At one point, he began to speak to respond to the court discussion but was quieted by his lawyer.The suspect in the killing of UnitedHealthcare's CEO struggled with deputies and shouted today while arriving for a court appearance in Pennsylvania, a day after he was arrested at a McDonald's and charged with murder.
Luigi Nicholas Mangione emerged from a patrol car, spun toward reporters and shouted something partly unintelligible referring to an "insult to the intelligence of the American people" while deputies pushed him inside.
Prosecutors were beginning steps to bring Mangione back to New York to face a murder charge while new details emerged about his life and how he was captured.
The 26-year-old Ivy League graduate from a prominent Maryland real estate family was charged with murder hours after he was arrested in the Manhattan killing of Brian Thompson, who led the United States' largest medical insurance company.
At the brief hearing, defence lawyer Thomas Dickey informed the court that Mangione will not waive extradition to New York but instead wants a hearing on the issue. Mangione was denied bail after prosecutors raised concerns about public safety and a potential flight risk.
Mangione, wearing an orange prison jumpsuit, mostly stared straight ahead at the hearing, occasionally consulting papers, rocking in his chair or looking back at the gallery. At one point, he began to speak to respond to the court discussion but was quieted by his lawyer.
Mangione likely was motivated by his anger with what he called "parasitic" health insurance companies and a disdain for corporate greed, a law enforcement bulletin obtained by The Associated Press said.
He wrote that the US has the most expensive health care system in the world and that profits of major corporations continue to rise while "our life expectancy" does not, according to the bulletin, based on a review of his hand-written notes and social media posts.
Mangione called "Unabomber" Ted Kaczynski a "political revolutionary" and may have found inspiration from the man who carried out a series of bombings while railing against modern society and technology, according to a police bulletin.
Mangione remained jailed in Pennsylvania, where he was initially charged with possession of an unlicensed firearm, forgery and providing false identification to police. Manhattan prosecutors have obtained an arrest warrant, a step that could help expedite his extradition from Pennsylvania.
Mangione's severe back pain
From January to June 2022, Mangione lived at Surfbreak, a "co-living" space at the edge of touristy Waikiki in Honolulu.
Like other residents of the shared penthouse catering to remote workers, Mangione underwent a background check, said Josiah Ryan, a spokesperson for owner and founder RJ Martin.
"Luigi was just widely considered to be a great guy. There were no complaints," Ryan said. "There was no sign that might point to these alleged crimes they're saying he committed."
At Surfbreak, Martin learned Mangione had severe back pain from childhood that interfered with many aspects of his life, from surfing to romance, Ryan said.
"He went surfing with RJ once but it didn't work out because of his back," Ryan said, but noted that Mangione and Martin often went together to a rock-climbing gym.
Mangione left Surfbreak to get surgery on the mainland, Ryan said, then later returned to Honolulu and rented an apartment.
Martin stopped hearing from Mangione six months to a year ago.
Photos of suspect in McDonald's
Mangione was arrested in Altoona, Pennsylvania — about about 370km west of New York City — after the McDonald's customer recognised him and notified an employee, authorities said.
Officers arrived to find Mangione sitting at a table in the back of the restaurant, wearing a blue medical mask and looking at a laptop, according to a Pennsylvania police criminal complaint.
He initially gave them a fake ID, but when an officer asked Mangione whether he'd been to New York recently, he "became quiet and started to shake", the complaint said.
When he pulled his mask down at officers' request, "we knew that was our guy", rookie Officer Tyler Frye said at a news conference in Hollidaysburg.
Images of Mangione released by Pennsylvania State Police showed him pulling down his mask in the corner of the McDonald's while holding what appeared to be hash browns and wearing a winter jacket and ski cap. In another photo from a holding cell, he stood unsmiling with rumpled hair.
New York Police Commissioner Jessica Tisch said at a Manhattan news conference that Mangione was carrying a gun like the one used to kill Thompson and the same fake ID the shooter had used to check into a New York hostel, along with a passport and other fraudulent IDs.
'I wasn't working with anyone'
NYPD Chief of Detectives Joseph Kenny said Mangione also had a three-page, handwritten document that shows "some ill will toward corporate America".
A law enforcement official who wasn't authorised to discuss the investigation publicly and spoke with The Associated Press on condition of anonymity said the document included a line in which Mangione claimed to have acted alone.
"To the Feds, I'll keep this short, because I do respect what you do for our country. To save you a lengthy investigation, I state plainly that I wasn't working with anyone," the document said, according to the official.
It also had a line that said: "I do apologise for any strife or traumas but it had to be done. Frankly, these parasites simply had it coming."
Pennsylvania prosecutor Peter Weeks said in court that Mangione was found with a passport and US$10,000 (NZ$17,250) in cash, US$2000 (NZ$3450) of it in foreign currency. Mangione disputed the amount.
The shooting
hompson, 50, was killed as he walked alone to a midtown Manhattan hotel for an investor conference. Police quickly came to see the shooting as a targeted attack by a gunman who appeared to wait for Thompson, came up behind him and fired a 9mm pistol.
Investigators have said "delay", "deny" and "depose" were written on ammunition found near the body of Thompson, the leader of the largest subsidiary of the Minnetonka, Minnesota-based UnitedHealth Group. The words mimic "delay, deny, defend", a phrase used to criticise the insurance industry.
From surveillance video, New York investigators gathered that the shooter fled by bike into Central Park, emerged, then took a taxi to a northern Manhattan bus terminal.
Once in Pennsylvania, he went from Philadelphia to Pittsburgh, "trying to stay low-profile" by avoiding cameras, Pennsylvania State Police Lieutenant Colonel George Bivens said.
Altoona is about 160km east of Pittsburgh.
A grandson of a wealthy, self-made real estate developer and philanthropist, Mangione is a cousin of a current Maryland state legislator.
Mangione was valedictorian at his elite Baltimore prep school.
He went on to earn undergraduate and graduate degrees in computer science in 2020 from the University of Pennsylvania, a spokesperson said.
"Our family is shocked and devastated by Luigi's arrest," Mangione's family said in a statement posted on social media by his cousin, Maryland lawmaker Nino Mangione.
"We offer our prayers to the family of Brian Thompson and we ask people to pray for all involved."
Sounds like he has a competent lawyer he is willing to listen to.
Keeping the gun, mask and ID used for the fake ID shooting makes me wonder what other evidence he left behind. So I'm expecting a plea deal or the prosecution screws up so badly the case gets thrown out.