely, the
risk involved in an undertaking may be

grossly underestimated if some possible
dangers are either difficult to conceive
of, or simply do not come to mind.

Illusory correlation. Chapman and

Chapman (8) have described an interest-

ing bias in the judgment of the fre-

quency with which two events co-occur.

They presented naive judges with in-
formation concerning several hypothet-
ical mental patients. The data for each

patient consisted of a clinical diagnosis
and a drawing of a person made by
the patient. Later the judges estimated
the frequency with which each diagnosis
(such as paranoia or suspiciousness)
had been accompanied by various fea-
tures of the drawing (such as peculiar
eyes). The subjects markedly overesti-
mated the frequency of co-occurrence of

1128

natural associates, such as suspicious-
ness and peculiar eyes. This effect was
labeled illusory correlation. In their er-
roneous judgments of the data to which
they had been exposed, naive subjects
“rediscovered” much of the common,
but unfounded, clinical lore concern-
ing the interpretation of the draw-a-
person test. The illusory correlation
effect was extremely resistant to con-
tradictory data. It persisted even when
the correlation between symptom and
diagnosis was actually negative, and it
prevented the judges from detecting
relationships that were in fact present.

Availability provides a natural ac-
count for the illusory-correlation effect.
The judgment of how frequently two
events co-occur could be based on the
strength of the associative bond between
them. When the association is strong,
one is likely to conclude that the events
have been frequently paired. Conse-
quently, strong associates will be judged
to have occurred together frequently.
According to this view, the illusory
correlation between suspiciousness and
peculiar drawing of the eyes, for ex-
ample, is due to the fact that suspi-
ciousness is more readily associated with
the eyes than with any other part of
the body.

Lifelong experience has taught us
that, in general, instances of large
classes are recalled better and faster
than instances of less frequent classes;
that likely occurrences are easier to
imagine than unlikely ones; and that
the associative connections between
events are strengthened when the events
frequently co-occur. As a result, man
has at his disposal a procedure (the
availability heuristic) for estimating the
numerosity of a class, the likelihood of
an event, or the frequency of co-occur-
rences, by the ease with which the
relevant mental operations of retrieval,
construction, or association can be
performed. However, as the preceding
examples have demonstrated, this valu-
able estimation procedure results in
systematic errors.

Adjustment and Anchoring

In many situations, people make esti-
mates by starting from an initial value
that is adjusted to yield the final answer.
The initial value, or starting point, may
be suggested by the formulation of the

problem, or it may be the result of a

partial computation. In either case,
adjustments are typically insufficient (4).

That is, different starting points yield
different estimates, which are biased
toward the initial values. We call this
phenomenon anchoring.

Insufficient adjustment. In a demon-
stration of the anchoring effect, subjects
were asked to estimate various quanti-
ties, stated in percentages (for example,
the percentage of African countries in
the United Nations). For each quantity,
a number between 0 and 100 was deter-
mined by spinning a wheel of fortune
in the subjects’ presence. The subjects
were instructed to indicate first whether
that number was higher or lower than
the value of the quantity, and then to
estimate the value of the quantity by
moving upward or downward from the
given number. Different groups were
given different numbers for each quan-
tity, and these arbitrary numbers had a
marked effect on estimates. For example,
the median estimates of the percentage
of African countries in the United Na-
tions were 25 and 45 for groups that re-
ceived 10 and 65, respectively, as start-
ing points. Payoffs for accuracy did not
reduce the anchoring effect.

Anchoring occurs not only when the
starting point is given to the subject,
but also when the subject bases his
estimate on the result of some incom-

plete computation. A study of intuitive
numerical estimation illustrates this ef-
fect. Two groups of high school students
estimated, within 5 seconds, a numerical
expression that was written on the
blackboard. One group estimated the
product

8X7X6XSX4x3X2X1
while another group estimated the
product

1x2x3x4x5X6x7X8

To rapidly answer such questions, peo-
ple may perform a few steps of compu-
tation and estimate the product by
extrapolation or adjustment. Because ad-
justments are typically insufficient, this
procedure should lead to underestima-
tion. Furthermore, because the result of
the first few steps of multiplication (per-
formed from left to right) is higher in
the descending sequence than in the
ascending sequence, the former expres-
sion should be judged larger than the
latter. Both predictions were confirmed.
The median estimate for the ascending
sequence was 512, while the median
estimate for the descending sequence
was 2,250. The correct answer is 40,320.

Biases in the evaluation of conjunc-
tive and disjunctive events. In a recent

SCIENCE, VOL. 185

study by Bar-Hillel (9) subjects were
given the opportunity to bet on one of
two events. Three types of events were
used: (i) simple events, such as drawing
a red marble from a bag containing 50
percent red marbles and 50 percent
white marbles; (ii) conjunctive events,
such as drawing a red marble seven
times in succession, with replacement,
from a bag containing 90 percent red
marbles and 10 percent white marbles;
and (iii) disjunctive events, such as
drawing a red marble at least once in
seven successive tries, with replacement,
from a bag containing 10 percent red
marbles and 90 percent white marbles.
In this problem, a significant majority
of subjects preferred to bet on the con-
junctive event (the probability of which
is .48) rather than on the simple event
(the probability of which is .50). Sub-
jects also preferred to bet on the simple
event rather than on the disjunctive
event, which has a probability of .52.
Thus, most subjects bet on the less likely
event in both comparisons. This pattern
of choices illustrates a general finding.
Studies of choice among gambles and
of judgments of probability indicate
that people tend to overestimate the
probability of conjunctive events (10)
and to underestimate the probability of
disjunctive events. These biases are
readily explained as effects of anchor-
ing. The stated probability of the
elementary event (success at any one
stage) provides a natural starting point
for the estimation of the probabilities of
both conjunctive and disjunctive events.
Since adjustment from the starting point
is typically insufficient, the final esti-
mates remain too close to the probabili-
ties of the elementary events in both
cases. Note that the overall probability
of a conjunctive event is lower than
the probability of each elementary
event, whereas the overall probability of
a disjunctive event is higher than the
probability of each elementary event.
As a consequence of anchoring, the
overall probability will be overestimated
in conjunctive problems and underesti-
mated in disjunctive problems.

Biases in the evaluation of compound
events are particularly significant in the
context of planning. The successful
completion of an undertaking, such as
the development of a new product, typi-
cally has a conjunctive character: for
the undertaking to succeed, each of a
series of events must occur. Even when
each of these events is very likely, the
overall probability of success can be
quite low if the number of events is
27 SEPTEMBER 1974

large. The general tendency to overesti-
mate the probability of conjunctive
events leads to unwarranted optimism in
the evaluation of the likelihood that a
plan will succeed or that a project will
be completed on time. Conversely, dis-
junctive structures are typically encoun-
tered in the evaluation of risks. A com-
plex system, such as a nuclear reactor
or a human body, will malfunction if
any of its essential components fails.
Even when the likelihood of failure in
each component is slight, the probability
of an overall failure can be high if
many components are involved. Be-
cause of anchoring, people will tend to
underestimate the probabilities of failure
in complex systems. Thus, the direc-
tion of the anchoring bias can some-
times be inferred from the structure of
the event. The chain-like structure of
conjunctions leads to overestimation, the
funnel-like structure of disjunctions
leads to underestimation.

Anchoring in the assessment of sub-
jective probability distributions. In deci-
sion analysis, experts are often required
to express their beliefs about a quantity,
such as the value of the Dow-Jones
average on a particular day, in the
form of a probability distribution. Such
a distribution is usually constructed by
asking the person to select values of
the quantity that correspond to specified
percentiles of his subjective probability
distribution. For example, the judge
may be asked to select a number, X90,
such that his subjective probability that
this number will be higher than, the
value of the Dow-Jones average is .90.
That is, he should select the value X90
so that he is just willing to accept 9 to
1 odds that the Dow-Jones average will
not exceed it. A subjective probability
distribution for the value of the Dow-
Jones average can be constructed from
several such judgments corresponding to
different percentiles.

By collecting subjective probability
distributions for many different quanti-
ties, it is possible to test the judge for
proper calibration. A judge is properly
(or externally) calibrated in a set of
problems if exactly II percent of the
true values of the assessed quantities
falls below his stated values of Xr. For
example, the true values should fall
below X0l for 1 percent of the quanti-
ties and above X99 for 1 percent of the
quantities. Thus, the true values should
fall in the confidence interval between
X01 and X99 on 98 percent of the prob-
lems.

Several investigators (11) have ob-

tained probability distributions for many
quantities from a large number of
judges. These distributions indicated
large and systematic departures from
proper calibration. In most studies, the
actual values of the assessed quantities
are either smaller than X0l or greater
than X09 for about 30 percent of the
problems. That is, the subjects state
overly narrow confidence intervals which
reflect more certainty than is justified by
their knowledge about the assessed
quantities. This bias is common to
naive and to sophisticated subjects, and
it is not eliminated by introducing prop-
er scoring rules, which provide incentives
for external calibration. This effect is at-
tributable, in part at least, to anchoring.

To select X90 for the value of the
Dow-Jones average, for example, it is
natural to begin by thinking about one’s
best estimate of the Dow-Jones and to
adjust this value upward. If this adjust-
ment-like most others-is insufficient,
then X9o will not be sufficiently extreme.
A similar anchoring effect will occur in
the selection of X0,, which is presumably
obtained by adjusting one’s best esti-
mate downward. Consequently, the con-
fidence interval between X1O and X90
will be too narrow, and the assessed
probability distribution will be too tight.
In support of this interpretation it can
be shown that subjective probabilities
are systematically altered by a proce-
dure in which one’s best estimate does
not serve as an anchor.

Subjective probability distributions
for a given quantity (the Dow-Jones
average) can be obtained in two differ-
ent ways: (i) by asking the subject to
select values of the Dow-Jones that
correspond to specified percentiles of
his probability distribution and (ii) by
asking the subject to assess the prob-
abilities that the true value of the
Dow-Jones will exceed some specified
values. The two procedures are formally
equivalent and should yield identical
distributions. However, they suggest dif-
ferent modes of adjustment from differ-
cent anchors. In procedure (i), the
natural starting point is one’s best esti-
mate of the quantity. In procedure (ii),
on the other hand, the subject may be
anchored on the value stated in the
question. Alternatively, he may be an-
chored on even odds, or 50-50 chances,
which is a natural starting point in the
estimation of likelihood. In either case,
procedure (ii) should yield less extreme
odds than procedure (i).

To contrast the two procedures, a
set of 24 quantities (such as the air dis-

1129

tance from New Delhi to Peking) was
presented to a group of subjects who
assessed either XI0 or X90 for each prob-
lem. Another group of subjects re-
ceived the median judgment of the first
group for each of the 24 quantities.
They were asked to assess the odds that
each of the given values exceeded the
true value of the relevant quantity. In
the absence of any bias, the second
group should retrieve the odds specified
to the first group, that is, 9:1. How-
ever, if even odds or the stated value
serve as anchors, the odds of the sec-
ond group should be less extreme, that
is, closer to 1:1. Indeed, the median
odds stated by this group, across all
problems, were 3:1. When the judg-
ments of the two groups were tested
for external calibration, it was found
that subjects in the first group were too
extreme, in accord with earlier studies.
The events that they defined as having
a probability of .10 actually obtained in
24 percent of the cases. In contrast,
subjects in the second group were too
conservative. Events to which they as-
signed an average probability of .34
actually obtained in 26 percent of the
cases. These results illustrate the man-
ner in which the degree of calibration
depends on the procedure of elicitation.

Discussion

This article has been concerned with
cognitive biases that stem from the reli-
ance on judgmental heuristics. These
biases are not attributable to motiva-
tional effects such as wishful thinking or
the distortion of judgments by payoffs
and penalties. Indeed, several of the
severe errors of judgment reported
earlier occurred despite the fact that
subjects were encouraged to be accurate
and were rewarded for the correct
answers (2, 6).

The reliance on heuristics and the
prevalence of biases are not restricted
to laymen. Experienced researchers are
also prone to the same biases-when
they think intuitively. For example, the
tendency to predict the outcome that
best represents the data, with insufficient
regard for prior probability, has been
observed in the intuitive judgments of
individuals who have had extensive
training in statistics (1, 5). Although
the statistically sophisticated avoid
elementary errors, such as the gambler’s
fallacy, their intuitive judgments are
liable to similar fallacies in more in-
tricate and less transparent problems.

1130

It is not surprising that useful heuris-
tics such as representativeness and
availability are retained, even though
they occasionally lead to errors in pre-
diction or estimation. What is perhaps
surprising is the failure of people to
infer from lifelong experience such
fundamental statistical rules as regres-
sion toward the mean, or the effect of
sample size on sampling variability. Al-
though everyone is exposed, in the nor-
mal course of life, to numerous ex-
amples from which these rules could
have been induced, very few people
discover the principles of sampling and
regression on their own. Statistical prin-
ciples are not learned from everyday
experience because the relevant in-
stances are not coded appropriately. For
example, people do not discover that
successive lines in a text differ more in
average word length than do successive
pages, because they simply do not at-
tend to the average word length of in-
dividual lines or pages. Thus, people
do not learn the relation between sample
size and sampling variability, although
the data for such learning are abundant.

The lack of an appropriate code also
explains why people usually do not
detect the biases in their judgments of
probability. A person could conceivably
learn whether his judgments are exter-
nally calibrated by keeping a tally of the
proportion of events that actually occur
among those to which he assigns the
same probability. However, it is not
natural to group events by their judged
probability. In the absence of such
grouping it is impossible for an indivi-
dual to discover, for example, that only
50 percent of the predictions to which
he has assigned a probability of .9 or
higher actually came true.

The empirical analysis of cognitive
biases has implications for the theoreti-
cal and applied role of judged probabili-
ties. Modern decision theory (12, 13)
regards subjective probability as the
quantified opinion of an idealized per-
son. Specifically, the subjective proba-
bility of a given event is defined by the
set of bets about this event that such a
person is willing to accept. An inter-
nally consistent, or coherent, subjective
probability measure can be derived for
an individual if his choices among bets
satisfy certain principles, that is, the
axioms of the theory. The derived prob-
ability is subjective in the sense that
different individuals are allowed to have
different probabilities for the same event.
The major contribution of this ap-
proach is that it provides a rigorous

subjective interpretation of probability
that is applicable to unique events and
is embedded in a general theory of ra-
tional decision.

It should perhaps be noted that, while
subjective probabilities can sometimes
be inferred from preferences among
bets, they are normally not formed in
this fashion. A person bets on team A
rather than on team B because he be-
lieves that team A is more likely to
win; he does not infer this belief from
his betting preferences. Thus, in reality,
subjective probabilities determine pref-
erences among bets and are not de-
rived from them, as in the axiomatic
theory of rational decision (12).

The inherently subjective nature of
probability has led many students to the
belief that coherence, or internal con-
sistency, is the only valid criterion by
which judged probabilities should be
evaluated. From the standpoint of the
formal theory of subjective probability,
any set of internally consistent probabil-
ity judgments is as good as any other.
This criterion is not entirely satisfactory,
because an internally consistent set of
subjective probabilities can be incom-
patible with other beliefs held by the
individual. Consider a person whose
subjective probabilities for all possible
outcomes of a coin-tossing game reflect
the gambler’s fallacy. That is, his esti-
mate of the probability of tails on a
particular toss increases with the num-
ber of consecutive heads that preceded
that toss. The judgments of such a per-
son could be internally consistent and
therefore acceptable as adequate sub-
jective probabilities according to the
criterion of the formal theory. These
probabilities, however, are incompatible
with the generally held belief that a
coin has no memory and is therefore in-
capable of generating sequential de-
pendencies. For judged probabilities to
be considered adequate, or rational, in-
ternal consistency is not enough. The
judgments must be compatible with the
entire web of beliefs held by the in-
dividual. Unfortunately, there can be
no simple formal procedure for assess-
ing the compatibility of a set of proba-
bility judgments with the judge’s total
system of beliefs. The rational judge
will nevertheless strive for compatibility,
even though internal consistency is
more easily achieved and assessed. In
particular, he will attempt to make his
probability judgments compatible with
his knowledge about the subject mat-
ter, the laws of probability, and his own
judgmental heuristics and biases.

SCIENCE, VOL. 185

Summary

This article described three heuristics
that are employed in making judgments
under uncertainty: (i) representativeness,
which is usually employed when peo-
ple are asked to judge the probability
that an object or event A belongs to
class or process B; (ii) availability of in-
stances or scenarios, which is often em-
ployed when people are asked to assess
the frequency of a class or the plausibil-
ity of a particular development; and
(iii) adjustment from an anchor, which
is usually employed in numerical predic-
tion when a relevant value is available.
These heuristics are highly economical

Summary
This article described three heuristics
that are employed in making judgments
under uncertainty: (i) representativeness,
which is usually employed when peo-
ple are asked to judge the probability
that an object or event A belongs to
class or process B; (ii) availability of in-
stances or scenarios, which is often em-
ployed when people are asked to assess
the frequency of a class or the plausibil-
ity of a particular development; and
(iii) adjustment from an anchor, which
is usually employed in numerical predic-
tion when a relevant value is available.
These heuristics are highly economical

and usually effective, but they lead to
systematic and predictable errors. A
better understanding of these heuristics
and of the biases to which they lead
could improve judgments and decisions
in situations of uncertainty.

References and Notes

1. D. Kahneman and A. Tversky, Psychol. Rev.
80, 237 (1973).

2. – , Cognitive Psychol. 3, 430 (1972).
3. W. Edwards, in Formal Representation of

Human Judgment, B. Kleinmuntz, Ed. (Wiley,
New York, 1968), pp. 17-52.

4. P. Slovic and S. Lichtenstein, Organ. Behav.
Hum. Performance 6, 649 (1971).

5. A. Tversky and D. Kahneman, Psychol. Bull.
76, 105 (1971).

6. —- , Cognitive Psychol. 5, 207 (1973).
7. R. C. Galbraith and B. J. Underwood,

Mem. Cognition 1, 56 (1973).

and usually effective, but they lead to
systematic and predictable errors. A
better understanding of these heuristics
and of the biases to which they lead
could improve judgments and decisions
in situations of uncertainty.
References and Notes
1. D. Kahneman and A. Tversky, Psychol. Rev.
80, 237 (1973).
2. – , Cognitive Psychol. 3, 430 (1972).
3. W. Edwards, in Formal Representation of
Human Judgment, B. Kleinmuntz, Ed. (Wiley,
New York, 1968), pp. 17-52.
4. P. Slovic and S. Lichtenstein, Organ. Behav.
Hum. Performance 6, 649 (1971).
5. A. Tversky and D. Kahneman, Psychol. Bull.
76, 105 (1971).
6. —- , Cognitive Psychol. 5, 207 (1973).
7. R. C. Galbraith and B. J. Underwood,
Mem. Cognition 1, 56 (1973).

8. L. J. Chapman and J. P. Chapman, J.
Abnorm. Psychol. 73, 193 (1967); ibid., 74,
271 (1969).

9. M. Bar-Hillel, Organ. Behav. Hum. Per-
formance 9, 396 (1973).

10. J. Cohen, E. I. Chesnick, D. Haran, Br. J.
Psychol. 63, 41 (1972).

11. M. Alpert and H. Raiffa, unpublished manu-
script; C. A. S. von Holstein, Acta Psychol.
35, 478 (1971); R. L. Winkler, J. Am. Stat.
Assoc. 62, 776 (1967).

12. L. J. Savage, The Foundations of Statistics
(Wiley, New York, 1954).

13. B. De Finetti, in International Encyclopedia
of the Social Sciences, D. E. Sills, Ed. (Mac-
millan, New York, 1968), vol. 12, pp. 496-
504.

14. This research was supported by the Advanced
Research Projects Agency of the Department
of Defense and was monitored by the Office
of Naval Research under contract N00014-
73-C-0438 to the Oregon Research Institute,
Eugene. Additional support for this research
was provided by the Research and Develop-
ment Authority of the Hebrew University,
Jerusalem, Israel.

8. L. J. Chapman and J. P. Chapman, J.
Abnorm. Psychol. 73, 193 (1967); ibid., 74,
271 (1969).
9. M. Bar-Hillel, Organ. Behav. Hum. Per-
formance 9, 396 (1973).
10. J. Cohen, E. I. Chesnick, D. Haran, Br. J.
Psychol. 63, 41 (1972).
11. M. Alpert and H. Raiffa, unpublished manu-
script; C. A. S. von Holstein, Acta Psychol.
35, 478 (1971); R. L. Winkler, J. Am. Stat.
Assoc. 62, 776 (1967).
12. L. J. Savage, The Foundations of Statistics
(Wiley, New York, 1954).
13. B. De Finetti, in International Encyclopedia
of the Social Sciences, D. E. Sills, Ed. (Mac-
millan, New York, 1968), vol. 12, pp. 496-
504.
14. This research was supported by the Advanced
Research Projects Agency of the Department
of Defense and was monitored by the Office
of Naval Research under contract N00014-
73-C-0438 to the Oregon Research Institute,
Eugene. Additional support for this research
was provided by the Research and Develop-
ment Authority of the Hebrew University,
Jerusalem, Israel.

Rural Health Care in Mexico?
Present educational and administrative structures must be

changed in order to improve health care in rural areas.

Luis Cainedo

Rural Health Care in Mexico?
Present educational and administrative structures must be
changed in order to improve health care in rural areas.
Luis Cainedo

The present health care structure in
Mexico focuses attention on the urban
population, leaving the rural communi-
ties practically unattended. There are
two main factors contributing to this
situation. One is the lack of coordina-
tion among the different institutions
responsible for the health of the com-
munity and among the educational
institutions. The other is the lack of
information concerning the nature of
the problems in rural areas. In an at-
tempt to provide a solution to these
problems, a program has been designed
that takes into consideration the en-
vironmental conditions, malnutrition,
poverty, and negative cultural factors
that are responsible for the high inci-
dences of certain diseases among rural
populations. It is based on the develop-
ment of a national information system
for the collection and dissemination of
information related to general, as well
as rural, health care, that will provide
the basis for a national health care sys-
tem, and depends on the establishment
of a training program for professionals
in community medicine.

27 SEPTEMBER 1974
The present health care structure in
Mexico focuses attention on the urban
population, leaving the rural communi-
ties practically unattended. There are
two main factors contributing to this
situation. One is the lack of coordina-
tion among the different institutions
responsible for the health of the com-
munity and among the educational
institutions. The other is the lack of
information concerning the nature of
the problems in rural areas. In an at-
tempt to provide a solution to these
problems, a program has been designed
that takes into consideration the en-
vironmental conditions, malnutrition,
poverty, and negative cultural factors
that are responsible for the high inci-
dences of certain diseases among rural
populations. It is based on the develop-
ment of a national information system
for the collection and dissemination of
information related to general, as well
as rural, health care, that will provide
the basis for a national health care sys-
tem, and depends on the establishment
of a training program for professionals
in community medicine.
27 SEPTEMBER 1974

The continental and insular area of
Mexico, including interior waters, is
2,022,058 square kilometers (1, 2). In
1970 the population of Mexico was
48,377,363, of which 24,055,305 per-
sons (49.7 percent) were under 15
years of age. The Indian population
made up 7.9 percent of the total (2, 3).
As indicated in Table 1, 42.3 percent
of the total population live in commu-
nities of less than 2,500 inhabitants, and
in such communities public services as
well as means of communication are
very scarce or nonexistent. A large per-
centage (39.5 percent) of the econom-
ically active population is engaged in
agriculture (4).

The country’s population growth rate
is high, 3.5 percent annually, and it
seems to depend on income, being
higher among the 50 percent of the
population earning less than 675 pesos
($50) per family per month (5). The
majority of this population lives in the
rural areas. The most frequent causes
of mortality in rural areas are malnu-
trition, infectious and parasitic diseases
(6, 7), pregnancy complications, and

The continental and insular area of
Mexico, including interior waters, is
2,022,058 square kilometers (1, 2). In
1970 the population of Mexico was
48,377,363, of which 24,055,305 per-
sons (49.7 percent) were under 15
years of age. The Indian population
made up 7.9 percent of the total (2, 3).
As indicated in Table 1, 42.3 percent
of the total population live in commu-
nities of less than 2,500 inhabitants, and
in such communities public services as
well as means of communication are
very scarce or nonexistent. A large per-
centage (39.5 percent) of the econom-
ically active population is engaged in
agriculture (4).
The country’s population growth rate
is high, 3.5 percent annually, and it
seems to depend on income, being
higher among the 50 percent of the
population earning less than 675 pesos
($50) per family per month (5). The
majority of this population lives in the
rural areas. The most frequent causes
of mortality in rural areas are malnu-
trition, infectious and parasitic diseases
(6, 7), pregnancy complications, and

accidents (2). In 1970 there were 34,-
107 doctors in Mexico (2). The ratio
of inhabitants to doctors, which is
1423.7, is not a representative index
of the actual distribution of resources
because there is a great scarcity of
health professionals in rural areas and
a high concentration in urban areas
(Fig. 1) (7, 8).

In order to improve health at a na-
tional level, this situation must be
changed. The errors made in previous
attempts to improve health care must
be avoided, and use must be made of
the available manpower and resources
of modern science to produce feasible
answers at the community level. Al-
though the main objective of a special-
isit in community medicine is to control
disease, such control cannot be
achieved unless action is taken against
the underlying causes of disease; it has
already been observed that partial solu-
tions are inefficient (9). As a back-
ground to this new program that has
been designed to provide health care
in rural communities, I shall first give
a summary of the previous attempts
that have been made to provide such
care, describing the various medical in-
stitutions and other organizations that
are responsible for the training of med-
ical personnel and for constructing the
facilities required for health care.

accidents (2). In 1970 there were 34,-
107 doctors in Mexico (2). The ratio
of inhabitants to doctors, which is
1423.7, is not a representative index
of the actual distribution of resources
because there is a great scarcity of
health professionals in rural areas and
a high concentration in urban areas
(Fig. 1) (7, 8).
In order to improve health at a na-
tional level, this situation must be
changed. The errors made in previous
attempts to improve health care must
be avoided, and use must be made of
the available manpower and resources
of modern science to produce feasible
answers at the community level. Al-
though the main objective of a special-
isit in community medicine is to control
disease, such control cannot be
achieved unless action is taken against
the underlying causes of disease; it has
already been observed that partial solu-
tions are inefficient (9). As a back-
ground to this new program that has
been designed to provide health care
in rural communities, I shall first give
a summary of the previous attempts
that have been made to provide such
care, describing the various medical in-
stitutions and other organizations that
are responsible for the training of med-
ical personnel and for constructing the
facilities required for health care.

The author is an investigator in the department
of molecular biology at the Instituto de Investi-
gaciones Biomedicas, Universidad Nacional Aut6-
noma de Mexico, Ciudad Universitaria, Mexico
20, D.F. This article is adapted from a paper
presented at the meeting on Science and Man in
the Americas, jointly organized by the Consejo
Nacional de Ciencia y Tecnologia de Mexico and
the American Association for the Advancement
of Science and held in Mexico City, 20 June to
4 July 1973.

1131

The author is an investigator in the department
of molecular biology at the Instituto de Investi-
gaciones Biomedicas, Universidad Nacional Aut6-
noma de Mexico, Ciudad Universitaria, Mexico
20, D.F. This article is adapted from a paper
presented at the meeting on Science and Man in
the Americas, jointly organized by the Consejo
Nacional de Ciencia y Tecnologia de Mexico and
the American Association for the Advancement
of Science and held in Mexico City, 20 June to
4 July 1973.
1131

• Article Contents

p. 1124
p. 1125
p. 1126
p. 1127
p. 1128
p. 1129
p. 1130
p. 1131

• Issue Table of Contents

Science, New Series, Vol. 185, No. 4157 (Sep. 27, 1974), pp. 1089-1200
Front Matter [pp. 1089-1192]
Letters
Uranium Enrichment [p. 1109]
Clean Air by 1975? [p. 1109]
Sex Preselection [p. 1109]
Airships [pp. 1109-1110]
The Creative Process [p. 1110]
World Population: World Responsibility [p. 1113]
Classification: Purposes, Principles, Progress, Prospects [pp. 1115-1123]
Judgment under Uncertainty: Heuristics and Biases [pp. 1124-1131]
Rural Health Care in Mexico? [pp. 1131-1137]
News and Comment
Safeguard: Disputed Weapon Nears Readiness on Plains of North Dakota [pp. 1137-1140]
Plutonium (II): Watching and Waiting for Adverse Effects [pp. 1140-1143]
Briefing [p. 1142]
UN Conferences: Topping Any Agenda Is the Question of Development [pp. 1143-1193]
Research News
Modeling the Climate: A New Sense of Urgency [pp. 1145-1147]
Speaking of Science: Skunks: On the Scent of a Myth [p. 1146]
Planetary Science: First Meeting on Moons of the Solar System [pp. 1147-1148]
AAAS Annual Meeting, 26-31 January 1975, New York City [pp. 1149-1157]
Book Reviews
Birds Living Together: Actually and in Theory [pp. 1158-1159]
How Pictures Work [pp. 1159-1160]
Neuroscience [p. 1160]
Honoring Dirac [pp. 1160-1161]
Books Received [pp. 1161-1190]
Reports
Atomic Images by Electron-Wave Holography [pp. 1163-1165]
Stratospheric Ozone Destruction by Man-Made Chlorofluoromethanes [pp. 1165-1167]
Methane Production in the Interstitial Waters of Sulfate-Depleted Marine Sediments [pp. 1167-1169]
Melatonin: Its Inhibition of Pineal Antigonadotrophic Activity in Male Hamsters [pp. 1169-1171]
Rod Origin of Prolonged Afterimages [pp. 1171-1172]
Lymphocytic Choriomeningitis in a Hamster Colony Causes Infection of Hospital Personnel [pp. 1173-1174]
Renal Lysosomes: Role in Biogenesis of Erythropoietin [pp. 1174-1176]
Topology of the Outer Segment Membranes of Retinal Rods and Cones Revealed by a Fluorescent Probe [pp. 1176-1179]
Centric Fusion, Satellite DNA, and DNA Polarity in Mouse Chromosomes [pp. 1179-1181]
Pulmonary Alveolar Hypoxia: Release of Prostaglandins and Other Humoral Mediators [pp. 1181-1183]
Nuclear Waste Disposal in the Oceans [pp. 1183-1184]
Wilson’s Disease and Copper-Binding Proteins [pp. 1184-1185]
Subsidence of Venice: Predictive Difficulties [p. 1185]
Back Matter [pp. 1193-1200]