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Luigi Mangione pleads guilty to killing health insurance CEO Brian Thompson

August 14, 2026
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Luigi Mangione pleads guilty to killing health insurance CEO Brian Thompson
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Nearly two years ago, Brian Thompson, the CEO of UnitedHealthcare, was shot and killed in New York City. A massive manhunt followed, resulting in the arrest of Luigi Mangione, who quickly became a sort of folk hero for people fed up with the state of healthcare in the U.S., even if they may not support the use of violence in fixing or protesting the system.

On Friday, Mangione pleaded guilty to federal stalking charges in Thompson’s death.

“I shot Mr. Thompson and he died,” he told the court. “I knew what I was doing was illegal.” 

Mangione also explained his motive: his back injury and experience with the U.S. healthcare system as a patient drove him to kill Thompson, although he was not specifically a customer of UnitedHealthcare. However, the company has a large reputation for denying claims to customers, especially compared to other insurers.

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Mangione was arrested at a McDonald’s on Dec. 9, 2024, and police said they found a 3D-printed gun and a 3D-printed silencer in his backpack, as well as a notebook describing grievances with the healthcare industry, such as “Frankly, these parasites simply had it coming.”

Mangione is to be sentenced at a separate hearing on Dec. 18, which will be determined at the full discretion of the judge. At the state level, Mangione still faces murder charges and the possibility of life in prison, though his defense is expected to argue that both cases cover the same alleged conduct, which is essentially double jeopardy.

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