This is not, by any means, limited to health issues. A while back, I read a government report in The New York Times on the safety of automobiles. The measure that they used was the deaths per million drivers of each of these autos. It turns out that, for example, there are enormously more deaths per million drivers who drive Ford F150 pickups than for people who drive Volvo station wagons. Most people’s reaction, and certainly my initial reaction to it was, "Well, it sort of figures—everybody knows that Volvos are safe." Let’s describe two people and you tell me who you think is more likely to be driving the Volvo and who is more likely to be driving the pickup: a suburban matron in the New York area and a twenty-five-year-old cowboy in Oklahoma. It’s obvious that people are not assigned their cars. We don’t say, "Billy, you’ll be driving a powder blue Volvo station wagon." Because of this self-selection problem, you simply can’t interpret data like that. You know virtually nothing about the relative safety of cars based on that study. - http://edge.org/conversation/richard_nisbett-the-crusade-against-multiple-regression-analysis