Luigi Mangione's manifesto, addressed to federal authorities, criticized the healthcare industry, citing frustration with high costs and the impact on his own health, stating, 'Frankly, these parasites simply had it coming.' His message reflects a deep disenchantment with a system he perceives as failing patients, pointing to the US healthcare model's expense without corresponding quality of life outcomes. He underscored the paradox where the US leads in healthcare spending yet sees low life expectancy rankings, ultimately blaming insurance companies for systemic issues.
In his communication, Mangione expressed his solitary role, emphasizing that he was 'not working with anyone' and mentioned his technical expertise in engineering, indicating that the act was premeditated yet self-manufactured. He suggested that this was a culmination of frustration over delays and denials from the healthcare system. He described his method as 'some elementary social engineering, basic CAD, a lot of patience,' illustrating a calculated approach to his violence.
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