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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 treatment preferences in case they are unable to make decisions for themselves, such as during a medical emergency or serious illness. While shared decision-making between doctors and patients is ideal, circumstances may arise where patients cannot communicate. In such cases, advance directives designate a person, such as a spouse, sibling, or trusted friend, to make healthcare decisions on the patient's behalf. This ensures that the patient's wishes are respected and understood by the medical team.