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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.
This appears not to be happening at all, so far as I can tell. After a brief but abortive period of maybe a couple of weeks immediately following the election, in which it seemed like there might be some small but sincere effort toward this, progressives appear overwhelmingly to have hunkered down into a stance that they were right all along and that the voters really are just too irredeemable to ever be trusted again. Go on Bluesky and see how people who are perceived to be advocating “popularism” are treated. (You’re accused of throwing trans people are minorities to the wolves, betraying them for short-term mercenary political gain.)
A handful of smart-but-cynical elite figures like Matt Yglesias and Ezra Klein might be trying to conduct a proper course-correction, but they appear to have little or no influence on the tier of progressives thought leaders and activists just below them. Presumably television scriptwriters are on the tier even below that one, totally insulated from the imprecations of politically-savvy wonks.
It's too early to tell, IMO. You had e.g. Newsom saying that MTF trans kids shouldn't play in sports for a bit, so Democratic politicians definitely were seeing the need for a course correction.
Unfortunately, it is (correctly) perceived that Trump has made a series of unnecessary self-owns, so now the "keep the same playbook and hope the ebb and flow of politics brings us back to power" segment has renewed leverage in the intra-party dispute. Mid-terms will determine which view gets to compete in 2028.
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