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Insanity means the perp wasn't in control of his faculties, and was therefore unaccountable for the premeditation and execution of the crime.
Our perp must be able to keep it together, disguise himself, maintain a low profile in the aftermath of a cold-blooded act of murder that broke the hearts of many people. This suggests a person whose nature isn't chaotic, IMO, but deliberate and measured. The kind of personality that would excel at sports and strategy.
If he isn't a sociopath (unlikely) and felt an insanity defense was likely because he was clinically "insane," he may well have given himself up by now. But we're not talking about a reasonable person. This is a person who is cool with escaping accountability by carrying on with his life as if nothing ever happened. Perhaps he sees it as a youthful misjudgment, or compartmentalizes it in some way that prevents his conscience from guiding his actions. MOO
Yes. MOO the person who would turn themselves in, is a person who killed while overwhelmed by emotion and committed a violent act, they have remorse.
A person so self centered as to kill innocent people is not likely to have a conscience capable of pushing them to any thing but find rationales to excuse themselves.