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"This show is not a celebration of violence of any kind, nor is it an attempt to pass judgment on an ongoing legal matter," say the producers. "Instead, Luigi: the Musical uses satire to ask deeper cultural questions."
A stage musical based on the life and actions of accused murderer Luigi Mangione, charged with killing UnitedHealth chief executive Brian Thompson earlier this year, will debut in San Francisco next month—and the run of the show featuring the high-profile case is already sold out.
Mangione—who has taken on cult status in some quarters over the brazen and cold-blooded killing that served to highlight the nation's cruel, profit-driven healthcare system—is facing a possible death sentence if found guilty on federal charges related to Thompson's murder.
"Why did a figure like Luigi become a kind of folk hero in certain corners of the internet? What does that say about how we see institutions in America today?"
The producers "Luigi: The Musical," who describe the play as a "wildly irreverant, razor-sharp comedy" about the "alleged corporate assassin turned accidental folk hero," also acknowledge how inherently controversial and provocative the show will be. According to the play's website:
This show is not a celebration of violence of any kind, nor is it an attempt to pass judgment on an ongoing legal matter. Our hearts go out to the family of Brian Thompson, and we acknowledge the pain and complexity surrounding this case.
Instead, Luigi: the Musical uses satire to ask deeper cultural questions. Why did this case strike such a chord with so many people? Why did a figure like Luigi become a kind of folk hero in certain corners of the internet? What does that say about how we see institutions in America today?
The show will run at the Taylor Street Theater in the city, premiering on June 13th for an initial two-week run. As of this writing, all shows are sold out, but new dates for an extended run are set to be announced.
Produced by Caleb Zeringue and directed by Nova Bradford, the script was written by the pair alongside Arielle Johnson and Andre Margatini. The original music and lyrics for the show were composed by Johnson and Bradford.
In the show's imagination, Mangione finds himself in a jail cell with convicted crypto-banker Sam Bankman-Fried and indicted hip-hop producer Sean "Diddy" Combs. While absurd in some ways, the origin story of the play is based on the fact that all three men were, for a period, all held at the same detention facility.
In an interview last week with the San Francisco Chronicle, Zeringue said all three men "represent these big pillars of institutions in society that are failing in their trust: healthcare, Hollywood, and then big tech."
Bradford, also speaking to the Chronicle, said that the play seeks to explore society's tendency "to project meaning onto these types of figures," but that the show is "not valorizing" any of them, nor "trivializing any of their action or alleged actions."
"Our hope is that Luigi: the Musical," say the producers in their show notes, "makes people laugh—and think. We're not here to make moral proclamations. We're here to explore, with humor and heart, how it feels to live through a time when the systems we're supposed to trust have stopped feeling trustworthy."
Calling the death penalty "an intolerably cruel and unusual punishment," one socialist writer said that the European Union should offer the alleged assassin asylum.
U.S. Attorney General Pam Bondi announced Tuesday that she is directing federal prosecutors to seek the death penalty in the case of Luigi Mangione, the 26-year-old man accused of killing UnitedHealthcare CEO Brian Thompson in December.
Federal prosecutors in New York City filed murder charges against Mangione in mid-December after Mangione was arrested in a McDonald's in Altoona, Pennsylvania, five days after Thompson was gunned down in front of a hotel in midtown Manhattan on December 4.
UnitedHealthcare is the largest health insurer in the country, though the company has said Mangione was never insured by them.
A grand jury in New York state indicted Mangione with first-degree murder "in furtherance of an act of terrorism" and second-degree murder, in addition to other, lesser charges also in mid-December. Mangione pleaded not guilty to those state charges, but has not entered a plea for his federal charges, according to PBS News.
"Luigi Mangione's murder of Brian Thompson—an innocent man and father of two young children—was a premeditated, cold-blooded assassination that shocked America," Bondi said in a statement. "After careful consideration, I have directed federal prosecutors to seek the death penalty in this case as we carry out President [Donald] Trump's agenda to stop violent crime and Make America Safe Again."
U.S. President Donald Trump, who oversaw a spate of executions carried out at an unprecedented rate during the final months of his initial administration, signed an executive order on his first day back in the White House that directs the Justice Department to seek out the death penalty in federal cases when possible.
Mangione, whose case triggered a wave of dark humor and vitriol directed at the for-profit healthcare industry, was compared to "Robin Hood" in a December intelligence report compiled by a regional intelligence center, according to The American Prospect.
In a Substack post published Tuesday, the socialist writer Carl Beijer wrote that the European Union (E.U.) must offer asylum to Mangione.
"Regardless of the merits of the case for or against Mangione, the death penalty remains an intolerably cruel and unusual punishment," wrote Beijer. "Given its commitment to using 'all available instruments' towards the abolition of capital punishment, the E.U. should publicly condemn the prosecution of Luigi Mangioni; should immediately offer him political asylum in defense of his basic right to life; and should negotiate with the U.S. Department of Justice to secure his release."
A system that collects money from patients and employers then profits by withholding the promised care is not a business but a fraudulent, diabolical scam.
It’s the beginning of the end for corporate control of health care. The tsunami of outrage against the health insurance industry in the wake of the shooting of United Healthcare CEO Brian Thompson, can propel an urgent, unyielding demand for the removal of profit from healthcare and the enactment of a universal, national single payer system. That is, if the single payer, Medicare for All, national health service movement can summon the vision and audacity to rise to the occasion.
The myth, promoted by health care think tanks and policy experts, that people in the United States are satisfied with their health insurance was exploded in the social media rage unleashed in the aftermath of the killing of the United Healthcare CEO.
Fifteen years after the passage of the Affordable Care Act (ACA), our failing health care system is exposed with all its cruel denials, debt, disease, despair and death at the hands of the investor-owned companies for whom patients are merely pawns for the extraction of profit.
Health care in the United States comes in dead last when rated against comparable countries. The U. S. is at the bottom in overall performance, health outcomes, equity, access to care, and efficiency. As the Commonwealth Fund states: “In fulfilling this fundamental obligation [the ability to keep people healthy], the U. S. continues to fail.”
Health care in the United States comes in dead last when rated against comparable countries.
People in the United States aren’t living to their full potential. Already, the U.S. is 55th in life expectancy, behind Panama, Albania, and Czechia, and will fall in its global rankings by 2050 if the country continues the same trajectory. Years of life are lost to a health care system that serves profit over the value of life.
Our maternal mortality rate would be the shame of many of the poorest nations. In 2020, U.S. maternal mortality rate was higher than in Gaza. In 2022, there were 22 maternal deaths per 100,000 live births in the U.S. This is easily double, and often triple, the mortality rate in peer nations, which can be as low as 5 per 100,000 live births. Black mortality rate is criminally worse: 49.5 per 100,000 live births.
Over one million in the U.S. died in the pandemic, a rate much higher than other nations. Over 330,000 of the pandemic deaths in the U.S. were avoidable. Those lives could have been saved had we had a healthcare system that left no one with inadequate coverage.
Cancer patients must not only fight for their lives but also for the economic survival of their families. The newest treatments with so much hope are beyond the means of those who have insurance policies but no great wealth. About 30% of cancer survivors report lasting financial hardship.
Cancer patients are nearly 5 times more likely to experience bankruptcy, and the medical burden forces many to forego care.
Those who have employer-based insurance were assumed to have the gold standard in health care. Now even the highest paid workers are subjected to premiums, deductibles, and co-pays that impede their care despite the family plans that average $32,000 per year. More have insurance that covers less than a hospital gown. Gold has turned to scrap metal.
As people struggle to pay for the premiums, deductibles, and co-pays, revenues of the seven largest health insurance companies in 2022 reached $1.25 trillion and profits soared to $69.3 billion. That’s a 287% increase in profits in just one decade, when profits were $24 billion.
The toxicity of the health care profit makers that spread unnecessary suffering and death generates the hatred that is poisoning the land.
Medicare, our best health care program, publicly funded and open to all, is now strangled in the grip of the privatized Medicare Advantage plans and the Accountable Care Organizations facilitated by the Center for Medicare and Medicaid Innovation (CMMI). Medicare Advantage now controls a majority of recipients, not because it is better, but because the law that established it and the regulators that control it have allowed it to charge less in monthly premiums—plans that are also allowed to delay and deny care yet are overpaid by billions every year. CMMI issues waivers to the private plans exempting them from fraud and abuse laws and allowing kickbacks, self-referral, and illegal benefit inducement.
Millions on fixed incomes cannot afford the alternative of traditional Medicare plus a prescription drug plan and a supplementary Medigap plan. Those who have managed to escape the clutches of Medicare Advantage can still find themselves assigned, without their knowledge, to “value-based” payment schemes such as ACO REACH and other Accountable Care Organizations (ACOs) which privatize traditional Medicare. “Value-based” payment models are touted, without evidence, as reducing costs for Medicare, yet encompass a multitude of for-profit entities and subject patients to physicians incentivized to deny care. There is ample evidence that “value-based” payment schemes do not lower costs for Medicare. Nevertheless, the privatization of Medicare, through Medicare Advantage or ACOs, is now official policy.
The hoax of “value-based” payments, promoted by CMMI, is exposed by the fact that, despite all the assertions of promoting equity, the inequities of health care are expanding.
Medicaid, the program for children and adults with low income, is almost completely privatized, subjecting the recipients to delays, denials and restrictions imposed by the private managed care organizations that control it.
The Center for Medicare and Medicaid Services (CMS) is hurtling down the wrong track. They invite venture capital and health care investors into the Health Care Payment Learning and Action Network (LAN) that they created. CMS holds conferences, seeking advice and collaboration from the very profiteers that are the cause of high cost, low-quality care. The “value-based” payment scheme promoted by CMS has advanced the power of the profit makers, raising costs, cutting care, and pretending to promote equity for minorities and low-income patients.
It’s time to end the chaos. No more foxes in the hen house, no more poison in the system, no more profit in health care.
The toxicity of the health care profit makers that spread unnecessary suffering and death generates the hatred that is poisoning the land.
It’s time to end the chaos. No more foxes in the hen house, no more poison in the system, no more profit in health care. The nation has rejected the insurance company health care model that delays and denies care, demands skin in the game, asserts that there is massive unnecessary care, throws up barriers against care, and walks away with billions. A system that collects money from patients and employers then profits by withholding the promised care is not a business but a fraudulent, diabolical scam.
This system built on profit cannot be tweaked or regulated into better performance. Runaway trains are not deterred by guardrails.
There is one way to heal the nation. Put single payer on the nation’s table and focus the steaming rage to move the engine of change. Raise the demand for removal of profit and enactment of an Improved Medicare for All free from profit to a level commensurate with the damage that our current failing system is causing the patients’ and the country’s goodwill.
Some look at the current Congress, make the assessment that it’s not possible to pass single payer, then change their demand to a lesser proposal. But incremental changes are at the root of the privatization and profit schemes we are locked into now. Fifteen years after the ACA we have a failing health care system. We have witnessed that more incrementalism does more harm than good. Power concedes nothing without a demand, and the demand must be equal to the solution needed.
There is one way to heal the nation. Put single payer on the nation’s table and focus the steaming rage to move the engine of change.
As Marcia Angell, former editor of the New England Journal of Medicine, taught us, in our current private profit-based system, proposals that lower costs also decrease care, and proposals that increase care, raise costs. To improve care and control costs, we must turn to national single payer, free from profit or a national health service.
The status quo is deadly, and people are demanding a stronger more effective fight. We must organize and educate, locally and nationally with a new determination. In every town hall, classroom, union, organization, and neighborhood, people must hear the message and join the fight. Redirect the rage into a positive force for change.
The new anger in the nation makes possible what we could not do before. Many are now discussing the possibility of setting a National Day of Action in 2025 to demand freeing health care from corporate profit and covering everyone under a national single payer plan. That’s a great idea. Actions across the country lifting up that demand could inspire the movement we need.
National Single Payer—an Improved Medicare for All free from profit with everybody in and nobody out. Nothing less can heal the nation.