During his initial hearing, Mangione mostly stared straight ahead, occasionally looking at papers, rocking in his chair or looking back at the gallery. His behavior suggests a deeply emotional state during the proceedings, indicating the psychological toll of being charged with such severe allegations.
At the time of his arrest, Mangione was carrying a handwritten document expressing anger with what he called "parasitic" health insurance companies. He argued the US has the most expensive healthcare system in the world and that companies have seen their profits rise as life expectancy in the US has not. This document may provide insight into his motivations and state of mind.
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