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This representation can be generalized to a setting in which a transition to the absorbing state (killing) is possible from any state rather than just one state. The purpose of this paper is to investigate to what extent properties of birth-death processes, in particular with regard to the existence of quasi-stationary distributions, remain valid in the generalized setting. It turns out that the elegant structure of the theory of quasi-stationarity for birth-death processes remains largely intact as long as killing is possible from only finitely many states. 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