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Inside North Korea: People still suffer legacy of pandemic-era controls

June 20, 2025

The path to freedom is harder than ever. But the North Korean people haven’t given up. Join us this World Refugee Day in offering a way forward.

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Photo: Reuters

During the pandemic, the regime took every opportunity to tighten its control under the guise of stopping the spread of COVID-19. Borders were sealed and reinforced, isolating the country and its people to an unprecedented extent. Trade was cut off, and the jandmadang—the markets that we’ve long highlighted as hotspots of change—were decimated. 

Although the pandemic feels like history, the situation remains difficult as North Koreans recover from their most challenging period for a generation.

Information from inside the country has become increasingly difficult to obtain these last few years. But a landmark 2024 report from Human Rights Watch has offered some visibility into North Korea’s intensifying repression and the increased challenges North Korean people have faced. 

Decimated Market Activity

“The prolonged border closures and restrictions on movement in-country have decimated the market activity that has become essential for the general population to access basic necessities.”

– Tomas Ojea-Quintana, then special rapporteur on the situation of human rights in the DPRK in March 2022 (via Human Rights Watch)

When North Korea’s socialist economy collapsed in the mid-1990s, triggering widespread famine, ordinary North Koreans negotiated their own survival through illicit trade and smuggling. Grassroots marketization was leading to opening and change in North Korea, centered around the markets—the jangmadang.

But when the regime closed its borders in 2020, almost all trade was cut off.

Human Rights Watch shares that according to official records, by 2021 North Korea was importing only 6% of what it had been importing in 2011—a staggering decrease. But these numbers still fail to fully capture the lives and needs of ordinary North Koreans, a sentiment echoed by the former North Korean traders that spoke with Human Rights Watch:

“There was a large but unmeasurable gap between what official trade numbers show and the quantities of products ordinary North Koreans need in their daily lives. This gap, previously narrowed by informal trade, became huge when informal trade and economic activity was almost completely choked off starting in 2020.”

Intensified Border Security

We found a 20-fold increase in the number of new guard buildings or facilities since 2019, with a total of 6,820 facilities placed near new or improved fences… [and] almost 500 kilometers (over 300 miles) of new fences…”

– Human Rights Watch

Through satellite imagery analysis, Human Rights Watch reviewed 321 kilometers, or roughly one-quarter of North Korea’s northern border, to compare security measures from before and after the pandemic. 

Map of 6 areas analyzed along 321km in North Korea's northern border

Prior to 2020, approximately 230 kilometers (71%) of the 321 kilometers analyzed were fenced. But in the years since, multiple layers of fencing have been newly constructed, along with new and upgraded guard posts. Based on 2023 satellite imagery, there is now a staggering 743 kilometers (over 460 miles) of fencing within the 321 kilometers analyzed.

Along with infrastructure, in August 2020, the North Korean government created 1-2 kilometer “buffer zones” along its border with China, and instructed guards to “unconditionally shoot” on sight any person or wild animal entering the zones without permission, as “the [COVID-19] pandemic is being spread through air and items.” There were reports of at least 14 people being shot and killed between September 2020 and July 2022.

Human Rights Watch spoke with Young Mi, a former herbal medicine trader in contact with a relative in North Korea, to hear how the extreme restrictions had affected life in border areas:

“It is more the emotional environment and fear more [than the actual physical barriers] … [My relative] is scared to leave because of… a general sense of terror much stronger than a bullet or a wire fence.”

Starvation and Food Insecurity

North Korea is one of the poorest countries in the world and the government has persistently struggled to ensure food security, adequate childhood nutrition, and access to medicine.”– Human Rights Watch

Chronic oppression in North Korea has created one of the most impoverished countries in the world. A 2023 UN report estimated that 46% of the population face food insecurity. Those 12 million North Koreans aren’t just numbers, but people like Eunju.

Eunju escaped from North Korea in 1999, fleeing starvation during the “Arduous March,” a propagandized name for a period of widespread famine.

“When the Arduous March began, rations from workplaces were nearly cut off. At first, we managed by selling household belongings or trading them for food, but eventually, there was nothing left to exchange. People would sigh, saying, ‘We can’t even trade our empty house for a single block of tofu.’

When spring arrived, we ate every kind of wild plant we could find, even peeling bark off pine trees, boiling and pounding it for days to make it edible. Although I managed to survive, death was everywhere. Some consumed nothing but wild plants and died from poisoning. Some were shot by soldiers while trying to steal corn from farms. Some were publicly executed for slaughtering and eating a cow. Some were orphaned street children, beaten to death for trying to steal food from others.

People lost their lives in different ways, but in the end, they all died trying to survive. The root cause was the same—severe food shortages.”

In 2021, Kim Jong Un urged the people to “wage another more difficult ‘Arduous March.’” Yet the regime continued to restrict cross-border trade and prioritize weapons development, all while neglecting domestic food production.

In the report from Human Rights Watch, Jiro Ishimaru, the director at Asiapress, shared that “In 2021, there were reports of people with disabilities and older people dying of starvation... after over three years of extreme difficulties, in April and May, there was a spike in reports of whole families and ordinary people dying of starvation in urban areas near [North Korea’s] northern border.”

Crackdowns on Foreign Media

“Simply watching [foreign] media content can result in a sentence of forced labor of over 10 years in a forced labor prison camp… Public executions of offenders are permitted, evidently to increase a sense of fear and alarm among the population”

– Human Rights Watch

The near-absolute control of information and media is one of the key ways that the regime disempowers and represses North Korean people. During the pandemic, it imposed several new laws that increase the severity of punishments for being caught with foreign media, and go as far as to restrict how individuals can express themselves.

Human Right Watch outlines the main additions:

  • Reactionary Ideology and Culture Rejection Law (December 2020) “bans people from smuggling, viewing, and distributing ‘reactionary’ and ‘anti-socialist ideology and culture’”
  • Youth Education Guarantee Law (September 2021) “bans young people from copying foreign culture and reorients them to a ‘socialist lifestyle’”
  • Pyongyang Cultural Language Protection Act (January 2023) “permits the authorities to punish people for using South Korean intonations or slang”

Offenders could be sentenced to 6+ years of hard labor, or “if the severity of the crime is deemed high,” the death penalty.

The timing of these new laws is no coincidence. As North Koreans face a reality that is increasingly distant from the propaganda they’ve been told to believe, foreign media has the potential to further erode the regime’s legitimacy and control.

Our North Korean friend, Yulseong, shared how foreign media impacted his perception of the the regime and his ultimate decision to leave in 2018:

“I was introduced to music and movies from other countries through my friends. For movies, I loved James Bond and other Hollywood films. While watching them, I realized that North Korea was truly a poor country, and it made me want to leave as soon as possible.

For songs, I listened to ‘Bingo’ by Turtles, ‘Pure Love’ by Koyote, and music by Jatanpung. Seeking out songs about life and love is a basic human desire. Even if people fear punishment, that desire cannot be suppressed. That’s why, even today, I believe many North Koreans continue to watch foreign content.

Lack of Access to Healthcare

“The DPRK Socialist Constitution and the country’s Public Health Law provide for free medical care to all citizens. In reality, medical supplies and medication are unavailable to most North Koreans and only those who can afford to purchase them on the private market.”

– Human Rights Watch

North Korea’s defunct healthcare system is another example of how the regime’s constraints create unnecessary hardship for North Korean people. The majority of the country’s public health system collapsed along with North Korea’s socialist economy in the 1990s. In the aftermath, the regime only prioritized hospitals in areas like Pyongyang, leaving ordinary North Koreans to fend for themselves.

According to a 2017 UN report, an estimated 33% of the population (8.4 million people) had limited access to health services, including 50% of people in rural areas.

Human Rights Watch spoke with a former North Korean doctor and nurses who escaped after 2014, who shared that, “most local clinics were only capable of diagnosing basic diseases and setting broken bones, and had barely any working tools, supplies, medicine, or electricity… medical workers relied on market activity and what their patients gave them to eat to survive.”

For our North Korean friend Lily, the most frustrating part was that all this suffering was preventable.

“When my older sister, Hye-Joo, developed acute appendicitis, there was no emergency line to call, or cars or taxis to transport her to the hospital. We loaded her onto a cart that was meant to carry produce, moving at a terribly slow pace.

Desperate to ease my sister’s pain, we exhausted every resource we had. Any surgical or medical equipment a patient needs has to be provided by the family. Gauze, painkillers, blankets–even food and bribes–may be necessary for an operation. Even then, severe shortages made it impossible to fully prepare. The surgery was performed with minimal anesthesia and makeshift sterilization. Later, my sister told me she had felt the knife cutting into her skin, and heard the doctor’s orders during the surgery.

What should have been a simple and safe procedure was a traumatic, life-threatening experience.”

Impact on this Issue

In the face of enormous challenges, we cannot be discouraged, because this work is more important than ever. 

There are still things we can and must do to strengthen forces of change. LiNK is one of the few groups still running rescue operations in the underground railroad. We’re cultivating and partnering with North Korean activists and storytellers who are leading efforts to raise global awareness for this issue. And we’re ambitiously expanding our Information Access Programs, devising new strategies and pathways to get information and technology inside North Korea to empower the people.

Join us in reaffirming our commitment to a free North Korea.

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Change has never been a linear process. But one thing we can always be certain of is the resilience and strength of the North Korean people.

A North Korean Refugee’s Journey - Pursuit of the Freedom to Learn

June 20, 2025

By Yukyung Lim

Yukyung is a participant of LiNK’s Intensive English Program (LIEP), designed to build the capacity of North Korean English speakers at the intermediate level. In partnership with the British Council, LIEP aims to cultivate participants’ communication and critical thinking skills in English. LIEP is complementary to our broader LiNK English Language Program (LELP), which supports speakers of all proficiency levels. 

I was born in North Korea—a place where identities are imposed, voices are silenced, and dreams are tightly confined. There, schooling is not a pathway to opportunity but a means of indoctrination, designed to enforce obedience and suppress individuality. But thanks to my mother’s courage, I never had to undergo that system. She made the bold decision to keep me out of school in North Korea. At age eight, I escaped to China to reunite with her, beginning a journey that would define not only my identity but also my deep, lifelong yearning to learn. 

In China, my mother obtained a false identity for me so I could enroll in school. That first day in a rural classroom marked the beginning of a different kind of life. I was behind, anxious, and constantly aware of our fragile situation.

For the first time, however, I was learning not to obey—but to think. 

A year later, we moved to Beijing. There, I stepped into a world I had never imagined—one of academic rigor, intellectual freedom, and cultural diversity. It was in that environment that I first witnessed how learning can transform a person. Each lesson, each classroom conversation, opened doors not only to knowledge but also to self expression, confidence, and hope. 

One winter afternoon in 2010, I was on my way to the bookstore, backpack heavy on my shoulders. Beijing was bleak and cold that year. Snowflakes fell softly, only to be crushed by cars and vanish into the grime of the streets. That scene reflected my life: I bore a name I couldn’t speak aloud, fears I couldn’t share, and a fragile existence that felt quietly lonely. 

Inside the bookstore, warmth greeted me. I wandered through the aisles, searching for a quiet corner to rest. Then, I saw it—a book with a black-and-white cover, its portrait etched in solemn ink. The man’s composed expression exuded a power I longed for. I picked it up, almost unconsciously. 

“I Have a Dream.” 

“I have a dream that one day... people will not be judged by the color of their skin but by the content of their character.” 

“This is the time to make real the promises of democracy.” 

“We will not be satisfied until justice rolls down like waters and righteousness like a mighty stream.”

These weren’t just words. They were light, seeping through a crack I hadn’t known existed. In a world that had taught me to stay small and silent, they spoke to a part of me I had hidden away. For the first time, I felt truly seen—not for where I was from or what I looked like, but for my thoughts, my voice, and the quiet strength I carried within. 

Later, after arriving in South Korea, I faced new challenges. Though I had returned to my cultural roots, I felt out of place. I was older than my classmates, unfamiliar with many social norms, and unsure of how to fit in. But with time, I began to build friendships and navigate this new society. Again, learning was central—it provided not just academic skills but also the social space to grow and belong. 

During university, I studied abroad in Texas. It was my first experience in a Western classroom. I was struck by the openness, the individuality, and the value placed on diverse opinions. Being among students from different backgrounds showed me how perspectives can differ—and how that difference enriches everyone. 

Wherever I was—in China, Korea, or the United States—the classroom was where I grew the most. It was where I stepped outside my comfort zone, gained confidence, and slowly came to understand who I was becoming. 

Across all these countries, I’ve developed not just a global perspective but a deep appreciation for the transformative power of learning. In each setting, the classroom became both a battlefield and a sanctuary. I struggled, but I also discovered. I learned new languages, absorbed new worldviews, and came to realize that I was more than a refugee or survivor. I was a thinker, a student, and a human being with agency. 

And then I understood something deeper: My story is rare—but it shouldn’t be. There are still millions of children in North Korea growing up without the right to question, to dream, or to imagine a world beyond their borders. They deserve more than silence or sympathy. They deserve the same chance I had—to envision a different future and be equipped to pursue it. 

That’s why I’m sharing my story through Liberty in North Korea. Because stories hold power. They build bridges, shatter stereotypes, and create connections. 

North Korean people are not just victims. They are potential scholars, leaders, creators, and changemakers—if only they are given the freedom to grow.

My dream is to one day build a global school for children who, like me, come from hardship but brim with promise. I want to help others discover the same sense of identity and possibility that learning gave me. Until then, I will continue to advocate, teach, and connect. 

If you’re reading this, I hope you’ll join me. Learn more. Speak up. Share stories. Support organizations like LiNK that are fighting to empower North Korean people with freedom, dignity, and opportunity. 

Because when you invest in a child’s education, you’re not only changing one life—you’re challenging an entire system and planting seeds for a freer world.

Opportunities like LiNK’s Intensive English Program (LIEP) are helping North Koreans succeed in resettlement, reach their goals, and lead change on this issue. Your support can help us continue to make an impact in the lives of North Korean refugees.

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