Flaherty became aware of this game while undergoing his own treatment for addiction. While much of the documentation of insurance malfeasance comes from archival footage (Flaherty also contrives some refreshingly effective animation), the interviews he conducts with addicts are the most gut-wrenching scenes here. They’re aware of what’s being done to them and are powerless to stop it, as if they’re caught on a carnival ride that’s gone out of control.