The old joke about reality TV is that not much of it is all that real.
It's a cliché, but clichés come to exist for a reason. And much of the reality TV that we consume and obsess over does carry a level of excessively produced artifice about it. It's not hard to see the machinations behind the scenes working overtime to achieve the desired narrative. It may be considered unscripted, but, well, you catch our drift.
But it's not always this way. Sometimes reality TV can transcend the preconceived notions about the genre and deliver something so real and so raw that you sit back and say, "Damn." The power of the genre was evident in its early days when, in 1994, The Real World: San Francisco introduced the world to openly-gay Pedro Zamora as he was struggling with AIDS, creating a dialogue not only amongst his roommates who'd never been made to consider the plight of a community that had been plagued by the disease, but also amongst the audience watching at home. (Zamora would succumb to the disease mere hours after the season finale aired in November of that year.)