Luigi Mangione: How US healthcare works - The Mangione Trial podcast, BBC World Service

The murder of health insurance CEO Brian Thompson shocked America, but also led to a rallies and protests about the country’s complicated and sometimes controversial healthcare system.


Phrases like “Deny Defend Depose” appeared on social media. The same words were chanted at protest rallies in the weeks after Luigi Mangione was arrested.

What do these slogans mean, and what have they got to do with a murder on the streets of New York?

This episode explores how the health insurance system works in the United States, and hears from one woman who says she spent $40,000 trying to get treatment for her daughter. The insurance company paying for the treatment explain why they believe there were delays in the process.

00:00 Introduction
02:20 Overview of the US healthcare system
04:45 'Deductibles', 'coinsurance' - what does it all mean?
10:15 Where is your money spent?
14:32 The appeals process
20:13 April's story
30:59 UnitedHealthcare's statement
33:32 Calls for reform

A father of two is shot dead in broad daylight in New York. A young man charged with murder and his face goes viral. The reaction to the killing of Brian Thompson and his suspected killer, Luigi Mangione, has been unprecedented.

We will be trying to understand how such a shocking case set the internet and social media alight. Why was there such a reaction to Mangione on TikTok and Reddit?


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[anthonynicholson]

Some Americans??? Its far more than just some. Its the vast majority to the point where luigi is superhero to 90% of Americans. Living here ... people are seething. So many lives ruined by denials and extremely financially debilitating costs.

[elenagart]

It's not some Americans. It's most of us. Unless you are rich, American healthcare system is not very good and incredibly expensive. And if you are poor it's simply unaffordable.

[vidstakfilms]

Açores - Portugal here. I had heart surgery in The United States, in Florida. These people were amazing. The Hospital that I was at only had 1 person per room, however it was expensive, and I had Blue cross, Blue shield. I stayed there for 1 week. Most people in the U.S could never afford to be there. It's sad that many people fight with their Insurance company. When I saw that video of a Man shooting that CEO, I was in shock But well deserved. God only knows how many people died because of him.

[geneziogenezio]

FOR PEOPLE THAT STILL DO NOT KNOW ABOUT HEALTHCARE IN USA : No, the United States does not have a universal, free healthcare system like BRAZIL/CANADA ETC. The US healthcare system is largely funded by private insurance, with some public programs like Medicaid and Medicare for specific populations. While some individuals receive free or low-cost healthcare through public programs, the majority of Americans rely on private insurance to pay for medical services.

[FrancesWebb-zc]

Fourteen years for my diseases and still waiting for any health professional to care enough to do anything

[Sarappreciates]

I'm a United Healthcare client, and the week after Brian Thompson was shot UHC began denying my claim for chemotherapy to treat my stage 4 breast cancer. As the clock keeps ticking without treatment, anxiety builds. They take the money to pay UHC's premiums out of my husband's paychecks each week whether my claims are covered or not. the cancer center advised me to ask for a case manager from UHC. The case manager found the company had been sending the wrong appeal forms to my doctor, so each appeal was getting automatically denied. I'm under the impression that my experience getting denied isn't all that unusual. Does this happen as often with public healthcare as it does with private healthcare?

[blossom]

Physicians like to act like they aren't part of the problem, but the are part of the problem. They have lobbies that fight for anti-patient legislation and their own bottomline. The last time I had a truly great healthcare experience was whennI lived in Germany in the 80s.

[NyanyiC]

someone is bound to crack when people are treated badly.

[TheJoeSwanon]

And this is why there will be jury nullification and they will never be able to convict him. Good luck getting 12 people to agree on conviction

[FrancesWebb-zc]

Oh. My. God. THANK YOU. THANK YOU. THANK YOU. You likely can tell by my response I have been living long enough under so called free us corporate healthcare to now be actually dying. Our mother organism earths own precious daughter, my mum, died of a vicious disease last year just three weeks after she finally got a diagnosis and it was a disease none of our family sides ever once had in our histories. I have had paralysis, disfigurement, four of four toxicity levels of three deadly pathogens for fourteen years with literally no help from health professionals…and I have free healthcare…problem is there is no existing care whatsoever, in fact encouraging the system to keep poisoning and experimenting on us unwitting ‘receptors’. Shits only just begun hitting the fan, I promise you.

[chrisbronson]

Maybe the world is developing a global conscience, and one of the pimples burst .

[ihatecabbage]

Oh Saint Luigi Mangione, patron of the downtrodden. I pray for your safety and freedom in a nation of tyrants.

[FrancesWebb-zc]

BBC Interviewer, you are welcome to give your viewers another angle on American healthcare our world will soon be shocked over, speaking from unbelievably ghastly abuse I have experienced firsthand across fourteen years😮

[malina]

Not “some” Americans, but a lot of us. I work in healthcare industry and let me tell you, insurance companies have different compensation fees they pay doctors based on insurance plan you have. Doctors in America are greedy and will reject your insurance if it pays low fees, one of these “rejected” insurances has $750.00 premium per month !!!!

[OpeningsOpenings]

This is the episode you should have led with

THIS is what global MSM needs to be focused on - the industry(how it works and how it impacts people)

Then another FULL episode should focus on how to change the health insurance system in the US

[LauJ.-dzpj]

"Nada" means "nothing" in Spanish, it fits perfectly to her😅.
The presenter was the only one making the effort to talk understandably. According to her statements, health insurance in the USA is amazing 👏 😖

[FrancesWebb-zc]

Oh wonderful…they adhere to federal laws. That is just fantastic.

[FrancesWebb-zc]

Yah…the symptoms and diagnoses…you really do not yet understand how deep dark our US system goes

[marparty]

I worked at the most dangerous job for 22 years because I new my luck was running out the company was 110 years old and people usually kept the job for life. But they took away the medical care for the retirement because of a merger I loved every day at my work. If I would have stayed in America I wouldn't be writing this because the medical bills are more dangerous than my former job lol you know the story there's a good movie called sicko I would recommend it 😊😢

[saycog]

Now imagine having to keep all this in mind when you’re ill, in need of care!!!! That’s why I left!