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Notes -
The Pitt as a lagging culture war indicator
So I’ve been watching The Pitt with my wife lately.
The premise of the show is to follow doctors and nurses in an ER over a single 15-hour shift, much like the old show 24.
The show has been praised for its accuracy and I certainly find it intense at times.
That being said, I’m halfway through the Emmy-nominated season and while the medical drama part is solid, I’ve been repeatedly struck by the culture war aspects of the show.
According to Wikipedia, development began late 2023 after the writers strike and into 2024. The show premiered in early 2025 and has already been renewed.
It’s good and I’ve enjoyed watching it.
That being said….
There’s a bit of a culture war time capsule effect that shows up from time to time. It’s intermittent but fairly heavy-handed I think:
It’s hard to convey from the descriptions but there are two themes I want to comment on.
The first is what is treated as something to joke about vs a Very Special Message. We get jokes about drug addicts with nicknames, jokes about frat boys in car wrecks, jokes about whether a medical student killed someone or just got unlucky. No joking around though when it comes to using terms like “unhoused.”
The other major theme that to me comes out strongly is a vibe of knowing the answers to all these political issues. There’s never any exploration or even acknowledgment of a controversy beyond as an obstacle to be dealt with.
For instance (mild spoilers) the girl coming in for an abortion evidently missed the 11 week deadline. No problem! Doctors will just lie. The mother of the patient isn’t on board but that’s ok the doctors will browbeat her into it and suggest the daughter will never speak to her again if it happens.
Sometimes even the doctors don’t know what to do like in the case of an incel with some violent journaling or a patient who’s been poisoned by his wife—she claims without evidence or corroboration that he’s molesting their daughter and we’re horrified to learn that she might be the one in trouble!
Overall though, the attitude is one of “we know the answers but sometimes society isn’t quite caught up yet.”
Will be curious to see how the tone of shows like this changes having now entered an era of “reckoning” and “post-mortems” of democratic hubris.
The medical accuracy and fast-paced intensity of the show are really good. After watching a good portion of this season, I ended up going back to the old ER from the 1990s and 2000s and watched several seasons. There's a lot of nostalgia and good accuracy with series as well, which I enjoyed, but I noticed the same sort of progressive lecturing in the 1990s ER episodes as I did in the The Pitt. I've come to realize over recent years that social lecturing is heavily baked into a lot of these mainstream shows. It's incredibly powerful and influential.
The side effect of this realization it is that I am quick to dismiss any new series or movies wherein I catch a whiff of this sort of presentist lecturing. Even though I recognize the moral framework and lecturing of older 1980s and 90s shows and movies, it aligns more with how I view the world so I can tolerate a certain amount of it. I find the current progressive ideological force-feeding in entertainment to be insufferable though. I understand that society moves on and changes, and that some of my frustration is just a natural reaction to entertainment no longer appealing to my age group, but I also think this era of film entertainment is objectively terrible when it comes to the hit:miss ratio.
Big budget film companies adhere to certain formulas that will turn a profit, while the only real social risks taken in big films is the left-leaning. The latter isn't new but the type of leftwing ideology being pushed is. To add insult to injury, these large production companies churn out something like 6 superhero/comic book films per year at about $200m per film, along with a biopic or two that are well done, but not really worthy of the praise they typically get. Smaller studios like A24 are promising, but they too are unfortunately captured by the same progressive ideology that has consumed every Western institution on the planet. There are still some diamonds in the rough (Top Gun: Maverick), but it is mind-numbing how widespread and pervasive this sort of progressive lecturing has become.
If you haven't seen it, A24 distributed a film called Warfare that was actually pretty good.
Warfare was excellent, something really unique and special in the movie world. It comes very close to being an exact minute-by-minute recreation of the events it depicts and had some unique stylistic choices (most obviously the total lack of a soundtrack) that I think made it tremendously effective. My fiancée and I caught it at the tail end of its theatrical run and both loved it. I would highly recommend it to anyone with even a passing interest in the subject matter/genre.
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