Scott Alexander, curated
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Book Review: The Perfect Health Diet

Quality
68
Strong
Claude Shift
42
Moderate
RWI
2
of 10
Humor level 2 badge: Man of One StudyHumorMan of One Studya lone chuckle

Summary

A 'mixed'-verdict review of Paul Jaminet's paleo-adjacent 'Perfect Health Diet,' with Scott applying his medical/statistical literacy. The good: genuinely science-based and evolutionarily-informed; the useful 'safe starch' concept that admits rice/potatoes/taro (validated by the conspicuously healthy rice-eating Japanese and starch-eating Polynesians, though Scott eyes potatoes warily via the cardiovascular-ridden Irish); a disciplined, specific-chemical treatment of 'toxins'; and intriguing leads on omega-6 fats and wheat. The bad, dissected at length: a consistent pattern of citing one supportive study while omitting the larger, later studies that overturned it -- Vitamin D, Vitamin K, the gloriously over-the-top 'Selenium Heaven' riff, and the genuinely harmful folic-acid/autism scare (the opposite of the evidence). The book ends up 'explaining 1500% of human mortality,' and its saturated-fat-is-exonerated claim leans on a single Dairy-Council-funded review while ignoring 9 of 11 others and Cochrane. The durable payload is the epistemic lesson -- spotting the cite-the-one-favorable-study pattern, and the Gell-Mann Amnesia worry that if the parts you can check are shoddy, assume the rest is too. Funny, fair (praises the no-multivitamin/no-calcium and iodine/lithium calls), and useful.

Why this score

Quality 68 · Strong. Strong (68): a competent, entertaining, and genuinely useful review that teaches a transferable epistemic skill (detecting selective citation in health writing) with characteristic humor. Mid-Strong rather than higher because it's a fairly routine evaluation of one niche diet book, without a broad framework or original investigation of its own.

Claude’s paradigm shift 42 · Moderate. Moderate (42): the selective-citation critique and Gell-Mann-amnesia application are a useful, well-aimed frame, but standard epistemic tools applied to the book rather than a novel contribution.

Real-world impact 2 · Minor. A review of one niche diet book teaching a transferable epistemic skill (spotting selective citation); useful to readers but with no material-world or population-level reach → RWI 2.

Humor 2/5 · Man of One Study. Serious, substantive book-review critique (cherry-picked studies) elevated by a standout comedic crescendo — the escalating 'selenium' riff (Selenium Heaven, selenium-based lifeforms playing selenium flutes), the parallel Vitamin-K escalation, and the Irish-couple-calling-spaghetti-'exotic-foreign-food' anecdote. Concentrated but genuine comedic set-pieces → 2.