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‘When Patients Die, Profits Rise’: Luigi Mangione’s Arrest Video Shown in Heated Court Hearing

Critical pretrial hearings have begun to determine what evidence will be allowed in the murder trial of Luigi Mangione, focusing on his police interrogation and a backpack containing a 3D-printed gun and a journal, as he remains a controversial figure.

Published By: Prakriti Parul
Last Updated: December 2, 2025 01:13:30 IST

Never-before-seen videos showing the arrest of Luigi Mangione were played in a Manhattan courtroom on Monday. The hearings will decide if his statements to police and evidence from his backpack can be used in his upcoming murder trial. Mangione is accused of assassinating UnitedHealthcare CEO Brian Thompson on a New York City sidewalk last December.

What Did the Surveillance Videos Reveal?

The silent surveillance footage from a McDonald’s in Altoona, Pennsylvania, showed police initially approaching and patting down the 27-year-old Mangione. For over 30 minutes, officers are seen speaking with him intermittently as nearly a dozen more police slowly filled the restaurant. The video is central to the defense’s argument that Mangione was illegally questioned. His lawyers claim police failed to read him his Miranda rights, which protect against self-incrimination, and want his statements thrown out.

What Evidence Are Prosecutors Fighting to Keep?

The Manhattan District Attorney’s office, led by Alvin Bragg, strongly opposes suppressing the evidence. Prosecutors plan to present items police say were found in Mangione’s backpack during the arrest. These include a 3D-printed gun, a silencer, electronic devices, and journal writings that allegedly implicate him in the killing. The defense contends the search of the backpack was illegal and that all evidence found inside should be blocked from the trial.

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Who Called the Police on Mangione?

The court also heard a recording of the 911 emergency call made by a McDonald’s employee. “I have a customer here that some other customers are suspicious of who looks like the CEO shooter, and they’re really upset and they’re coming to me,” the employee told the dispatcher. This call led to the police response and the arrest that followed. An NYPD public information officer also testified about releasing suspect photos to the media after the shooting.

Why Has This Case Garnered Such Attention?

The assassination of a top healthcare executive shocked the public and drew condemnation from officials. However, Mangione has also become an unlikely folk hero to some Americans who protest high healthcare costs. This divide was visible outside the courthouse, where supporters gathered. One was dressed as the video game villain “Luigi” with a sign reading, “When patients die, profits rise,” and another woman wore a “Free Luigi” sash.

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What Charges Does Mangione Face?

Mangione has pleaded not guilty to state charges of second-degree murder and multiple weapons charges. If convicted of the intentional killing, he could face life in prison. In a separate federal case, where he also pleads not guilty, prosecutors plan to seek the death penalty. Justice Gregory Carro previously dismissed two terrorism charges in September, finding insufficient evidence that Mangione meant to intimidate the healthcare industry or influence policy.

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© Copyright ITV Network Ltd 2025. All right reserved.