Famed Canadian-American leftist documentary filmmaker Leonard Fife was one of sixty thousand draft evaders and deserters who fled to Canada to avoid serving in Vietnam. Now in his late seventies, Fife is dying of cancer in Montreal and has agreed to a final interview in which he is determined to bare all his secrets at last, to demythologize his mythologized life.
As a patriarchal family yearn for the birth of a baby boy to continue their family line, their youngest son secretly joins an erotic dance theatre and falls for a transgender starlet.
Utah and his girlfriend Opal, are drug addicts living on the streets in rural Ohio. After getting recruited by body broker Wood, and offered treatment in Los Angeles, Wood takes Utah under his wing and introduces him to treatment center mogul Vin. Wood and Vin bring Utah in on their lucrative and illegal dealings, where saving lives comes second to the bottom line.