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LOS ANGELES — A medical expert testified Wednesday that a physician’s repeated and flagrant violations of the standard of care involving a powerful anesthetic led to the death of Michael Jackson.

Dr. Steven Shafer told jurors that a lack of proper medical equipment and the absence of notes and medical records by Dr. Conrad Murray — along with a breakdown of the patient-doctor relationship — were factors in the singer’s death. Shafer is expected to be the last prosecution witness in the involuntary manslaughter case against Murray.

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