On December 5, 2024, a leading publication published the headline “Insurance CEO Shot Dead In Manhattan”. The report then noted that Brian Thompson was “shot in the back in Midtown Manhattan by a assailant who then calmly departed the scene”. The daytime killing was truly chilling and disturbing. 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 post stated: “All jokes aside … no one here is the judge of who should live or perish. That’s the job of the AI algorithm the insurance company created to maximize profits on your health.”
Less than a week after, Luigi Mangione, a good-looking, 26-year-old University of Pennsylvania graduate with a master’s in computer science, was arrested at a fast-food restaurant in Altoona, Pennsylvania. He faces court proceedings on federal and state charges of murder, with the district attorney seeking the death penalty. So what is his background? And what might have motivated the alleged crime? These are the questions John H Richardson seeks to resolve in an inquiry that delves into wider topics, too.
A journalist for Esquire magazine, Richardson devoted considerable time to studying the communities that lurk in the dark corners of the internet, writing stories about people “plagued by genuine concerns about an end-times scenario”. To reveal “the making” of his subject, Richardson first reviews Mangione’s extensive reading. We learn that “[when] he was taken into custody, Luigi had a list of nearly three hundred titles on Goodreads”. Their content ranged from climate change to masculinity, along with a “emphasis on his own personal growth, both physical and mental”. Furthermore, Richardson analyzes his correspondence 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 tries to justify this by suggesting that “Luigi’s elusiveness, in fact, is what gives him a little of that old deceiver’s charm”. 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 takes as his lead three words – “postpone”, “refuse” and “remove”, etched on the ammunition left behind at the crime scene. These are the terms sometimes used by medical insurers to deny coverage. He looks at the indication Mangione suffered from a long-term spinal issue, which might have provided motive for an attack, but discovers no confirmation; instead, what meaning there is seems to lie 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 ultimately either take control, or eliminate humanity, or both.
Conspicuous by their absence from the book are interviews with the key individuals. Richardson made requests, but did not anticipate time with Mangione himself. And his relatives made it clear that they had chosen not to talk to the media in advance of the trial. Another glaring gap is any detailed data about the deceased, Thompson, though we learn that under his leadership, from 2021 to 2023, UHC profits increased by 33%.
By the conclusion, the reader has little insight of Mangione’s personality or what could have driven his alleged crimes. More troubling, Richardson’s obvious sympathy for him creates the uncomfortable impression of having been exposed to a veiled endorsement of an assassination. In the book’s final lines, Richardson delivers his fairytale assessment: “We’ve entered a era of stories, the insane ruler, the monster in the maze and the emperor without clothes.” In that fable “Robin Hoods 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 clear: as Mangione’s defence team continues in its attempts have accusations that could lead to the death penalty thrown out, any mention of myths, Robin Hoods, heroes or monsters will not be admissible as evidence in defence of this handsome young man with a “features reminiscent of classical art” soon to be on trial for murder.
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