Good decision, bad outcome: what poker players and a neurosurgeon teach

October 6, 2026 · 18 min read

Liv Boeree separates luck from skill at the poker table, Daniel Negreanu explains variance and expected value after losing over a million dollars in one series, Chamath Palihapitiya uses poker as a model in which success is about making fewer mistakes, neurosurgeon Mark McLaughlin describes learning to stop judging himself by outcomes, and Josh Waitzkin keeps decision journals. Judging a choice by its process and not its result is what lets people keep making good choices through a run of bad luck.

The rules, numbers and steps worth keeping in front of you.
  • One result is weak evidence; a good decision can lose and a bad one can win.
  • Boeree: over ten hands the better player wins about 52 percent; over 10,000 hands nearly always.
  • Boeree: for big one-off choices, write down your probabilities in advance.
  • Negreanu: ask after losses and wins whether it was luck or your play.
  • Negreanu: write down uncertain hands and review them with others.
  • Negreanu: feel the loss for a night, then get back to work.
  • Negreanu: a decision can only be judged against what you are trying to achieve.
  • Palihapitiya: your edge is the other side's mistakes minus your own.
  • Palihapitiya: make cheap mistakes fast and study them; slow down where errors are costly.
  • Palihapitiya: beware the flattering story told after success.
  • McLaughlin: do not judge yourself by outcomes; analyze without blame and keep improving.
  • McLaughlin: when something goes wrong, reject your first impulse, list options, stabilize, re-evaluate.
  • Waitzkin: keep a decision log and review it weeks later.
  • Over a large sample, results are the evidence; this is no excuse to ignore them.
This is the short form. The full insight has every expert's reasoning, their own words and the sources.