Food, medicine, hope: what Iran's economic crisis is costing its people
More than 70% of respondents to an Iran International survey on household finances said they had either reduced food purchases or postponed medical treatment to cope with rising prices, illustrating the difficult choices facing families struggling with Iran's economic crisis.
The survey, conducted between October 30 and November 3, 2026, collected responses from 404 people, alongside personal accounts of mounting debt, unpaid wages, depleted savings and the psychological toll of financial hardship.
Of the 374 respondents who answered a question about coping with rising prices, 230, or 61%, said they had reduced food purchases, particularly meat and dairy products. Another 177, or 47%, reported postponing medical treatment or medication.
A total of 142 respondents had done both, while 265, or 71%, had taken at least one of these measures over the previous year. Cutting spending on recreation, clothing and education was even more common.
A man stands along a street in Tehran after rainfall, with clear skies and snow-covered mountains in the background, November 9, 2026
More than 70% of respondents to an Iran International survey on household finances said they had either reduced food purchases or postponed medical treatment to cope with rising prices, illustrating the difficult choices facing families struggling with Iran's economic crisis.
The survey, conducted between October 30 and November 3, 2026, collected responses from 404 people, alongside personal accounts of mounting debt, unpaid wages, depleted savings and the psychological toll of financial hardship.
Of the 374 respondents who answered a question about coping with rising prices, 230, or 61%, said they had reduced food purchases, particularly meat and dairy products. Another 177, or 47%, reported postponing medical treatment or medication.
A total of 142 respondents had done both, while 265, or 71%, had taken at least one of these measures over the previous year. Cutting spending on recreation, clothing and education was even more common.
The survey was voluntary and conducted among Iran International's audience, rather than a randomly selected sample of the population. Its findings therefore cannot be considered representative of Iranians as a whole.
‘Can’t afford potatoes’
One participant, who identified themselves as a Social Security pensioner, described receiving 32 million tomans a month, of which 25 million went on rent, five million on loan repayments, 1.2 million on building charges and 200,000 on electricity.
That left just 600,000 tomans for other monthly expenses.
“I don't have money for potatoes and onions,” the pensioner wrote.
The respondent also described having diabetes but being unable to afford medical appointments or medication.
Another participant described the cost of sending three children to school.
“My first-grader went to school with a schoolbag his brother used several years ago and the shoes he wore for Nowruz,” the parent wrote.
“I sewed his coat and trousers myself to save a little money so I could buy them school supplies … Thank God I have children who are content with little. They understand.”
In another message, a respondent described buying barbari bread for 25,000 tomans one day and 40,000 the next. The participant said a local baker had warned that flour was running out and production might stop if more supplies did not arrive.
Food prices have risen particularly sharply as the rial's collapse drives up costs across the economy.
Official figures showed food and beverage prices in September were more than 120% higher than a year earlier, compounding the impact of years of inflation, US sanctions and economic mismanagement.
‘Living in name only’
The survey also examined employment and the number of income earners in each household.
Of the 387 participants who reported their number of jobs, 177, or 46%, said they held one job. Another 95, or 25%, reported two jobs, while 23, or 6%, held three or more.
In total, 118 respondents, or 30.5%, held at least two jobs. Another 92, or 24%, said they had no income-generating employment.
A separate question found that 47% of respondents lived in households with only one income earner, while 6% said nobody in their household earned an income.
For some, even holding multiple jobs was not enough to cover basic expenses.
One participant, the sole income earner in their household, said they worked two jobs but had fallen behind on rent and three loan installments, had unpaid electricity and gas bills, and had not received their wages for a month.
“I borrowed about 60 million tomans from people, and I haven't been able to pay back even one million,” the respondent wrote. “Our life is only a life in name.”
Another participant, who reported holding three or more jobs, said their motorcycle had been taken and they could not afford to retrieve it. The respondent had also reduced food purchases and postponed medical treatment or medication.
A worker living with a spouse and three children described similar pressures despite holding two jobs.
“I can't manage even the simplest things,” the worker wrote, adding that low wages and unemployment had made “anger and arguments an inseparable part of life.”
The war has added to an already weak labour market, damaging factories and infrastructure, disrupting trade and forcing businesses to scale back or close.
US sanctions and restrictions on banking and imports have further constrained businesses, while years of underinvestment and mismanagement have left the economy poorly equipped to absorb the shocks.
‘Getting poorer before my eyes’
As rising prices eroded purchasing power, many respondents reported relying on resources accumulated in better times or taking on new financial obligations.
Of the 374 people who answered the question about coping with inflation, 171 reported spending savings and 86 said they had sold possessions.
After accounting for overlap between the two groups, 200 respondents, or 53.5%, had used at least one of these measures. Another 128 had borrowed money, while 97 had postponed rent or bill payments.
Nearly two-thirds of respondents to the question reported taking at least three different measures to cope with rising prices over the previous year. Almost 30% had taken five or more.
The questionnaire did not measure how much money respondents had borrowed, the value of possessions sold or the amount of savings spent. But drawing on savings and selling assets can provide only temporary relief, leaving households with fewer resources to withstand future financial shocks.
The rial has lost more than half its value against the dollar over the past year. The war and US blockade of Iranian ports have sharply curtailed oil exports and government revenues, intensifying pressures on an economy already weakened by sanctions and systemic corruption.
One respondent began a message with a direct appeal: “If you can, please help me a little.”
The participant said their workshop had closed, leaving them without income for six months. They had three children and reported that nobody in the household earned an income, describing the circumstances as “the hardest moments of my life.”
Another participant, who was employed and lived in a household with two income earners, said: “I can see myself getting poorer before my eyes.”
The psychological toll
The financial pressures described by participants were accompanied by widespread anxiety and pessimism about the future.
Of 398 people who answered a question about their household finances over the previous year, 375, or 94%, said their situation had worsened. Three-quarters described the deterioration as severe.
Expectations for the coming year were similarly bleak, with 91% anticipating further financial deterioration. Separately, 90% said inflation and economic uncertainty had significantly affected their psychological well-being, including their sleep and peace of mind.
The prolonged conflict with the United States and Israel has deepened uncertainty over jobs, prices and access to essential goods, while repeated disruptions to everyday life have compounded the strain of years of economic instability.
One participant described being unable to afford dental treatment despite holding two jobs and living in a household with two income earners.
Another message described medical treatment that had been interrupted for three years. The respondent said they suffered from depression, had been dismissed from a government job because of illness-related absences and were living with an ailing mother in a household without an income.
“I'm exhausted right now, and I'm writing this while crying,” the message said.
Another participant, the sole income earner in a household with a disabled daughter, said they worked two jobs but had still postponed medical treatment or medication and sold possessions.
Among the 142 respondents who had both reduced food purchases and postponed treatment or medication, 135 reported a significant or very significant psychological impact.
Three participants expressed thoughts of suicide or a wish to die in their written messages. The questionnaire was not designed to clinically assess depression or suicide risk, and the prevalence of such conditions cannot be determined from these accounts.
Little hope of improvement
The survey also examined the relationship between respondents' experiences over the previous year and their expectations for the future.
Of those who described the previous year as having been much worse, nearly 85% expected similarly severe deterioration in the coming year.
Respondents reporting greater financial hardship also tended to describe more severe psychological distress and to have adopted more measures to cope with rising prices.
These findings show an association between financial hardship, psychological pressure and pessimism about the future among respondents, but do not establish cause and effect.
Prospects for recovery remain clouded by the unresolved confrontation with Washington, continuing sanctions and the damage inflicted on Iran's productive capacity.
Even an end to the fighting would leave the country confronting longstanding structural problems, including corruption, weak investment and economic mismanagement.
One participant wrote: “I wish tomorrow wouldn't come,” explaining that they expected each new day to bring greater hardship.
The survey was conducted among Iran International's audience from October 30 to November 3, 2026, and received 404 voluntary responses. Not all participants answered every question, and percentages were calculated from valid responses. Personal accounts were drawn from written messages submitted by respondents and reviewed without identifying information.
Iranians expressed anger and grief over the execution of three protesters and new death sentences against others, criticizing the United States and the international community for their response in messages sent to Iran International.
Iran's judiciary announced on November 8 that Hassan Divband, Hamid Kazemi and Reza Zanganeh, three people arrested during the January protests in Karaj, had been executed.
The executions came alongside reports of additional death sentences against protesters in the northeastern city of Mashhad.
Abolfazl Sedaghat, 20, Matin Farnian and Vahid Khedrikhah were sentenced to death on charges of moharebeh, or "waging war against God," in a joint case, according to the human rights organization HRANA.
Death sentences were also issued against Ali Zaghi and Ilya Akbari, bringing the number of protesters sentenced to death in the so-called Shandiz case to six, according to earlier reporting.
'We can no longer bear the news of executions'
"We woke up this morning to the news that three more innocent young men had been executed. I can no longer bear hearing about executions," a resident of Isfahan wrote to Iran International.
The executions prompted messages of grief and anger from people across Iran, many expressing concern about the future of younger generations.
"Every morning when we wake up, we are confronted with news of our beloved children being killed. You have taken life away from us," a Tehran resident wrote, addressing Iranian authorities.
Another from Dezful urged fellow Iranians to consider the future facing their children.
"Look at your beloved child. How can you bring yourself to leave the Islamic Republic as their inheritance? How can you bear to leave your child in line for execution and torture?" the citizen wrote.
Another, referring to discussion of possible US strikes on Iran's energy infrastructure, said the country's infrastructure was not their primary concern.
This citizen argued that the Islamic Republic's continued rule was destroying the country's infrastructure every day, from electricity and water supplies to the lives of its young people.
Questioning US response and call for continued solidarity
Several messages sent to Iran International criticized Washington's response to the executions, with some directly addressing US President Donald Trump.
"Do the human rights-defending Democrats in America not see all these crimes in Iran?" one asked, referring to the executions in Karaj.
Another described the executions as retaliation by the Islamic Republic against the Iranian people and questioned Trump's response.
"The oppressive system of the Islamic Republic cannot reach your soldiers, so it takes revenge on the Iranian people through executions. Isn't it time to fulfill your promise?" reads a message.
Other messages emphasized solidarity among Iranians and the importance of continuing efforts to seek justice for those executed.
A resident of Bandar Abbas expressed grief over the executions while thanking Iranians abroad for organizing demonstrations.
"One eye mourns the brave compatriots who lose their lives at the gallows every day, while the other sheds tears for the remarkable gatherings of compassionate Iranians who, despite all their difficulties, put their homeland first," the resident wrote.
A Tehran resident described the three executed protesters as "three stars whose names will live forever" and expressed determination to continue their cause.
"Victory is certain," the audience wrote.
Amnesty International warns over use of death penalty
Iranian authorities have intensified their crackdown in recent months through widespread summonses and arrests, lengthy prison sentences and a sharp increase in executions.
The growing use of capital punishment has also drawn criticism from international human rights organizations.
Iranian authorities are using the death penalty as a tool to suppress dissent, Diana Eltahawy, Amnesty International's deputy regional director, warned on October 13.
“The arbitrary executions of these five young men serves as another chilling reminder of how the Iranian authorities weaponize the death penalty to render the cost of dissent so high that it terrorizes the population into silence and deters further mass uprisings challenging their repressive decades-long rule,” she said.
The latest executions and death sentences have renewed expressions of grief and anger among Iranians, with messages to Iran International reflecting both frustration over the international response and determination to continue seeking justice for those killed.
A plastic skeleton appears from the sunroof of a vehicle parked in front of the Capitol Hill in Washington, DC, US, October 31, 2026.
The Democrats' victory in the US midterm elections has drawn mixed reactions from Iran International's audience, with some criticizing Donald Trump's prolonged indecision over Iran and others maintaining that Democratic control of Congress will not prevent military action.
Democrats regained control of both the House of Representatives and the Senate from Republicans in the November 3 elections, ending two years of Republican control.
The outcome does not change Trump's presidential powers during his remaining two years in the White House, but could influence his administration's decisions, including its approach toward the Islamic Republic.
"Don't celebrate too soon. An angry Trump is far more lethal to you than a happy Trump," one wrote, addressing Islamic Republic officials.
Islamic Republic warned against early celebrations
Officials and supporters of the Islamic Republic have sought to portray the election results as a victory for themselves and a defeat for Trump's policies.
However, comments shared with Iran International reflected different perspectives, including concerns about the consequences of the vote and warnings against premature celebrations by Iranian authorities.
Several people suggested that such celebrations reflected a misunderstanding of the US political system and the powers Trump retains as president.
"Islamic Republic officials are talking as if they don't realize Trump still has two years in office. Even that amount of time is enough to finish the job," one user wrote.
Another commenter pointed out that congressional elections would not necessarily prevent military action against the Islamic Republic, suggesting Trump could use his veto powers to counter congressional opposition.
The new Congress will take office on January 3, 2027.
Trump previously said that a Democratic victory could force him to use his presidential veto so frequently that he might become known as "Mr. Veto."
Democratic majorities could increase congressional oversight of the administration and impose budgetary restrictions on military operations. However, overriding a presidential veto requires a two-thirds majority of members present and voting in both chambers.
Trump's delays over Iran draw criticism
A substantial portion of the comments criticized Trump's handling of the confrontation with the Islamic Republic, particularly his shifting positions on negotiations, economic pressure and military action.
Some expressed frustration over the prolonged uncertainty, saying Trump's approach had prevented him from fulfilling his promises and cost him an opportunity to end the war and bring about political change in Iran.
"Trump prolonged this uncertainty for so long, talking about war one day and negotiations the next, that he missed the opportunity to overthrow the Islamic Republic and turned what could have been a victory into a defeat," one commenter wrote.
Another accused Trump of excessive accommodation, saying his approach had given the Islamic Republic time to delay negotiations, use diplomacy to avoid further confrontation and escape additional Israeli strikes.
Others described the administration's approach as a "cat-and-mouse game" or a strategy of pursuing contradictory policies.
Trump said on November 2, a day before the elections, that he was in no hurry to resume the war and preferred to continue economic pressure to persuade Iran to accept an agreement.
The US president also said military action would remain an option if negotiations failed.
S House Minority Leader Hakeem Jeffries (D-NY) walks down the House steps on Capitol Hill in Washington, DC, US, September 30, 2026.
One citizen questioned Trump's apparent expectation that economic hardship would drive Iranians into the streets, pointing to the armed repression protesters face alongside their worsening living conditions.
Another blamed Trump for missing an opportunity to continue military strikes following the killing of Ali Khamenei. A separate commenter accused the US president of halting the momentum toward overthrowing the Islamic Republic by preventing further Israeli operations.
Other comments cited continued executions, economic hardship and threats to Iran's critical infrastructure as evidence that Trump's approach had failed to produce meaningful results.
Can a Democratic Congress constrain Trump?
Other Iran International audience questioned whether Democratic control of Congress would significantly restrict Trump's ability to pursue military operations or increase pressure on the Islamic Republic.
Some cited historical examples of US military campaigns that continued or expanded despite opposition-party control of Congress.
One pointed to the continuation of the Vietnam War and its expansion into Cambodia under President Richard Nixon, the 1991 war under President George H.W. Bush, and military operations against ISIS and in Libya under President Barack Obama.
The wars in Afghanistan and Iraq under President George W. Bush were also cited.
Democrats controlled both chambers of Congress from 2007 until Bush left office in January 2009, but the two wars continued.
These examples were raised to challenge the assumption that a Democratic majority would automatically prevent Trump from pursuing military action against the Islamic Republic.
The reactions highlighted two competing concerns among Iran International's audience: frustration over Trump's reluctance to pursue further military action against the Islamic Republic and uncertainty over how far the Democratic victory could restrict his options during his remaining two years in office.
Iranians responding to an Iran International appeal said they could not afford emergency supplies or had nowhere safe to go if wider war resumes with the United States and Israel, with others describing exhaustion after repeated rounds of fighting.
Iran International asked its Instagram followers whether they would prepare emergency kits in the event of another war, drawing around 4,000 replies, many of which cited poverty, rising prices and a lack of public shelters.
Others described growing exhaustion after the 12-day war in June 2025 and the 40-day conflict from February to April 2026, both involving the United States and Israel, as well as decades of political and economic uncertainty.
The responses come after The Atlantic reported last month that the Trump administration was considering renewed strikes on Iran following the US midterm elections, with energy infrastructure among the potential targets.
Some respondents said they would not prepare emergency supplies, although their reasons varied.
‘We buy yogurt in four installments’
Financial hardship was a recurring reason cited by respondents, many of whom said meeting everyday needs had become difficult, let alone stockpiling food, medicines and emergency equipment.
"We buy yogurt in four installments, and then they expect us to stockpile three months' worth of food!" one respondent wrote.
Several Iranians pointed to the considerable cost of putting together even a basic emergency kit containing a flashlight, radio, canned food and other essential supplies.
"Putting together this bag costs 200 million rials [about $73]. Where are we supposed to get that money?" another respondent said.
One person questioned how anyone earning 250 million rials ($91) a month could afford an emergency kit costing at least 150 million rials ($55).
Another estimated the cost of a kit at nearly 300 million rials ($109), saying it was difficult for people who could not afford food for the following day.
The concerns reflect a broader cost-of-living crisis in Iran.
Iran's Statistical Center reported that point-to-point inflation, which compares prices with the same month a year earlier, reached 88.7% in the Iranian month of Mehr, which ended in October.
"We have no money, we're unemployed, and even covering the cost of daily food has become difficult," one respondent said.
Some said they could afford only a few basic items.
"Only things like sanitary pads, pills, tissues and biscuits. I can't afford the rest," one person wrote.
Others said they intended to prepare emergency kits despite the costs, particularly because of concerns about prolonged disruptions to water, electricity and gas supplies.
Several respondents with cardiovascular conditions, diabetes or epilepsy said they had stockpiled several months' worth of essential medication.
‘Where are we supposed to go?’
A lack of safe shelter was another major concern among respondents, with some questioning the purpose of preparing emergency supplies when they had nowhere to escape to.
"Even if we pack a bag, where are we supposed to go? The main question is, where do we go?" one person wrote.
Another said sarcastically: "During a war, all I can do is move from one room to another."
The shortage of public shelters has been acknowledged by Iranian officials.
On September 15, Tehran City Council Chairman Mehdi Chamran said metro stations should be equipped to serve as emergency shelters. He had previously acknowledged that the capital lacked fully equipped and ready-to-use shelters for residents.
Some respondents questioned whether emergency supplies would make any meaningful difference if strikes damaged essential infrastructure, leaving households without electricity, running water or gas for extended periods.
"If they strike the infrastructure, what can you possibly do with a backpack that, at most, can get you through one week?" one wrote.
Iran’s First Vice President Mohammad Reza Aref said on September 27 that damage to gas infrastructure during the two recent wars had reduced supplies, adding to the country’s energy shortages.
‘Our entire lives have been a state of emergency’
Beyond financial hardship and the lack of shelter, many responses reflected psychological exhaustion and a growing sense of resignation after repeated conflicts.
Some joked that preparing emergency kits was something only people experiencing war for the first time would do.
"It was only during the 12-day war that the anxiety felt new," one respondent wrote.
Another recalled preparing supplies during the first conflict but gradually abandoning the effort.
"We only packed one the first time. Then we needed our belongings and kept taking them out of the bag. The second time, we just entrusted ourselves to God," the respondent said.
Iran International documented similar sentiments in a June 8 report, when respondents described exhaustion with war, economic pressures and uncertainty about the future.
Despite concerns about the consequences of further fighting, some expressed hope that another conflict could bring political change.
That contradiction was also evident in the latest responses, with some saying they no longer feared renewed war and were instead waiting for it to begin.
"Now I'm more stressed about the possibility that war might not happen," one person wrote.
Others spoke of growing fatigue with the uncertainty surrounding the country's future.
Several respondents blamed the Islamic Republic for keeping Iran in what they described as a state of "suspension and crisis," "constant anxiety" and "living on red alert" throughout its 47 years in power.
One respondent summed up the sentiment shared by many: "Our entire lives have been in a state of emergency."
Students attend a school assembly featuring military-themed posters and portraits in Iran.
Students across Iran have described tighter surveillance, restrictions on gatherings and pressure to participate in military and ideological activities, with some facing threats of expulsion or police referral, according to accounts received by Iran International.
The messages from schools in several cities describe compulsory displays of images of Iran's Supreme Leader Mojtaba Khamenei, increased classroom monitoring, enforcement of mandatory hijab rules and the presence of Basij forces.
Students at a school in Dezful were ordered to pose for photographs with two banners depicting Ali Khamenei, Iran's slain former ruler, and warned they could be expelled or referred to police if they refused, a student told Iran International.
In Marvdasht, education department officials visited a school on November 1 to inspect compliance with mandatory hijab rules, according to another student.
Students who failed to observe the dress code would be expelled, the school's principal warned, the student said.
A student in Tehran also described compulsory Quran recitations, saying school authorities had warned that those who refused would receive failing grades in core subjects.
Basij forces enter schools for military activities
Other accounts described the presence of Basij forces and plans for military exercises on school grounds.
Students at a school in Alborz province were informed that a missile launcher would be brought into the schoolyard and armed forces personnel would conduct a military drill, one student said.
In Lorestan province, students at a school for gifted children were taken to apro-establishment rally on October 28 without their parents being informed in advance, according to a family.
Iran International earlier reported that students in six provinces had faced pressure to participate in Jan-Fada (Self-Sacrifice), a system-backed initiative involving military training and mobilization activities. Some students were warned of expulsion or consequences for their parents if they refused to take part.
Basij members visiting another school instructed students to stay out of politics, according to a student who described the exchange.
"How can we stay out of politics when we have lost more than 40,000 brothers and sisters?" the student said in response.
Another citizen described seeing a group of students on the streets wearing camouflage uniforms and military-style scarves and carrying batons.
Military equipment and activities in schools have featured in earlier accounts received by Iran International.
Based on earlier reports, students at some schools had been given identification tags or instructed to obtain and wear them.
Other accounts described armed personnel and military vehicles entering schools and children receiving weapons training.
The Education Ministry's spokesperson denied reports of military identification tags being issued to students on October 23, saying school principals were not permitted to announce measures that could cause concern among families.
Schools increase surveillance and restrict gatherings
Surveillance cameras in classrooms at a public high school in Tehran's District 19 doubled on October 28, according to a student.
Previously, a single camera had been installed at the front of each classroom facing students. Another camera has since been added behind them, the student said.
In Gonbad-e Kavus, northern Iran, school officials prohibited students from gathering in groups of more than two, according to another account.
The restrictions follow similar measures documented in an earlier report, when students from several cities described classroom cameras, audio recording, searches of personal belongings and clothing inspections.
Another student described armed officers accompanying a school excursion to a park and repeatedly instructing high school girls to comply with hijab requirements and wear their headscarves properly.
