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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical treatment preferences of an individual in the event they are unable to make decisions for themselves, such as during serious illness or unconsciousness. In optimal situations, patients and doctors engage in shared decision-making; however, in emergencies, patients may be unable to communicate their wishes. Thus, advance directives help inform healthcare providers about whom to consult, such as a spouse, sibling, or friend, ensuring that treatment aligns with the patient's preferences.