wedrifid comments on 2014 Less Wrong Census/Survey - Less Wrong
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There's a pretty big gap between what doctors tell the public and what they tell each other.
There's a nation wide, low profile, supposedly secure internet forum in Finland for doctors only. Identities are checked by a reliable system involving official registries. For some reason it's used mostly by senior doctors, many in higher positions, who happen to know each other, didn't grow with the internet and seem to have discussions with no regard to public image whatsover. Political mind kill seems to stand strong there, and some opinions regarding culture, nationality, race, religion and so on are interesting to say the least from the perspective of political correctness. Even the N-word and the R-word seem to be used quite liberally. Needless to say the same people are masters of PR at their day job.
Note that if it is a site for doctors from Finland then the 'N-word' use is still shocking but far less shocking than if it were in the United States. "Bad words" are actually an example of pure social constructs and second-hand arbitrary negative associations can be expected to be weaker than first hand arbitrary negative associations. (And if it were a forum in China it would mean even less.)
You're probably right. In Finland the word can't be used in casual conversations with people you don't know well unless you want to be pigeonholed forever and using it publicly could definitely end a career. Many of our social norms seem to be borrowed from other cultures because of our desperate need to fit in to ensure survival.