New York, United States:

US authorities on Tuesday charged the man suspected of gunning down a health insurance CEO in New York earlier this month with murder, including a charge of second-degree murder “as an act of terrorism.”

Mangione, 26, is accused of shooting UnitedHealthcare chief executive Brian Thompson on a Manhattan street on December 4, triggering a nationwide manhunt that ended last week when he was spotted at a Pennsylvania McDonald’s.

The former data engineer remains jailed in that state as he fights efforts to extradite him to New York to face charges there over the killing, which brought into focus widespread public anger against the US health care system.

Mangione “is charged with one count of murder in the first degree and two counts of murder in the second degree, including one count of murder in the second degree as an act of terrorism,” said Manhattan district attorney Alvin Bragg.

Bragg said the terrorism charge was included because the shooting met the prerequisites for such a determination under New York law.

“In its most basic terms, this was a killing that was intended to evoke terror and we’ve seen that reaction,” he said. “This was not an ordinary killing.”

The maximum penalty for the murder charges Mangione faces is life in prison without parole, Bragg said.

The suspect was also charged with several crimes related to his possession of a weapon, which authorities said was a 3D-printed “ghost gun.”

“We allege he… took out a nine-millimeter 3D-printed ghost gun equipped with a 3D-printed suppressor and shot (Thompson) once in the back and once in the leg,” said Bragg.

“These weapons are increasingly proliferating throughout New York City and the entire country. Evolving technology will only make this problem worse,” he said.

“Last year, over 80 ghost guns and ghost gun parts were recovered in Manhattan alone.”

‘Shocking and appalling’

In the wake of Thompson’s killing, many social media users have lionized Mangione, with some even calling for further killings of other CEOs.

Jessica Tisch, the New York City police commissioner, criticized members of the public who had praised the murder.

“In the nearly two weeks since Mr Thompson’s killing, we have seen a shocking and appalling celebration of cold-blooded murder,” said Tisch.

Mangione is due in Pennsylvania court on Thursday for a hearing on his extradition to New York.

Police say a “life-changing, life-altering” back injury may have motivated Mangione, although they added that there was “no indication” that he was ever a client of UnitedHealthcare.

When he was arrested, Mangione had a three-page handwritten text criticizing the US health care system.

Police have said that Mangione’s fingerprints matched those found near the crime scene, and that shell casings match the gun found on him when he was arrested.

Bragg said that the suspect traveled to New York on November 24 with the intention of murdering Thompson.

On December 4, he is alleged to have waited “for nearly an hour” outside the hotel where Thompson was shot early that morning.

“This was a frightening, well planned, targeted murder that was intended to cause shock and attention and intimidation,” said district attorney Bragg.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

Luigi Mangione, 26, a suspect in the New York City killing of UnitedHealth executive Brian Thompson, poses for a booking photograph at State Correctional Institution (SCI) Huntingdon in Huntingdon, Pennsylvania, U.S. December 9, 2024. File
| Photo Credit: PA Department of Corrections

After Luigi Mangione made the difficult decision to undergo spinal surgery last year for chronic back pain, he became a proponent of the procedure that changed his life for the better.

He repeatedly posted on Reddit about his recovery and offered words of encouragement for people with similar conditions, telling them to push back against doctors who suggested they had to live with pain.

But notably absent from the posts are explicit concerns about corporate greed in the health insurance industry. Those appear to have surfaced only later: in a handwritten note found after Mr. Mangione was detained as a suspect in the killing of UnitedHealthcare CEO Brian Thompson.

That short document references “parasites” in the health care system and laments the power and profits of health insurers, according to law enforcement officials. During his first public words since his arrest in Pennsylvania, Mr. Mangione emerged from a patrol car shouting about an “insult to the intelligence of the American people” while sheriff’s deputies pushed him into a courthouse.

There’s no indication Mr. Mangione was ever insured by UnitedHealthcare, a senior New York City police official said in an interview Thursday (December 12, 2024) with NBC New York.

The killing has nonetheless prompted widespread speculation about whether he had a bad personal experience with the health care system. But after his 2023 surgery, Mr. Mangione’s Reddit posts suggest he was overwhelmingly pleased with the outcome and finally relieved of chronic pain. He encouraged others not to be frightened by horror stories of surgeries gone bad. He also referenced a backpacking trip to Asia earlier this year.

The 26-year-old Ivy League graduate appears to have stopped posting on social media roughly six months ago, around the time he lost touch with loved ones.

Family and friends expressed shock at news of Mr. Mangione’s arrest, but little information has emerged about his recent mental and physical health.

Mr. Mangione’s Reddit posts reference a spinal condition called spondylolisthesis, which occurs when a fracture causes a vertebra to slip out of alignment. It can result in severe pain if the bone puts pressure on spinal nerves.

The condition, which can originate in childhood or from an injury, started negatively impacting Mr. Mangione’s life in recent years, according to his social media posts.

After earning his bachelor’s and master’s degrees from the University of Pennsylvania, he worked at the Santa Monica-based car-buying website TrueCar until 2023 and lived in Hawaii for some time starting in January 2022. During a six-month stay at Surfbreak, a “co-living” space in Honolulu, Mr. Mangione’s back pain worsened in part because of a surfing incident.

Josiah Ryan, a spokesperson for the owner and founder of Surfbreak, R.J. Martin, said Mr. Mangione had expressed growing concerns about the pain. In addition to missing out on recreational activities and exercise, he was worried about how it could affect romantic relationships.

“That was definitely a theme in his time there,” Mr. Ryan said. “He wasn’t a big complainer. So, it wasn’t like he was bringing it up constantly. But the people who knew him knew this was a significant part of his life.”

In July 2023, Mr. Mangione wrote in a Reddit post that he had decided to get surgery.

“I got caught in this loop for a year, all the while putting my life on hold in my 20’s and damaging my nerves while I waffled on the decision. I have surgery scheduled in two weeks and I keep wondering why I was so afraid of it,” he wrote. According to his posts, the operation was a success.

An image posted to an X account linked to Mr. Mangione showed what appeared to be an X-ray of a metal rod and multiple screws inserted into his lower spine.

“Surgery was painful for the first couple days, but I was shocked that by day 7 I was on literally zero pain meds,” Mr. Mangione posted on Reddit in August 2023. “Obviously will be awhile until I get into rigorous activity, but it was way less of a big deal than I had anticipated.”

Medical experts say treating back pain is almost always a challenge. “In the gross majority of treatments, surgery is when everything else has failed to provide relief,” said Dr. Jason Pittman, co-director of the Spine Center at Boston’s Beth Israel Deaconess Medical Center. He said doctors generally try conservative treatments like physical therapy, injections or medications before surgery.

Even people with health insurance can face thousands of dollars in bills from a surgery depending on their deductible and other factors, though it’s unclear whether Mr. Mangione experienced any of those issues.

Experiencing chronic back pain can also significantly impact mental health, said Dr. Padma Gulur, a pain specialist with Duke Health. “If you have underlying mental health issues – anxiety, depression – your pain can be worse because you have way more suffering,” Ms. Gulur said. “But the second aspect is pain can push you into anxiety and depression.”

Little is known about Mr. Mangione’s mental state in recent months, but it appears he was withdrawing from close relationships. Since-deleted posts on X show a friend repeatedly reaching out and getting no response. His family reported him missing to San Francisco authorities in November, police said.

Earlier, while in college, Mr. Mangione posted on Reddit about experiencing severe brain fog and restless sleep. In a July 2018 post, he said his grades were suffering and he had considered dropping out of school. But ultimately, “staying in college has at least let me maintain some semblance of normality,” he wrote.

His last Reddit post is dated May 17, but other statements around that time suggest he wasn’t experiencing unexpected complications or renewed back pain. He appears to be advocating for the type of surgery he received months earlier.

He posted in early April about the gear he brought on a two-month backpacking trip through Asia that included some cross-country motorcycling, saying he had found “the perfect balance between minimalism and practicality.” In late April, he advised another Reddit user with a back problem to “keep trying different surgeons” and, if necessary, convey an inability to keep working.

“We live in a capitalist society,” he wrote. “I’ve found that the medical industry responds to these key words far more urgently than you describing unbearable pain and how it’s impacting your quality of life.”

Luigi Mangione, who was arrested for allegedly killing UnitedHealthcare CEO Brian Thompson, was never a client of the medical insurance company, a New York Police Department (NYPD) official said. According to the police, the 26-year-old Ivy League graduate may have killed the CEO due to the “size and influence” of the company, reported NBC.

Chief of Detectives Joseph Kenny said that Mangione was aware of the company holding its annual investor conference at a Manhattan hotel on December 4 – the day of the crime.

“We have no indication that he was ever a client of United Healthcare, but he does mention that it is the fifth largest corporation in the US, which would make it the largest healthcare organisation in the country. So that’s possibly why he targeted the company…He had prior knowledge that the conference was taking place on that date, at that location,” Kenny told NBC.

Mangione shot the UnitedHealthcare CEO Brian Thompson on December 4 and was since then on the run. The University of Pennsylvania grad led the police on a five-day manhunt, following which he was arrested from a McDonalds in Pennsylvania. He is currently in custody and is facing multiple charges, including murder. Mangione was denied bail at an extradition hearing at the Blair County Courthouse in Pennsylvania on Wednesday.

The suspect was reportedly arrested with a manifesto where he accused health insurance companies of putting corporate greed over the well-being of people – which led to theories that he may have killed the CEO over disappointment with the insurance provider. The police also reportedly found some of Mangione’s writings about wanting to use a gun to target a CEO of a big corporation.

The NYPD found a 3D-printed gun from Mangione – which matched three shell casings found at the crime scene. The 9mm shell casings reportedly had the words “delay”, “deny” and “depose” written across them on each bullet – which were the title of a book criticising the insurance industry.

The Mangione family, long seen as “beloved” royalty in Baltimore, is reeling from the recent arrest of Luigi Mangione, accused of killing UnitedHealthcare CEO Brian Thompson. Known for their immense wealth, philanthropy, and a long history in the healthcare sector, the Mangione family’s legacy now stands in contrast to the shocking crime allegedly committed by Luigi, a 26-year-old University of Pennsylvania graduate.

Luigi’s family history is one of immigrant success. His late grandfather, Nick Mangione Sr, often shared his rags-to-riches story, proudly recounting his rise from humble beginnings. “I didn’t have two nickels to rub together when my father died when I was 11, yet I still became a millionaire,” Nick had said to The Baltimore Sun, recalling his father’s struggles as an Italian immigrant and his own determination. “What other country can you do that in? None that I can think of.”

Nick Mangione’s empire spanned a range of industries, from owning local resorts and country clubs to operating nursing homes and even a radio station. He and his wife, Mary, were also philanthropists, donating millions, including over $1 million to the Greater Baltimore Medical Centre, where all of their 37 grandchildren were born. In honour of their contributions, the hospital even named its obstetrics unit after the Mangione family.

The Mangione Family Foundation has also made significant donations to institutions like St. Jude Children’s Research Hospital and St. Joseph Medical Centre at the University of Maryland. Loyola University’s pools are named after them, and several family members, including six of Nick and Mary’s children, attended the local college.

The family’s influence also extends into the political sphere, with Nick’s grandson, Nino Mangione, serving in Maryland’s House of Delegates.

Despite their sterling reputation, the Mangiones were blindsided by the arrest of Luigi. The motive allegedly comes from Luigi’s anger toward the US healthcare system – a sector his family has greatly supported.

According to reports, Luigi Mangione is accused of fatally shooting Brian Thompson in a Midtown sidewalk attack, allegedly fuelled by his disdain for what he viewed as a “mafioso” of greedy healthcare companies. His uncle, Jerry O’Keefe, told the NY Post, “It’s a shock for all of us. I can’t say anymore. The statement summed it up for all of us. We don’t know anything more than what’s been reported in the media.”

Luigi Mangione, a suspect in UnitedHealthcare CEO’s murder.

New York:

A 26-year-old man was arrested Monday after the targeted killing of a top health insurance executive on the streets of New York, police said, crediting a McDonald’s employee in Pennsylvania who spotted a suspicious-looking customer.

Investigators were interrogating the man, Luigi Mangione, in connection with last week’s killing of a senior figure at UnitedHealthcare, New York Police Commissioner Jessica Tisch said.

He is being held by officers in Altoona, Pennsylvania, after being found with a weapon that New York Chief of Detectives Joseph Kenny described as a “ghost gun” capable of firing 9MM rounds and equipped with a suppressor.

The man was spotted in a McDonald’s in the town some 300 miles (500 kilometers) west of New York, by someone who tipped off the authorities, Jessica Tisch added.

He also had fake IDs similar to those used by the killer ahead of the slaying as well as a handwritten manifesto about the ills of the insurance industry, The New York Times said, citing a law enforcement source.

New York detectives were headed to Altoona, Tisch said, while Chief of Detectives Kenny said that Mangione possessed material that suggested he had “ill-will towards corporate America.”

Police had been looking into the possibility that the shooter used a long-barrel veterinary gun — normally used to euthanize animals — to commit the murder.

The gunman walked up behind Brian Thompson, the senior executive at UnitedHealthcare — one of the country’s largest medical insurers — and shot him dead last Wednesday in front of bystanders, in an attack captured by a surveillance camera and since seen by millions.

Brian Thompson was attending an investor conference in the Midtown business district.

Ample video footage

Detectives said the suspect fled the crime scene on foot, before riding a bike to Central Park, and later boarding a bus from a terminal in the north of the city connecting New York to surrounding states and beyond.

Police would not confirm media reports that the words “delay” and “deny” — language often used by insurance companies to reject claims — were written on shell casings found at the scene.

Video footage shows Thompson on the sidewalk outside the New York Hilton Midtown when a man in a hooded top, his lower face covered, approaches from behind, then fires several shots at his 50-year-old victim, who crumples to the ground.

An image released of the smiling suspect was obtained from a youth hostel where the gunman apparently stayed before the hit, with media reporting he had lowered his mask to flirt with a receptionist.

Authorities subsequently located a gray backpack in Central Park thought to belong to the killer containing a jacket and Monopoly money, US media reported.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)