Luigi Mangione resisted officers and loudly protested as he was escorted into a Pennsylvania courtroom Monday for an extradition hearing. Mangione, 26, faces second-degree murder charges in the death of UnitedHealthcare CEO Brian Thompson last week.
Appearing in handcuffs and an orange prison jumpsuit, Mangione shouted, “It’s completely out of touch and an insult to the intelligence of the American people and their lived experience!” as he was led into the Blair County Courthouse in Hollidaysburg. Officers quickly subdued him and guided him into the building.
Mangione, who has been denied bail, is contesting his extradition to New York. His attorney, Altoona-based Thomas M. Dickey, declined to comment on his client’s outburst. During the 45-minute hearing, Dickey argued against the extradition, but the court ruled Mangione would remain in custody at the Huntingdon State Correctional Institution while the process unfolds.
Prosecutors now have 30 days to secure a governor’s warrant, which would allow New York authorities to transfer Mangione to face charges in New York City.
Earlier this week, Mangione reportedly harbored resentment toward the medical industry, which he blamed for the treatment of a sick relative.
Mangione, described as a tech-savvy former valedictorian, was taken into custody Monday morning at a McDonald’s in Altoona, Pennsylvania, following an intensive manhunt.
Authorities believe he is connected to the cold-blooded shooting of Thompson outside a Manhattan hotel last week. While charges have not yet been filed, investigators recovered a firearm equipped with a silencer, multiple fake IDs, and a written manifesto during his arrest.
The manifesto reportedly criticized the American healthcare system, accusing it of prioritizing profits over patient care. Law enforcement sources noted Mangione’s potential personal motivations, including the loss of his grandparents in 2013 and 2017, as noted in public obituaries.
Mangione’s LinkedIn profile shows that he briefly worked in an assisted-living facility in 2014 during his high school years, which may have influenced his views on the medical industry.