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Five days after Brian Thompson's assassination, investigators arrest 26-year-old Luigi Mangione at a McDonald's in Altoona, Pennsylvania. In his possession: a three-page manifesto and a spiral notebook that reveal a chilling connection between UnitedHealthcare's automated denial system and the murder of its CEO. As investigators dig deeper into Mangione's writings about "parasitic" insurance companies and his online praise of the Unabomber, they discover how America's most expensive healthcare system and its highest denial rates may have driven a brilliant Ivy League graduate to murder.