Brian Thompson, the 50-year-old CEO of the American health insurance company UnitedHealthcare, was shot and killed in Manhattan, New York, on December 4, 2024. The shooting occurred early in the morning outside an entrance to the New York Hilton Midtown hotel.[5] Thompson was in the city to attend an annual investors' meeting for UnitedHealth Group, the parent company of UnitedHealthcare. Prior to his death, he faced criticism for the company's rejection of insurance claims, and his family reported that he had received death threats in the past. The suspect, initially described as a white man wearing a mask, fled the scene.[1] On December 9, 2024, authorities arrested 26-year-old Luigi Mangione in Altoona, Pennsylvania, and charged him with Thompson's murder in a Manhattan court.[6][7][8]
Authorities said Mangione was carrying a 3D-printed pistol and a 3D-printed suppressor consistent with those used in the attack, as well as handwritten notes characterized as a manifesto criticizing America's healthcare system, a U.S. passport, and multiple fraudulent IDs, including one with the same name the alleged shooter used to check into a hostel in Manhattan.[9][10][11] Authorities also said his fingerprints matched those that investigators found near the New York shooting scene.[12] Mangione was held without bail in Pennsylvania on charges of possession of an unlicensed firearm, forgery, and providing false identification to police.[13] Mangione also has an arrest warrant with five felony counts in New York, including second-degree murder.[14] Mangione's lawyer said he will plead not guilty to the charges.[13] Police believe that he was inspired by Ted Kaczynski's essay Industrial Society and Its Future and motivated by his personal views on health insurance.[15][16] An injury he suffered may have played a part.[17]
Many Americans reacted online to the killing with contempt and mockery towards Thompson and UnitedHealth Group, and sympathy and praise for the assailant. More broadly, they criticized the U.S. healthcare system, and many social media users characterized the killing as deserved or justified. These attitudes related to anger over UnitedHealth's business practices and those of the United States health insurance industry in general – primarily the strategy to deny coverage to clients. In particular, Thompson's death was compared to the harm or death experienced by clients who were denied coverage by insurance companies. Some public officials offered condolences to Thompson's family. Inquiries about protective services and security for CEOs and corporate executives surged following the killing.
Background
Thompson and UnitedHealthcare
Thompson was the chief executive officer (CEO) of UnitedHealthcare, the insurance arm of UnitedHealth Group, from April 2021 until his death.[18][19] His widow, Paulette, told NBC News that her husband received threats related to a "lack of [insurance] coverage".[20]
UnitedHealthcare insures 49million Americans and had $281billion in revenue for the 2023 fiscal year.[21] In 2021, Thompson was criticized in an open letter from the American Hospital Association due to a UnitedHealthcare plan to start denying payment for what it deemed as non-critical visits to hospital emergency rooms.[22] UnitedHealthcare has been widely criticized for its handling of claims.[23] It and other insurers were named in an October 2024 report from the United States Senate Homeland Security Permanent Subcommittee on Investigations showing a surge in prior authorization denials for Medicare Advantage patients.[21] Additionally under Thompson's leadership, UnitedHealthcare began using artificial intelligence (AI) to automate claim denials, resulting in patients being unable to access medical care.[24]
Between 2020 and 2022, the rate at which post-acute care claims were denied more than doubled.[25] A class action suit filed against UnitedHealth Group in November 2023 alleged the company knowingly employed an AI model that had a 90%error rate.[26] In September 2024, a demonstration was held in Eden Prairie, Minnesota, outside the headquarters of UnitedHealth Group subsidiary and pharmacy services provider Optum, with protestors claiming Optum's business practices inflate medicine costs and force independent pharmacies out of business.[27]
Suspected assailant's preparations
The suspect arrived in New York City on November 24, 2024, on a Greyhound bus. The bus route began in Atlanta, Georgia, but authorities do not know from which city or town he boarded.[28][23] He checked into the HI New York City Hostel on the Upper West Side of Manhattan on November 24, 2024, with a falsifiedNew Jersey identification card and paid in cash.[29] He stayed all but one night of the 10 days he was in New York City at the hostel, checking out on December 3, 2024.[23]
Killing
CCTV video of Thompson's killing
Thompson was in New York City for an annual UnitedHealth Group investors meeting, having arrived in the city on December 2, 2024.[30] On December 4, at around 6:45 a.m. EST (UTC−5), Thompson was walking along West 54th Street toward the New York Hilton Midtown hotel that was hosting the meeting.[31] The assailant, dressed in a light-brown or cream-colored hoodie waited across the street from the hotel for several minutes, then crossed over when he saw Thompson.[32][33] Standing approximately 20 feet (6m) away from Thompson when he arrived at the entrance, the assailant fired three times at him from a suppressed 9mm pistol,[34][32][33] striking him in the back and right calf.[31]
In the closed-circuit television camera (CCTV) recording of the killing, the shooter appears to manually cycle the gun action after each shot, leading observers to believe that his weapon was a malfunctioning semi-automatic pistol.[35][36] The authorities believe it to be the weapon they found in the suspect's bag after his arrest–a partially 3D-printedGlock 19 and 3D-printed suppressor.[2][10][37] The ghost gun consists of a 3D-printed lower receiver, metal slide, unserialized Glock 19 internals from a parts kit, and uses a standard Glock magazine.[2][38][39] The 3D-printed part's design was an iteration of "FMDA 19.2", a design released in 2021 by the libertarian group Deterrence Dispensed.[38]
November 24, 10:11 p.m. – An unknown suspect arrives in New York City on a Greyhound bus which originated in Atlanta, Georgia, and made up to seven stops en route.[41]
November 24 – Suspect checks into the HI New York City Hostel on the Upper West Side of Manhattan.[44]
November 24 – Suspect cases the New York Hilton Midtown hotel.[44]
November 29 – Suspect checks out of the HI New York City Hostel.[23]
November 30 – Suspect checks back into the HI New York City Hostel.[23]
December 4:
5:30 a.m. – Suspect leaves the hostel, thought to be by bike.[41]
6:17 a.m. – Suspect buys coffee, water, and granola bars at a Starbucks café (at 1380 6th Ave) two blocks away from the New York Hilton Midtown hotel, discarding the coffee cup and water bottle.[45][46][33]
6:30 a.m. – Surveillance footage captures the suspect walking while talking on the phone.[28]
6:39 a.m. – Suspect arrives in front of the New York Hilton Midtown hotel and waits for several minutes.[33][46]
6:40 a.m. – Thompson leaves the Marriott hotel (at 151 W 54th St) he stayed at the prior night, heading toward the New York Hilton Midtown hotel.[31]
6:44 a.m. – Thompson walks along the sidewalk toward the New York Hilton Midtown hotel and the assailant shoots him multiple times, racking his pistol after it appeared to jam; the suspect immediately flees northbound via a pedestrian walkway.[33][47]
6:46 a.m. – Police respond to a 911 call reporting that a person has been shot.[33]
6:48 a.m. – Officers arrive on scene and find Thompson with multiple gunshot wounds to his back and leg; he is taken to the hospital. Assailant is seen riding an e-bike north into Central Park.[33][45]
6:59 a.m. – A person appearing to be the suspect is seen riding a bike on West 85th St.[31]
7:04 a.m. – Suspect gets into a northbound taxi on 86th Street and Amsterdam Avenue.[41]
Three fired cartridge cases alongside three unfired cartridges were found at the scene.[45] The words "delay", "deny", and "depose" were written on the cases.[30] "Depose" was inscribed on a casing from a round fired into Thompson, while "delay" was marked on an unfired cartridge ejected as the shooter racked the pistol, possibly to clear a jam or intentionally discard the live round. The three words are similar to the phrase "delay, deny, defend", a well-known phrase in the insurance industry alluding to insurance companies' efforts to not pay out claims.[48] Accordingly, police stated they are investigating whether the words suggest the killer's motive.[35]
In addition to the above, a water bottle, candy wrapper, and a phone were recovered from the scene and are believed to be connected to the shooter.[49] On December 6, 2024, police said they believed they found the shooter's backpack in Central Park.[50] The backpack contained a Tommy Hilfiger jacket and Monopoly money.[51]
Search for the suspect
The New York Police Department offered a reward up to $10,000 for information about the shooter on December 4, 2024.[52] The following day, authorities released images of a suspect taken by surveillance cameras at the hostel and a Starbucks café.[53] Two stills show the suspect's face including one with him smiling widely at a female desk attendant at the hostel.[54][49] Sources told CBS the front desk worker asked to "see his pretty smile."[16] The FBI joined the investigation and separately offered a reward of up to $50,000 for information leading to an arrest and conviction.[55]
The shooter was described by police as a white man, approximately 6ft 1in (185cm) tall, wearing a light brown or cream-colored hooded jacket, dark pants, and black sneakers with white soles. He had a gray backpack and concealed his face with a black face mask.[32][40][56][57] Police said the suspect appeared to be proficient in the use of firearms[31] and was described as being "extremely camera savvy."[58]
Suspect
Luigi Mangione
CCTV photo of the suspect – identified as Mangione – at the HI New York City Hostel, released by the NYPD
After his graduation, starting November 2020, he worked remotely[66] as a data engineer for TrueCar, a car retailing website company headquartered in Santa Monica, California.[67] His employment there ended at some point during 2023, according to the company. His last known residence was in Honolulu, Hawaii.[68] In November 2024, Mangione was reported missing by his mother, who said the family had not heard from him since July of that year. It was around the same time during the summer of 2024 that Mangione stopped posting on social media.[69] Mangione's mother contacted the San Francisco Police Department, as Mangione worked remotely for TrueCar and she believed that he lived in San Francisco.[70]
Arrest and charges
Local police in Altoona, Pennsylvania, arrested 26-year-old Mangione on December 9, 2024, at a McDonald's restaurant in the city. An employee there had called the police to say that a customer had recognized the suspect from images released by the NYPD.[71][72] Altoona is about 280 miles (450km) west of New York City.[62] In his bag they found a 3D-printed gun and a 3D-printed suppressor, which the police claim are consistent with the weapon used in the shooting, and a falsified New Jersey driver's license with the same name as the one used by the alleged shooter to check into the Manhattan hostel.[9][73][4][74] The police also said that when they arrested Mangione, they found a three-page,[74] 262-word handwritten document about the American healthcare system, which they characterized as a manifesto.[75]
Journalist Ken Klippenstein published what he claims to be the full text of Mangione's alleged 262-word handwritten document, characterized in numerous reports as a manifesto, on December 10, 2024. In the document, Mangione directly addressed federal law enforcement, stating he acted alone and that his methods involved "elementary social engineering, basic CAD, [and] a lot of patience". He referenced a spiral notebook containing notes and to-do lists, mentioned his tech was "locked down" due to his engineering work, and apologized for causing "strife or traumas" while insisting it had to be done.[11] According to The New York Times, the mention of CAD apparently relates to the process of 3D-printing the ghost gun's plastic part.[82]
The note characterized healthcare executives as parasites who "had it coming" and criticized the U.S. healthcare system, noting that despite it being the most expensive in the world, America ranked roughly 42nd in life expectancy. It specifically mentioned UnitedHealth's market capitalization, describing it as one of the largest U.S. companies behind only Apple, Google, and Walmart. Mangione argued that while many individuals had illuminated the corruption and greed within the American healthcare system decades ago, the problems have continued to persist. Mangione wrote that it was "not an issue of awareness at this point, but clearly power games at play," concluding by describing himself as "the first to face it with such brutal honesty".[11]
Possible motives and views
The current investigator theory of motive is ill will towards the health insurance industry.[83] Police believe the motive was related to an injury that Mangione had suffered that caused him to visit the emergency room in July 2023. Online photos showed screws in his back.[17][83] Mangione had spondylolisthesis, a lower back condition.[84] Sources told CBS they believed Mangione had resentment towards UnitedHealthcare as well as other health insurance companies.[16] He was also not insured by UnitedHealthcare. New York Police Chief of Detectives Joseph Kenny believes Mangione may have targeted them because of the company's size.[85]
Police believe that Mangione was inspired by Ted Kaczynski's Industrial Society and its Future.[15] Mangione's account posted a Goodreads review of Industrial Society and Its Future,[86] describing Kaczynski as "rightfully imprisoned" and was critical of his use of violence against innocent individuals. The review, which gave the manifesto four out of five stars, also contained a quote that the reviewer claimed to have found online. The quote contained the lines "'Violence never solved anything' is a statement uttered by cowards and predators" and "when all other forms of communication fail, violence is necessary to survive."[87][88][89]
Many social media users expressed their contempt for Thompson, UnitedHealthcare, and the nation's health insurance system while expressing sympathy for and praising the assailant for his actions.[95][96][97][98] Social media users shared personal stories of harm and death suffered as a result of claim denials,[99][100] and joked about the killing with memes and gallows humor.[101] A popular comment on the r/nursing subreddit mocked Thompson's death by emulating a denial of coverage letter for Thompson's emergency care.[99] Shortly after the event, two of the houses owned by Thompson's family were swatted.[102]
Anthony Zenkus, a senior lecturer in social work at Columbia University, said on social media: "Today, we mourn the death of ... Brian Thompson, gunned down ... wait I'm sorry—today we mourn the deaths of 68,000 Americans who needlessly die each year so that insurance company execs like Brian Thompson can become multimillionaires".[103][104] One physician told The Daily Beast that they believed the perpetrator should be brought to justice, but they also stated that Thompson's role as CEO had led to a great amount of suffering and loss of life, which he described as "on the order of millions", adding that "[it is] hard for me to sympathize when so many people have suffered because of his company".[105]
Within a week of the killing, the suspect had been hailed as a folk hero by many online.[98][106] Internet users nicknamed the perpetrator "the Adjuster" or "the Claims Adjuster".[6][107] The McDonald's where Mangione was arrested as a result of a tip from a customer who alerted an employee after recognizing the suspect[108][109] was review bombed.[110][111] A viral tweet by a software engineer who provided information on how to find the assassin after examining data from Citi Bike's bikeshare program was called a "snitch" by some Twitter users.[112] The suspect received internet attention for his physical appearance[113] and resemblance to actors Timothée Chalamet, Dave Franco, and Jake Gyllenhaal.[114][115]
After Thompson's death, UnitedHealthcare's parent company, UnitedHealth Group, published a statement on Facebook detailing the death and their official condolences. Though the post's comment section was deactivated, approximately 90,000 Facebook users responded to the post with a "Haha" (or "laughing") reaction with only 2,200 "Sad" reactions as of December 6.[116][99] Items and merchandise in support of Mangione were posted on Etsy, Amazon and other e-commerce sites before being removed.[117][118][119]
Crowdsourcing fundraisers were also started by supporters of Mangione to cover his legal costs on GoFundMe, before being removed.[118][120][121] A GiveSendGo fundraiser has remained live;[122][121][123] as of December 12, it has raised over $45,000.[124] Other social media users linked Mangione's jail commissary account soliciting donations for "snacks, sodas, an iPad, etc."[124] In an interview with CNN's Kaitlan Collins, Mangione's defense attorney, Thomas Dickey, responded that "The Supreme Court says all these rich billionaires can give all kind of money to candidates and that's 'free speech,' so maybe these people were exercising their right to free speech and saying that's the way they're supporting my client."[123]
The BBC reported that the lack of pity for Thompson expressed online "seemed to bridge the political divide".[125] Prominent conservative commentators, like Ben Shapiro and Matt Walsh, received online backlash from their viewership for condemning the criticism of Thompson and for portraying it as an exclusively leftist sentiment.[107][126] The Network Contagion Research Institute found that out of the top ten most-engaged tweets that mention Thompson or UnitedHealth, six of the posts implicitly or explicitly supported the killing or criticized Thompson. Some highlighted comments called for further assassinations of CEOs and class war;[127] a researcher at the institute said that the incident was framed as "some opening blow in a class war" and that praise for the killing came from across the political spectrum.[99]
Academic commentators
Zeynep Tufekci, professor of sociology and public affairs at Princeton University and New York Times columnist, said that the public reaction to Thompson's murder "should ring all the alarm bells" and resembled the reaction to the very high levels of corporate greed, exploitation, and economic inequality during the American Gilded Age, a period characterized by violent "political movements that targeted corporate titans, politicians, judges and others".[128] Tufekci further wrote: "The concentration of extreme wealth in the United States has recently surpassed that of the Gilded Age. And the will among politicians to push for broad public solutions appears to have all but vanished. I fear that instead of an era of reform, the response to this act of violence and to the widespread rage it has ushered into view will be limited to another round of retreat by the wealthiest."[128]
UnitedHealth Group CEO Andrew Witty defended the company's claim denial practices in an internal video which was leaked after the fatal shooting of Thompson. Recorded on December 5, the day after Thompson's death, Witty emphasized the company's role in ensuring "safe and appropriate" care and that the insurance giant will continue to prevent "unnecessary care".[130] Some online comments made death threats in response,[131] with Fortune pointing out that UnitedHealthcare's was twice the industry average for denied claims and that "their policies contributes to medical bankruptcies and lives lost due to denied care, highlighting widespread anger at systemic issues in U.S. health care".[132]
UnitedHealthcare, Blue Cross Blue Shield, and CVS Health, which operates Aetna, all removed photographs and other information about their executive leadership from their websites following Thompson's killing.[133][134] Managed care provider Centene canceled their in-person investor's day which had been scheduled for December 12, and instead planned a virtual conference.[135] Additionally, the days following Thompson's death saw a surge in inquiries about protective services and security for CEOs and corporate executives, according to private security firm Allied Universal.[136] Michael Sherman, the former chief medical officer at Point32Health, justified the concerns of health insurance executives, saying, "It doesn't seem paranoid to worry that someone who's had services denied that they may believe are important might be in an emotionally unstable state."[101]
Referring to the online response to Thompson's death, Jeffrey Sonnenfeld, who runs the Yale-affiliated Chief Executive Leadership Institute, said, "We've seen the frightening, uncanny conversion of angry and deranged people."[136] One former health insurance executive was quoted by the Financial Times as saying that threats against health insurance companies are common, and that "We'd have times when you'd deny proton laser therapy for a kid with seizures and the parent would freak out." Another executive was quoted as saying, "What's most disturbing is the ability of people to hide behind their keyboards and lose their humanity."[103][99]
Politicians
In response to the killing, public officials including Minnesota governor Tim Walz and Senator Amy Klobuchar expressed dismay and offered condolences to the family. Walz said that he knew Thompson.[137] Outgoing Democratic House representative Dean Phillips wrote that he was "horrified by the assassination of my constituent, Brian Thompson, this morning in NYC and have his family in my prayers."[138] In regards to the murder, Maryland state delegate Nino Mangione, who is the cousin of Luigi Mangione, said, "Our family is shocked and devastated by Luigi's arrest. We offer our prayers to the family of Brian Thompson and we ask people to pray for all involved".[139]
Commenting on Thompson's killing in an interview on ABC'sThis Week on December 8, 2024, Democratic House representative Ro Khanna said: "There is no justification for violence". He added that the public reaction to Thompson's killing did not surprise him because "We waste hundreds of billions a year on health care administrative expenses that make insurance CEOs and wealthy stockholders incredibly rich while 85 million Americans go uninsured or underinsured".[140] On December 10, 2024, Democratic Senator Elizabeth Warren said: "The visceral response from people across this country who feel cheated, ripped off, and threatened by the vile practices of their insurance companies should be a warning to everyone in the health care system. Violence is never the answer, but people can be pushed only so far."[141] On December 12, 2024, Democratic Representative Alexandria Ocasio-Cortez said: "This is not to say that an act of violence is justified, but I think for anyone who is confused or shocked or appalled, they need to understand that people interpret and feel and experience denied claims as an act of violence against them."[142]
Other
Stocks for UnitedHealth fell the week of the shooting and fell a further 5.6% on December 11, 2024.[143][144]
Dominic Pino, writing for the conservative National Review, cited surveys from Gallup, Pacific Research Institute and the Kaiser Family Foundation where a majority of the respondents stated that they were "satisfied" with their medical care and current insurance plan, to indicate what he perceived as a disconnect between audiences praising Mangione and most Americans.[145]
David Kaczynski, the brother of the "Unabomber" Ted Kaczynski, expressed concern over his late brother's apparent influence on Mangione, stating: "It really gives me a great deal of personal pain to think my brother's actions have in any way contributed to influencing a man like this to kill an innocent human being."[146]
Independent journalist Ken Klippenstein stated that numerous major media outlets have refused to publish Mangione's alleged manifesto despite being in possession of it, writing "My queries to The New York Times, CNN and ABC to explain their rationale for withholding the manifesto, while gladly quoting from it selectively, have not been answered." Klippenstein also alleged that The New York Times directed their staff to "dial back" on showing photographs containing Mangione's face.[147][148]Engadget reported that moderators of subreddits on Reddit were instructed to remove posts and links containing Mangione's alleged manifesto. A Reddit spokesperson said that posting the alleged manifesto violated the company's "violent content rules".[149]
On December 12, 2024, a 42-year-old woman from Lakeland, Florida, was arrested and charged with threatening to conduct a mass shooting or act of terrorism after she allegedly said, "Delay, deny, depose, you people are next" while on the phone with representatives of BlueCross BlueShield.[150][151][152]
See also
Assassination of Shinzo Abe, another killing of a public figure that resulted in public sympathy towards the assassin and backlash against the institutions related to the victim.
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1 2 3 Gibbons-Neff, Thomas; Toler, Aric (December 12, 2024). "When a Glock Isn't a Glock: The History of the Pistol Found With Luigi Mangione". The New York Times. Retrieved December 12, 2024. At first glance, the gun in the police photographs — the one the authorities believe Luigi Mangione used to kill the chief executive of UnitedHealthcare — appears to be a Glock-19, a 9-millimeter semiautomatic pistol ...But upon closer inspection, it is clear that the weapon was not factory-made, but was at least partially produced by a 3D printer. ...
↑ Newman, Andy (December 5, 2024). "Suspect in Killing of Insurance C.E.O. Is Said to Have Used Fake New Jersey ID". The New York Times. Archived from the original on December 8, 2024. Retrieved December 6, 2024. One of investigators' main goals remains finding a surveillance image of the suspected shooter where his face is entirely unobscured, a senior law enforcement official said, describing the man as extremely camera savvy. Even in the pictures released earlier today, the man the police are seeking is wearing a hood.
1 2 Dee, Katherine (December 9, 2024). "Inside the mind of Luigi Mangione". The Spectator World. Retrieved December 10, 2024. Mangione's dissatisfaction had a different inflection. He gravitated toward "traditionalism," a term gaining traction in certain media spaces as shorthand for a certain right-tinged longing: for older aesthetics, more formal courtship rituals, seemingly more authentic ways of life. Thinkpieces abound about this niche of right-coded thought, which seeks permanence and depth beyond what the digital present seems to offer.
↑ Pino, Dominic (December 5, 2024). "Most Americans Like Their Health Insurance". National Review. Retrieved December 10, 2024. It might be tempting to believe that they represent a silent majority of fanatical opponents of the American health insurance system. There are plenty of problems with health insurance that cause frustration and anguish for many, but when asked about their health insurance, most Americans say they like it.
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