This episode is about how systemic racism affects your behaviour and forms your thinking. Obviously, many people are offended by this topic and still do not understand, what systemic racism means, so they label this episode "woke" and downrate it. For me, this is one of the better episodes of a rather boring season (for now). It also shows how far Murphy got with respecting trans patients. However, it's also an episode where Murphy is once again sidelined, a pattern, which happens way to often since season three.