I don't think we know that there is even any conflict between, say, Hideo Kojima and Konami's US production staff. Kojima might be very interested in making appropriate changes.

Even if he was opposed, it would for the most part still be a normal function of a company which produces creative content. Calling that censorship would seem strange to me. Then again, in a country who thinks of censorship as what happened to Elvis on the Ed Sullivan Show, it would be understandable if the term has become somewhat debased.