The evidence
Omission bias: the harm you cause and the harm you allow
A disease kills some children. A medicine prevents it completely, but the medicine itself kills a smaller number. Many people will not give it: a death you cause feels worse than a death you let happen.

Omission bias
Preferring a harm that comes from doing nothing over a smaller harm that comes from acting.
What the study found
In 1990, 53 students were told that a disease kills 10 in 10,000 children. They were asked the highest death rate from the vaccine that the government should accept before making vaccination compulsory. 23% said no risk at all, 57% set a limit between 1 and 8 in 10,000, and only 9% accepted 9 or 10.
Source: Ritov, I., & Baron, J. (1990). Reluctance to vaccinate: Omission bias and ambiguity. Journal of Behavioral Decision Making 3(4), 263-277. doi.org/10.1002/bdm.3960030404
How to read this
These are the answers of particular people, asked in a particular way, at a particular time. A share of people is not a verdict: it tells you what they answered, not what is right.
Where the game asks it
The Hospital (What risks will you accept?). The game’s versions with family, age, consent and combined pressures are new comparisons written for it. They are not copies of the experiments, and no population percentages are claimed for them.
Play The Hospital Free. No account. Your place is saved on your device.
More evidence
- The trolley problem: what people actually answer
- The framing effect: lives saved or lives lost
- The identifiable victim effect: one voice against many
- In-group favouritism: your people first
- The ultimatum game: would you refuse an unfair offer?
- The dictator game: what people give when nobody can refuse
- Third-party punishment: paying to punish a stranger
- Obedience to authority: the Milgram experiments
- Conformity: when everyone else gives the wrong answer
- Anchoring: the number you saw first
- Base-rate neglect: what a positive test really means
- The sunk cost effect: finishing what should be stopped
- The default effect: when doing nothing is the choice