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Accused murderer Luigi Mangione’s notebook outlined plan to ‘wack the CEO’, US media reports

Luigi Mangione, 26, had written about a back injury he sustained in July last year, detectives say. (Reuters: Eduardo Munoz)

In short:

Luigi Mangione, who is accused of murdering insurance executive Brian Thompson before an investor meeting, had a notebook on him when he was arrested.

Law enforcement sources have told media it contained a plan to "wack the CEO at the annual parasitic bean-counter convention".

What's next?

A court in Pennsylvania will consider a request from New York authorities to extradite Mr Mangione to face a murder charge.

Accused murderer Luigi Mangione was carrying a notebook that outlined plans to kill a CEO when he was arrested at a McDonald's restaurant earlier this week, according to US media reports.

Mr Mangione, 26, remains in custody in Pennsylvania, where his lawyer is fighting attempts to extradite him to New York to face a murder charge.

He's accused of shooting Brian Thompson, the CEO of insurer UnitedHealthcare, just before an investor conference in Manhattan a week ago. His lawyer has indicated he will plead not guilty to all charges brought against him.

Accused murderer Luigi Mangione's notebook outlined plan to 'wack the CEO', US media reports

Brian Thompson was shot dead out the front of a Manhattan hotel. (Supplied: UnitedHealth Group via AP)

Mr Mangione's notebook was accompanied by a written "manifesto" railing against corporate America. Law enforcement sources told CNN and the New York Times the notebook contained the words:

"What do you do? You wack the CEO at the annual parasitic bean-counter convention. It's targeted, precise, and doesn't risk innocents."

Investigators have also confirmed Mr Mangione had written about his struggles with a back injury, which they believe he suffered on July 4 last year.

"Some of the writings that he had, he was discussing the difficulty of sustaining that injury," New York Chief of Detectives Joseph Kenny told Fox News.

"So we're looking into whether or not the insurance industry either denied a claim from him, or didn't help him out to the fullest extent."

Friends have told American news outlets Mr Mangione suffered the debilitating injury while surfing in Hawaii.

"I know it was really traumatic and difficult," said friend RJ Martin, who knew Mr Mangione when he was living in Honolulu. "When you're in your early twenties and you can't do some basic things, it can be really, really difficult."

Loved ones lay bare the makings of alleged gunman Luigi Mangione

Photo shows A man with dark curly hair in a orange jumpsuit

Accused murderer Luigi Mangione's notebook outlined plan to 'wack the CEO', US media reports

The family and friends of alleged UnitedHealthcare CEO gunman Luigi Mangione unravel how he could have gone from valedictorian to an accused killer.

American authorities have been grappling with unusually high levels of public support for Mr Mangione, a high-achieving computer scientist from a prominent Maryland family. 

The shooting sparked a flood of social media content criticising corporate healthcare and, later, hailing Mr Mangione as a hero.

It prompted Pennsylvania Governor Josh Shapiro to warn Americans against celebrating "vigilante justice". "Hear me on this, he is no hero," he told a media conference after the arrest.

Mr Mangione has been charged with murder in the second degree in New York, as well as several weapons offences in both New York and Pennsylvania.

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