The .Net runtime generates code that relies on bools being either 0 or 1. It's quite easy using interop to inadvertently set a bool to something else and this leads to very odd bugs where simple boolean expressions appear to be giving the wrong result.
(Tangentially, VB traditionally used -1 for true. VB.NET uses the same 0 or 1 internal representation for a bool as C# but if you convert a bool to a number in VB.NET it comes out as -1.)