Luigi Mangione, 26, appeared in court for an extradition hearing in Pennsylvania after his arrest in a McDonald's on Monday.
He's accused of killing UnitedHealthcare CEO Brian Thompson, who was shot outside a Manhattan hotel. Mangione faces murder charges in New York but is contesting extradition.
As he was escorted into court, Mangione shouted, calling the charges "completely unjust" and an "insult to the intelligence of the American people."
Police found Mangione with a gun similar to the one used in the shooting, a silencer, fake ID, and a manifesto that seems to express frustration with the U.S. healthcare system.
The manhunt that spanned multiple states ends with Mangione in custody.
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