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The story was spurred by screenwriter Jan Wilson reading about mercy killer Efren Saldivar who killed patients while working as a respiratory therapist at Glendale Adventist Hospital in Los Angeles. Even after going to the police station and confessing to the police of the murders they initially had to let him walk away because there was no evidence of a crime since the patients had been thought to have died of complications from their illnesses and by this time had been buried or cremated for years.
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