The suspect in the CEO murder was plagued by back pain and cognitive difficulties, as seen in his social media posts.

Luigi Mangione had been suffering from chronic back pain for quite some time. It was so severe that he eventually made the difficult decision to undergo spinal surgery last year. The procedure proved to be life-changing for him and he became an advocate for it, sharing his experience and journey on Reddit. He even offered words of encouragement to others who were going through similar struggles, advising them not to give up and to push back against doctors who suggested living with pain was their only option.

Interestingly, while he openly discussed his recovery on social media, he never explicitly mentioned anything about corporate greed in the health insurance industry. However, that changed after he was detained as a suspect in the killing of UnitedHealthcare CEO Brian Thompson. A handwritten note referencing "parasites" in the healthcare system and the power and profits of health insurers was found in his possession. It seemed that his views on the industry had shifted since his surgery.

During his first public appearance since his arrest, Mangione expressed his frustrations and anger towards the American healthcare system, calling it an "insult to the intelligence of the American people." These outbursts occurred as he was being pushed into a courthouse by sheriff's deputies. Despite speculations about his possible bad experience with UnitedHealthcare, there is no evidence to suggest that he was ever insured by them, according to a senior New York City police official.

The killing of Brian Thompson has sparked widespread speculation about Mangione's motives. However, little is known about his recent mental and physical health. What we do know is that he had been suffering from a spinal condition called spondylolisthesis, which can cause severe pain and nerve damage. This condition had started negatively impacting his life in recent years, as he shared on social media.

After earning his degrees from the University of Pennsylvania, Mangione worked at a car-buying website in California and then moved to Hawaii in 2022. During his stay at a "co-living" space, his back pain worsened due to a surfing accident. A spokesperson for the owner of the space revealed that Mangione had expressed concerns about the impact of his pain on his personal and romantic relationships.

In July 2023, Mangione made the decision to undergo surgery. He had been hesitant about it for a year, but finally decided to go through with it. According to his posts, the surgery was a success and he was relieved of chronic pain. He even shared images of the metal rod and screws inserted into his spine on Reddit. He also mentioned that the recovery was less painful than he had anticipated.

Treating back pain is often a challenging task and surgery is usually the last resort after other treatments have failed. This was also the case for Mangione, as confirmed by Dr. Jason Pittman, co-director of the Spine Center at a Boston hospital. Even with health insurance, the cost of surgery can be overwhelming. In addition, chronic pain can also have a significant impact on mental health, according to Dr. Padma Gulur, a pain specialist.

It appears that Mangione had been withdrawing from close relationships in the months leading up to his arrest. His family had reported him missing in November and earlier, during his college years, he had shared on Reddit about experiencing brain fog and restless sleep. However, he had managed to stay in college and maintain some normalcy. His last post on Reddit was in May, where he was advocating for the type of surgery he had undergone. He also shared updates about his travels and encouraged others to not give up on finding a solution to their back problems.

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