One week after the killing of UnitedHealthcare executive Brian Thompson, an intelligence report compiled by a regional intelligence center made an admission that’s shocking in its simplicity: Rising health care costs are correlated to threats against executives and civil unrest.

The two-page document obtained by the Prospect and compiled by the Connecticut regional intelligence center—one of dozens of fusion centers across the country that communicate intelligence between federal agencies and state law enforcement—is uncharacteristically forthright in its language and assessment that health care costs lead to instability, and that the reaction to suspect Luigi Mangione’s alleged action was largely positive.

According to the dossier, “Healthcare expenditure in the United States increased from $2.75Trillion (T) in 2004, to $4.09T in 2018, in inflation adjusted dollars. 2019 and 2020, saw expenditures of $4.2T and $4.6T respectfully, which represents a 10.6% increase year over year and was largely influenced by the COVID-19 pandemic. Historically, threats or actual acts of violence against those in the healthcare industry rose by more than 60% from 2011 to 2018.”

The dossier adds that the public “may view the ensuing manhunt and subsequent arrest of Mangione as NYPD, and largely policing as a whole, as a tool that is willing to expend massive resources to protect the wealthy, while the average citizen is left to their own means for personal security.”