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Prosecutors have classified Mangione's actions as an act of terrorism, citing the premeditated nature of his alleged crime. Evidence presented includes handwritten notes expressing hostility toward the healthcare sector, where Mangione purportedly outlined his intentions against the insurance industry.
Detailed accounts of his movements before the crime included imagery of him donning a backpack and riding a bicycle. The nature of the charges against him hinges on the assertion that he aimed to instill fear—both against individuals within the healthcare system and the broader population.