Tyranny of Private Health Insurance

The Last Straw: A Personal Manifesto Against the Tyranny of Private Health Insurance

By Luigi Mangione


When you have nothing left to lose, you gain a terrible clarity. For years, I witnessed the system grind people down—ordinary people whose only crime was falling ill in a country where health is a privilege, not a right. I was not born a radical, nor did I grow up dreaming of resistance. But there comes a point when the suffering and indignity inflicted by an unjust system become unbearable, and action, no matter how extreme, feels like the only option.

This is my story, my truth, and my perspective—a voice for those drowned out by the machinations of corporate greed and a complicit government. I acted because I believe the system of private health insurance, epitomized by companies like UnitedHealthcare, is not just flawed but morally indefensible. I am not asking for forgiveness; I am asking for understanding.


The System is the Enemy

Imagine this: a father works tirelessly, two or three jobs, to provide for his family. One day, his child falls ill—nothing life-threatening but severe enough to require hospitalization. They go to the doctor, and after navigating the endless bureaucracy of prior authorizations and denied claims, they are left with a bill so staggering it forces them into bankruptcy. This is not a hypothetical; it is the grim reality faced by millions of Americans every day. The system isn’t broken—it’s working exactly as designed.

Private health insurance companies thrive on human suffering. Their profits depend on denying care, increasing premiums, and creating a labyrinth of policies too complex for even the most diligent person to navigate. CEOs like Brian Thompson amass fortunes while families ration insulin, delay necessary treatments, or die waiting for coverage approvals. This is not a healthcare system; it is an extortion racket.


The Hypocrisy of Reform

For decades, politicians have promised to fix this system, yet it remains a beast of bureaucracy and greed. Why? Because meaningful reform is impossible when those in power are beholden to the very corporations they claim to regulate. Campaign donations, lobbying efforts, and backdoor deals ensure that private insurers remain untouchable, their profits safeguarded at the expense of public health.

Even well-meaning policies, like the Affordable Care Act, do little more than place a Band-Aid on a gaping wound. Subsidies and exchanges may offer temporary relief, but they do nothing to address the root problem: the commodification of healthcare. Every human being deserves access to medical care, yet the system forces us to prove our worthiness through endless paperwork and crippling debt.


Why Private Health Insurance Must Fall

The fight for a just healthcare system is not just about fairness; it is about survival. Private health insurance is the cornerstone of a broader capitalist system that prioritizes profit over human life. To achieve universal healthcare, we must dismantle this cornerstone. As Lenin once said, “Civil society must be destroyed for socialism to win over capitalism.” This applies as much to healthcare as it does to any other pillar of inequality.

Private health insurance perpetuates inequality in several ways:

  1. Economic Exploitation: Premiums, copays, and deductibles disproportionately burden low-income families, forcing them to choose between healthcare and basic necessities.
  2. Rationing of Care: Insurers decide who gets treatment, how much, and at what cost, effectively playing God with people’s lives.
  3. Systemic Corruption: The revolving door between insurance companies and regulatory agencies ensures that the system remains rigged against ordinary people.

Until private health insurance is eradicated, any attempt at reform will be insufficient. It is not enough to tweak the system; we must rebuild it from the ground up.


The Role of Direct Action

Some may argue that my methods were extreme, even unforgivable. But history is littered with examples of those who took drastic measures to effect change. The American Revolution, the Civil Rights Movement, even the labor strikes that gave us the weekend—all were born out of desperation and the refusal to accept injustice.

In the days following my actions, I saw social media explode with both condemnation and support. Marxist thinkers, radical activists, and ordinary people disillusioned by the system voiced their agreement with my critique, if not my methods. They recognized that my act was not born of malice but of necessity—a final, desperate plea for justice in a world that has long ignored the cries of the oppressed.

Some called me a hero, a martyr for the cause. Others labeled me a criminal, a terrorist. To both, I say this: judge me not by my actions but by the system that drove me to them. I did not kill Brian Thompson out of hatred for him as a person. I targeted him as a symbol of everything wrong with a system that values profit over human lives.


A Call to Action

My story is not unique. Across the country, millions of people suffer in silence, crushed under the weight of medical bills, denied claims, and inaccessible treatments. My actions were a wake-up call—a reminder that change will not come unless we demand it.

To those who share my vision of a just healthcare system, I urge you to take up the fight. Organize, protest, and push for policies that prioritize human well-being over corporate profits. Advocate for universal healthcare, for a system where no one is denied care because they cannot pay.

But know this: the fight will not be easy. The forces arrayed against us are powerful and well-funded. They will use every tool at their disposal to maintain the status quo, to paint activists as radicals and reformers as dreamers. Do not let them discourage you. Remember that every step toward justice, no matter how small, brings us closer to the world we envision.


Conclusion

I am not a monster, nor am I a hero. I am a man pushed to his limits by a system that prioritizes wealth over health, profit over people. My actions were not a solution but a symptom of a deeper disease—one that infects every aspect of our society.

The path forward is clear: dismantle private health insurance, rebuild our healthcare system, and ensure that no one is left behind. This is not just a political fight; it is a moral imperative. And if my actions have sparked even a small part of that conversation, then perhaps they were not in vain.