This is probably the only reason I maintain a US iTunes accounts (used to have to buy gift cards from sketchy sites online to keep this going, but I recently discovered that my Indian Amex card works fine with a US address).
Also trivia for those who are wondering how cuts are made, at least for cinema content: all video and audio assets are usually sent to theatres in full, but there's an XML file called the CPL (composition playlist) that specifies which file is played from which to which frame / timestamp in what sequence. Pure cuts or audio censorship can be handled by just adding an entry to skip the relevant frames or timestamp, or by specifying a censor beep as the audio track for a particular time range.