In their early days, sanctions on other countries could be bypassed. They were weak. Nowadays, the U.S. has invented ways to strengthen them so that they kill indirectly. The sanctions on Iran are extensive and they are biting. As the entire economy becomes affected, unless Iran finds ways to bypass the sanctions, wealth and wealth generation decline. Health then declines due to the sanctions. People die due to the sanctions. A report out of Iran suggests that hemophiliacs are now endangered.