It will be interesting to watch and see how and if that plot is probed further as the season progresses. There is a feel-good fantasy element to the show, and given that it embraces that aspect, it makes sense to remain a bit idealistic at first. The future of New Amsterdam is highly intriguing to contemplate. The pilot ends on a shocking note it builds to throughout the hour, which opens an unexpected door. How it will step through it is anyone's guess.