Skew distorts hedge ratios
Imagine a $100 stock that has a $7.50 0DTE straddle on earnings day
A straddle (ie MAD) understates risk in the presence of skew
If the straddle or MAD is $7.50, then as we established earlier that maps to a volatility of 9.375%.
Balanced case
The stock dropping $15 is impossible (we set up a binary). The $10 put is worthless.
Now relax the binary. The balanced stock dropping $15 is a 1.6 standard deviation move.
[The z-score: -15%/9.375% = -1.6]
The probability of that is 5.5%

The 90-strike put has some value now. Plugging into an [option calculator](<https://www.optionseducation.org/toolsoptionquotes/optionscalculator>) with 1 day to expiry and 148% annualized vol I get a value of **$.29**
**Skewed case**
In the skewed case, remember we can’t see the skew. We still just see the $7.50 straddle and if we use the vol implied from that we will think the option is worth $.29.
But we stipulated that the hidden binary distribution has a 25% chance of the stock dropping to $85 giving that put a true value of **$1.25** (25% x $5)
This is concerning even if you don’t trade options but use the straddles to imply a standard deviation, perhaps for vol-weighted position sizing.
For the same straddle value the balanced stock with the lognormal distribution (remember we relaxed the binary condition) had a 5.5% chance of dropping $15 but the binary skewed stock had a 25% chance.
***But both stocks had the same straddle price!***