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The shooting occurred early in the morning outside an entrance to the New York Hilton Midtown. Prior to his death, he faced criticism for the company's rejection of insurance claims, and his family reported that he had received death threats in the past.
The words "delay", "deny", and "depose" [ a ] were inscribed on the cartridge cases used during the shooting. The suspect, initially described as a white man wearing a mask, fled the scene. Authorities said Mangione was carrying a 3D-printed pistol and a 3D-printed suppressor consistent with those used in the attack, as well as a short handwritten letter styled as a manifesto criticizing the American healthcare system , an American passport , and multiple fraudulent IDs , including one with the same name used to check into a hostel on the Upper West Side of Manhattan.
He is eligible for the death penalty. Thompson's death received widespread attention in the United States and led to polarized reactions. Opinion polls found a majority of Americans held a negative view toward the killer and the killing, with younger respondents and liberals more likely to support them. UnitedHealthcare has repeatedly faced criticism for its approach to handling claims. The bus route began in Atlanta , Georgia, but authorities do not know from which city or town he boarded.
In the closed-circuit television camera CCTV recording of the killing, the shooter appears to manually cycle the gun action after each shot, leading observers to believe that his weapon was a malfunctioning semi-automatic pistol. The killer fled the scene on an e-bike to Central Park ; there, near the Carousel , [ 52 ] he shed a backpack containing Monopoly money and a jacket before exiting the west end of the park at 77th Street. Three fired cartridge cases alongside three unfired cartridges were found at the scene.
A senior New York City law enforcement official briefed on the investigation initially stated that shell casings found at the scene had the words "deny," "defend" and "depose" written on them, but police later clarified that it was "delay" and not "defend. A water bottle, candy wrapper, and phone were recovered from the scene and are believed to be connected to the shooter.