Insurance companies banned employees from being interviewed in the documentary.
Michael Moore was pressured by executive producers Harvey Weinstein and Bob Weinstein, friends of the Clinton family, to cut the criticism of 'Hillary Clinton', but he declined.
Michael Moore's only documentary in which he doesn't have his director trademark of confrontational interviews (in this case with insurance representatives).
On certain DVD versions of the film, the scene where the man is having his leg amputated was removed, and replaced with stock footage of dancers, although you can still hear the sound of the saw, and the man answering questions.