I know firsthand how tough life is, for North Koreans as well as foreigners living in Pyongyang.
As a foreign correspondent who ran a news bureau in Pyongyang, I had to bring everything we might need in the largest, lightest suitcases I could find. Everything from toothpaste and toilet paper for everyday use to antibiotics, aspirin and First Aid kits with dehydration tablets for my monthly bouts of stomach flu in a country where the water was not clean and frequent power outages meant spoiled food.
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