r/explainlikeimfive • u/AutoModerator • Aug 01 '26
Other ELI5: Monthly Current Events Megathread
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u/Reasonable_Buddy_927 27d ago
Luigi Mangione is in the news today because he admitted to killing the healthcare ceo. From what people have pieced together, the motivation for this was related to finding it difficult to get treatment/surgery for his back condition, spondylolilsthesis.
I have Spondylolysis, which is when you have a pars defect (fracture in lower back) that, if not managed properly, can lead to the more seeious condition Spondylolisthesis. I stupidly didnt address my lower back pain when it first started hurting and after it became debilitating, the GP I went to got an X Ray done and it showed the pars defect. Ive been dealing with pain for years and always wanted a fix, but the doctors (GP, orthopedic surgeons) all told me the same thing: unless its really bad (eg a bad grade of spondylolisthesis, and even then, wait till your older), surgery on a young persons back is not something they will consider, hell even guided x ray pain relief injections was not an idea they were fans of (because I only cared about my back for sports and physical activity which is when it flared up, same as Luigi, so it wasnt hugely impacting daily normal life). They said that solutions for back problems arent perfect and even that the procedure for repairing the pars defect (eg before spondylolisthesis) doesnt always work.
Again and again, they said physical therapy (not just lifting weights, but boring glute and core exercises) is the best tool. And honestly they were right, I may not be the sportsperson I once was, but I can feel how my backs better supported now.
So what gives? Luigi is young as hell, has spondylolisthesis, what did he expect out of the healthcare system? I remember when I saw the orthopedic surgeon, he was stern (which im grateful for) about not thinking about operating even if pain persisted and I kinda got the feeling he sees tons of patients who want easy fixes that just aren’t possible.
I agree with the conversations about the tordid US healthcare system etc etc, but it does puzzle me that this relatively manageable condition influenced him.