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Rising care costs hit Iranians with spinal injuries

May 26, 2026, 10:09 GMT+1
File photo of people with disabilities at a public facility in Iran
File photo of people with disabilities at a public facility in Iran

Surging inflation and worsening economic hardship in Iran have sharply increased the cost of hygiene and medical supplies for around 45,000 people living with spinal cord injuries, the Iranian news website Khabar Online reported on Tuesday.

Citing field reports from several provinces, the outlet said essential daily items including sterile gauze, specialized wound dressings, catheters, catheter bags, syringes, lubricating gel, tissues and medication for pressure sores have seen steep price increases.

The cost of these supplies, according to the report, has at least doubled or tripled over the past two months for people requiring long-term care.

The continued economic crisis has reduced access to critical medical equipment, worsening pressure sores and undermining the quality of daily care for patients, Khabar Online said.

The outlet warned that the monthly welfare payment of 25 million rials ($15) allocated for hygiene supplies no longer covers rising care costs and could lead to worsening health conditions and higher treatment expenses for people with disabilities.

In recent weeks, Iranians have told Iran International of soaring inflation, medicine shortages, sharp price increases, deepening recession, widespread job losses and disruptions caused by internet outages.

“One family cannot even find medicine for their child anymore,” one citizen said in a message to Iran International, adding that internet restrictions had cut people with mobility impairments off from their only link to society.

‘Disabled people pushed back to the Stone Age’

Some people with spinal injuries have begun reusing disposable hygiene items because of rising costs, leading to infections and secondary wounds, Behrouz Morovati, head of the Campaign for Disabled People, told Khabar Online.

Morovati said soaring diaper prices have forced some families to use makeshift alternatives such as cloth and rags.

“Because of limited access to hygiene supplies, the normal lives of disabled people have been pushed back to the Stone Age,” he said. “Even wounds that could be controlled through regular care have deepened in many cases, increasing the risk of infection, hospitalization and irreversible complications.”

Morovati had previously warned in December 2025 that 95% of people with disabilities in Iran were living below the absolute poverty line.

Patients describe mounting pressure

Khabar Online also spoke to several people with spinal cord injuries about the impact of the economic crisis on their daily lives.

Mahmoud, a resident of Qazvin with a degree in business management, said people with spinal injuries require at least four catheters and four syringes a day.

“Each catheter now costs between 120,000 and 150,000 rials and each syringe around 50,000 rials,” he said. “Those two items alone cost nearly 30 million rials ($17) a month.”

Pressure sores, he added, require daily washing, sterilization and dressing changes, which have become increasingly expensive.

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“Some days I have to leave longer gaps between dressing changes or use non-standard supplies to control costs, but that only worsens my condition,” Mahmoud said. “Pain and fear of infection have become part of my daily life.”

Zahra Moradi, a psychology graduate living in Karaj, said women with spinal injuries face additional challenges under worsening economic conditions.

“Access to hygiene products during menstruation, bladder and bowel complications and limited access to healthcare all affect women’s overall health,” she said.

High medical costs and limited services, Moradi added, have also led to emotional and social distress, feelings of shame and declining self-confidence among women with spinal injuries.

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Could Iran be building a Chinese-style internet system?

May 26, 2026, 04:04 GMT+1
•
Negar Mojtahedi

Iran may be moving beyond temporary internet blackouts toward something more durable: a Chinese-style system of digital control.

Concerns intensified after a former head of Iran’s state broadcaster said Tehran had imported Chinese equipment for a “permanent internet shutdown,” while millions of Iranians endure what monitoring group NetBlocks says is now the world’s longest ongoing nationwide blackout.

Experts warn the Islamic Republic may not be trying to shut the internet off forever but instead attempting to build a controlled and heavily surveilled online ecosystem designed to filter information, monitor communications and isolate Iranians from the outside world while still keeping parts of the economy online.

Mohammad Sarafraz, the former head of Islamic Republic of Iran Broadcasting and a current member of the Supreme Council of Cyberspace, said in an interview with the online newspaper Faraz that factions in Tehran are seeking to restrict global internet access for the general public while preserving it for a limited and controlled group.

He said the Islamic Republic had imported Chinese equipment for “permanently cutting off the internet.”

Spectre of digital control

Laura Edelson, assistant professor of computer science at Northeastern University, said the closest comparison may be China’s internet crackdown in Xinjiang after unrest there in 2009, when authorities isolated the Uyghur-majority region from the outside internet for 10 months.

“Functionally, for the vast majority of the population, they were effectively cut off entirely from the outside world,” Edelson said.

She said China’s model is far more sophisticated than simply blocking websites, relying on centralized state control to filter content, surveil users and selectively determine what information people can access.

“This centralized model is one that a lot of other countries, including and almost especially Iran, has been moving toward,” she told Iran International.

She added that turning off the internet forever “is not useful,” meaning authoritarian governments increasingly favor adaptable systems that can tighten restrictions during politically sensitive moments and loosen them when economic activity is needed.

“Iran’s government doesn’t trust its own people,” Edelson said. “The vast majority of people don't support the government.”

“If you can have an internet that you can adaptively not just turn on and off, but control what people can reach and what they can’t reach — that’s a set of internet censorship and surveillance systems that I would be more afraid of personally,” she said.

Can Tehran pull it off?

Max Meizlish, Senior Research Analyst at the Foundation for Defense of Democracies and a former US Treasury official focused on sanctions enforcement, said China has long exported censorship technologies and surveillance capabilities to authoritarian partners.

“We know that China has been a significant partner to several malign actors, including Iran, but also Russia and North Korea, with respect to cyber technology censorship capabilities,” Meizlish told Iran International.

He said China’s own internet system gives Tehran both a blueprint and a commercial partner.

According to Meizlish, Iran’s centralized control over internet infrastructure already gives authorities the ability to regulate what information enters or leaves the country.

“What we could actually see is Iran building out its own internet,” he said, “so that the people of Iran are only able to view what the government wants them to view.”

He said technology transfers between Beijing and Tehran should increasingly be viewed through the lens of human rights abuses and digital repression.

“There’s an argument to be made that this form of censorship constitutes a wide-scale human rights abuse,” Meizlish said.

But Amin Sabeti, founder of cybersecurity research group CERTFA, cautioned that Iran still lacks many of the domestic technological capabilities that made China’s censorship system possible.

“The Iranian regime imports the technology; it doesn't own the technology,” Sabeti said.

Unlike China, he said, Iran lacks strong domestic alternatives to many global services and remains heavily dependent on foreign infrastructure and technology.

“In China, there isn't a need for Gmail because they have good services in terms of email,” Sabeti said. “In Iran, there isn't any proper email service.”

Sabeti said Iran has repeatedly shown it can temporarily shut down the internet during protests and unrest, but questioned whether the regime could sustain a truly permanent nationwide blackout over the long term.

“I don't think it will happen,” he said.

Iran’s rulers may not want to permanently disconnect Iranians from the global internet, but they appear to be moving toward a more sustainable architecture of digital control that allows the state to keep commerce functioning while isolating citizens from independent information, encrypted communications and even family members abroad.

For many Iranians, the question is no longer whether the internet will fully return, but what kind of internet the state intends to allow back.

Oil pressure and economic strain drive Iran-US talks

May 26, 2026, 01:02 GMT+1
•
Dalga Khatinoglu

More than six weeks after Iran disrupted shipping through the Strait of Hormuz and the United States moved to enforce a naval blockade, the confrontation increasingly appears to be entering a new phase: negotiations driven by exhaustion.

What began as a military and geopolitical standoff has evolved into a contest over economic endurance, one that neither Iran nor the global economy appears capable of sustaining indefinitely.

After weeks of escalation, diplomacy has regained momentum. Talks involving Tehran, Washington and regional mediators have intensified, while US President Donald Trump has repeatedly suggested a deal may be close.

At the center of the latest negotiations lies the issue of frozen Iranian assets.

Iranian officials are demanding guaranteed access to billions of dollars held abroad before accepting any preliminary understanding, while reports from Tehran suggest Qatar may be exploring financial mechanisms that would allow limited transfers without direct US payments to Iran.

The diplomacy reflects mounting pressure on both sides.

The head of the International Energy Agency warned in May that unless progress is made toward ending the crisis with Iran, the global oil market could enter a “red zone” by summer.

Beginning in mid-March — roughly two weeks after Iran moved to disrupt shipping through the Strait of Hormuz — IEA member states began gradually releasing strategic petroleum reserves to offset sharp declines in Gulf energy exports.

Hundreds of millions of barrels have already been released from emergency stockpiles, according to market estimates, as governments attempt to stabilize prices and prevent a broader supply shock.

But strategic reserves are not unlimited.

Even when commercial inventories are included, only part of global oil storage can realistically be released to the market. Much of the world’s inventories are tied to operational infrastructure, while many governments face legal and political constraints on how deeply emergency reserves can be depleted outside wartime conditions.

The strain is increasingly visible across the global economy.

High energy prices have weakened demand growth and raised recession fears in major economies, while shipping disruptions in the Persian Gulf continue to inject volatility into global markets.

Iran, meanwhile, faces mounting economic pressure of its own.

Exports of crude oil and petroleum products, which account for a large share of the country’s export revenues, have sharply declined under blockade conditions. Iranian steel and petrochemical facilities have also faced repeated disruptions and attacks during the conflict.

According to estimates by Kpler, Iran’s floating oil storage near East Asian waters has fallen sharply in recent weeks as Tehran struggles to maintain exports to China despite mounting logistical constraints.

The United States and its allies retain significant escalation options economically and militarily, while Iran’s ability to sustain prolonged confrontation increasingly appears tied to its capacity to continue threatening shipping routes and regional stability.

But Washington also faces limits. A prolonged energy crisis, rising oil prices and fears of a wider regional war are creating growing pressure on the United States and Gulf allies to secure at least a temporary understanding with Tehran.

That pressure helps explain the renewed urgency surrounding the Doha talks.

What now seems increasingly clear is that neither Iran’s economy nor the global economy can sustain the current trajectory for much longer.

The question is no longer whether economic pressure is being felt. It is whether the pressure forces compromise before miscalculation produces another round of escalation.

Iran appears set to restore internet access after 3-months blackout

May 25, 2026, 22:30 GMT+1

Internet access in Iran appeared headed for restoration Monday as President Masoud Pezeshkian ordered a rollback of months-long restrictions and an IRGC-affiliated outlet appeared to fall in line behind the decision after initially questioning its legality.

Earlier in the day, Pezeshkian ordered the Ministry of Communications to restore international internet access to its pre-January status, according to his spokesman.

ICT Minister Sattar Hashemi later told Shargh daily that the process of restoring the country’s internet access had begun.

The semi-official ISNA news agency reported that the order is expected to be implemented on Tuesday.

The shift in tone became apparent after the IRGC-affiliated Fars News agency first questioned whether the administration had the authority to issue such an order, arguing that because the restrictions were imposed by the Supreme National Security Council, only the same body could formally reverse them.

Hours later, however, Fars appeared to soften its position in an editorial describing the reopening as a necessary “technical and security” decision that would have happened “sooner or later” as cyber conditions improved.

The outlet said the restrictions had originally been imposed to prevent cyber espionage and protect critical infrastructure during wartime conditions and an unprecedented wave of cyberattacks.

While acknowledging criticism over the legal process behind the decision, Fars dismissed efforts to turn the issue into a political dispute and accused some reformist media outlets of exploiting the shutdown to deepen internal divisions during what it described as a “full-scale war.”

The president’s order followed the fourth meeting of the Special Task Force on Cyberspace Management, which ended with nine votes in favor and three against reconnecting Iran to the global internet, according to reports.

Peyman Jebelli, head of Iran’s state broadcaster, and Mohammad-Amin Aghamiri, secretary of the Supreme Council of Cyberspace, were among the strongest opponents of restoring international internet access, Faraz reported citing informed sources.

According to Faraz, both men remained firmly opposed to reconnecting the country to the global internet until the end of the meeting.

The report said Aghamiri’s position was particularly notable because the secretary of the Supreme Council of Cyberspace is appointed by the president. Although Aghamiri was first appointed under the previous administration, Pezeshkian later retained him in the post.

Faraz said Aghamiri’s opposition had placed him at odds with the government at a time when Pezeshkian has publicly identified restoring internet access as one of his priorities.

Iran’s internet curbs choke AI startup opportunities

May 25, 2026, 13:22 GMT+1

Iran’s prolonged internet disruptions are shutting off a rare opening for young entrepreneurs to build low-cost businesses using artificial intelligence tools, according to a report by Shargh newspaper that warned the restrictions are crippling a generation of digital workers.

The disruptions have entered their 13th consecutive week, blocking or severely degrading access to many global online services that freelancers, software developers and content creators rely on to compete internationally, Shargh reported on Monday.

While AI tools have dramatically reduced the cost of launching new businesses worldwide, the report argued that internet restrictions inside Iran are preventing local entrepreneurs from benefiting from the shift.

  • Iran is turning the internet into a privilege

    Iran is turning the internet into a privilege

“Internet that was supposed to become the launch platform for a new generation of entrepreneurs has now turned into the biggest obstacle to establishing, growing and developing a new business,” the newspaper wrote.

Many young Iranians who could previously build businesses with little more than a laptop and free AI software are now struggling to access even basic online services because of filtering, unstable connections and rising infrastructure costs, Shargh said.

The report estimated direct economic losses from the disruption at more than 3000 trillion rials, roughly $4 billion, over a 60-day period. Daily losses for internet-dependent businesses were estimated at between $30 million and $40 million.

Tiered internet deepens pressure

The emergence of “internet pro” or tiered internet access has widened inequalities inside Iran’s digital economy by giving certain users and organizations access to higher-quality connections at sharply higher prices, added Shargh.

Silhouette of a man using a mobile phone during a nighttime internet blackout in Iran amid ongoing restrictions and connectivity disruptions. (undated)
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Silhouette of a man using a mobile phone during a nighttime internet blackout in Iran amid ongoing restrictions and connectivity disruptions.

Large-volume internet packages for preferred users are being sold for more than 20 million rials (around $12), the newspaper reported, adding that the model has significantly increased operating costs for small software teams already struggling with inflation and currency depreciation.

The minimum wage in Iran currently stands at just over $90 per month.

The report described the current environment as one where international internet access is increasingly treated as a luxury rather than a public utility.

  • Internet shutdown drives Iranians to leave country for access

    Internet shutdown drives Iranians to leave country for access

It said software companies face two immediate problems: rising infrastructure costs and the collapse of traditional digital marketing channels such as Google advertising and search visibility.

Under those conditions, businesses earning foreign currency revenue or reducing dependence on international infrastructure have become more attractive, according to the report.

AI lowers barriers but access remains limited

Advances in AI during the past two years, the report said, have sharply reduced software production costs worldwide by automating repetitive development work such as coding assistance, testing, documentation and early-stage interface design.

Tools including GitHub Copilot and AI coding assistants have increased software production speed by up to 50%, according to the report.

AI-generated image of a software developer facing service outages and online access problems in Iran’s restricted internet environment.
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AI-generated image of a software developer facing service outages and online access problems in Iran’s restricted internet environment.

But the newspaper said Iranian developers are increasingly unable to reliably access many of the same tools because of internet instability and restrictions.

Software teams, the report said, are increasingly shifting toward direct marketing methods such as SMS campaigns, webinars and messaging-platform advertising because conventional online advertising tools have become less effective under filtering conditions.

Iran is turning the internet into a privilege

May 25, 2026, 01:54 GMT+1
•
Nima Akbarpour

The internet was once seen in Iran as a gateway to the outside world, but it is increasingly being reshaped into something narrower and more conditional: a privilege that can be restricted, filtered or priced at will.

After two months offline, Morteza finally managed to reconnect for a few minutes and send a message to a group of old friends.

“Hi guys, do you know any VPN that actually works?” he wrote. “I’m locked out of my hearing-aid account. I can’t update it.”

The message captured something many Iranians have been trying to explain for months: the country’s internet crisis is no longer just about Instagram, Telegram or access to foreign news websites. The internet has become woven into nearly every aspect of daily life: from work and banking to transportation, education and healthcare.

Iran’s latest shutdown, which began on February 28 and continues in various forms, has become one of the longest nationwide internet disruptions in the world.

Even global tech companies have begun to feel its effects. Meta, the owner of WhatsApp, Facebook and Instagram, recently reported that the average daily users of its apps fell from 3.58 billion to 3.56 billion in the first quarter of the year, partly because of internet disruptions in Iran.

The decline was small by Meta standards but striking nonetheless: Iran’s blackout had become large enough to leave visible marks on the usage charts of some of the world’s biggest technology platforms.

The whitelist

During wars, outages caused by attacks on infrastructure are not unusual. But in Iran’s case, the authorities themselves ordered and implemented the restrictions while simultaneously insisting that no real “internet shutdown” had occurred.

Officials instead describe the measures as restrictions on “foreign platforms” imposed because of wartime conditions.

Rasool Jalili, a member of Iran’s Supreme Council of Cyberspace, argued that when foreign media speak about an internet shutdown, they really mean access to Instagram and Telegram. He went further, placing those platforms in the same category as American fighter jets and missiles.

The comparison reflects a broader shift in how parts of the Iranian establishment increasingly view the internet: not as infrastructure, but as a threat to governance and security.

The same argument is often echoed abroad by commentators close to the government. Mohammad Marandi, for example, argued in response to an Al Jazeera report that because some domestic applications and services remained functional, describing the situation as an “internet blackout” was misleading.

Technically, internet filtering usually means blocking specific websites or services from a global network—a system based on blacklists.

But what Iran is now moving toward goes further than blocking Instagram, X or Telegram. Increasingly, access itself is being reorganized around approved users and approved services through a system marketed as “Internet Pro.”

Internet as privilege

The idea emerged publicly after the ceasefire alongside official talk of domestic governance of foreign platforms. 

The government presented the plan—reportedly approved by Iran’s Supreme National Security Council—as a temporary measure designed to reduce pressure on businesses during wartime.

In practice, it creates different layers of internet access based on profession, identity and official approval.

A doctor’s package may allow access to YouTube while keeping Instagram blocked. A businessman’s package may permit Instagram but not other services. The result is a more formalized version of what critics inside Iran have long described as “class-based internet.”

The prolonged restrictions have inflicted severe damage on businesses already weakened by inflation and war. But they have also created new economic opportunities.

Pursuit of workarounds

VPNs sold in Iran vary widely. Some are commercial products, others are homemade “configurations” that function only through specific servers and routes, while some reportedly rely indirectly on systems such as Starlink.

For users, however, they all mean the same thing: paying increasingly large sums for fragments of connection to the outside world.

Reports suggest VPN prices have multiplied several times since the beginning of the war, though free anti-censorship tools developed by independent developers occasionally disrupt the market and drive prices down.

But here is the contradiction: if unrestricted internet access is truly considered a security threat, why does that same access become available to approved groups through money, permits or connections?

Independent investigative journalist Yashar Soltani has argued that the “Internet Pro” system is tied partly to the financial interests of major telecom operators and networks linked to powerful state institutions.

Whether or not all aspects of those claims withstand scrutiny, one reality is already visible inside Iran: alongside the shutdown itself, a market has emerged for selling different levels of digital access.

The result is a growing divide between those who remain connected and those effectively cut off from the outside world.

At the same time as restricting access to the global internet, the Islamic Republic has increasingly redefined connectivity not as a public right but as a controlled privilege—one that can be priced, restricted and distributed according to political and economic priorities.

In Iran today, internet access is becoming not just a tool of communication, but a commodity and an instrument of control.