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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that expresses a person's wishes regarding medical treatment when they cannot make decisions for themselves. This situation may arise due to severe illness or incapacitation. During such times, effective communication between doctors and patients is crucial for ensuring that treatments align with patient preferences. Advance directives also designate a decision-maker—this could be a spouse, sibling, or friend—ensuring that healthcare providers know whom to consult for decisions when the patient is unable to communicate their wishes.