Apart from the Trump Administration, the documentary delves into some events that Moore believes are connected to or inspired by Trump, such as the 2014 Flint water crisis orchestrated by an appointee of Governor of Michigan Rick Snyder, who changed the source from Lake Huron to the Flint River, leading to toxic levels of lead in the water, and the Stoneman Douglas High School shooting in 2018, which resulted in the March for Our Lives protest across the United States, calling for gun control measures and criticizing politicians who receive campaign donations from the National Rifle Association. He also criticizes Barack Obama's visit to Flint for not living up to the expectations of the people of Flint who expected to receive federal help after the visit.
Moore also compares Trump's rise to power to that of Adolf Hitler and the Nazi Party, parallels the Reichstag fire with the September 11 attacks, compares Hitler's hate speeches against different ethnicities, religions and sexual orientations to some of Trump's comments, and showcases recent instances of unprovoked racial violence allegedly inspired by Trump. He concludes that the United States Constitution no longer protects the people from the wealthy and powerful, and the American Dream is now nothing more than a mere dream. He cites his previous documentaries Roger and Me, Bowling for Columbine, and Capitalism: A Love Story which also highlighted unpunished social and political injustices. He says that after the likes of Ronald Reagan, Bill Clinton, George W. Bush and Barack Obama, the country needed to see a president like Trump in order to wake up to the reality of what he believes the United States of America has truly become: a country not worth saving, but starting anew.