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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 allows individuals to specify their preferences for medical treatment in situations where they are unable to communicate their wishes, such as being too sick or unconscious. In optimal scenarios, doctors and patients engage in shared decision-making to ensure treatments align with patient desires. However, when patients can't express their wishes, it's crucial to designate someone—like a spouse or friend—to make decisions on their behalf. The advance directive clarifies who that person is, ensuring doctors know whom to consult when necessary.