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Luigi Mangione-inspired ballot initiative targets health insurance denials

lolinder

I know this is an unpopular opinion here, but Luigi Mangione as martyr figure makes me extremely uncomfortable. This is a very different situation than the Aaron Swartz or any of the other victims of abuse by powerful people and corporations.

What precedent are we setting by explicitly making "murder someone" a viable path to making progress on your personal political agenda? It's one thing when you agree with the motive, but are we ready to accept the inevitable outcome that someone decides to engineer a high-profile murder to push a different agenda?

In a lot of ways this is like all the media attention on school shootings: we will see copycats, and the next one may not be targeting an unsympathetic healthcare CEO.

viccis

>What precedent are we setting by explicitly making "murder someone" a viable path to making progress on your personal political agenda?

No one's setting it. Things have been that way in the past. A lot of laws now are designed to avoid allowing organizations to brutalize people so badly that those people view violence as the only recourse.

When there are no judicial penalties for running a vast machine of death like UnitedHealthcare, then eventually people seek extrajudicial ones. Our goal should be to make sure that this doesn't happen. Luigi is a symptom, not the sickness to be treated.

gruez

>When there are no judicial penalties for running a vast machine of death like UnitedHealthcare, then eventually people seek extrajudicial ones. Our goal should be to make sure that this doesn't happen. Luigi is a symptom, not the sickness to be treated.

Where do you draw the line between "When there are no judicial penalties [...] eventually people seek extrajudicial ones" and "some nutjob went on a shooting spree"? There's no shortage of people killing because of "the great replacement" or "pedophile elites", issues the government aren't exactly in a hurry to address. Are those also examples of "When there are no judicial penalties [...] eventually people seek extrajudicial ones", or can we just chalk them up to the shooters being nutjobs? Is the former just what people say when they're sympathetic to the shooter, similar to how terrorists you support are "rebels" or "freedom fighters"?

1123581321

Two signs might be: are people of otherwise good character with reputations to lose doing these actions, and does society find their action to clarify a need to redress at the expense of the victim’s class. I’m just speculating about a line and not opining on a specific crime.

tomlockwood

> Where do you draw the line

The converse question is also valid - when do we accept that the system is so unjust and broken that people need to take justice into their own hands? Where do YOU draw the line?

aaomidi

> Where do you draw the line between

This is where individual opinion basically doesn't matter. This is where collective opinion ends up setting discourse.

There is a reason no one really mourned for the CEO. And a reason Luigi is seen as a hero in the vast majority of circles.

harimau777

One big difference is that one is true and the other isn't.

motorest

> Where do you draw the line between "When there are no judicial penalties [...] eventually people seek extrajudicial ones" and "some nutjob went on a shooting spree"?

Perhaps the point where people like you try to depict regular people acting out of despair as nut jobs.

Think for a minute: one of the most popular tv shows in modern history is a story of a man with an elite education going to the extreme of running a small criminal organization due to financial pressure caused by a life-threatening medical condition. That was what the US watched for years for escapism.

didgeoridoo

> vast machine of death

UnitedHealthcare was my health insurance provider when my daughter got her heart transplant. They paid over $2M over several years, without a single hitch. I think the only thing we were rejected for was when we asked them to cover baby formula (it was a long shot).

Mangione wasn’t even a UHC customer.

The only machine of death here was in that lunatic’s hand.

AngryData

It is a lot harder for an insurance company to deny a need for a heart transplant than many other conditions that aren't imminently fatal or with a fairly straight forward solution to a problem. Just because your particular case went fine doesn't mean there isn't a problem though.

viccis

[flagged]

lolinder

When was the last time we named a law—informally or otherwise—after someone because they committed a high profile murder and wrote a manifesto about it?

harimau777

[flagged]

buzzerbetrayed

And just like that, the justification.

thierrydamiba

It’s been interesting watching feathers get ruffled over this justification, while the justification of the healthcare industry sees no push back.

Humans are so interesting when you put them in groups.

viccis

My comment wasn't an implicature. I'm not sure how you came to that conclusion other than a desire to make this discussion more inflammatory.

voidfunc

It's becoming acceptable to people because many people increasingly feel their means for change are being suppressed or their voices ignored. This kind of violence is just the beginning. It's what happens when societies start to collapse.

Gigachad

It makes people on this site uncomfortable because they are seeing that while they build their AI powered debt collectors and insurance denier startups, the general public would celebrate them being shot.

JumpCrisscross

> This kind of violence is just the beginning. It's what happens when societies start to collapse

Well, no. It’s what forms popular pretext for expanding police powers. If we get a second or third Mangione, search and arrest powers will have to be expanded.

AngryData

You act like police powers haven't been continuously expanded for decades despite crime rates dropping regardless of local police presence.

ok_dad

Why? We have a few thousand murders in the USA each year, why would a few more deaths cause a need for expanded police power when several thousand other deaths didn’t require it?

xracy

“Those who make peaceful revolution impossible will make violent revolution inevitable." -John F. Kennedy

The thing about MLK, is that he existed as a backdrop to more violent alternatives. He is celebrated for being the better of those options, but when companies are not willing to negotiate with the nicer option, eventually they will make the violent one inevitable.

Additionally, I think the thing people get wrong about the "Luigi as martyr figure" is that UHC is itself a violent organization responsible for many deaths. When you project that you are only able to listen to "profits" and people don't have any way to provide feedback via "profits" to you, then they're going to look for other kinds of speech. And unfortunately, this kind of speech was made clear to work (see insurance companies sitting up and fixing a couple of the policies they had in the pipeline as a result of this action, and people's response to the UHC CEO being not negative).

I don't like this direction we're headed in, but I'd be lying if I said I saw other ways to make headway here. Especially given the current administration's interest in regulation.

mplanchard

If the system were capable of holding companies and CEOs accountable for behavior that causes obvious and irreparable harm to thousands or millions of people, there would be no need for people like Luigi, and he would not be viewed the way that he is.

lolinder

That is a totally separate question from whether this precedent will directly cause deaths that you and everyone else here will feel bad about. What happens when people internalize that it's not only okay but good to go kill the "bad guys" since the law won't?

mplanchard

What happens when society internalizes that it’s okay for a CEO’s actions to cause the deaths of thousands, and that that somehow weighs less heavily on the scale than one murder? The UHC CEO in my opinion did a lot more harm to people than Luigi.

The point is that people won’t internalize that vigilantism is the right path unless the system is broken. If you don’t want that, fix the system.

surgical_fire

> In a lot of ways this is like all the media attention on school shootings: we will see copycats, and the next one may not be targeting an unsympathetic healthcare CEO.

Would it target unsympathetic CEOs in other industries? I am just trying to measure the pros and cons here.

Jokes aside, that Luigi Mangione is a martyr to some subset of the population is hardly surprising. Unlike school shootings, where the senseless violence victimizes only eminently innocent people, what Mangione did victimizes someone seem by a large section of society as a perpetrator.

I agree that it is unsettling, but only in the sense that it feels like some important piece of the social contract has been lost along the way, and it is hard to know where it will end.

ok_dad

The social contract was lost when big business and its execs stopped caring about the humans they employ or serve as customers. Eventually, when regular people see that laws and ethics don’t apply to the rich and powerful, they decide they shouldn’t have to follow stupid laws either.

The leaders of America started it, of course the followers of America will follow.

antisthenes

> Would it target unsympathetic CEOs in other industries?

Industries that are essential to living, sure. I think the health insurance industry is so egregious is because you PAY them money and they DENY you health care.

It evokes a very strong response, because it can clearly be interpreted as theft.

I can't imagine a comparable scenario in e.g. grocery industry where you'd pay for something in a grocery store and get nothing for it.

Manuel_D

Some insurance claims get denied, but plenty of them are approved. It might surprise you to learn that most Americans are satisfied with their health insurance: https://www.nytimes.com/2024/12/13/us/elections/health-insur...

If health insurance is as bad as you say, why aren't people just cancelling their plans and paying for everything out of pocket?

sepositus

There seems to be an increasingly large subgroup of people who would never have the nerve to commit murder but are participating in the radicalization of people that _are_ capable of doing such things. They are mostly OK with it now because it's benefitting them. The problem will arise when things inevitably get out of control.

TMWNN

>There seems to be an increasingly large subgroup of people who would never have the nerve to commit murder but are participating in the radicalization of people that _are_ capable of doing such things.

I've come to believe that the average Redditor is mentally ill. A recent comment: <https://np.reddit.com/r/California_Politics/comments/1jmqsbn...>:

>There was a question on r/askreddit yesterday. If you woke up tomorrow with Superman’s powers. What would you do. 90% of the comments immediately jumped to murdering the president and every Republican

A reply:

>You weren't kidding <https://np.reddit.com/r/AskReddit/comments/1jmd6c8/you_wake_...>. There was even talk about launching Cyber Truck's into space with their passengers.

motorest

> What precedent are we setting by explicitly making "murder someone" a viable path to making progress on your personal political agenda?

I think you got it backwards.

The question you should be asking yourself is why did so many Americans supported and even applauded the idea of murdering a CEO of a medical insurance company.

You barely get this level of reaction from condemning sadistic murderers with the death penalty. But when it happened to a specific CEO of a specific healthcare company, you saw a wave of popular support across the US.

Why do you think regular working people leading regular working class lives enthusiastically applauded it?

chrisoverzero

> What precedent are we setting by explicitly making "murder someone" a viable path to making progress on your personal political agenda?

If this is what you are worried about, America is pretty far behind the leading edge:

https://en.wikipedia.org/wiki/Assassination_of_Shinzo_Abe

https://www.cnn.com/2025/03/25/asia/court-dissolution-unific...

missedthecue

It's very interesting that insurance companies take so much of the blame for healthcare costs in the US, given that they are essentially the only player in the entire system, (alongside the patient), that is against price increases and overbilling by providers.

I recently had an endoscopy done. Simple 15 minute operation where they look at your insides with a camera. They put you under for it. I got the itemized bill in the mail and the anesthesiologist alone charged $738 for the 15 minutes. Of course they probably also did some work pre/post op, but the fact that there were 4 people in the room and one charged $738 for 15 minutes makes it very hard to imagine healthcare costs going down without pinching providers. AKA doctors. My insurer isn't even for-profit.

mancerayder

It's a great point. But then the other side of the equation is, when the providers charge too much and the insurance won't approve, or later (months later) decided they weren't paying and now there's a bill, then guess who gets the surprise in the mail. It's the customer, the patient, who has to mediate between these kafkaesque entities.

If insurance fought behind the scenes with each provider instead of blaming the patient, maybe they wouldn't be viewed as the bad guys so much.

The health care system - insurance and provider - needs a centralized perspective rather than attacking this or that piece of it. That's also how reform should happen - no one wants to hear it, but it has to be planned centrally or at least a central authority should expand the legal guard rails. It already exists with Medicare, why not expand on that idea and cover more ages?

Manuel_D

Associating a political initiative with an unrepentant murderer is a pretty bad idea. Imagine anti-abortion activists decided to make James Kopp the centerpiece of the movement.

JKCalhoun

Ballot initiative, informally named....

I think the article might be trying to be a little too edgy with its title.

areyouliving

The insurers are genocidal torturers who exploit everyone who's forced to interact with them. They're backed by all law enforcement.

hobs

[flagged]

Manuel_D

> Having been around the planned parenthood lines with screaming terrifying threatening christian folks

Did that expose improve your opinions of them?

JumpCrisscross

This is a very Californian solution to the problem. Prediction: we’re going to see a lot more MRIs.

polski-g

No you're not.

You are going to see health insurance companies leave the state, just like the property insurance carriers did.

JumpCrisscross

> You are going to see health insurance companies leave the state

They’ll first raise rates. If those get rejected, they’ll leave. In the meantime, private equity will extract a payday [1].

[1] https://www.chcf.org/publication/private-equity-in-health-ca...

null

[deleted]

Spivak

Good, your insurance company should get no say on this matter. If your doctor prescribes it, insurance pays. If you think the doctor is committing fraud then you can take that up with the doctor, not the patient.

The mistreatment by insurance companies is so normal now that people are just defeated. My MIL has been trying different treatments for over a decade and finally found a drug that can manage her chronic spinal pain. She's finally mobile enough to play with my nephews. And because her work switched insurance she now going through years of needless bullshit to prove to this insurance company that no really, this is the only thing that works. And now she has to pay for it out of pocket and it's over $1000/mo. I know, I know, you would really rather pay for the cheaper thing that doesn't.

Aloisius

No developed country gives doctors absolute power to authorize treatments.

There isn't an infinite bucket of money to draw from. At some point, spending priorities have to be made and elsewhere, it's usually based on cost vs. years of quality of life improvement, so giving antibiotics to dozens of children wins out against a third MRI for acute back pain for an 80 year old.

The US is abnormal in how much discretion it gives doctors and we are incredibly inefficient with our spending because of it.

Spivak

The world you've envisioned sounds nice except:

1. That's not the trade that's happening. Every person in the US is paying for their own health insurance. Having Aetna tell you your claim is denied because someone else needed a heart transplant makes no sense. Also this is unrelated but the whole "years of quality of life" is such a made up bullshit thing it's laughable. It's reasonable on the physician end especially when treatments have hard recoveries but for the insurance end it's ridiculous. Can you imagine your car insurance not paying out after an accident because they decided you don't have enough years driving left? That's just patently not your job to evaluate.

2. For most treatments the fight with insurance happens after the services are rendered and even when you do get prior auths they're not binding so that's always fun for people. The money is already being paid, the only question is who.

3. Doctors aren't given absolute power under this system, they're still limited by all the same restrictions they had before—medical board, government regulations, standards of care—except there isn't a private 3rd party with a direct financial incentive to deny care inserting themselves in the middle.