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Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their treatment preferences when they cannot make decisions themselves. He highlights that although optimal care involves shared decision-making between doctors and patients, there are situations where patients may be unable to communicate—due to severe illness or unconsciousness. In such cases, advance directives specify whom doctors should consult for decision-making, whether it be a spouse, sibling, or trusted friend. These documents ensure that medical decisions align with the patient’s wishes even when they cannot articulate them.
