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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.
I'm pretty sure there's a fascinating generational divide at play in things like this.
Here's my folk theory on that. Because of the particular circumstances Boomers were born into, many of the more artistic ones were raised in a much more conservative environment, then had a massive crisis of faith / trust / belief in the late 60s through the 70s, and then had to figure out a way to reintegrate themselves into society and make art about it. And because of that, whatever their other flaws, they were often VERY good at making entertainment that could talk to actual moderates and conservatives, because in many cases, they were the black sheep who had charted an overt path away from where they had started. They were the prodigal sons, but when they returned, they intended to remake culture with what they had found.
If you were a conservative, trying to maintain a traditional culture, these people were like the pied piper of Hamelin. They were really good at targeting younger members of your home communities, seductively you might say. They were legitimately good at representing things you recognized while also undermining it with a certain kind of criticism or nuance, at their best. Or even when they were provoking, they were good at signaling that they were provoking from within a shared tribe, so to speak.
Gen X didn't have the formative experience of the draft, and they grew up in the shadow of both this artistic explosion as well as the backlash, the stagflation of the 70s, and the rise of the religious right, and the cold war of the 80s. They saw the huge excesses of the divorce revolution and the drug culture and AIDS as-it-was-experienced and various miserable, alienating radical activist movements. They were, perhaps, particularly attuned towards cynicism about politics and messy ambiguity in art as a result. The best Gen X (at least when they were young) was often provocative, knowing exactly how to needle a conservative majority, but rarely preachy... (although if I go back and listen to, say, Eddie Vedder now, I can recognize the west coast SJW inclinations there the whole time). And also, the left of center counter culture got stomped down so incredibly hard in the 80s that they legitimately recognized themselves as outsiders, a kind of marginalized dissent. And Gen X got irony.
I think (when it comes to art and communication), everything kind of went to hell with the combination of the collapse of conservatism in the George W Bush years, the rhetorical success of, especially, Jon Stewart, and the messianic rise of Obama. Because it ushered in a kind of generational change, and that meant that a lot of the Millennials, especially, developed their early political identities during the Bush years and then experienced a conversion experience with Obama, all while internalizing the worst elements of Jon Stewart's frequent stance of "we, the smart ones, don't even need to refute the arguments of these moral monsters and intellectual imbeciles, and so we will use a condescending sneer at them instead". And I mean, I liked that tone during the Bush years too - it was very fun and self-satisfying. But it mixes with thoughtful art really, really poorly, it doesn't do nuance or ambiguity, and it really only works when you're preaching to the choir. And once Obama swept it, it turned out that being against something legitimately lousy was easy mode, and when you're for things (like high speed rail in California, or a really aggressive trans agenda), and you leave a giant trail of wreckage in your wake, sneering at your opponents simply isn't enough. That doesn't persuade. It doesn't take reality seriously, or your own failures. Everything that made those messy dissident Boomers so effective had dried up. And I really do think radically different life experiences played a major role here. I think there's an ugly tendency in modern progressive culture broadly for people to want to feel as though they are both, at once, the eternal put upon victims and dissidents of power, while also the natural experts, the aristocratic power that stands in perpetual judgement due to intellectual merit and thus moral merit. And... that just really sucks for sophisticated art. And then the radicalization that happened in the lead up to Trump has just made everything vastly worse, of course. I've noted it before, but the run up to the 2016 election was the first time in my life that I had EVER seen artistically cooler, non-cringe media from Republicans than Democrats. It felt, at the time, like that was an important bellwether of something.
I've seen Freddie de Boer bemoan what he calls the "We are already decided" stance (or something like that). I think if you're in communities that have already adopted that stance, it becomes very difficult to make sophisticate, nuanced art that can reach out to people with other life experiences.
I remember early on in cancel culture Chris Rock (I think) talking about how he couldn't play colleges anymore. And he had some statement that was like, "You can't be wrong anymore on your way to being" - suggesting, I think, that even if you were going to tell a joke that ended up with an approved morality, you weren't allowed to even play around rhetorically with the unapproved morality, or give it is due, or take it serious, as a rhetorical technique before ending up where you were supposed to. I think I'm paraphrasing that roughly right. And I think (if I am) that that captured some of the specific tension I find so interesting here.
What's the moral of the tale, to you? (This is a 20 year mystery for me.)
To be honest, I don't recall the details of the actual tale. I was just using the phrase in its usual metaphorical sense - I just double checked Wikipedia, about this, and it suggested that "The phrase "pied piper" has become a metaphor for a person who attracts a following through charisma or false promises.".
Skimming the Wikipedia page for this makes the tale, and its history, sound pretty interesting in its own right, but I don't have much to add to that.
I suppose, as normally used, it's "short term gains mean long term losses". Being enticed away by something that sounds good, to the point you ignore all other intervention, then you end up losing everything.
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