Are We Too PC?

**traumaRUs**, MSN, APRN

So, with the current controversy about "Baby Its Cold Outside" raging on the radio and social media I got to thinking and thinking and thinking....are we as a country just becoming too PC?

"Baby Its Cold Outside" was originally written in 1944 by Frank Loesser's as a jazz standard. Is it a song about date rape or just a catchy tune? Should it be "banned" from the airwaves? I vote NO! This is just a catchy tune, nothing more, written in a more innocent time in our history. Here is a video that depicts the song first as a man trying to convince a woman to stay a little while longer which has garnered criticism and a second version where its the man that wants to leave and the female is trying to convince him to stay. Do you feel differently about each version? Or again, is it just a catchy tune?

Being PC isn't a new idea. In another life in the 1970's early 1980's, I was a USN broadcaster serving in Japan. We had what was called, "host country sensitivities." For instance, when giving the weather, we were not allowed to say, "there's a nip in the air." Some other issues: we weren't allowed to discuss the nuclear bomb attacks on Hiroshima and Nagasaki. And we couldn't call the Emperor by his first name as this was considered disrespectful. I can see how we need to be sensitive when we serve in the military overseas and need to blend in. However, here in the US nowadays we seem to be resorting to not wishing to offend anyone.

And it seems as though others agree with me. "The most recent national survey from Fairleigh Dickinson University's PublicMind finds that 68 percent agree with the statement: "A big problem this country has is being politically correct."

So, how does this relate to nursing and medicine? "After 25 years, the MCAT is being revised, becoming longer (by three hours) and covering a broader range of topics than simply chemistry, physics and biology. One quarter of the new test covers "psychology, sociology and the biological foundations of behavior." More specifically, students will be tested on "social inequality, class consciousness, racial and ethnic identity, institutionalized racism and discrimination, and power, privilege and prestige." Most of us would agree that widening the scope of physician education is important. There are many more social issues nowadays, more poverty, more people that feel disenfranchised. In this venue, it's important to be inclusive. Can we be inclusive without crossing over into not offending anyone?

And, most of us have had to sit through in-services about cultural awareness, even generational awareness. Has this resulted in stilted communication? Must all our communication be so "aware?" Do you think before you speak? Do you consider generational differences when communication with co-workers, patients?

Where do patients fit in? Should patients expect all of their needs to be met? Where do we draw the line between being PC and enabling? When discharging patients from the hospital nowadays, follow up appointments are made, prescriptions electronically sent to pharmacies, perhaps home health arranged and other case management needs that are met. Then, the patient states, "I need a ride to my appointments." When did this become the responsibility of the healthcare system? While we are all striving to reduce readmission rates, when does the responsibility of transportation become the patients' responsibility? Or is it PC to say, "Oh I can get you a cab voucher"? Are we making healthcare too accessible?

As a nation, shouldn't we "man up" and be responsible for our own lives? That means taking care of ourselves, communicating our needs in a clear manner, being honest in our dealings with others and overall being a worthwhile citizen?

What are your thoughts? Are we too PC?

References

Baby Its Cold Outside: A Brief History of the Holiday Song Controversy

Farleigh Dickinson University Poll, October 2015

Politically Correct Medical Schools