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Roommate says Luigi Mangione was experiencing health problems right before the shooting

One Mangione's roommates told CBS News he was dealing with chronic back pain and recently had surgery.

BLAIR COUNTY, Pa. — Luigi Mangione, 26, was heard shouting as he arrived Tuesday for an extradition hearing at the Blair County Courthouse in Pennsylvania.

“It’s extremely out of touch and an insult to the intelligence of the American people and the lived experience.” Mangione, said.

The Baltimore County native is facing murder charges in New York for the death of UnitedHealthcare CEO Brian Thompson.

He was taken into custody Monday after someone recognized him eating at a McDonald’s in Altoona, Pennsylvania and called police.

Police said they found Mangione with a fake ID, a ghost gun and, writings suggesting his anger with corporate America.

Those who know him are still in disbelief.

“He never once talked about guns, he was never a violent person as far as I can tell,” a former roommate told CBS News.

Mangione was Gilman’s 2016 valedictorian. An elite all-boys high school in Baltimore.

He graduated from the University of Pennsylvania and has ties to San Francisco and Hawaii.

One of his roommates told CBS News he was dealing with chronic back pain and recently had surgery.

“He said he had a back issue and he wanted to get stronger in Hawaii. When he came, he went on a surf lesson, he was in bed for a week, it was very traumatic. When you’re in your 20s and can’t do some basic things, it can be very difficult.” the roommate said. 

Mangione comes from a prominent Maryland family.

His cousin Nino Mangione serves in the Maryland House of Delegates, representing parts of Baltimore County.

The Mangione’s own several country clubs, as well as health care facilities and real estate companies in the Baltimore area.

The Banner newspaper reports the Mangione family purchased Turf Valley Country Club in 1978 and that family businesses also include the Lorien Health Services nursing homes and radio station WCBM-AM.

At this time, police have not released more information on a possible motive. Officials are urging anyone with any information to call police.

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