On the fifth of December 2024, a leading publication published the front-page story “Insurance CEO Shot Dead In Manhattan”. The report then noted that Brian Thompson was “fatally wounded from behind in Midtown Manhattan by a killer who then calmly departed the scene”. The murder in broad daylight was indeed both cold and shocking. But many Americans reacted differently: for those who had been denied health insurance or faced exorbitant healthcare costs, the news felt cathartic. Online platforms erupted. One comment stated: “All jokes aside … no one here is the judge of who deserves to live or die. That’s the job of the artificial intelligence system the insurance company created to maximize profits on your health.”
Less than a week after, Luigi Mangione, a handsome, 26-year-old University of Pennsylvania graduate with a master’s in computer science, was apprehended at a McDonald’s in Altoona, Pennsylvania. He awaits trial on criminal counts of murder, with prosecutors seeking the capital punishment. So who is Mangione? And what might have motivated the alleged crime? These are the issues John H Richardson seeks to resolve in an investigation that explores broader themes, too.
A journalist for Esquire magazine, Richardson devoted considerable time to studying the communities that lurk in the dark corners of the internet, producing articles about people “cursed with realistic fears about an apocalyptic future”. 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 nearly three hundred titles on a reading platform”. Their subject matter covered climate change to masculinity, along with a “emphasis on his own self-improvement, both body and mind”. Additionally, Richardson analyzes his communications with online personalities and authors as well as his many updates on digital networks. These primary sources, meant to paint a portrait of Mangione, instead render him an unclear character. Richardson attempts to explain this by suggesting that “Luigi’s elusiveness, in fact, is what gives him a little of that old trickster magic”. Here, as elsewhere, Richardson tries to frame his subject in archetypal terms.
Mangione is profoundly worried about the world around him, one where ‘everything is accelerating whether we like it or not’
As for “the meaning” of the title, Richardson uses as a clue three words – “postpone”, “refuse” and “remove”, engraved on the ammunition left behind at the crime scene. These are the phrases sometimes used by medical insurers to reject claims. He examines the evidence Mangione suffered from a chronic back condition, which might have provided motive for an attack, but finds no proof; instead, what meaning there is seems to rest in Mangione’s philosophical dread about the world around him, one where “the pace is quickening whether we like it or not, sliding faster and faster to the edge”; a world where the consensus seems to be that AI is going to eventually either dominate, or destroy us, or both.
Notably missing from the book are interviews with the principal actors. Richardson asked, of course, but never expected time with Mangione himself. And his relatives stated explicitly that they had chosen not to talk to the press in prior to the trial. Another glaring gap is any significant information about the deceased, Thompson, though we learn that under his leadership, from the early 2020s, UHC profits increased by 33%.
By book’s end, the audience has little insight of Mangione’s personality or what might have motivated his accused actions. More troubling, Richardson’s obvious sympathy for him gives the reader the disturbing feeling of having been privy to a subtle approval of an assassination. In the book’s final lines, Richardson presents his fairytale assessment: “We’ve entered a era of stories, the mad king, the beast in the labyrinth and the emperor without clothes.” In that fable “outlaw heroes come with a appealing vow … They arrive in periods of unrest, when the population is in pain and nothing makes sense anymore.”
One thing is certain: as Mangione’s defence team continues in its attempts have accusations that could lead to the death penalty dismissed, any reference of fables, Robin Hoods, heroes or monsters will not be allowed in court in defence of this attractive individual with a “features reminiscent of classical art” facing judgment for murder.
A tech enthusiast and business strategist with over a decade of experience in digital transformation and startup consulting.