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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 make decisions for themselves, such as during severe illness or unconsciousness. Effective shared decision-making between doctors and patients is ideal, but unforeseen circumstances may prevent this communication. In such cases, it's crucial to designate a trusted person—like a spouse or friend—who can make decisions on your behalf. However, without an advance directive, doctors may not know whom to contact for guidance.