Close this search box.

Pay or Die


Rachael Dyer, Scott Alexander Ruderman

Executive Producers

Sarah Silverman, Amy Zvi, Russell Long, Douglas Choi, Martina Bassenger, Marci Wiseman, Dawn Bonder, Sarah Lucas, Zak Kilberg, Trish Adlesic, Lauran Bromley


Rachael Dyer, Scott Alexander Ruderman, Yael Melamede


Will Rogers, Toby Shimin


Scott Alexander Ruderman

The US healthcare system is the most expensive in the world and close to half of all Americans reportedly struggle to pay for their healthcare. Pay or Die explores the crushing financial reality for millions of insulin-dependent Americans living with diabetes, as pharmaceutical companies push the price of this life-saving medication to exorbitant levels, making record-breaking profits. This is only further bolstered by the government’s lack of regulation. Pay or Die voices the stories of families struggling to afford their life-saving medications in one of the richest countries in the world, the United States of America. This enraging and enlightening film lays bare the human cost of the United States’ insulin affordability crisis and serves as a call to action against the medical-industrial complex that monetizes our bodies and lives.


Courtesy of MTV Documentary Films

Co-Director, Pay or Die

Scott Ruderman lives with type 1 diabetes and is an award-winning filmmaker and cinematographer whose work has been screened in film festivals around the world as well as on Netflix, BBC, HBO, A&E, Hulu, and Discovery +. Scott’s documentary short, Piano Craftsman, premiered at Big Sky Documentary Festival and Mountain Film Festival and won the best director award at Madrid Art Film Festival. Scott’s recent cinematography credits include Andy Warhol’s America (2022), and a BBC mini-series, Chasing Ghislaine (2021). His cinematography work can also be seen on HBO Max’s The Crime of the Century (2021), Netflix’s (Un)well (2020), and Hulu’s Taste the Nation (2020), which was nominated for an IFP Gotham Award. Ruderman’s producing credits include Unanswered Ives, which was awarded the Czech Crystal at the 2019 Golden Prague International Film Festival, and Whiter Shade of Terror, a film about the global spread of anti-muslim rhetoric and an increasingly violent white supremacy movement. Most recently, Scott was a producer on the film Rock Chicks, an upcoming documentary that tells the stories of women in rock’n’roll. Ruderman holds a Master of Fine Arts degree in Social Documentary Film from the School of Visual Arts.

Co-Director, Pay or Die

Rachael Dyer, an Australian native and Canadian citizen based in New York, is an award-winning producer and journalist whose career has taken her across the globe, featuring stories seen on Netflix, Apple TV+, Disney, HBO Max, Peacock, Oxygen, Discovery ID, OWN: The Oprah Winfrey Network and BBC. Most recently, she was a senior producer on Hillary & Chelsea Clinton’s documentary series, Gutsy (2022) for Apple TV + as well as a 4 part series, Keep This Between Us (2022), for Disney’s Freeform channel. Currently, she is working as a senior producer on a 90-minute special on Sheri Papini: Lies, Lies and More Lies for Peacock. Her previous credits can be found on Netflix’s hit series (Un)Well (2020) and Quibi’s Answered by Vox (2020). Prior to her work in documentary, she worked in the field covering breaking news stories for BBC, Australian networks 7, 9, ABC, and Channel News Asia. Rachael was awarded Southern California’s Journalist Award for best international feature, as well as a Clio Entertainment Grand-winning entry for her work on The Greatest Showman Live – the world’s first live commercial for a theatrical release.