PAY OR DIE

FEATURE LENGTH DOCUMENTARY


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.

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MTV DOCUMENTARY FILMS

DIRECTORS

Scott Alexander Ruderman

Rachael Dyer 

EXECUTIVE PRODUERS 

Shelia Nevins

Sarah Silverman

Trish Adlesic

Regina K. Scully

Lauran Bromley

Douglas Choi

Dawn Bonder

Marci Wisemen

Russell Long

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