Heart transplant success. The Stanford University Heart Transplant Study was conducted to determine whether an experimental heart transplant program increased lifespan. Each patient entering the program was officially designated a heart transplant candidate, meaning that he was gravely ill and might benefit from a new heart. Patients were randomly assigned into treatment and control groups. Patients in the treatment group received a transplant, and those in the control group did not. The table below displays how many patients survived and died in each group.22 control treatment alive 4 24 dead 30 45 Suppose we are interested in estimating the difference in survival rate between the control and treatment groups using a confidence interval. Explain why we cannot construct such an interval using the normal approximation. What might go wrong if we constructed the confidence interval despite this problem?

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Heart transplant success. The Stanford University Heart Transplant Study was conducted to determine whether an experimental heart transplant program increased lifespan. Each patient entering the
program was officially designated a heart transplant candidate, meaning that he was gravely ill and might
benefit from a new heart. Patients were randomly assigned into treatment and control groups. Patients in
the treatment group received a transplant, and those in the control group did not. The table below displays
how many patients survived and died in each group.22
control treatment
alive 4 24
dead 30 45
Suppose we are interested in estimating the difference in survival rate between the control and treatment
groups using a confidence interval. Explain why we cannot construct such an interval using the normal
approximation. What might go wrong if we constructed the confidence interval despite this problem?

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