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Luigi Mangione Drops Psychiatric Defense in UnitedHealthcare CEO Murder Case

6/29/2026

Luigi Mangione, 28, abruptly withdrew a proposed psychiatric defense in the New York state murder case stemming from the killing of UnitedHealthcare CEO Brian Thompson, with his attorneys notifying Judge Gregory Carro in a one-sentence letter on Thursday — hours before a court deadline requiring the defense to provide prosecutors with additional information about his mental condition.

The reversal came less than 24 hours after the strategy became public, and no explanation was included in the filing.

A Change of Heart, Possibly Mangione's Own Maryland-based attorney and legal analyst Randolph Rice, who has been following the case, told Fox News Digital that the about-face may have originated with Mangione himself rather than with his legal team.

Rice suggested Mangione may have reconsidered after recognizing that a psychiatric defense in state court would require him to concede that he shot Thompson — an admission that could carry consequences in the separate federal prosecution expected to begin early next year.

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