Luigi Mangione, the 26-year-old accused of murdering UnitedHealthcare CEO Brian Thompson, pleaded not guilty Friday to federal charges of stalking, murder, and firearms offenses in Manhattan federal court, NBC News reported.
Mangione, wearing tan jail clothes and a white long-sleeved shirt, appeared in court just before 1 p.m. on Friday. He was seen chatting with his attorneys, flipping through papers on the table, and even smiling at one point.
The charges stem from the Dec. 4 shooting of Thompson, who was gunned down on a Manhattan sidewalk outside a hotel where he was attending a business conference.
ADVERTISEMENT
Mangione allegedly shot Thompson with a 9mm firearm, and the killing sparked national outrage not only because of the brutal execution of a prominent figure but also due to the growing frustration with the U.S. healthcare system.
Some supporters of Mangione have drawn a link between his actions and the anger over the country’s for-profit healthcare industry, The Guardian reported.
In fact, throngs of Mangione’s supporters gathered outside the courthouse Friday, some wearing medical masks or sunglasses, and many expressing outrage at the healthcare system.
“I am a chronically ill person. I live in chronic pain,” one supporter, relating to Mangione’s own ailments, told the Guardian.
“When I say not that much I mean like $30,000” in medical debt, she added, echoing the frustrations of many who feel burdened by the U.S. health insurance system.
Mangione’s back problems, dating back to childhood, became more debilitating after a surfing accident in Hawaii in 2022.
The injury aggravated his spondylolisthesis, a condition where a vertebra slips out of alignment, causing intense pain.
R.J. Martin, his friend, recalled that the pain was so severe Mangione couldn’t engage in certain physical activities, including sex.
Martin told CNN, “He knew that dating and being physically intimate with his back condition wasn’t possible. I remember him telling me that and my heart just breaks.”
Mangione’s supporters, many who have their own health issues, have voiced their support for him, seeing his act as a response to systemic issues in healthcare.
There was even a group of protesters carrying signs reading “Free Luigi” and “Health care is a human right,” according to The Guardian.
Mangione’s defense attorneys, who are contesting the charges, are also challenging the pursuit of the death penalty.
In their filings, they argue that this move is politically motivated.
U.S. Attorney General Pam Bondi, under pressure from the Trump administration’s “tough on crime” agenda, directed prosecutors to seek the death penalty.
Bondi referred to Thompson’s killing as “a premeditated, cold-blooded assassination that shocked America,” underscoring the political dimensions of the case.
Meanwhile, Mangione’s supporters continue to rally behind him, with fundraising efforts now exceeding $900,000, CNN reported.
Mangione is currently being held at the Metropolitan Detention Center in Brooklyn, where he awaits further hearings.
His next court date is scheduled for Dec. 5, the one-year anniversary of Thompson’s murder.
