Pay or Die is a heart-wrenching documentary by Scott Alexander Ruderman and Rachael Dyer that digs into the human cost of America’s private healthcare system, specifically the crippling price of insulin. The film follows three families whose lives have been shattered by the outrageous cost of this life-saving medication. Through these deeply personal stories, the film exposes the corruption and greed of the private healthcare system, where pharmaceutical companies and insurers profit off of people’s pain, while families are forced to fight for their lives.

💉 Positioned the documentary’s narrative as a modern American horror story, emphasizing the life-threatening cost of insulin.

💉 Developed a compelling trailer strategy, crafting its pacing, tone, and messaging to drive emotional impact.

💉 Led the creative vision for marketing materials, ensuring consistency across trailers, posters, and promotional assets.

💉 Collaborated closely with filmmakers and executive producers to align storytelling with the film’s advocacy goals.

💉 Oversaw editing and finishing with editing vendor to refine the final presentation for maximum engagement.