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Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies a person's preferences for medical treatment if they are unable to make decisions themselves. This situation might arise if a patient is critically ill or unresponsive. Ideally, patient-doctor interactions are based on shared decision-making, but emergencies may prevent this. In such cases, it is crucial to designate someone—such as a spouse, sibling, or friend—to guide medical decisions. Without an advance directive, healthcare providers may not know whom to consult for guidance on a patient's wishes.