A newly surfaced report indicates that accused killer Luigi Mangione was beaten in a fight with several “transgenders” in Thailand months before allegedly gunning down UnitedHealthcare Chief Executive Brian Thompson.
Mangione told a friend through WhatsApp messages that he was attacked by seven “ladyboys” — a local slang term for “transgender” men who choose to present themselves as a woman, usually in the context of prostitution— during a night out in Bangkok in March 2024, according to reporting published this week in The New York Times. He attached a photo of a scratched arm following the altercation.
Mangione, 27, who has pleaded not guilty, faces state and federal charges in the December 2024 killing of Thompson, who was shot outside a Midtown Manhattan hotel where his company was holding an investor conference. Prosecutors allege Mangione meticulously planned the assassination and left behind a manifesto railing against the American health insurance system.
The fight in Bangkok reportedly occurred while Mangione was on an extended backpacking trip across Asia, a period that investigators and reporters now believe marked a turning point in his mental state. The New York Times reported that he spent the early part of 2024 traveling through Japan, Thailand, and India, where he appeared increasingly isolated and preoccupied with themes of justice, technology, and modern civilization.
While in Thailand, Mangione met two American expatriates in the popular nightlife district of Soi Cowboy in Bangkok. One of them, Christian Sacchini, told Ashleigh Banfield on NewsNation that Mangione was “intelligent” and “friendly,” but was visibly consumed by discussions about health care costs in the United States. Sacchini recalled that Mangione was astonished at how inexpensive medical care was in Thailand compared with prices back home.
After the fight, Mangione told friends he wanted a slower pace and soon returned to Japan. He checked into a guesthouse in the small mountain village of Tenkawa, where he spent days meditating, writing, and hiking near the sacred Mount Omine, a pilgrimage site for practitioners of Shugendo, an ancient fusion of Buddhism and mountain worship.
A local innkeeper described Mangione as quiet and polite, saying he left his room “completely spotless” and took out his own trash. Others who encountered him said he sought spiritual renewal but also seemed adrift.
From Japan, Mangione traveled to Mumbai, where he met with an author who had previously written admiringly about Ted Kaczynski, the convicted “Unabomber.” The author, Jash Dholani, said Mangione had tried to purchase hundreds of copies of his self-published book, encouraging “creative risk in pursuit of beauty,” a transaction his bank reportedly later blocked.
By the summer of 2024, Mangione was back in the United States. Prosecutors allege that by October, he was writing in his journal about “the target” being the health insurance industry, which he called a “parasitic” system. In December, Thompson was fatally shot outside the Hilton Hotel on West 54th Street in New York City.
Mangione was arrested five days later at a McDonald’s in Altoona, Pennsylvania, where police said he was eating a hash brown and browsing on his laptop. Federal prosecutors have said they intend to seek the death penalty.
Mangione’s attorneys have fought to defeat any possibility of the death penalty being used against their client. His lawyers filed a motion to dismiss several counts of his federal indictment, including the only charge that could carry the death penalty, The Dallas Express reported at the time. His counsel also asked the Biden-appointed judge to toss statements allegedly obtained without Miranda warnings and to scrap evidence collected from what they say was a warrantless search of Mangione’s backpack.