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Callaway adapted Mercy Point from his original screenplay, "Nightingale One". It was picked up by Mandalay Television, and the concept was eventually revised as a television project and renamed Mercy Point; production on the film project had ended due to the poor commercial performance of the 1997 film Starship Troopers. The television show was part of a three-million-dollar deal between Mandalay and Columbia TriStar Television to produce 200 hours of material. It was filmed in Vancouver to reduce production costs, the hospital sets being constructed on a series of sound stages. Director Joe Napolitano has praised the show for its use of a complete set to allow for more intricate directing. Despite Callaway envisioning Mercy Point as a companion to Star Trek: Voyager, it was paired with Moesha and Clueless as its lead-in on Tuesday nights. Initially focused on ethical and medical cases, the show's storylines gradually shifted toward relating the characters' personal relationships, to better fit UPN's primarily teen demographic.

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