On December 5, 2024, a major newspaper published the headline “Insurance CEO Gunned Down In Manhattan”. The report then noted that Brian Thompson was “shot in the back in Midtown Manhattan by a assailant who then walked coolly away”. The murder in broad daylight was indeed both chilling and disturbing. But numerous US citizens reacted differently: for those who faced insurance rejections or faced exorbitant healthcare costs, the news felt cathartic. Social media blew up. One post stated: “All jokes aside … no one here is the judge of who deserves to live or die. That’s the job of the AI algorithm the insurance company designed to increase earnings on your health.”
Five days later, Luigi Mangione, a handsome, 26-year-old University of Pennsylvania graduate with a graduate degree in computing, was apprehended at a McDonald’s in Altoona, Pennsylvania. He awaits trial on federal and state charges of murder, with the district attorney seeking the death penalty. So who is Mangione? And what drove the alleged crime? These are the questions John H Richardson attempts to answer in an inquiry that explores broader themes, too.
A journalist for Esquire magazine, Richardson spent years researching the communities that exist in the hidden parts of the internet, writing stories about people “plagued by genuine concerns about an end-times scenario”. To uncover “the making” of his subject, Richardson first examines Mangione’s extensive reading. We learn that “[when] he was arrested, Luigi had a list of 295 books on Goodreads”. Their subject matter ranged from climate change to masculinity, along with a “emphasis on his own self-improvement, both body and mind”. Additionally, Richardson sifts through his communications with online personalities and authors as well as his many updates on social media. These original materials, intended to depict a picture of Mangione, instead render him an unclear character. Richardson tries to justify this by proposing that “Luigi’s elusiveness, in fact, is what gives him a little of that old deceiver’s charm”. Throughout the book, Richardson tries to frame his subject in archetypal terms.
Mangione is profoundly worried about the world around him, one where ‘change is rapid whether we like it or not’
As for “the meaning” of the title, Richardson takes as his lead three words – “postpone”, “deny” and “remove”, etched on the bullets left behind at the crime scene. These are the phrases occasionally employed by health insurance companies to reject claims. He looks at the indication Mangione suffered from a chronic back condition, which might have provided motive for an attack, but discovers no confirmation; instead, what significance there is seems to rest in Mangione’s existential anxiety about the world around him, one where “the pace is quickening whether we like it or not, moving rapidly to the edge”; a world where the general belief seems to be that AI is going to ultimately either dominate, or destroy us, or both.
Conspicuous by their absence from the book are conversations with the key individuals. Richardson made requests, but never expected time with Mangione himself. And his relatives made it clear that they had chosen not to talk to the press in advance of the trial. Another glaring gap is any detailed data about the victim, Thompson, though we learn that under his leadership, from 2021 to 2023, UHC profits rose significantly.
By book’s end, the audience has no clear understanding of Mangione’s personality or what might have motivated his alleged crimes. Worse still, Richardson’s apparent empathy for him creates the disturbing feeling of having been exposed to a subtle approval of an assassination. In the book’s closing remarks, Richardson delivers his mythical interpretation: “We’ve entered a time of fables, the insane ruler, the monster in the maze and the naked leader.” In that tale “outlaw heroes come with a appealing vow … They arrive in times of social turmoil, when the population is in pain and nothing makes sense anymore.”
One thing is certain: as Mangione’s defence team works to have charges that could lead to the ultimate sentence dismissed, any reference of myths, folk heroes, heroes or monsters will not be allowed in court in defence of this handsome young man with a “features reminiscent of classical art” soon to be on trial for murder.