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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives—legal documents that specify a person's healthcare preferences when they are unable to make decisions for themselves. He explains that while shared decision-making between doctors and patients is ideal, there may be situations where patients cannot communicate their wishes, such as severe illness or unconsciousness. In such cases, having an advance directive helps dictate who can make decisions on the patient's behalf, ensuring their treatment aligns with their values. This could be a spouse, sibling, or friend, but clarity in the directive ensures that healthcare providers know whom to consult.
