I'm putting my money on that is someone that lost their wife or child and had procedures/medicines denied and/or were financially ruined to boot.

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That would make some sense but the shooting looked well prepared.

Either professional or someone who planned for a while.

Anyone that would hire a professional can afford not to be fucked but insurance.

And most of the time when it’s a distraught person they don’t care about being caught. This guy seems to be working hard to get away with it.