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Critic’s Notebook
The Max hospital drama is a TV throwback with an of-the-moment message about systems pushed to the breaking point.
James Poniewozik is the chief television critic for The Times. His favorite hospital drama is “The Knick.”
April 11, 2025Updated 7:20 a.m. ET
Ever have one of those endless days at work? For 15 hours in the Pitt, the emergency room that lends its name to the Max medical drama, a team of doctors and nurses, led by Dr. Michael Robinavitch (Noah Wyle), have been tackling every woe that human frailty and the city of Pittsburgh can throw at them.
What do they treat? You name it. Mass-shooting injuries. Overdoses. Problem pregnancies. Heart attacks. Measles.
What do they really treat? Despair. The flood of opioids. The lack of insurance. The lack of support networks. Male rage. Rage, in general. The breakdown of the public health system. The breakdown of the public.
Over a long, stressful, yet reassuringly competent and entertaining first season, which wrapped up on Thursday, “The Pitt” generated old-school melodrama out of a simple understanding: The E.R. is where people end up when something goes wrong, either with the body individual or with the body politic.
And what is wrong with the American corpus? Buddy, take a number; the waiting room is full.
If the concerns of “The Pitt” are of-the-moment, its appeal is as old as rabbit-ear antennas. It’s a Big Fat Hospital Show, wringing suspense and jerking tears out of life and death weekly. It is a successor, almost a crypto-sequel, to a specific Big Fat Hospital Show — “ER,” the alma mater of Wyle; the “Pitt” creator, R. Scott Gemmill; and the producer John Wells. (The estate of Michael Crichton, the creator of “ER,” has filed a lawsuit accusing “The Pitt” of being an unauthorized reboot. Warner Bros. Television, the studio that produces “The Pitt,” has called the claims “baseless.”)
Three decades ago, “ER” was itself a new spin on a hoary genre, and “The Pitt” shares some of its predecessor’s hallmarks. There’s the adrenaline pace, with the camera chasing doctors and nurses around a fully built-out hospital set. There is the dedication to technical realism. (“Does [show] get [factual detail] right?” is my least favorite standard for judging art, but if that’s your thing, medical professionals give it high marks.) The season even bookends its beginning and ending with scenes on the roof, calling back to the site of several high-drama “ER” moments.
