In 1969 and 1970. Chayefsky began to consider a film that would be set among the civil unrest taking place at the time. When his wife Susan received poor care at a hospital, he pitched to United Artists a story based at a hospital. To ensure that he had the same kind of creative control given to playwrights, he formed Simcha Productions, named after the Hebrew version of his given name, Sidney. He then commenced research, reading medical books and visiting hospitals.