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Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that allows individuals to specify their treatment preferences in situations where they cannot make decisions for themselves. This can occur if a patient is too ill or unresponsive. Ideally, decision-making is collaborative between doctor and patient, but circumstances may prevent this. In such cases, it’s important to designate a trusted individual, such as a spouse, sibling, or friend, to guide medical decisions. Without this documentation, healthcare providers may not know whom to consult for the patient's wishes.