Deny, Defend, Depose...and Die?
Some thoughts on the recent UnitedHealthcare CEO shooting...
I am going to make the assumption that you have been following current events in the United States over the last week. I am going to imagine that you have some very strong opinions about what happened both on the streets of New York...and online. And I am going to assume that you will hear me out and accept my particular take on this (no trigger warnings necessary or provided).
To go back to the beginning...
This is what we know: on December 4th, at around 6:38 in the morning, a man stepped out from behind a vehicle and shot the CEO of UHC in front of the New York Hilton Hotel in midtown Manhattan. The assassin then took off on a bike, but not without leaving behind shell casings that had the words “Delay”, “Deny”, “Defend” written on them with a marker (these words are connected to the policies of the insurance companies: Delay payouts; Deny claims; Defend ourselves at all cost). It is worth noting that the round that had the word Delay on it was a live round. And then he was filmed flirting earlier at a Starbucks, and there was one other photo of him in the back of a taxi cab.
Now, the news cycle moves pretty fast, so I had to catch up. They have caught a suspect with a homemade gun (a ghost gun), silencer, the same clothes as in the video, and a manifesto which states that the health care industry deserves to suffer. Now, this was also after a lot of online comments that reveal that people are now saying the quiet parts out loud. Most of what I read and heard now says that the killer may have been out of line (ha, ha), but there is no sympathy for the victim, his family, or the industry because of the suffering that they have faced because of that industry (and let’s be clear: UHC is the top health care denier, and Mr. Thompson was about to attend an investor’s meeting to discuss just how financially successful their company has been). There has also been a lookalike contest and I have seen people dancing on the streets of New York in praise of the killer.
And now they have caught him.
His name is Luigi Mangione, a twenty-six year-old who has been called “a national hero”, and urged, “when you get out, do it again”. I am also learning that he is not some ultraliberal supporter waving the banner for socialism (rumours of his incel credentials are now coming out, along with information about his wealthy family and academic success). No one who is a complete amateur with a weapon would behave the way he did. Why let yourself get caught on all of those cameras? Why keep the fake passport, clothes and weapon when you know that your face is all over the news (reasonable doubt could have been on his side)? A trial by jury might make it possible for him to get away with a hung jury, and I would not be surprised if a conviction was not forthcoming for this “person of interest”. He might have a way out.
Now, I did not write this to just repeat what many of you already know. I am sure that there are many of you who are happy to hear that there was payback towards the boss of one of these companies. And I am even sure that some of you are glad that the killer has been caught. What I did want to do was give my own take on this.
First, I am going to give out some information about my own situation. I am Canadian, which means that we have our own health care system that is not based on the profit system. My mother had cancer treatments and these sessions were covered without any fuss. I have spent time in hospitals for surgeries and illnesses without putting my family in debt. It is not perfect – the crowds I have seen in hospitals, including the one next to my home, make me worried – but we do have a good safety net.
Next, the responses between the people and the media: I am not sure if anyone at the major networks really understands why there is so much hate out there. And I am also aware that they would not have cared if there had not been this huge projected stage for the public to weigh in on this (the response to the tweet from UnitedHealthcare received more laughter than tears from that same public). They are finally hearing what the potato-eaters have to go through, and they do not know which way to stand on this. Be moral and be lost; be gruesome and you will go with the flow (and is that really a choice?)
And finally, the United States has an issue that has united their citizenry:
“I hope he’s looking up at us.”
That is the only tweet I am willing to reproduce here (I know that not everyone shares my sense of humour, and I found that line quite funny). And I am sure that you have some about “preapproved conditions” and “prior authorization” lines that have come from both the red and blue states out there. Yes, this is the issue that crosses across the political divide. If Kamala and the Democrats had actually exploited how people actually feel about this issue, they may have made it back to the White House in January. Instead, Trump – not the clearest orator on the issue of health care – is going to exploit this for his own ends. And yes, I said it. He will exploit it. I heard comments from the comedian Bill Burr on how this might be the first step in cleaning up after the Epstein trial and all those old photos still exist. We know that the Orange Agent was a buddy and a part of a very ugly cabal of rich and greedy people who never thought they would face their past.
Is this the first step? Should other bosses be worried?
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Too Much Screen Time May Be Shrinking Toddlers’ Vocabulary
Screens Are Everywhere—Even in Early Childhood In today’s digital world, screens are impossible to avoid. Smartphones, tablets, televisions, and smart devices are now part of everyday family life. For many parents, screens feel like a helpful tool—keeping toddlers entertained, calm, and occupied during busy moments. But child development experts are raising a growing concern: excessive screen time may be limiting toddlers’ vocabulary development. Language growth in the first few years of life is critical. These early words form the foundation for communication, learning, and social skills later on. When screens begin to replace human interaction, experts say, toddlers may miss essential opportunities to learn language naturally. Why the Toddler Years Matter So Much Between the ages of one and three, children experience rapid brain development. During this period, toddlers learn new words at an astonishing pace—often several each day. This learning happens best through real-life interaction, such as talking, singing, reading, and responding to facial expressions and gestures. Vocabulary doesn’t grow simply by hearing words. It develops through back-and-forth communication—when a toddler babbles, points, or asks questions, and an adult responds. These “serve and return” interactions are essential for building strong language skills. Screens, experts warn, cannot fully replicate this process. What Experts Are Warning About Pediatricians and child psychologists increasingly report a pattern: toddlers with high screen exposure often show delayed speech or smaller vocabularies compared to peers who spend more time in interactive play. The concern is not just about screens existing, but how much time they occupy. When screens dominate a toddler’s day, they can crowd out activities that naturally encourage speech, such as imaginative play, shared reading, and simple conversation. Experts emphasize that language learning is social by nature. A screen may talk at a child, but it rarely talks with them in a meaningful way. Passive Watching vs. Active Learning Not all screen time is equal. Educational programs are often marketed as language-boosting tools, but research suggests that passive viewing—where a child watches without interaction—offers limited benefits for toddlers. Even high-quality educational content struggles to replace real engagement. A video cannot adjust its responses to a child’s tone, interest, or confusion. It cannot pause to encourage a toddler to try a new word or celebrate their attempts at speech. In contrast, a caregiver can instantly respond, repeat words, simplify language, and provide emotional feedback—all crucial for vocabulary growth. The Hidden Cost of Background Screens One overlooked issue is background screen exposure. Even when a toddler is not actively watching, a TV playing in the background can reduce the amount and quality of conversation in the home. Studies show that adults tend to talk less to children when screens are on. Fewer words spoken by caregivers means fewer words heard by toddlers. Over time, this reduction can have a measurable impact on vocabulary size. In this way, screens affect language development indirectly as well as directly. Screen Time and Attention Skills Language learning requires focus. Toddlers need time to observe, listen, and process sounds. Fast-paced screen content—filled with quick cuts, bright visuals, and constant stimulation—can make it harder for young children to sustain attention during slower, real-world conversations. Experts worry that excessive screen exposure may condition toddlers to expect constant stimulation, making it more difficult for them to engage in activities like listening to a story or having a conversation. This doesn’t just affect vocabulary—it can influence broader learning habits later in life. What Do Experts Recommend? Health organizations and child development specialists generally advise very limited screen time for toddlers, especially under the age of two. When screens are used, they recommend: Choosing slow-paced, age-appropriate content Watching together with the child rather than leaving them alone Talking about what’s on the screen to turn it into a shared activity Balancing screen time with plenty of real-world interaction The goal is not to ban screens entirely, but to ensure they do not replace human connection. The Power of Simple Everyday Interaction The good news is that boosting a toddler’s vocabulary does not require expensive tools or structured lessons. Everyday moments are powerful learning opportunities. Talking through daily activities—like cooking, dressing, or walking outside—exposes toddlers to new words in meaningful contexts. Reading aloud, singing songs, and playing pretend games all encourage language use. Even short conversations, when repeated often, can have a lasting impact on vocabulary development. Parental Guilt vs. Practical Balance Many parents feel pressure or guilt around screen use. Life is busy, and screens often feel like a necessary break. Experts acknowledge this reality and stress that moderation matters more than perfection. The key is awareness. Understanding how screen time affects language development allows parents to make small, intentional changes—such as turning off background TV, setting screen-free times, or replacing some screen use with shared play. Language growth is resilient, especially when children are given consistent opportunities to interact and communicate. Looking Ahead: Why Early Vocabulary Matters A strong early vocabulary is linked to better reading skills, academic performance, and social confidence later in life. While screens will always be part of modern childhood, experts caution against letting them dominate the most important years for language development. Toddlers don’t just need words—they need people who talk, listen, and respond. No app or video can fully replace that human connection. Final Thoughts Excessive screen time may seem harmless, but experts warn it can quietly limit toddlers’ vocabulary by reducing meaningful interaction. The solution isn’t fear or strict bans—it’s balance. By prioritizing conversation, play, and shared attention, parents and caregivers can support healthy language development while still navigating a digital world. In the end, the most powerful learning tool a toddler has isn’t a screen—it’s a responsive, engaged human voice.
By Muhammad Hassana day ago in The Swamp
Comments (25)
Interesting and well-penned article. I almost think this guy - who had meticulously planned it all out - wanted to be caught. What he did highlighted a broken and greedy healthcare system, but I am left to wonder if it will really make any substantial difference in the scheme of things. Still, I agree - something needs to be done. Not murder, of course, though I understand someone propelled by such anger and resentment is often lead to lose a grasp on what's right and much of reality. A sad situation all the way around. Sadder still, that as you say, the situation - and tweet - will be exploited to benefit others.
Murder is never okay, but in this specific instance it's got me thinking twice. We all are becoming collectively aware of class consciousness. And it's the start of change.
Man! I'm kind of on the fence about which way I want to lean. I do think he got caught too fast. And I'm positive someone is already writing the script about this for a movie. Probably Netflix. Great article!!!
Well written, thought-provoking. and timely. Is this killing something that will truly unite red and blue states on the issue of a broken health care system? One can only hope! Congrats on Top Story and 10,000 reads!
Good story on a difficult topic. However, I feel that the Trump administration NEEDS to exploit this murder--and please don't read that in a negative way. I mean that this murder needs to be front and center of every discussion that legislators have about "healthcare," which, since the PPACA became a thing, has become synonymous with "health insurance." That discussion conflated the two, insinuating that if you had insurance that you were going to receive healthcare and, therefore, would be healthier. I have no love for insurance companies, despite members of my family working for Aetna Insurance since 1967 or so.(a run recently ended by my brother's retirement). I have seen the way they treat their employees, have seen the way an insurance company is treating a friend who needs physical therapy and will soon be denied continued coverage. I personally can't get insurance coverage because the least expensive monthly premium I can find through healthcare.gov exceeds my monthly income by almost $100. HOWEVER, I can state unequivocally that murder is NEVER the answer. I live with chronic pain for which I can get little relief, but at no time have I EVER considered pulling out a gun and killing someone over it. Our healthcare system needs a massive overhaul. I am in full agreement with that. I feel that Trump has a huge job on his hands to get other things under control, while at the same time thinking that healthcare should be a priority. Something needs to be done, but killing CEOs is not going to be the answer.
My personal experience with UHC before my retirement was a very favorable one. Having said that, the whole idea of health insurance has ballooned into a monster, but there are many options to choose from for those blessed enough to afford it. I now rely on Medicare. This is a great article to understand healthcare in the US: https://communityliteracy.org/how-many-nonprofit-hospitals-are-in-the-united-states/ As I taught my children, two wrongs never make one right, so the actions of that shooter will never justify any complaints he might have had with insurance companies. There is no place in America for that. Interesting article, Kendall.
I don't feel anything about it. It reminds me of a movie I reviewed. Just makes me wonder if life imitates art or art imitates life?
This incident just proves my point. I've always said, if you want gun control convince one of these wack jobs to shoot up a high end golf course instead of a school and it will happen. Same is true here. I'm not saying it's right, it's just a way to get powerful people's attention. Congrats on your TS Kendall!
Warning: Please don't say those three words in frustration on a phone call with a healthcare provider. Excellent and Congratulations on your Top story!!!
... and congrats on the TS
I have not followed the story but feel that should it come up in conversation at a cocktail party (in the unlikely event that I am invited or gatecrash) I will have something to say or at least have an idea what others are talking about. Thanks for sharing and for being bold enough to do so
A well deserved Top Story and a tricky topic to discuss. You did it like a professional.
Congratulations on reaching top story! I also appreciated hearing a voice from outside of the US... My story Silent Night, Sticky fingers is somewhat related, I'd love to hear your feedback 🙂
Congratulations on Top Story!!!
I think there will be more. You can only sanctify murder at the hands of corporations for so long before there is an uprising. I don't believe that vigilantism solves anything but it is a match. And it is struck. I do not feel like part of this world anymore.
I agree with Judy. I can't glorify murder, because that is what is was whether we like the guy or not. At the same time, I kinda wished the perp wouldn't get caught. Contradictory, I know.
Poignant thoughts, Kendall. It’s a very complicated, nuanced situation that has opened up conversation about these difficult topics. People are tired and fed up and losing it over the state of things, and that’s no joke. It is very interesting to see people grapple with this idea that the murdered CEO is just as much as a murderer as Luigi, albeit indirectly, and is (arguably, I suppose) much, much worse. Great piece here.
It's potent, isn't it, to find an issue that crosses such a deep divide. Says something.
You know... as an American I have watched MANY people I love wither thanks to insurance companies. Not only is insurance unaffordable, with some of the cheapest insurance plans being 800 a month for ONE person. If you have a disease like diabetes or a whole family to cover you will be paying more like 1200 a month. (They make it seem like less by taking it out of your paycheck every week if you're covered through an employer) But at the end of the day you are paying JUST as much on insurance if not MORE than a car note or a mortgage (my mortgage is 587 a month. My brother pays 900 a month for him and his wife). And then you have the $10,000 or more out-of-pocket deductible you have to reach BEFORE your insurance will actually start to work. If you did not have health insurance for the majority of the year - you get FINED at tax time by the GOVERNMENT. Out of your taxes. They will deduct anywhere between 500-1000 out of your tax returns or you will owe the GOVERNMENT this money if you didn't have insurance. We should have been making a FUSS about this YEARS ago. The man that was murdered was evil. He was happy to let people like my mother with MS wither away and spend EVERY day of her life in COMPLETE agony, unable to get out of bed because it got him a mansion. I have watched people I love die... while those people profit off of my families deaths. I don't feel sorry for the victim. But I don't feel like the killer is a hero either. The whole situation is just bad. Just wrong. And people online are making me sick. It's not funny. It's not a joke. It's an example of how fundamentally wrong our country is. And I hope this starts a chain reaction from insurance companies for the better. Let this prove that greed WILL get you killed.
Health insurance is not really something you can boycott. And in most cases our jobs dictate which company. Mine chose UHC again this year. They’ve really got us trapped.
Article Kendall. Well written.
Good-looking well-educated kid who looks like a young Jake Gyllenhaal, goes full-on Joker to avenge the insurance companies on behalf of the American patient, this is going to be the subject of Netflix documentaries for decades.
Very well said! I would like to say that the reaction people have had to the murder of this healthcare CEO is shocking, but I have more found myself understanding the reasons. I have interviewed and wrote several pieces dealing with healthcare nightmares in the US because of how horrible the healthcare system is. The government uses healthcare as a leverage for votes but continually fails to make the changes truly needed to provide adequate care for the citizens of the US. Great article on the topic at hand!
Sadly, I don’t think any meaningful change of the health care system will come out of this. There will be a very public trial that of course Trump will use to his advantage, but the killer might get away with it. Also, I keep thinking that the killer must have had some personal grievance that moved him to do it.
I’ve been distressed by the glorification of this murder. Also, I wonder about the reaction if the shooter had been black.