The issue is that he’s only been indicted in New York, and New York abolished the death penalty more than twenty years ago.
The Feds would need to press their own charges if they wanted to pursue the death penalty, which they have not done yet. That’s the laughable part: they’re trying to dictate sentencing before they pressed charges, gathered evidence, or secured a conviction. And the only way to get a death sentence is by unanimous jury vote during sentencing, which, let’s be honest, is going to be very difficult to get rid Luigi.
Client-therapist privilege is foundational to how therapy works, but most states have laws saying a therapist must report admissions of abuse. I don’t see doctors rallying against those laws.