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Pay or Die poster

Movie

Pay or Die

91%Critics11 reviews89%Audience1 reviews

6.99average critics score, out of 1020231h 15m

Documentary

Today, nearly 2 million Americans are being held for ransom. Without insulin, they'll be dead in days. PAY OR DIE follows 3 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.

Directed by:
Rachael Dyer, Scott Alexander Ruderman

Where to watch

Paramount+

Details

Runtime
1h 15m

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Details gathered from external sources on August 21, 2026. Scores and 9 votes come from them.