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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 when they are unable to make decisions for themselves, such as due to illness or unconsciousness. In optimal scenarios, doctors and patients engage in shared decision-making. However, in critical situations where patients cannot communicate, advance directives clarify whom doctors should consult for decision-making—options may include a spouse, sibling, or friend. This ensures that healthcare providers understand the patient's wishes even when direct communication is not possible.