On the fifth of December 2024, a leading publication ran the headline “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 walked coolly away”. The murder in broad daylight was truly cold and shocking. But numerous US citizens reacted differently: for those who had been denied health insurance or faced exorbitant healthcare costs, the news felt cathartic. Social media blew up. One post read: “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.”
Less than a week after, Luigi Mangione, a good-looking, twenty-six-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 criminal counts of murder, with prosecutors seeking the capital punishment. So who is Mangione? And what might have motivated the accused offense? These are the issues John H Richardson seeks to resolve in an investigation that delves into wider topics, too.
A journalist for Esquire magazine, Richardson devoted considerable time to studying the groups that exist in the hidden parts of the internet, producing articles about people “plagued by genuine concerns about an end-times scenario”. To uncover “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 295 books on a reading platform”. Their content ranged from climate change to masculinity, along with a “focus on his own self-improvement, both body and mind”. Furthermore, Richardson sifts through his communications with influencers and authors as well as his many posts on digital networks. These primary sources, meant to paint a portrait of Mangione, instead render him an amorphous figure. Richardson attempts to explain this by proposing 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 symbolic roles.
Mangione is deeply anxious 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 – “delay”, “refuse” and “depose”, etched on the bullets left behind at the crime scene. These are the terms occasionally employed by health insurance companies to reject claims. He examines the evidence Mangione had a chronic back condition, which might have provided motive for an attack, but discovers no confirmation; 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 eliminate humanity, or both.
Notably missing from the book are interviews with the principal actors. Richardson asked, of course, but never expected access to Mangione himself. And his relatives stated explicitly that they had chosen not to talk to the media in advance of the trial. Another glaring gap is any significant information about the deceased, Thompson, though we learn that under his leadership, from 2021 to 2023, UHC profits rose significantly.
By the conclusion, the audience has little insight of Mangione’s character or what could have driven his alleged crimes. More troubling, Richardson’s obvious sympathy for him gives the reader the disturbing feeling of having been exposed to a veiled endorsement of an targeted killing. In the book’s closing remarks, Richardson presents 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 beautiful promise … They arrive in times of social turmoil, when the population is in pain and everything is confusing anymore.”
One thing is clear: as Mangione’s legal representatives continues in its attempts have charges that could lead to the ultimate sentence thrown out, any reference of myths, folk heroes, champions or monsters will not be admissible as evidence in defence of this handsome young man with a “jawline … and lips … out of a Caravaggio painting” facing judgment for murder.
An avid skier and travel writer with over a decade of experience exploring Italian slopes and sharing insights on winter sports.