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Iranians borrow for medicine while state shields Arbaeen healthcare

Jul 27, 2026, 10:16 GMT+1
An elderly patient sits in a hospital ward in Iran.
An elderly patient sits in a hospital ward in Iran.

A growing number of Iranians are financing healthcare with debt as medical costs rise beyond household incomes, a new Eghtesad Online report found, while authorities prioritize medical preparations for the Shiite pilgrimage, Arbaeen.

Iranians are increasingly borrowing money, delaying treatment and bargaining over medical bills as healthcare costs outpace household incomes, according to a new report by Eghtesad Online, while authorities say medicines and medical supplies are fully secured for Arbaeen, the annual pilgrimage commemorating the 40th day after the death of third Shiite imam.

The report describes a healthcare system where treatment increasingly begins not with a doctor's diagnosis but with offers to activate credit, pay in installments or use discount codes. From dental care and physiotherapy to psychotherapy, prescription drugs and online consultations, households are increasingly financing healthcare with future income.

"The issue is not just the growth of a few startups or advertisements by a few clinics; the issue is the shrinking liquidity of households, where a patient is forced to borrow from next month's income to pay for today's pain," the report said.

When treatment depends on payday

Conversations in doctors' offices, the report said, increasingly focus on affordability rather than treatment. Patients ask whether insurance will cover consultation fees or whether doctors can charge less, while physicians report seeing people who postpone laboratory tests, imaging scans and prescriptions after paying for the initial visit.

"Is this charged at the private rate? Doesn't insurance cover it? Can't you charge a little less?" are now common questions at reception desks, according to the report, which said patients bargain "not out of habit, but out of necessity."

Long-term treatment is particularly vulnerable. Patients stop physiotherapy midway, discontinue psychotherapy after only a few sessions or ration medication so it lasts longer, turning what the report called "a shortage of cash into a shortage of treatment."

Official figures for the current Iranian year have not yet been released, but the latest available data showed healthcare accounted for 8.7% of urban household spending and 9.8% of rural household spending in 2024.

Mental health becomes a luxury

Financial pressures are especially visible in mental healthcare, where patients increasingly align appointments with payday.

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A therapist meets with a patient in Iran, where rising treatment costs are making mental healthcare less affordable.

"Can I pay for this session at the end of the month?" is among the requests therapists now hear regularly, according to the report. Others ask, "My salary is deposited on the 10th. Can I pay for two sessions together?" or explain, "I can't come every week for now. I'll come twice a month."

The report said psychotherapy is intended to help people cope with anxiety, exhaustion and the pressures of daily life, yet "the cost of the session itself has become one of those anxieties." Social media users quoted in the report described calculating rent, loan payments, medicine and food costs before deciding whether they could afford therapy.

Dental care has become another symbol of the trend. Clinics increasingly advertise installment plans for implants, orthodontics and root canals, while online pharmacies and health platforms now offer credit for medicines and health-related products.

"Toothache does not wait for next month's paycheck," the report said, describing installment payments as both an opportunity to obtain treatment and a warning that essential healthcare costs are increasingly becoming future debt.

Officials warn of shortages

The financial pressures coincide with warnings from lawmakers about Iran's pharmaceutical sector.

Salman Es’haqi, spokesperson for parliament's Health and Treatment Committee, described medicine shortages as a "serious and critical" issue, citing sanctions, the recent war and disruptions to imports of pharmaceutical raw materials. He warned that unstable access to medicines could cost lives.

Other lawmakers have linked shortages to delays in foreign currency allocations and cash shortages affecting imports, while pharmacists have said weak oversight has allowed some medicines to be diverted from official distribution channels into the unofficial market.

Medical support for Arbaeen

Despite those concerns, officials have repeatedly emphasized that healthcare resources for Arbaeen will be fully available.

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Medical supplies and pharmaceuticals are loaded for shipment from Iran to Iraq ahead of the Arbaeen pilgrimage in 2019.

Jafar Miadfar, head of Iran's Emergency Organization, said authorities had no concerns about supplying medicines and intravenous fluids for pilgrims. He said around 300,000 units of intravenous fluids had been allocated and medicine stocks positioned at six border crossings ahead of the pilgrimage.

Earlier, Iranian Red Crescent chief Pirhossein Kolivand said medicines and medical equipment had been dispatched for Arbaeen and that five hospitals in Iraq along the Najaf-Karbala route would provide care for Iranian pilgrims.

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Scandal rocks Iran's secret oil money network as billions go 'missing'

Jul 27, 2026, 01:53 GMT+1
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Workers operate an offshore drilling rig in the Iranian sector of the Caspian Sea, undated file photo

A widening scandal over the secret network used to move Iran's oil revenues around international sanctions has triggered growing criticism after senior officials acknowledged that intermediaries misappropriated at least $1.6 billion, with some fleeing the country.

The controversy has exposed the unofficial network of so-called trusties: companies and intermediaries entrusted with receiving and transferring oil revenues outside the international banking system.

Speaking on state television on Sunday, the head of Iran's State Inspection Organization, Zabihollah Khodaeian, said one intermediary alone had failed to return $200 million in state funds before leaving the country.

Khodaeian added that judicial authorities had opened 59 criminal cases against managers of trustee companies. Some suspects have been arrested, while others have fled abroad.

Iranian media also reported that prosecutors had sought Interpol Red Notices for 15 fugitives linked to the network.

The disclosures prompted unusually blunt criticism from Majid Reza Hariri, head of the Iran-China Chamber of Commerce.

In a public message addressed to Tehran's prosecutor, Hariri said the Interpol requests meant at least 15 trusted intermediaries had escaped with "billions of dollars" in national wealth.

"Who introduced these trusties? Who guaranteed them? And why is no action being taken against those who backed them?" he asked.

Although Hariri's estimate has not been independently verified, his comments echoed questions increasingly being raised in Iranian media over how individuals entrusted with handling billions of dollars in oil revenues could allegedly abscond without serious failures in oversight.

A product of sanctions

The trustee system emerged as international sanctions largely cut Iranian banks off from the global financial system.

Unable to receive oil payments through conventional banking channels, Tehran increasingly relied on trusted intermediaries with access to foreign companies and bank accounts to collect, hold and transfer export revenues.

Many of these intermediaries operate through countries including the United Arab Emirates, Turkey and Oman.

The arrangement became indispensable to sustaining Iranian oil exports under sanctions. But it also created a largely opaque financial architecture operating outside many of the transparency, auditing and compliance mechanisms that govern formal banking systems.

Trusties have never been clearly defined under Iranian law. Little is publicly known about how they are selected, what commissions they receive, what guarantees they provide or how their activities are supervised.

Critics say the structure also creates an inherent conflict of interest. Oil revenues can remain in intermediary accounts for days or even weeks before reaching Iran, allowing trusties to profit from holding large balances while the state bears the financial risk.

Questions over oversight

The growing scandal has also drawn attention to who ultimately oversees the network.

Oil Minister Mohsen Paknejad has previously said the Oil Ministry's responsibility ends with marketing and selling crude, while the Central Bank determines where export revenues are deposited and supervises their transfer.

The issue is especially sensitive because trusties are not ordinary commercial intermediaries. They are selected precisely because they are considered sufficiently reliable to handle some of the state's most strategically important financial transactions.

Officials maintain that such intermediaries remain indispensable as long as sanctions keep Iran largely excluded from the international banking system.

The expanding investigation, however, has transformed what was once a largely hidden mechanism of sanctions evasion into yet another damaging scandal for the Islamic Republic, raising difficult questions about both the alleged abuse and the system that allowed it to occur.

US strikes pause. What comes next for Iran?

Jul 26, 2026, 21:52 GMT+1
•
Negar Mojtahedi
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U.S. Army Soldiers work to refuel a generator at a base in the Middle East, in this handout from CENTCOM, July 24, 2026

For the first time in nearly two weeks, Iran passed two nights without new US strikes, creating the first real pause in a campaign that appears to have evolved well beyond protecting shipping through the Strait of Hormuz.

Analysts increasingly see a broader effort to erode Tehran's military, economic and political capacity until negotiations become the less costly option.

President Donald Trump has oscillated between threatening "massive attacks" and calling for renewed negotiations with Tehran. According to Axios, he decided against another round of strikes on Friday despite military plans being ready to execute.

Whether the lull marks the beginning of diplomacy or merely an operational pause remains unclear. What appears more significant is how the campaign itself has evolved.

Military analyst and retired US Army officer John Spencer believes Washington's objectives now extend well beyond degrading Iran's immediate military capabilities.

Rather than seeking immediate regime change, he argues, the campaign is designed to convince Tehran's leadership that continuing the conflict will steadily erode its ability to govern, project military power and preserve the strategic leverage it has spent decades building, ultimately forcing Iran to negotiate from a position of growing weakness.

"The United States could do a lot more," Spencer told Eye for Iran. "This is about changing the regime's behavior."

The evolution is visible in the targets themselves. Early strikes focused overwhelmingly on Iran's ability to threaten shipping through the Strait of Hormuz, hitting coastal radar installations, anti-ship missile batteries, drone facilities and command-and-control centres.

More recently, however, the campaign has shifted inland toward bridges, railways, communications infrastructure and military logistics networks, particularly around Bandar Abbas.

Iran's largest commercial port and a key naval hub overlooking the Strait of Hormuz, Bandar Abbas has become increasingly isolated as transportation links and logistics infrastructure come under repeated attack.

For Spencer, that shift reflects an effort not simply to destroy weapons but to restrict Iran's ability to move forces, sustain military operations and eventually rebuild damaged capabilities.

"It could be beyond the battle of Hormuz," Spencer said. "It could be setting the conditions for future operations."

He argues the United States still retains considerable military, economic and cyber capabilities that have yet to be fully employed should Washington decide to intensify pressure further.

Regional balance shifts

Former Kuwaiti Information Minister Saad bin Tefla Al Ajmi believes the campaign has also altered Iran's wider strategic position.

He argues Tehran's regional network has suffered setbacks on multiple fronts. Hezbollah has been severely weakened, Syria no longer provides the strategic corridor it once did following Bashar al-Assad's fall, and repeated attacks have degraded Iran's nuclear infrastructure.

"Iran is now between two choices," Al Ajmi said. "The chalice of poison or suicide."

He also questioned whether Iran's increasingly fragmented decision-making structure could complicate any future negotiations.

"There is a fragmentation in the leadership in Iran now," he said. "Sometimes we have a problem of who to communicate with."

Military pressure has also coincided with a tightening domestic crackdown, with human rights groups reporting an increase in executions of protesters and political prisoners during the conflict.

Whether the two-night pause marks the beginning of diplomacy or simply the interval before another wave of strikes remains uncertain.

What the past fortnight has already revealed, however, is that Washington's objectives now appear to extend far beyond the Strait of Hormuz, towards reshaping the military and political calculations of Iran's leadership itself.

Potential US targets in Iran extend beyond Pickaxe Mountain - WSJ

Jul 26, 2026, 08:18 GMT+1
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A satellite view shows tunnel entrances at Pickaxe Mountain, of the Natanz nuclear facility, near Natanz, Iran, June 30, 2026. Vantor handout via Reuters

If President Donald Trump expands US strikes on Iran, Washington could target several remaining nuclear facilities beyond Pickaxe Mountain, the Wall Street Journal reported on Saturday, citing former officials and nuclear experts.

The report said Iran's nuclear infrastructure had already been heavily damaged by Israeli strikes and the US "Midnight Hammer" operation against its main enrichment sites, but that several facilities could still be considered targets.

"It appears that the bulk of the sites that were needed to make nuclear weapons have been hit," David Albright, president of the Institute for Science and International Security and a former UN weapons inspector, told the newspaper.

"But Israel may know of new sites through intelligence, and there may be reason to strike old sites that are being rebuilt," he said.

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The Journal said Pickaxe Mountain, known in Iran as Mount Kolang, remains the most likely target because Israeli intelligence believes Iran moved thousands of uranium-enrichment centrifuges into tunnels there after last year's 12-day war.

According to the report, the underground complex lies hundreds of feet beneath granite, making it difficult to destroy even with US bunker-busting bombs. Experts cited by the newspaper said Washington could instead strike tunnel entrances or other access points.

"Washington's clearest nonproliferation wins against Iran in the war were stopping all uranium enrichment at declared facilities and entombing enriched uranium stockpiles," Behnam Ben Taleblu of the Foundation for Defense of Democracies told the Journal.

"The more time elapses, however, the more crucial Pickaxe mountain appears to Iran's reconstitution effort," he said.

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Other facilities could also be struck

The Journal said other potential targets include the Taleghan 2 facility at the Parchin military complex, which satellite imagery suggests Iran has been rebuilding, although experts differ over how much of the site survived previous Israeli strikes.

It also identified support facilities at Fordow, where above-ground buildings housing centrifuges and isotope-production equipment remain, as well as parts of the Isfahan Nuclear Technology Center, where satellite imagery has shown continued vehicle activity despite previous US missile strikes.

The report added that remaining buildings at Iran's Natanz uranium enrichment plant could also be targeted if Washington expands its air campaign.

Thousands pack Tehran mall as Gen Z rallies around a YouTube star

Jul 25, 2026, 22:02 GMT+1
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The Iran Mall gathering of Nima Takido's fans on July 24, 2026

Thousands of mostly young Iranians packed a Tehran shopping mall on Friday to meet an online celebrity, offering a striking glimpse into a Gen Z culture whose stars, communities and reference points remain unfamiliar to many outside it.

Nima Rezaei, known online as Nima Takido, has more than 935,000 YouTube subscribers and 1.5 million Instagram followers.

Iranian media reported that 5,000 free tickets had been issued for scheduled sessions at Iran Mall. Organizers were reportedly caught off guard when tens of thousands more arrived without reservations.

Teenagers traveled from several provinces and waited for hours for a chance to see him. Videos showed crowds filling the venue, turning what was intended to be a controlled fan event into a mass gathering.

The event was eventually cut short after the crowd overwhelmed the venue. Takido injured his leg in the crush and was taken for treatment.

Some Iranian reports also said his phone and wallet went missing and that security forces were called to help control the gathering.

The scenes highlighted the emergence of a parallel celebrity culture among Iran’s younger generation—one with its own stars, humor, language and communities, largely separate from television, cinema and other traditional routes to fame.

Many older Iranians had never heard Takido’s name. Yet to his young followers, he is a familiar figure whose videos and online presence have created a sense of connection built over years.

That divide is not unique to Iran. Online creators have become major cultural figures for teenagers around the world, often attracting crowds once associated mainly with film stars, musicians or athletes.

In September 2025, thousands crowded into New Jersey’s American Dream mall for an appearance by teenage YouTuber Salish Matter. The turnout overwhelmed organizers and prompted complaints about unsafe conditions and poor planning.

Takido’s event showed that the same global fan culture has taken root among young Iranians, even as they remain relatively isolated from international entertainment markets.

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Nima Takido

Unlike traditional celebrities, online creators speak directly to their audiences, share parts of their daily lives and build communities through repeated, informal interactions. For young followers, that can make them feel more familiar and accessible than figures promoted through official media.

Takido belongs to a wider Persian-language creator ecosystem that includes Farshad Silent, Aria Rahmati, Pouria Putak, Nivad, KamTalam, Mia Plays and the Kouman team.

Some live outside Iran, while others produce content that rarely appears in state-controlled media. Their influence nevertheless crosses borders and reaches large audiences inside the country.

YouTube remains blocked in Iran, and users commonly rely on circumvention tools to access it. But the restriction was secondary to what the gathering revealed: a generation forming its cultural tastes and identities in spaces largely beyond the reach of traditional institutions.

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Iran is living through America’s 2022 inflation shock almost every month

Jul 25, 2026, 21:31 GMT+1
•
Mohamad Machine-Chian
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FILE PHOTO: People walk through a local market as the value of the Iranian rial drops, in Tehran, Iran, December 20, 2025. / WANA via Reuters

Consumer prices in Iran are nearly 89 percent higher than a year ago, as the country compresses into weeks the kind of inflation shock Americans experienced over all of 2022.

In Iran, everyone is watching the same number this summer. The US dollar is trading at around 1.9 million rials in Tehran’s open market, and the government has turned stopping it from reaching 2 million into a priority.

The state is spending scarce reserves to defend that line. The market is bracing for it to be crossed.

To understand why one exchange rate commands this much attention, it helps to know what the number means in Iranian life. The rial is a currency people try not to hold.

Salaries are paid in it, but many Iranians with savings convert them into dollars, crypto, gold, property or even food items with a longer shelf life as quickly as they can.

The dollar rate is the thermometer of everything else: rents, medicine, car prices and the cost of a grocery run.

When the rate crosses a round number, shopkeepers reprice, landlords renegotiate and expectations reset a step higher. Round numbers are not milestones on a financial chart; they are political events.

Here is the arc of that thermometer. Fifteen years ago, a dollar cost about 10,000 rials on the open market. In April 2025, it crossed 1 million.

This summer, it stands at the threshold of 2 million.

Spread over the first 15 years, the dollar doubled against the rial roughly once every two and a quarter years. The latest near-doubling took 15 months.

Put another way: it took 15 years to destroy 99 percent of the rial’s value against the dollar, and then 15 months to erase nearly half of what was left.

If inflation and depreciation continue at roughly their recent pace, the 3-million line could be five to eight months away. The latest halving of the currency’s value has arrived far faster than the average over the previous 15 years.

Why the central bank cannot hold the line

The engine behind this is not mysterious. Iran’s official statistics agency reports that consumer prices in June were 88.6 percent higher than a year earlier; the inflation families feel at the grocery store runs higher still.

The dollar has nearly doubled alongside the prices around it.

The inflation itself is rooted in fiscal arithmetic. The war and blockade have severely constrained Iran’s oil exports and maritime trade, while tax revenue is sinking with the economy.

The government is financing a substantial portion of its widening deficit through the banking system and central-bank liquidity creation—effectively expanding the money supply to meet its bills.

Monthly inflation has recently been running as high as 7 to 9 percent. For American readers, one comparison does the work of a statistics table: Iran is now living through something close to its own version of the 2022 US inflation shock almost every month.

The central bank’s playbook for moments like this is familiar to every Iranian. When it cannot stop the dollar’s rise, it tries to postpone losing the round number for as long as possible.

It does so through market interventions and public messaging that intensify in the final stretch.

In the winter of 2024-25, it fought exactly this battle at the 900,000-rial level and managed to push the crossing of 1 million until after the Iranian New Year in March.

But that defense was financed by oil revenue.

This one is being waged mid-war, under blockade and with exports sharply constrained. It is drawing on the remnant of reserves the country will need to import medicine and food.

A central bank without reliable oil income can buy weeks, not a new trend. Every week it buys may increase the pressure behind the next jump.

What happens next depends on the course of the war, the scale of central-bank intervention and whether oil exports resume.

If inflation and depreciation continue at their recent pace, the 2-million line could fall as soon as August.

A wider war would likely freeze the market first and then send it sharply higher when trading resumes. A durable ceasefire could slow or even temporarily reverse the move.

In every version, the greatest burden falls on Iranian families paid in rials and unable to convert their income or savings into anything safer.

They are watching each round number arrive sooner than the one before.