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Culture War Roundup for the week of July 14, 2025

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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:

  • a medical student is lectured on intent vs impact after offering the aid of a social work to a homeless mom
  • a trans woman is treated for a cut and a med student draws attention to the “misgendering” of insurance records. We’re told it’s cool to have fixed this
  • we’re shown the “correct” way to interact with an autistic patient. A sr resident has apparently never done this before and is in awe of a second year “neuro-divergent” resident who helps the patient
  • a 17 year old girl is brought in for an abortion. The doctors commit fraud to make it happen and even talk the kids mom into it

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.

Somehow I doubt it, not for a long time. Those who have been left behind by the media are not going to be easy to convince that modern TV shows are now worth watching. And there's tremendous demand from disappointed blues for copium media where they can comfort themselves that their beliefs are self-evidently true and their values virtuous.

I think what will force the reckoning is not sincere questions, but losing ground in the business. Not just “people don’t go see the Palestinian genocide narrative supporting Superman, but people actively choose to support superheroes who espouse things they actually believe in. Create a pro-American superhero narrative that gets released to the same theaters that Woke Marvel goes to and I think they’ll at least downplay the Message. Have a pro-American, pro-Western Oikophillic Space Opera (maybe a revived Flash Gordon) release at the same time as Star Wars Old Republic, and when Star Wars flops, they might get the message.

For much too long, the Cathedral institutions have not faced an actual challenger. There are no real classical education modeled colleges and universities to challenge the chokehold that modern universities have on the student population. There aren’t many movies in mainstream distribution that really have traditional themes in them.

Create a pro-American superhero narrative that gets released to the same theaters that Woke Marvel goes to and I think they’ll at least downplay the Message. Have a pro-American, pro-Western Oikophillic Space Opera (maybe a revived Flash Gordon) release at the same time as Star Wars Old Republic, and when Star Wars flops, they might get the message.

Which is why nobody in the movie biz is going to let that happen. I've read some stuff about how Hollywood works — and particularly the stranglehold of the Big Five - that make it clear the industry functions in many ways like a cartel (particularly in regards to distribution), making it incredibly difficult for "outsiders" to compete. To quote:

Since the dawn of filmmaking, the major American film studios have dominated both American cinema and the global film industry.[5][6] American studios have benefited from a strong first-mover advantage in that they were the first to industrialize filmmaking and master the art of mass-producing and distributing high-quality films with broad cross-cultural appeal.[7] Today, the Big Five majors – Universal Pictures, Paramount Pictures, Warner Bros., Walt Disney Studios, and Sony Pictures – routinely distribute hundreds of films every year into all significant international markets (that is, where discretionary income is high enough for consumers to afford to watch films). The majors enjoy "significant internal economies of scale" from their "extensive and efficient [distribution] infrastructure,"[8] while it is "nearly impossible" for a film to reach a broad international theatrical audience without being first picked up by one of the majors for distribution.[4] Today, all the Big Five major studios are also members of the Motion Picture Association (MPA) and the Alliance of Motion Picture and Television Producers (AMPTP).