The need to do this in American movies, TV and books ruins a story.
There is a reason that Henry Miller's Tropic of Cancer was published in France.
But there are loud camps of culture warriors who raise a fuss if it's not "safe for kids" and a whole industry of grifters who amplify this, because getting people angry improves their TV ratings and the political campaign funds.
There are a lot of managers in the arts and culture industry (editors, producers, museum directors etc) who are rarely rewarded but often punished for resisting the culture warriors.