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Iran Enters the Ration Economy as Food, Fuel and Medicine Slip Beyond Reach

Pedestrians pass a giant banknote-style billboard showcasing state propaganda in central Tehran
Pedestrians pass a giant banknote-style billboard showcasing state propaganda in central Tehran

Four-minute read

By mid-November 2025, a cluster of new, regime-sourced data points shows Iran crossing from chronic inflation into administered scarcity—a ration logic that now governs food, fuel, and medicine. The Oil Minister refused to deny a fresh gasoline hike, dairy prices have jumped 30–50% in a month, patients’ out-of-pocket payments for drugs have surged toward 70%, and state-aligned economists warn of outright hunger. Even insider polling leaked this week says dissatisfaction sits near 92%. These warnings and “reviews” are becoming louder as state media and officials sound the alarm to preserve the system as purchasing power collapses.

Food First: A Nutrition Recession

A basic input has snapped: Eqtesad24 reports raw milk rose about 30% in a month to ~30,000 tomans/kg, roughly 7,000 above the state’s own administered price. Final retail prices for yogurt and cheese are up 30–50%, widening the gap between official rhetoric and checkout reality. In a country where dairy long anchored cheap protein and calcium, this is not a marginal tweak—it’s the start of a nutrition recession.

Economists close to the system are now saying the quiet part out loud. Hossein Raghfar told Khabaronline on November 11, 2025, that ~10% of Iranians (≈7 million) face hunger/sustained under-calorie intake and warned that absolute poverty could extend to ~40% if current policy continues. Market signals echo him: the head of the Livestock Supply Council, Mansour Pourian, says even frozen imported beef has leapt to 600–700 thousand tomans/kg, pricing out a “large part” of households.

The poverty line itself has sprinted ahead. A World Bank readout in November 2025 puts the monthly poverty threshold for a family of four at ~73 million tomans, while Iran’s legal minimum wage remains near 10 million. The arithmetic is unforgiving—and it’s showing up first at the dinner table.

The Medicine Copay Shock

Health costs are behaving like food costs. With the “Daroyar” policy and the removal of preferential FX, state and semi-official outlets now concede that patients’ share of drug and medical costs has jumped from ~42% to roughly 70%. That shift—documented by state media—doesn’t just inflate a budget line; it rations access. Pharmacies and hospitals report supply gaps as importers’ working capital needs balloon, while insurers and the welfare state lag on payments.

Parliamentarians have begun to ask where the FX savings actually went. In open session, MPs demanded to know why insurers haven’t backfilled the price differential—without answers. On the ground, the impact is brutal: chronic and special-disease patients either delay care, substitute inferior therapies, or exit treatment altogether. Austerity has moved from ledger to life.

The logic is circular and self-defeating. FX liberalization without credible compensation for insurers and providers converts a subsidy reform into a care tax on the sickest. The result is a public-health downgrade that compounds long-run productivity loss.

Fuel: From Subsidy Politics to Scarcity Politics

On November 10, 2025, Oil Minister Javad Owji declined to deny a new fuel-price package, saying changes to quotas and prices are under “expert review” across government—not just at the ministry. Hours of televised hedging functioned as confirmation that another rise is on the table. In parallel, lawmaker Hossein Samsami told state TV the pump price would move toward 5,000 tomans/liter in a three-tier system, adding that government “pays nothing” for fuel production and that total costs are below 2,000 tomans—a framing that prepares the public for a sharp step-up.

The policy debate sits atop a physical deficit. Industry figures report daily gasoline smuggling around 20 million liters, a number strikingly close to the country’s daily shortage. Meanwhile, CNG consumption has fallen sharply, pushing demand back onto gasoline and intensifying queues and scarcity. For households, fuel scarcity doesn’t stop at the pump; it cascades through freight, fresh food logistics, and services, lifting the general price level just as incomes collapse.

The pattern is now familiar. Instead of structural fixes—metering loss, closing arbitrage, rebuilding CNG incentives—the state reaches for rationing by price and quota, then blames the consumer. It is scarcity politics, and it leaks into every basket of goods.

Inequality Becomes a Governance Risk

When an insider survey (ISPA) leaked this week put public dissatisfaction near 92%, the Presidency’s social adviser Mohammad-Javad Javadi-Yeganeh did not dispute it; he posted that acknowledging discontent is the “premise of problem-solving.” That is an admission, not a remedy. On the same economic canvas, MP Mojtaba Yousefi blasted six-figure monthly salaries for politically connected managers while workers, teachers, and pensioners subsist on 10–20 million—and strike.

Labor unrest is now broad-based: social-welfare employees protested across 20+ cities over wages and discrimination; 3,000 contract gas workers in Assaluyeh rallied for equal pay and the removal of labor contractors; hospital staff and nurses in Mashhad marched for overdue benefits and fair tariffs; pensioners gathered in Kermanshah to demand parity and decent insurance. These are not isolated complaints; they are the institutional symptoms of a household balance sheet that no longer adds up.

The through-line is not simply inflation; it is administered scarcity used as policy, where the state shifts cost onto households while claiming “expert review.” Every official warning and leaked poll serves the same end: to manage public reaction and preserve the regime, not to shield citizens from collapse.

In political-economic terms, Iran has entered a ration economy in which calories, care, and kilometers are allocated by price, queue, and connection; with fuel and FX shocks piling onto food and medicine inflation—and trust in state capacity collapsing—the system is steering into a perfect storm of cascading supply failures, a public-health setback, deeper productivity loss, and a legitimacy crisis the regime itself now signals it fears.

NCRI
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