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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 allowing individuals to specify their medical treatment preferences if they are unable to make decisions for themselves due to severe illness or incapacity. In optimal scenarios, doctors and patients engage in shared decision-making, but there may be times when patients cannot communicate their wishes. In these circumstances, it's important to designate someone—such as a spouse, sibling, or friend—who can assist in making medical decisions on their behalf. This ensures that healthcare providers know whom to consult for guidance regarding the patient's preferences.