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Music Cruzan V director Missouri Department of Health 497 u.s. 261 1990 was a landmark United States Supreme Court case involving a young adult incompetent the first right-to-die case ever heard by the court cruising was argued on December 6th 1989 and decided on June 25th 1990 in a five-to-four decision the court affirmed the earlier ruling of the Supreme Court of Missouri and ruled in favor of the state of Missouri finding it was acceptable to require clear and convincing evidence of a patient's wishes for removal of life support a significant outcome of the case was the creation of advanced health directives background on January 11th 1983 then 25 year-old Nancy Cruzan July 20th 1957 to December 26th 1990 lost control of her car while driving at nighttime near Carthage Missouri she was thrown from the vehicle and landed facedown in a water-filled ditch paramedics found her with no vital signs but they resuscitated her after three weeks in a coma she was diagnosed as being in a persi

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