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Dec. 8, 2025, 4:07 PM ESTBy Adam Reiss, Chloe Atkins and Mirna AlsharifItems found in Luigi Mangione’s backpack when he was arrested in Pennsylvania last year include a handgun, a silencer, a magazine with bullets wrapped in underwear and a red notebook that an officer called a “manifesto.”The second week of a complex pretrial hearing kicked off Monday in Manhattan Criminal Court with a focus on the moments leading up to the 27-year-old’s arrest in the murder of United CEO Brian Thompson. Mangione entered the courtroom wearing a dark gray suit over a blue dress shirt, taking a second to scan the room before taking his seat. He chatted with his attorneys animatedly before court was called to order. Altoona Police Officer Christy Wasser testified Monday that she responded on Dec. 9 to a call about a suspicious person at a McDonald’s. Body camera video from the arrest was played in court and showed Wasser searching Mangione’s backpack.When another officer asked Mangione if there was anything in the bag that they needed to be aware of, he responded, “I wish to remain silent.” Wasser was concerned that there was a bomb in the backpack. Luigi Mangione appears Monday for a hearing in Manhattan Criminal Court in the killing of UnitedHealthcare CEO Brian Thompson.Stephen Yang / Pool via Getty ImagesThe video shows Wasser pulling out a cellphone, passport and a magazine with bullets, which was wrapped in wet underwear. An officer in the background of the video could be heard saying, “It’s f—ing him, 100%.”After the Altoona Police Department arrested Mangione, Wasser continued inspection of his backpack, video showed. Wasser found a loaded handgun, a silencer and a red notebook, which she called a “manifesto” in court Monday. Prosecutors showed several photos in court Monday of items retrieved from Mangione’s backpack, including the gun, magazine with bullets, notebook, silencer, cellphone and passport, along with a PNC debit card, a Whole Foods Visa card and a Maryland driver’s license. Blair County First Assistant District Attorney Nichole Smith testified Monday that she had received a call the day Mangione was arrested. Given that Mangione had provided a fake identification card, Smith said she suggested that tampering and forgery would be appropriate charges for him. At the time, she “knew very little” about the shooting, she said. Mangione was arrested and charged in Pennsylvania with forgery, carrying a firearm without a license, tampering with records or identification, possessing instruments of a crime and providing false identification to law enforcement authorities.Smith said that she approved a search warrant that day that was meant to authorize continued seizure of Mangione’s items, as well as transferring the evidence to the NYPD. She said that the seized items were inventoried based on the charges.Last week, Altoona Police Officer Joseph Detwiler told the court that Mangione seemed nervous when he confronted him at the McDonald’s. Detwiler said he asked Mangione whether he was visiting family and Mangione replied that he was “homeless.”Detwiler testified that he “knew it was him immediately,” after Mangione removed his blue medical mask. Last week’s proceedings also featured testimony from Tomas Rivers, a guard at a Pennsylvania state prison Mangione was taken to. Rivers said Mangione was on “constant watch” because the prison wanted to avoid an “Epstein-style situation,” a reference to Jeffrey Epstein, a convicted sex offender who died by suicide in federal custody in 2019.Mangione is accused of killing Thompson, 50, on Dec. 4, 2024, as he was heading to a UnitedHealthcare investor conference in Manhattan.He faces New York state charges including one count of second-degree murder, seven counts of various weapons charges and one count of second-degree criminal possession of a forged instrument. He was charged with two federal counts of stalking, one count of murder through the use of a firearm, and one count of a firearms offense.Mangione has pleaded not guilty to nine state counts and four federal charges filed separately. The federal charges come with the possibility of the death penalty. Adam ReissAdam Reiss is a reporter and producer for NBC and MSNBC.Chloe AtkinsChloe Atkins reports for the NBC News National Security and Law Unit, based in New York.Mirna AlsharifMirna Alsharif is a breaking news reporter for NBC News.

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November 15, 2025

Nov. 15, 2025, 6:00 AM ESTBy Elizabeth CohenSome medical centers are taking a dramatic step to save mothers and babies after studies have shown too many doctors fail to follow guidelines for preventing pre-eclampsia, a potentially deadly pregnancy complication.These hospitals now recommend that all of their pregnant patients take low-dose aspirin. Studies show the drug is safe and can help prevent pre-eclampsia, a condition characterized by high blood pressure, and other pregnancy dangers.Last week, the March of Dimes, a nonprofit research and advocacy group focused on maternal and infant health, essentially blessed this approach, saying it may be “medically reasonable” for some medical practices to offer all of their pregnant patients the drug.The move could pave the way for more doctors to recommend low-dose aspirin to all of their pregnant patients, much as they do already with prenatal vitamins.Pre-eclampsia, a leading cause of death among mothers and babies, affects about 1 in every 25 pregnancies in the U.S. Black mothers and women with high blood pressure or diabetes, or who are 35 or older, among other factors, are at increased risk.Rates of the disease have climbed 25% in the last two decades in the United States, according to the Preeclampsia Foundation.The March of Dimes report says that in clinical trials, low-dose aspirin reduces the risk of pre-eclampsia by 15%, and also preterm birth by 20% and perinatal mortality — death of a fetus late in pregnancy or a baby in the first week of life — by 20%.More than a decade ago, the U.S. Preventive Services Task Force recommended that pregnant women at increased risk for pre-eclampsia take low-dose aspirin, optimally from between 12 and 16 weeks of pregnancy until delivery, to prevent the complication. The American College of Gynecologists and Obstetricians has issued similar guidance — but studies show many doctors still don’t follow it.The new March of Dimes guidelines say that if most pregnant patients in a practice are at increased risk of pre-eclampsia, it’s reasonable to recommend low-dose aspirin to all of its pregnant patients.Some obstetricians applauded the new March of Dimes report, which is co-authored by the California Maternal Quality Care Collaborative, saying it could decrease the rates of pre-eclampsia.“A statement by such well-respected, science-backed organizations could really move the needle,” said Dr. Adam Lewkowitz, a pre-eclampsia expert and an assistant professor of obstetrics and gynecology at the Warren Alpert Medical School of Brown University.‘Nobody ever mentioned’ low-dose aspirinAbout five weeks before her due date, Angela Jones suddenly started speaking in gibberish and her vision blurred. On her way to the hospital, she had seizures and doesn’t remember delivering her baby by emergency C-section.If Jones’ doctors had followed guidelines from the American College of Obstetricians and Gynecologists, they would have recognized that because Jones was at increased risk for pre-eclampsia, she should have been taking low-dose aspirin during her pregnancy.“Nobody ever mentioned anything about low-dose aspirin to me,” said Jones, who lives in Downey, California, and shared her story with the California Maternal Quality Care Collaborative. “I didn’t know you could have seizures. I didn’t know you could have a stroke, or even die from preeclampsia.”Angela Jones was at increased risk of pre-eclampsia during her pregnancy.Courtesy of Angela JonesThe groups offer a screening tool so doctors can determine which of their patients should take the drug, and Jones fit several criteria: she’s Black, obese, and this was her first baby in more than 10 years.A complicated, time-consuming formulaMany obstetricians say women like Jones get missed because doctor’s appointments, which are often just 15 minutes long, are too jam-packed to fit in a complex assessment of a patient’s risk factors.A 2022 study from the Duke University School of Medicine looked at babies born in the U.S. in 2019, and found that 85.7% of the mothers were eligible for low-dose aspirin during their pregnancies, but according to the Society for Maternal-Fetal Medicine, less than half of pregnant patients who should be taking the drug are taking it.Low-dose aspirin can prevent pre-eclampsia by improving blood flow to the uterus, according to the March of Dimes. While some studies have shown an increased risk of bleeding for the mother, the March of Dimes said a review of 21 randomized controlled trials showed no increased risk of bleeding, and the group says there’s no evidence of harm to mother or baby.Because the formula to determine which pregnant women should get low-dose aspirin can be complicated and time-consuming, a growing number of major hospitals have begun recommending it to all of their pregnant patients.Dr. David Hackney, the division chief of maternal-fetal medicine at University Hospitals Cleveland Medical Center, said the current guidelines are onerous. “It can all look good on paper, but then there’s the way things work out in the real world,” Hackney said.Because of that, University Hospitals began recommending low-dose aspirin to all pregnant women a few months ago, he said.The Cleveland Clinic has made the same move, said Dr. Adina Kern-Goldberger, an assistant professor at the Cleveland Clinic Lerner College of Medicine.Parkland Health in Dallas, one of the busiest maternity hospitals in the U.S., started the practice three years ago, according to Dr. Elaine Duryea, chief of obstetrics at Parkland and an associate professor of obstetrics and gynecology at UT Southwestern Medical Center. She said her team is currently tracking pre-eclampsia rates to see whether the policy has made a difference.At all these practices, patients can opt out of taking the medicine if they prefer, but obstetricians say most do not.Other medical centers have been less enthusiastic about low-dose aspirin.Northwell Health, the largest health care system in New York, does not universally recommend low-dose aspirin for all pregnant patients, according to Dr. Matthew Blitz, director of clinical research for the division of maternal-fetal medicine at Northwell Health.“The idea is to do no harm, so giving it to everyone, including people who don’t need it, is still a big concern,” Blitz said.Still, he noted that the screening tool is “extremely time-consuming” and it’s possible that Northwell might eventually decide to recommend low-dose aspirin for all pregnant patients.Jones, the mom in California, said she hopes the new report will make a difference.Last year, she became pregnant again, and even though the guidelines say she should have received aspirin — a history of pre-eclampsia is one of the criteria — she says her doctors didn’t suggest it until she was six months along, many weeks later than recommended.She developed pre-eclampsia again, with dangerously high blood pressure and blurry vision.“Doctors need to tell people about this,” she said. “It makes me angry — like what the heck is going on in this system?”Elizabeth CohenElizabeth Cohen is a Peabody Award-winning journalist and a health contributor to NBC News. She is the author of the book “The Empowered Patient.”

September 22, 2025

Sept. 22, 2025, 8:04 AM EDT / Updated Sept. 22, 2025, 11:58 AM EDTBy Freddie ClaytonDrones over Poland. Fighter jets above Estonia. Surveillance planes over the Baltic Sea.To U.S. allies in Europe, the pattern is unmistakable: A deliberate campaign of escalation from the Kremlin, designed to probe NATO’s defenses and political resolve. The question hanging over an emergency meeting of the United Nations Security Council on Monday is how exactly the alliance will respond.As NATO struggles to turn alarm into action, officials and analysts urged a more forceful response and warned that hesitation risks emboldening Russian President Vladimir Putin. But questions about U.S. support, escalation risks and what this growing threat means for Ukraine remain unresolved. Estonia, which called for the Security Council meeting after three Russian MiG-31 fighter aircraft entered its airspace for 12 minutes without permission last week, pressed members to address what it described as a “blatant, reckless, and flagrant violation of NATO airspace” and Russia’s “repeated violations of international law.”Russia’s actions “undermine principles vital to the security of all U.N. member states,” Estonian Foreign Minister Margus Tsahkna said Sunday in a post on X. Claims that Russia violated Estonian airspace were “baseless” and “aimed at escalating tensions,” Kremlin spokesman Dmitry Peskov said Monday, adding that Russia operated within international regulations. So far, NATO’s response has largely been limited to meeting rooms as Moscow’s probing exposes a contrast between European leaders’ urgent calls for action and President Donald Trump’s more muted response.A Russian MiG-31 fighter jet that took part in the violation of Estonian airspace, in a photo released by the Swedish armed forces.Swedish Armed Forces / via ReutersAsked by reporters Sunday whether Washington would come to the defense of Poland and the Baltic states if Russia attacks, Trump said: “Yeah I would.”And on Monday Mike Walz, the U.S. ambassador to the United Nations told the Security Council meeting that the events left “the impression either Russia wants to escalate or doesn’t have full control of its fighter planes and drones.” Either scenario, he said, was “very disconcerting.” The U.S. “will defend every inch of NATO territory,” he said, adding that he expected “Russia to seek ways to de escalate, not risk expansion.” At the same meeting, Britain’s Foreign Minister Yvette Cooper also warned that Russia’s incursions into NATO territory risked triggering an armed conflict. “Your reckless actions risk direct armed confrontation between NATO and Russia. Our alliance is defensive but be under no illusion we stand ready to defend NATO’s skies and NATO’s territory,” she said. “If we need to confront planes operating in NATO space without permission then we will do so,” she added. This drew an immediate rebuke from Moscow, which dismissed Europe’s concerns as groundless and hysterical.NATO’s response to this ratcheting Russian activity amounts to the launch of operation “Eastern Sentry” earlier this month to bolster the defense of Europe’s eastern flank in response to a series of Russian drone incursions over Poland. After Germany and Sweden scrambled fighter jets Sunday to intercept and track a Russian surveillance plane flying unidentified over the Baltic Sea, one regional leader said Russia was not just testing NATO’s response, but was also aiming to reduce support for Ukraine by compelling countries to redirect resources.Calibrating how to respond to Russia was not easy, Latvian President Edgars Rinkevics said on social media, adding that Russia was doing just enough not to cross a red line.European confidence about backing from Washington has been shaken by Ukraine, where Trump has so far stopped short of imposing his promised punishment of further sanctions on the Kremlin for refusing peace talks. Ukrainian President Volodymyr Zelenskyy said that he was preparing for an “intense week” at the U.N. General Assembly in New York, where he hopes to build support for efforts to stop Russia’s invasion.Ukraine has also submitted a request to attend the Security Council meeting and present its position.The aftermath of a Russian missile attack Saturday, in Dnipro, Ukraine. Denys Poliakov / Global Images Ukraine via Getty ImagesBut Europe’s security will require decisive action, and that will not happen at a Security Council meeting, “for the very simple reason that Russia has a veto on the council,” said Keir Giles, a senior fellow at Chatham House, a London-based think tankUnable to rely on Trump’s “shifting position” on Russia, Giles told NBC News, the “coalition of the willing” — European nations that say they are prepared to underwrite security guarantees for Ukraine — must become the “coalition of the able and actually doing something.”Poland will not hesitate to shoot down objects that violate its airspace and pose a threat, its prime minister said Monday. But, he said, his country would take a more cautious approach when dealing with situations that are less clear-cut, and would need to know it had its allies’ support.”You really need to think twice before deciding on actions that could trigger a very acute phase of conflict,” Donald Tusk told a news conference.Trump met with Putin in Alaska but his peace push in Ukraine has stalled.Kevin Lamarque / ReutersHesitation, analysts said, risks sending a dangerous signal.“Europe and NATO have to show the will to respond forcefully to Russia,” said Moritz Brake, a senior fellow at the Center for Advanced Security, Strategic and Integration Studies.“Russia is trying to gauge whether it’s possible to single out individual elements of the alliance,” he said in a phone interview. A forceful approach, Brake argued, would involve not just intercepting Russian aircraft, but also sending “manned fighter jets” that could shoot Russian jets down “at any minute.” As an example, he pointed to 2015, when NATO member Turkey shot down a Russian warplane seconds after it violated the country’s airspace near the Syrian border. Moscow did not retaliate militarily. “Russia didn’t declare war on Turkey,” Brake said. “Wavering is much more dangerous than a forceful approach.”Freddie ClaytonFreddie Clayton is a freelance journalist based in London. Abigail Williams contributed.

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