Luigi Mangione Shouts at Media as Police Rush Him Into Court

Luigi Mangione, the suspect in the United Healthcare CEO shooting, appeared to be trying to send the public a message after he made an outburst while being brought into his extradition hearing.

While being escorted into a Tuesday hearing in Hollidaysburg, Pennsylvania, Mangione was captured on camera wrestling around and shouting, "It is completely out of touch and an insult to the intelligence of the American people and it's lived experience!"

He appeared to turn around and direct his message to the crowd of journalists gathered at the courthouse. Police rushed him into the building.

Mangione was arrested on Monday after being found at a McDonald's in Altoona, Pennsylvania, a city about 275 miles from New York City. Last Wednesday, United Healthcare CEO Brian Thompson was shot dead in midtown Manhattan while walking into an investors meeting at a Hilton hotel.

The 26-year-old has been charged with murder in New York and is facing four other charges, including forgery and possession of a firearm. He is also facing gun charges in Pennsylvania. In his first court appearance Monday, Mangione was ordered held without bail and did not enter a plea.

Officials in Pennsylvania received the arrest warrant for Mangione from New York Tuesday morning.

During the extradition hearing at the Blair County Courthouse, Mangione was denied bail. He decided to fight the extradition, kicking off what could be a weekslong process. A Pennsylvania court has given him 14 days to file a writ of habeas corpus. For the time being, Mangione will be held at the Huntingdon State Correctional Institution.

Manhattan District Attorney Alvin Bragg's office told Newsweek shortly after the hearing that prosecutors will seek a governor's warrant to secure Mangione's extradition to New York.

In addition, Peter Weeks, the district attorney in Blair County, said Tuesday that his office would "do what's necessary" to get Mangione back to New York.

"We do not intend to delay this defendant's extradition to New York, and we certainly—we've indicated to New York their prosecution should take precedence and then ours will follow," Weeks said.

Police say Mangione was found with a handwritten manifesto on him. He reportedly took responsibility for the shooting and criticized the growing market capitalization of companies like UnitedHealthcare in the document.

"These parasites had it coming," one line reads, while another expresses remorse: "I do apologize for any strife and trauma, but it had to be done."

Those sentiments appear to align with the shell casings that were found at the scene, which had the words delay, deny and depose written on them. Some have suggested that the words are a reference to a phrase often used to criticize major health insurers.

Despite the fatal outcome of Mangione's alleged crime in Manhattan, he has received substantial sympathy from some Americans on both sides of the political spectrum. His supporters have argued that he was justified in killing Thompson, whose company denies thousands of lifesaving health claims every year.

A GiveSendGo page created by the December 4th Legal Committee in Stone Harbor, New Jersey, has raised more than $13,000 to help Mangione with his legal fees. One donor, who contributed $1,300 to the fundraiser, wrote, "Coincidentally the same amount I was charged for my 100% covered medical procedure."

Update 12/10/24, 2:30 and 4:08 p.m. ET: This story was updated with additional information and background.