There is a phenomenon that is very clearly happening. Doctorow and others use a vulgar term to describe this phenomenon.
Because this vulgar term is used, it limits the ability of lawmakers, academics, and other "serious" people to care about, discuss, or pass laws that aim to address this phenomenon.
As an analogy: imagine if the concepts of inequality or social injustice were primarily described by a vulgar term. Instead of discussing, "democratic backsliding" or "failure of democracy" we said "democracy shit the bed." This would limit the range of the critique, which if one is interested in actually solving the issue, is an immensely impractical move.