if there's anything real about the Luigi/Thompson story one might ask, was Luigi hooked on opioids?
were the "outbursts" on television withdrawal symptoms?
wetting his pants; opioids could relax the bladder enough in a young man or was it the back injury that inhibits bladder control?
but, it just seems he was one of the "weak" ones that needed culling, anyhow. this represents survival of the fittest. the murderer was upset that he would be relegated to gimp status, like some disabled.