Even as he flourished academically and professionally, Luigi Mangione struggled with debilitating pain from a spinal condition and expressed contempt for the U.S. health-care system.

10:33 PM: Analysis from Shayna Jacobs, Courts ... In a 2016 high school yearbook, reviewed by The Washington Post, Mangione wrote that he “hated” being sent to the school as a sixth-grader ...

According to an affidavit obtained by the Washington Post ... Daniel Gilbert, Shayna Jacobs and Shannon Najmabadi contributed to this report. Local journalism is essential. Give directly to ...

Subscribe to The Post Most newsletter for the most important and interesting ... An NYPD spokesperson declined to comment on the missing-person report. Shayna Jacobs, Trisha Thadani, Drew Harwell, ...