Today, nearly 2 million Americans are being held for ransom - without insulin, they’ll be dead in days. PAY OR DIE follows families on the receiving end of these ransom notes, revealing the harrowing reality of life with chronic illness in the richest country in the world. From a mother-and-daughter struggling to rebuild their lives after losing their home when they had to spend their rent money on insulin, to a young adult diagnosed with type 1 diabetes during the COVID-19 pandemic, to a Minnesota family thrust into the national spotlight when their 26-year-old son dies from rationing his insulin, PAY OR DIE lays bare the human cost of America’s insulin affordability crisis.
DIRECTORS
Rachael Dyer
Scott Alexander Ruderman
EXECUTIVE PRODUERS
Shelia Nevins
Trish Adlesic
Regina K. Scully
Lauran Bromley
Douglas Choi
Dawn Bonder
Marci Wisemen
Russell Long
Sarah Silverman
Amy Zvi
Sarah Lucas
Zak Kilberg
PRODUCERS
Rachael Dyer
Scott Alexander Ruderman
Yael Melamede
DIRECTOR OF PHOTOGRAPHY
Scott Alexander Ruderman
SUPERVISING EDITOR
Toby Shimin
EDITOR
Will Rogers
COMPOSER
T. Griffin
