December 10, 2024 • 14 mins
Since UnitedHealthcare CEO Brian Thompson was killed last week, there’s been a deluge of posts on social media expressing rage at the insurance industry and solidarity with the shooter.
Bloomberg reporter Riley Griffin joins Big Take host David Gura to discuss what the shooting revealed about public sentiment toward American health care, and how United and its peers are responding to the attack and its aftermath.
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Episode Transcript
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Speaker 1 (00:03):
Bloomberg Audio Studios, podcasts, radio news.
Speaker 2 (00:09):
The man accused of murdering the CEO of the largest
health insurance company in the United States was denied bail
that he says he'll fight extradition to New York. He
was apprehended by law enforcement on Monday after a five
day manhunt.
Speaker 1 (00:21):
Earlier this morning, in Altoona, Pennsylvania, members of the Altuna
Police Department arrested Luigi Mangioni, a twenty six year old
mail on firearms charges.
Speaker 2 (00:33):
Those officers found Mangioni in a McDonald's in that central
Pennsylvania city with a fake ID and a firearm. The
NYPD set is consistent with the weapon used in the
murder of Brian Thompson, who ran United Healthcare.
Speaker 1 (00:47):
Additionally, officers recovered a handwritten document that speaks to both
his motivation and mindset.
Speaker 2 (00:55):
Mangioni's three page manifesto included criticism of the US healthcare industry,
which has added more fuel to an ugly outpouring of
vitriol online. Since the shooting, There's been a deluge of
posts on social media with a clear theme rage at
the healthcare industry and solidarity with the shooter. Not the victim.
(01:17):
In comments after Mangioni's arrest, Pennsylvania Governor Josh Shapiro addressed
that he acknowledged that people have, as he put it,
real frustration with our healthcare system. But Shapiro said the
killer is not a hero and he should not be hailed.
Speaker 3 (01:33):
Violence can never be used to address political differences, or
to address a substantive difference, or to try and prove
some ideological point. That is not what we do in
a civilized society.
Speaker 2 (01:49):
Law enforcement officials say their investigation is ongoing and there
are still questions about the shooter's motive. Rightley Griffin covers
the healthcare industry for Bloomberg, and she's focusing on how
United Healthcare is dealing with shock.
Speaker 4 (02:02):
That is twofold one to lose a longtime colleague, a
senior executive, the person who ran their largest division, Brian Thompson,
a twenty year veteran of the company, and to the
ensuing outrage on social media, the vitriol, the normalization of
violence at times coupled with real discontent across the country,
(02:26):
and so there's a version in pr crisis for the
company as it deals with the loss of this employee.
Speaker 2 (02:35):
This is the big take from Bloomberg News. I'm David
Gura on today's episode, why the killing of Brian Thompson
is fueling a torrent of rage, and how United Healthcare
and other companies are responding to the attack and its aftermath.
(02:55):
In the hours since Luigi Mangioni was arrested, law enforcement
and journal lists, including Bloomberg's Riley Griffin, have been piecing
together what they can about the suspect's life.
Speaker 4 (03:06):
Luigi Mangioni was the valedictorian at his thirty seven thousand
a year all boys prep school in Baltimore. He went
to the University of Pennsylvania and worked as a data
engineer at a place called Truecar, and thereafter he fell
a little bit off the map.
Speaker 2 (03:24):
This is still an active investigation with a lot of
unanswered questions. What is law enforcement said about motive?
Speaker 4 (03:29):
One thing Mangioni wrote was, quote unquote, frankly, these parasites
simply had it coming. He juxtaposed the high cost of
US healthcare with declining life expectancy rates. He clearly was
thinking about the healthcare system, and he said he acted alone,
was self funded.
Speaker 1 (03:49):
Quote.
Speaker 4 (03:49):
Evidently, I am the first to face it with such
brutal honesty. You know, we're learning in real time more
details about what the manifesto said and how law enforcement
is viewing this horrific act.
Speaker 2 (04:01):
You and other colleagues of ours here at Bloomberg have
written about how this attack spawned, as you put it,
a hate machine that's only getting louder the Internet.
Speaker 4 (04:09):
If you look at X formerly known as Twitter, if
you look on Instagram, there has been a lot of
support for the shooter from Mangioni. You've had some postings
that are intended to be humorous and some you've had
real outrage where folks have pointed to claims that have
been denied and life saving care that they haven't been
(04:29):
able to access via the insurance industry denials of care.
So I think the spectrum is vast, but the response
has been complex. Even yesterday, when Mangioni was taken into custody,
you know, we saw posts online. It was trending free
him on X. The social media dynamic to this story
(04:53):
is an important one too. What does it mean to
see the memification of everything from an election cycle to
a murder. That's something I'm going to be reflecting on
in coming weeks.
Speaker 2 (05:06):
Rightley, you've covered healthcare for years. I know your focus
has been on pharmaceutical companies. What do you think the
reaction we've seen says about the relationship people in the
United States have with the healthcare industry.
Speaker 4 (05:17):
I haven't seen a moment like this covering pharma. There
were a lot of moments where we saw discontents, and
you know, talk about vitriol on social media, conspiracy theories
throughout COVID certainly spawned some of that too, But the
act of violence that underlies all of the public discourse
(05:39):
is unique and tragic and awful. But people feel I
don't know. It was long evident that the pharmaceutical industry
was one of the most hated in the world of
corporate America. But pharma delivers life saving treatments. You know,
they invent these cures, gene therapies, medicines people rely on.
(06:01):
I think what's happening here is the real disconnect where
people don't see the value brought by health insurers who
often play these middleman and have sharp elbows and negotiations
that often can deny care.
Speaker 2 (06:15):
And United Healthcare is denial of coverage. Group pushback before
its chief executive was killed.
Speaker 4 (06:20):
United health in the past year has faced a great
amount of scrutiny, the.
Speaker 3 (06:25):
FDC suing three prominent drug benefit managers alleging a scheme
that elevated insulin prices.
Speaker 4 (06:32):
So it's a longstanding issue. It's at times easy to
say a uniquely American issue. Our health insurance system looks
a lot different from those in other countries, particularly those
were public healthcare.
Speaker 2 (06:45):
Is broad I'd love to get a sense from you
of the place this company, United Healthcare occupies in that
industry broadly, in health insurance more narrowly. How big a
company is this?
Speaker 4 (06:57):
United health is undoubtedly the large just player in healthcare
by market cap. This is a more than five hundred
billion dollar company. I don't know that many recognize how
big it is in corporate America. I mean, this isn't
even just about healthcare. It's one of the biggest companies
in the world.
Speaker 2 (07:17):
Coming up after the break, the latest reporting on what
happened before and after Brian Thompson was killed and how
United Healthcare has responded to both the shooting and its aftermath.
Since Brian Thompson was killed in New York, Bloomberg's Riley
(07:38):
Griffin and her colleagues have spent a lot of time
figuring out what happened.
Speaker 4 (07:41):
On that December morning, Thompson was headed to United Health
Groups Investor Day. These are annual events that companies have
to communicate to investors in analysts about the current state
of their business. He was en route to his hair
and makeup appointment for this investor Day, but he never
arrived to that appointment, and so as other senior executives
(08:03):
were headed up into the building, they noticed several cop
cars on fifty fourth Street. They were redirected to other entrances,
and yet they thought to themselves, really, this is another
day in New York, which is relatable if you've ever
spent time in Midtown Manhattan. The sirens are blaring, there's
(08:23):
a always commotion, and they started to notice his absence.
It wasn't typical for Thompson, a two decade plus veteran
of the company, to show up late to a moment
like this. They speculated perhaps he had overslept or was sick.
They discussed sending someone to go check on him. They
came up with a plan to cover his part of
(08:47):
the presentation, and so Investor Days started and just as
it was starting, and CEO Andrew Whittiy of The Broader
Company was going on to speak on stage. As he
delivered some of the earliest remarks, a couple of executives
got a call to come down that there had been
a security emergency.
Speaker 2 (09:06):
That's when they learned Riley says their colleague had been killed.
Speaker 4 (09:10):
Andrew Whitdy, the CEO, was pulled out of the room.
Who is distraught, A pretty traumatic moment. And shortly thereafter
there were guests in the room as investors in analysts
received notification on their phone news of the executives passing,
and so right thereafter he cut the investor day short
and from there it was about getting the executives out
(09:33):
of the room.
Speaker 2 (09:35):
What have you learned since this attack about how companies,
including United Healthcare approach safety and how they've changed their protocols.
Speaker 4 (09:43):
Yeah, so certainly we've heard from the New York Police
Department that right now they're identifying a heightened risk in
part because of the rhetoric online. January is worthcoming. The
JP Morgan Healthcare Conference is a time where all the
executives of major healthcare companies, you know, convene. We're trying
to better understand the security environment here. We still have
(10:06):
lingering questions as to why Brian Thompson had arrived without security,
whether that was typical, but the company is shoring up
security at its offices currently. We've seen memos that suggest
that is underway. External visitors aren't allowed into some of
these offices at.
Speaker 2 (10:25):
This time, and Riley says United Healthcare is taking down
information about executives that had been available online as.
Speaker 4 (10:33):
The company was grappling with how to ensure the safety
of its other senior executives and even board members. The
company took down both of those bio pages, the pictures
and the bios that were associated with them, so and
obscuring of information around who else you know exists in
the C suite. It'll be interesting to see if other
(10:53):
companies do the same, But that was another measure the
company took that day to bolster security.
Speaker 2 (11:00):
And as Riley says, the healthcare industry has had to
respond to the attack, but also to the vitriol we've
seen since. Do you have much insight into if there
will be a more concerted effort by this company or
the industry more broadly to respond to what we've seen
percolating on social media.
Speaker 4 (11:16):
It is our burning question at this moment. We have
not heard of plans to come out on the offensive
and take a more active approach to engaging the public
and their discontents. You know, something I in my colleagues
have heard from current employees is that's a great frustration.
They feel that this is the time to engage. You know,
(11:37):
some have suggested perhaps an editorial in the New York Times.
I mean, there's all these different ideas about ways to
directly respond, but we haven't seen that beyond statements here
and there. We do know a crisis communications firm has
been hired. We also know in the wake of these events,
meetings have been canceled, presentations have been canceled. Engagement not
(11:59):
with the public, but with other businesses has been put
on pause.
Speaker 2 (12:04):
You've written that the shooting and its aftermath have been
a wake up call for health insurance companies. Is this
likely to change anything about the way that they do business?
Speaker 4 (12:14):
Yeah? So, I just want to take you through one
example that might be a quick tell, but Elevance another
company scrapped this plan that really drew a lot of
controversy as it was made public amid this moment following
the shooting, the plan was to enact time limits on
(12:35):
anesthesia coverage for certain surgeries, and there was just this
public outcry and opposition from physician groups. It's hard to
say direct causation or correlation, but this policy change had
been destined to go into effect in February for members
of Anthem, Blue Cross, Blue Shield in New York, Connecticut,
(12:55):
and Missouri, And even though this had been announced last month,
the criticism bubbled up in the wake of the shooting,
and ultimately they walked back that policy. They said that
part of this was due to misinformation, and because of
the misinformation, they decided not to proceed with this policy change.
(13:17):
But it is a good window into a company that
had to take action in the wake of a public outcry.
And so I have no crystal ball, David. It's hard
to read the future right now, but there are signs
that companies are having to listen to the public and
(13:37):
public sentiment in this moment. So what else could that
judge up and what else could that change about how
they cover Americans health care?
Speaker 2 (13:48):
Riley, thank you very much. This is the big take
from Bloomberg News. I'm David Gera. This episode was produced
by Julia Press. It was edited by Tim Annett and
Naomi Shaven, who's our senior producer. It was fact checked
by Adriana Tapia and mixed and sound designed by Alex Sagura.
Our senior editor is Elizabeth Ponso. Our executive producer is
(14:09):
Nicole beemster Boor. Sage Bauman is Bloomberg's head of podcasts.
If you liked this episode, make sure to subscribe and
review The Big Take wherever you listen to podcasts. It
helps people find the show. Thanks for listening. We'll be
back tomorrow
Bloomberg Audio Studios, podcasts, radio news.
Speaker 2 (00:09):
The man accused of murdering the CEO of the largest
health insurance company in the United States was denied bail
that he says he'll fight extradition to New York. He
was apprehended by law enforcement on Monday after a five
day manhunt.
Speaker 1 (00:21):
Earlier this morning, in Altoona, Pennsylvania, members of the Altuna
Police Department arrested Luigi Mangioni, a twenty six year old
mail on firearms charges.
Speaker 2 (00:33):
Those officers found Mangioni in a McDonald's in that central
Pennsylvania city with a fake ID and a firearm. The
NYPD set is consistent with the weapon used in the
murder of Brian Thompson, who ran United Healthcare.
Speaker 1 (00:47):
Additionally, officers recovered a handwritten document that speaks to both
his motivation and mindset.
Speaker 2 (00:55):
Mangioni's three page manifesto included criticism of the US healthcare industry,
which has added more fuel to an ugly outpouring of
vitriol online. Since the shooting, There's been a deluge of
posts on social media with a clear theme rage at
the healthcare industry and solidarity with the shooter. Not the victim.
(01:17):
In comments after Mangioni's arrest, Pennsylvania Governor Josh Shapiro addressed
that he acknowledged that people have, as he put it,
real frustration with our healthcare system. But Shapiro said the
killer is not a hero and he should not be hailed.
Speaker 3 (01:33):
Violence can never be used to address political differences, or
to address a substantive difference, or to try and prove
some ideological point. That is not what we do in
a civilized society.
Speaker 2 (01:49):
Law enforcement officials say their investigation is ongoing and there
are still questions about the shooter's motive. Rightley Griffin covers
the healthcare industry for Bloomberg, and she's focusing on how
United Healthcare is dealing with shock.
Speaker 4 (02:02):
That is twofold one to lose a longtime colleague, a
senior executive, the person who ran their largest division, Brian Thompson,
a twenty year veteran of the company, and to the
ensuing outrage on social media, the vitriol, the normalization of
violence at times coupled with real discontent across the country,
(02:26):
and so there's a version in pr crisis for the
company as it deals with the loss of this employee.
Speaker 2 (02:35):
This is the big take from Bloomberg News. I'm David
Gura on today's episode, why the killing of Brian Thompson
is fueling a torrent of rage, and how United Healthcare
and other companies are responding to the attack and its aftermath.
(02:55):
In the hours since Luigi Mangioni was arrested, law enforcement
and journal lists, including Bloomberg's Riley Griffin, have been piecing
together what they can about the suspect's life.
Speaker 4 (03:06):
Luigi Mangioni was the valedictorian at his thirty seven thousand
a year all boys prep school in Baltimore. He went
to the University of Pennsylvania and worked as a data
engineer at a place called Truecar, and thereafter he fell
a little bit off the map.
Speaker 2 (03:24):
This is still an active investigation with a lot of
unanswered questions. What is law enforcement said about motive?
Speaker 4 (03:29):
One thing Mangioni wrote was, quote unquote, frankly, these parasites
simply had it coming. He juxtaposed the high cost of
US healthcare with declining life expectancy rates. He clearly was
thinking about the healthcare system, and he said he acted alone,
was self funded.
Speaker 1 (03:49):
Quote.
Speaker 4 (03:49):
Evidently, I am the first to face it with such
brutal honesty. You know, we're learning in real time more
details about what the manifesto said and how law enforcement
is viewing this horrific act.
Speaker 2 (04:01):
You and other colleagues of ours here at Bloomberg have
written about how this attack spawned, as you put it,
a hate machine that's only getting louder the Internet.
Speaker 4 (04:09):
If you look at X formerly known as Twitter, if
you look on Instagram, there has been a lot of
support for the shooter from Mangioni. You've had some postings
that are intended to be humorous and some you've had
real outrage where folks have pointed to claims that have
been denied and life saving care that they haven't been
(04:29):
able to access via the insurance industry denials of care.
So I think the spectrum is vast, but the response
has been complex. Even yesterday, when Mangioni was taken into custody,
you know, we saw posts online. It was trending free
him on X. The social media dynamic to this story
(04:53):
is an important one too. What does it mean to
see the memification of everything from an election cycle to
a murder. That's something I'm going to be reflecting on
in coming weeks.
Speaker 2 (05:06):
Rightley, you've covered healthcare for years. I know your focus
has been on pharmaceutical companies. What do you think the
reaction we've seen says about the relationship people in the
United States have with the healthcare industry.
Speaker 4 (05:17):
I haven't seen a moment like this covering pharma. There
were a lot of moments where we saw discontents, and
you know, talk about vitriol on social media, conspiracy theories
throughout COVID certainly spawned some of that too, But the
act of violence that underlies all of the public discourse
(05:39):
is unique and tragic and awful. But people feel I
don't know. It was long evident that the pharmaceutical industry
was one of the most hated in the world of
corporate America. But pharma delivers life saving treatments. You know,
they invent these cures, gene therapies, medicines people rely on.
(06:01):
I think what's happening here is the real disconnect where
people don't see the value brought by health insurers who
often play these middleman and have sharp elbows and negotiations
that often can deny care.
Speaker 2 (06:15):
And United Healthcare is denial of coverage. Group pushback before
its chief executive was killed.
Speaker 4 (06:20):
United health in the past year has faced a great
amount of scrutiny, the.
Speaker 3 (06:25):
FDC suing three prominent drug benefit managers alleging a scheme
that elevated insulin prices.
Speaker 4 (06:32):
So it's a longstanding issue. It's at times easy to
say a uniquely American issue. Our health insurance system looks
a lot different from those in other countries, particularly those
were public healthcare.
Speaker 2 (06:45):
Is broad I'd love to get a sense from you
of the place this company, United Healthcare occupies in that
industry broadly, in health insurance more narrowly. How big a
company is this?
Speaker 4 (06:57):
United health is undoubtedly the large just player in healthcare
by market cap. This is a more than five hundred
billion dollar company. I don't know that many recognize how
big it is in corporate America. I mean, this isn't
even just about healthcare. It's one of the biggest companies
in the world.
Speaker 2 (07:17):
Coming up after the break, the latest reporting on what
happened before and after Brian Thompson was killed and how
United Healthcare has responded to both the shooting and its aftermath.
Since Brian Thompson was killed in New York, Bloomberg's Riley
(07:38):
Griffin and her colleagues have spent a lot of time
figuring out what happened.
Speaker 4 (07:41):
On that December morning, Thompson was headed to United Health
Groups Investor Day. These are annual events that companies have
to communicate to investors in analysts about the current state
of their business. He was en route to his hair
and makeup appointment for this investor Day, but he never
arrived to that appointment, and so as other senior executives
(08:03):
were headed up into the building, they noticed several cop
cars on fifty fourth Street. They were redirected to other entrances,
and yet they thought to themselves, really, this is another
day in New York, which is relatable if you've ever
spent time in Midtown Manhattan. The sirens are blaring, there's
(08:23):
a always commotion, and they started to notice his absence.
It wasn't typical for Thompson, a two decade plus veteran
of the company, to show up late to a moment
like this. They speculated perhaps he had overslept or was sick.
They discussed sending someone to go check on him. They
came up with a plan to cover his part of
(08:47):
the presentation, and so Investor Days started and just as
it was starting, and CEO Andrew Whittiy of The Broader
Company was going on to speak on stage. As he
delivered some of the earliest remarks, a couple of executives
got a call to come down that there had been
a security emergency.
Speaker 2 (09:06):
That's when they learned Riley says their colleague had been killed.
Speaker 4 (09:10):
Andrew Whitdy, the CEO, was pulled out of the room.
Who is distraught, A pretty traumatic moment. And shortly thereafter
there were guests in the room as investors in analysts
received notification on their phone news of the executives passing,
and so right thereafter he cut the investor day short
and from there it was about getting the executives out
(09:33):
of the room.
Speaker 2 (09:35):
What have you learned since this attack about how companies,
including United Healthcare approach safety and how they've changed their protocols.
Speaker 4 (09:43):
Yeah, so certainly we've heard from the New York Police
Department that right now they're identifying a heightened risk in
part because of the rhetoric online. January is worthcoming. The
JP Morgan Healthcare Conference is a time where all the
executives of major healthcare companies, you know, convene. We're trying
to better understand the security environment here. We still have
(10:06):
lingering questions as to why Brian Thompson had arrived without security,
whether that was typical, but the company is shoring up
security at its offices currently. We've seen memos that suggest
that is underway. External visitors aren't allowed into some of
these offices at.
Speaker 2 (10:25):
This time, and Riley says United Healthcare is taking down
information about executives that had been available online as.
Speaker 4 (10:33):
The company was grappling with how to ensure the safety
of its other senior executives and even board members. The
company took down both of those bio pages, the pictures
and the bios that were associated with them, so and
obscuring of information around who else you know exists in
the C suite. It'll be interesting to see if other
(10:53):
companies do the same, But that was another measure the
company took that day to bolster security.
Speaker 2 (11:00):
And as Riley says, the healthcare industry has had to
respond to the attack, but also to the vitriol we've
seen since. Do you have much insight into if there
will be a more concerted effort by this company or
the industry more broadly to respond to what we've seen
percolating on social media.
Speaker 4 (11:16):
It is our burning question at this moment. We have
not heard of plans to come out on the offensive
and take a more active approach to engaging the public
and their discontents. You know, something I in my colleagues
have heard from current employees is that's a great frustration.
They feel that this is the time to engage. You know,
(11:37):
some have suggested perhaps an editorial in the New York Times.
I mean, there's all these different ideas about ways to
directly respond, but we haven't seen that beyond statements here
and there. We do know a crisis communications firm has
been hired. We also know in the wake of these events,
meetings have been canceled, presentations have been canceled. Engagement not
(11:59):
with the public, but with other businesses has been put
on pause.
Speaker 2 (12:04):
You've written that the shooting and its aftermath have been
a wake up call for health insurance companies. Is this
likely to change anything about the way that they do business?
Speaker 4 (12:14):
Yeah? So, I just want to take you through one
example that might be a quick tell, but Elevance another
company scrapped this plan that really drew a lot of
controversy as it was made public amid this moment following
the shooting, the plan was to enact time limits on
(12:35):
anesthesia coverage for certain surgeries, and there was just this
public outcry and opposition from physician groups. It's hard to
say direct causation or correlation, but this policy change had
been destined to go into effect in February for members
of Anthem, Blue Cross, Blue Shield in New York, Connecticut,
(12:55):
and Missouri, And even though this had been announced last month,
the criticism bubbled up in the wake of the shooting,
and ultimately they walked back that policy. They said that
part of this was due to misinformation, and because of
the misinformation, they decided not to proceed with this policy change.
(13:17):
But it is a good window into a company that
had to take action in the wake of a public outcry.
And so I have no crystal ball, David. It's hard
to read the future right now, but there are signs
that companies are having to listen to the public and
(13:37):
public sentiment in this moment. So what else could that
judge up and what else could that change about how
they cover Americans health care?
Speaker 2 (13:48):
Riley, thank you very much. This is the big take
from Bloomberg News. I'm David Gera. This episode was produced
by Julia Press. It was edited by Tim Annett and
Naomi Shaven, who's our senior producer. It was fact checked
by Adriana Tapia and mixed and sound designed by Alex Sagura.
Our senior editor is Elizabeth Ponso. Our executive producer is
(14:09):
Nicole beemster Boor. Sage Bauman is Bloomberg's head of podcasts.
If you liked this episode, make sure to subscribe and
review The Big Take wherever you listen to podcasts. It
helps people find the show. Thanks for listening. We'll be
back tomorrow
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