Luigi Mangione confessed in court on Friday to the fatal shooting of Brian Thompson, a health insurance executive, and pleaded guilty to two federal charges of stalking the CEO with the intent to kill him.
During the court appearance, Mangione, dressed in beige prison attire, calmly acknowledged his actions, stating, “I shot Mr. Thompson in Manhattan, and he died.” He expressed his dissatisfaction with the U.S. health insurance system in a prepared statement.
Thompson’s widow and family members were present in the courtroom. When Mangione admitted to the shooting, Thompson’s widow became emotional, comforted by those seated beside her.
By pleading guilty, Mangione avoided a federal trial in the high-profile case involving the killing of the 50-year-old UnitedHealthcare CEO, which sparked public outrage and highlighted frustrations with the health insurance industry.
Mangione, 28, entered his plea without a plea agreement with prosecutors, risking a potential life sentence. The prosecutors indicated their intent to seek the maximum sentence at Mangione’s hearing on December 18.
U.S. District Judge Margaret Garnett may consider Mangione’s guilty plea as a mitigating factor in determining his punishment. The guilty plea also enabled Mangione’s legal team to file a motion to dismiss state murder and weapons charges, arguing against double jeopardy.
Manhattan U.S. Attorney Jamie McDonald emphasized that no concessions were made to Mangione, stating that murder can never be justified by grievances or ideological beliefs. Thompson’s family viewed the guilty plea as a step towards justice and urged the court to ensure a fitting sentence.
Thompson, who led UnitedHealth Group’s insurance unit, was fatally shot outside a hotel during an investor conference in 2024. Mangione’s courtroom statement detailed his insurance struggles after a back injury and his elaborate plan to target Thompson.
UnitedHealth Group expressed gratitude to law enforcement for apprehending Thompson’s killer. Mangione was previously facing federal murder, weapons, and stalking charges but had the murder and weapons charges dismissed due to legal technicalities.
A trial for the state charges, including second-degree murder, is scheduled for September 8. Mangione’s defense argued for the dismissal of the state case under double jeopardy laws, citing violations of his constitutional rights.
Legal experts highlighted the complexities of prosecuting the case due to differing elements in the charges, potentially complicating the argument for proceeding with the trial. Prosecutors and defense attorneys are preparing for legal battles as the case unfolds.

