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Hans Rosling – Factfulness

Every group of people I ask thinks the world is more frightening, more violent, and more hopeless—in short, more dramatic—than it really is.

Only actively wrong “knowledge” can make us score so badly.

In short: Think about the world. War, violence, natural disasters, man-made disasters, corruption. Things are bad, and it feels like they are getting worse, right? The rich are getting richer and the poor are getting poorer; and the number of poor just keeps increasing; and we will soon run out of resources unless we do something drastic. At least that’s the picture that most Westerners see in the media and carry around in their heads. I call it the overdramatic worldview. It’s stressful and misleading. In fact, the vast majority of the world’s population lives somewhere in the middle of the income scale. Perhaps they are not what we think of as middle class, but they are not living in extreme poverty. Their girls go to school, their children get vaccinated, they live in two-child families, and they want to go abroad on holiday, not as refugees. Step-by-step, year-by-year, the world is improving. Not on every single measure every single year, but as a rule. Though the world faces huge challenges, we have made tremendous progress. This is the fact-based worldview.

The overdramatic worldview is so difficult to shift because it comes from the very way our brains work.

The human brain is a product of millions of years of evolution, and we are hard-wired with instincts that helped our ancestors to survive in small groups of hunters and gatherers. Our brains often jump to swift conclusions without much thinking, which used to help us to avoid immediate dangers. We are interested in gossip and dramatic stories, which used to be the only source of news and useful information. We crave sugar and fat, which used to be life-saving sources of energy when food was scarce. We have many instincts that used to be useful thousands of years ago, but we live in a very different world now.

Our quick-thinking brains and cravings for drama—our dramatic instincts—are causing misconceptions and an overdramatic worldview.

Uncontrolled, our appetite for the dramatic goes too far, prevents us from seeing the world as it is, and leads us terribly astray.

This chapter is about the first of our ten dramatic instincts, the gap instinct. I’m talking about that irresistible temptation we have to divide all kinds of things into two distinct and often conflicting groups, with an imagined gap—a huge chasm of injustice—in between. It is about how the gap instinct creates a picture in people’s heads of a world split into two kinds of countries or two kinds of people: rich versus poor.

Graphs showing levels of income, or tourism, or democracy, or access to education, health care, or electricity would all tell the same story: that the world used to be divided into two but isn’t any longer. Today, most people are in the middle. There is no gap between the West and the rest, between developed and developing, between rich and poor. And we should all stop using the simple pairs of categories that suggest there is. 

Of the world population, what percentage lives in low-income countries? The majority suggested the answer was 50 percent or more. The average guess was 59 percent. The real figure is 9 percent. Only 9 percent of the world lives in low-income countries.

To summarize: low-income countries are much more developed than most people think. And vastly fewer people live in them. The idea of a divided world with a majority stuck in misery and deprivation is an illusion. A complete misconception. Simply wrong.

So, to replace them, I will now suggest an equally simple but more relevant and useful way of dividing up the world. Instead of dividing the world into two groups I will divide it into four income levels, as set out in the image below.

Today the vast majority of people are spread out in the middle, across Levels 2 and 3, with the same range of standards of living as people had in Western Europe and North America in the 1950s. And this has been the case for many years.

The gap instinct makes us imagine division where there is just a smooth range, difference where there is convergence, and conflict where there is agreement. It is the first instinct on our list because it’s so common and distorts the data so fundamentally. If you look at the news or click on a lobby group’s website this evening, you will probably notice stories about conflict between two groups, or phrases like “the increasing gap.”

Of course, gap stories can reflect reality. In apartheid South Africa, black people and white people lived on different income levels and there was a true gap between them, with almost no overlap. The gap story of separate groups was absolutely relevant. But apartheid was very unusual. Much more often, gap stories are a misleading overdramatization. In most cases there is no clear separation of two groups, even if it seems like that from the averages. We almost always get a more accurate picture by digging a little deeper and looking not just at the averages but at the spread: not just the group all bundled together, but the individuals. Then we often see that apparently distinct groups are in fact very much overlapping.

We are naturally drawn to extreme examples, and they are easy to recall.

These stories of opposites are engaging and provocative and tempting—and very effective for triggering our gap instinct—but they rarely help understanding. There will always be the richest and the poorest, there will always be the worst regimes and the best. But the fact that extremes exist doesn’t tell us much. The majority is usually to be found in the middle, and it tells a very different story.

To control the gap instinct, look for the majority.

Beware comparisons of extremes. In all groups, of countries or people, there are some at the top and some at the bottom. The difference is sometimes extremely unfair. But even then the majority is usually somewhere in between, right where the gap is supposed to be.

Over the last 20 years, the proportion of people living in extreme poverty has almost halved. But in our online polls, in most countries, less than 10 percent knew this. Remember the four income levels from chapter 1? In the year 1800, roughly 85 percent of humanity lived on Level 1, in extreme poverty.

Level 1 is where all of humanity started. It’s where the majority always lived, until 1966. Until then, extreme poverty was the rule, not the exception.

Back in 1800, when Swedes starved to death and British children worked in coal mines, life expectancy was roughly 30 years everywhere in the world.

There’s a dip in the global life expectancy curve in 1960 because 15 to 40 million people—nobody knows the exact number—starved to death that year in China, in what was probably the world’s largest ever man-made famine. The Chinese harvest in 1960 was smaller than planned because of a bad season combined with poor governmental advice about how to grow crops more effectively. The local governments didn’t want to show bad results, so they took all the food and sent it to the central government. There was no food left. One year later the shocked inspectors were delivering eyewitness reports of cannibalism and dead bodies along roads. The government denied that its central planning had failed, and the catastrophe was kept secret by the Chinese government for 36 years. It wasn’t described in English to the outside world until 1996. (Think about it. Could any government keep the death of 15 million people a global secret today?)

Your own country has been improving like crazy too. I can say this with confidence even though I don’t know where you live, because every country in the world has improved its life expectancy over the last 200 years. In fact almost every country has improved by almost every measure.

In large part, it is because of our negativity instinct: our instinct to notice the bad more than the good. There are three things going on here: the misremembering of the past; selective reporting by journalists and activists; and the feeling that as long as things are bad it’s heartless to say they are getting better.

And thanks to increasing press freedom and improving technology, we hear more, about more disasters, than ever before. When Europeans slaughtered indigenous peoples across America a few centuries ago, it didn’t make the news back in the old world. When central planning resulted in mass famine in rural China, millions starved to death while the youngsters in Europe waving communist red flags knew nothing about it. When in the past whole species or ecosystems were destroyed, no one realized or even cared. Alongside all the other improvements, our surveillance of suffering has improved tremendously. This improved reporting is itself a sign of human progress, but it creates the impression of the exact opposite.

Factfulness is … recognizing when we get negative news, and remembering that information about bad events is much more likely to reach us. When things are getting better we often don’t hear about them. This gives us a systematically too-negative impression of the world around us, which is very stressful. 

To control the negativity instinct, expect bad news. 

  • Better and bad. Practice distinguishing between a level (e.g., bad) and a direction of change (e.g., better). Convince yourself that things can be both better and bad. 
  • Good news is not news. Good news is almost never reported. So news is almost always bad. When you see bad news, ask whether equally positive news would have reached you. 
  • Gradual improvement is not news. When a trend is gradually improving, with periodic dips, you are more likely to notice the dips than the overall improvement. 
  • More news does not equal more suffering. More bad news is sometimes due to better surveillance of suffering, not a worsening world. 
  • Beware of rosy pasts. People often glorify their early experiences, and nations often glorify their histories.

The world population today is 7.6 billion people, and yes, it’s growing fast. Still, the growth has already started to slow down, and the UN experts are pretty sure it will keep slowing down over the next few decades. They think the curve will flatten out at somewhere between 10 and 12 billion people by the end of the century.

The UN experts are not predicting that the number of children will stop increasing. They are reporting that it is already happening. The radical change that is needed to stop rapid population growth is that the number of children stops growing. And that is already happening. How could that be? That, everybody should know.

When I was born in 1948, women on average gave birth to five children each. After 1965 the number started dropping like it never had done before. Over the last 50 years it dropped all the way to the amazingly low world average of just below 2.5.

The large increase in population is going to happen not because there are more children. And not, in the main, because old folks are living longer. In fact the UN experts do predict that by 2100, world life expectancy will have increased by roughly 11 years, adding 1 billion old people to the total and taking it to around 11 billion. The large increase in population will happen mainly because the children who already exist today are going to grow up and “fill up” the diagram with 3 billion more adults. This “fill-up effect” takes three generations, and then it is done.

When combining all the parents living on Levels 2, 3, and 4, from every region of the world, and of every religion or no religion, together they have on average two children. No kidding! This includes the populations of Iran, Mexico, India, Tunisia, Bangladesh, Brazil, Turkey, Indonesia, and Sri Lanka, just to name a few examples.

Critical thinking is always difficult, but it’s almost impossible when we are scared. There’s no room for facts when our minds are occupied by fear.

Yet here’s the paradox: the image of a dangerous world has never been broadcast more effectively than it is now, while the world has never been less violent and more safe.

In fact, the number of deaths from acts of nature has dropped far below half. It is now just 25 percent of what it was 100 years ago.

This chapter has touched on terrifying events: natural disasters (0.1 percent of all deaths), plane crashes (0.001 percent), murders (0.7 percent), nuclear leaks (0 percent), and terrorism (0.05 percent). None of them kills more than 1 percent of the people who die each year, and still they get enormous media attention.

“In the deepest poverty you should never do anything perfectly. If you do you are stealing resources from where they can be better used.”

Today there are robust data sets for making the kinds of comparisons I made in Nacala on a global scale, and they show the same thing: It is not doctors and hospital beds that save children’s lives in countries on Levels 1 and 2. Beds and doctors are easy to count and politicians love to inaugurate buildings. But almost all the increased child survival is achieved through preventive measures outside hospitals by local nurses, midwives, and well-educated parents. Especially mothers: the data shows that half the increase in child survival in the world happens because the mothers can read and write. More children now survive because they don’t get ill in the first place.

I first discovered how useful the 80/20 rule is when I started to review aid projects for the Swedish government. In most budgets, around 20 percent of the lines sum up to more than 80 percent of the total. You can save a lot of money by making sure you understand these lines first. Doing just that is how I discovered that half the aid budget of a small health center in rural Vietnam was about to be spent on 2,000 of the wrong kind of surgical knives. It’s how I discovered that 100 times too much—4 million liters—of baby formula was about to be sent to a refugee camp in Algeria. And it is how I stopped 20,000 testicular prostheses from being sent to a small youth clinic in Nicaragua. In each case I simply looked for the biggest single items taking up 80 percent of the budget, then dug down into any that seemed unusual. In each case the problem was due to a simple confusion or tiny error such as a missing decimal point. The 80/20 rule is as easy as it seems. You just have to remember to use it.

By the end of this century, the UN expects there to have been almost no change in the Americas and Europe but 3 billion more people in Africa and 1 billion more in Asia. By 2100 the new PIN code of the world will be 1-1-4-5. More than 80 percent of the world’s population will live in Africa and Asia.

When I see a lonely number in a news report, it always triggers an alarm: What should this lonely number be compared to? What was that number a year ago? Ten years ago? What is it in a comparable country or region? And what should it be divided by? What is the total of which this is a part? What would this be per person? I compare the rates, and only then do I decide whether it really is an important number. 

Factfulness is … recognizing when a lonely number seems impressive (small or large), and remembering that you could get the opposite impression if it were compared with or divided by some other relevant number. 

To control the size instinct, get things in proportion. 

  • Compare. Big numbers always look big. Single numbers on their own are misleading and should make you suspicious. Always look for comparisons. Ideally, divide by something. 
  • 80/20. Have you been given a long list? Look for the few largest items and deal with those first. They are quite likely more important than all the others put together. 
  • Divide. Amounts and rates can tell very different stories. Rates are more meaningful, especially when comparing between different-sized groups. In particular, look for rates per person when comparing between countries or regions.

During the Second World War and the Korean War, doctors and nurses discovered that unconscious soldiers stretchered off the battlefields survived more often if they were laid on their fronts rather than on their backs. On their backs, they often suffocated on their own vomit. On their fronts, the vomit could exit and their airways remained open. This observation saved many millions of lives, not just of soldiers. The “recovery position” has since become a global best practice, taught in every first-aid course on the planet. (The rescue workers saving lives after the 2015 earthquake in Nepal had all learned it.) But a new discovery can easily be generalized too far. In the 1960s, the success of the recovery position inspired new public health advice, against most traditional practices, to put babies to sleep on their tummies. As if any helpless person on their back needed just the same help. The mental clumsiness of a generalization like this is often difficult to spot. The chain of logic seems correct. When seemingly impregnable logic is combined with good intentions, it becomes nearly impossible to spot the generalization error. Even though the data showed that sudden infant deaths went up, not down, it wasn’t until 1985 that a group of pediatricians in Hong Kong actually suggested that the prone position might be the cause. Even then, doctors in Europe didn’t pay much attention. It took Swedish authorities another seven years to accept their mistake and reverse the policy. Unconscious soldiers were dying on their backs when they vomited. Sleeping babies, unlike unconscious soldiers, have fully functioning reflexes and turn to the side if they vomit while on their backs. But on their tummies, maybe some babies are not yet strong enough to tilt their heavy heads to keep their airways open. (The reason the prone position is more dangerous is still not fully understood.)

Factfulness is … recognizing when a category is being used in an explanation, and remembering that categories can be misleading. We can’t stop generalization and we shouldn’t even try. What we should try to do is to avoid generalizing incorrectly.

To control the generalization instinct, question your categories. 

  • Look for differences within groups. Especially when the groups are large, look for ways to split them into smaller, more precise categories.
  •  Look for similarities across groups. If you find striking similarities between different groups, consider whether your categories are relevant. 
  • Look for differences across groups. Do not assume that what applies for one group (e.g., you and other people living on Level 4 or unconscious soldiers) applies for another (e.g., people not living on Level 4 or sleeping babies). •
  • Beware of “the majority.” The majority just means more than half. Ask whether it means 51 percent, 99 percent, or something in between. 
  • Beware of vivid examples. Vivid images are easier to recall but they might be the exception rather than the rule. 
  • Assume people are not idiots. When something looks strange, be curious and humble, and think, In what way is this a smart solution?

Almost every religious tradition has rules about sex, so it is easy to understand why so many people assume that women in some religions give birth to more children. But the link between religion and the number of babies per woman is often overstated. There is, though, a strong link between income and number of babies per woman.

Factfulness is … recognizing that many things (including people, countries, religions, and cultures) appear to be constant just because the change is happening slowly, and remembering that even small, slow changes gradually add up to big changes. 

To control the destiny instinct, remember slow change is still change. 

  • Keep track of gradual improvements. A small change every year can translate to a huge change over decades. 
  • Update your knowledge. Some knowledge goes out of date quickly. Technology, countries, societies, cultures, and religions are constantly changing. 
  • Talk to Grandpa. If you want to be reminded of how values have changed, think about your grandparents’ values and how they differ from yours. 
  • Collect examples of cultural change. Challenge the idea that today’s culture must also have been yesterday’s, and will also be tomorrow’s.

You probably know the saying “give a child a hammer and everything looks like a nail.” When you have valuable expertise, you like to see it put to use. Sometimes an expert will look around for ways in which their hard-won knowledge and skills can be applicable beyond where it’s actually useful. So, people with math skills can get fixated on the numbers. Climate activists argue for solar everywhere. And physicians promote medical treatment where prevention would be better.

Experts in maternal mortality who understand the point about hammers and nails can see that the most valuable intervention for saving the lives of the poorest mothers is not training more local nurses to perform C-sections, or better treatment of severe bleeding or infections, but the availability of transport to the local hospital. The hospitals were of limited use if women could not reach them: if there were no ambulances, or no roads for the ambulances to travel on. Similarly, educators know that it is often the availability of electricity rather than more textbooks or even more teachers in the classroom that has the most impact on learning, as students can do their homework after sunset.

Instead of comparing themselves with extreme socialist regimes, US citizens should be asking why they cannot achieve the same levels of health, for the same cost, as other capitalist countries that have similar resources. The answer is not difficult, by the way: it is the absence of the basic public health insurance that citizens of most other countries on Level 4 take for granted. Under the current US system, rich, insured patients visit doctors more than they need, running up costs, while poor patients cannot afford even simple, inexpensive treatments and die younger than they should. Doctors spend time that could be used to save lives or treat illness providing unnecessary, meaningless care. What a tragic waste of physician time.

People like me, who believe this, are often tempted to argue that democracy leads to, or is even a requirement for, other good things, like peace, social progress, health improvements, and economic growth. But here’s the thing, and it is hard to accept: the evidence does not support this stance. Most countries that make great economic and social progress are not democracies. South Korea moved from Level 1 to Level 3 faster than any country had ever done (without finding oil), all the time as a military dictatorship. Of the ten countries with the fastest economic growth in 2016, nine of them score low on democracy.

Our press may be free, and professional, and truth-seeking, but independent is not the same as representative: even if every report is itself completely true, we can still get a misleading picture through the sum of true stories reporters choose to tell. The media is not and cannot be neutral, and we shouldn’t expect it to be.

The urgency instinct makes us want to take immediate action in the face of a perceived imminent danger. It must have served us humans well in the distant past. If we thought there might be a lion in the grass, it wasn’t sensible to do too much analysis. Those who stopped and carefully analyzed the probabilities are not our ancestors. We are the offspring of those who decided and acted quickly with insufficient information.

The five that concern me most are the risks of global pandemic, financial collapse, world war, climate change, and extreme poverty.

The Spanish flu that spread across the world in the wake of the First World War killed 50 million people—more people than the war had, although that was partly because the populations were already weakened after four years of war.