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Hi, I’m Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center. Today, I’m discussing advance directives, which are legal documents that specify your wishes regarding medical treatment if you are unable to make decisions for yourself. Ideally, doctors and patients engage in shared decision-making to align treatments with patient preferences. However, there may be circumstances where patients cannot communicate with their physicians, such as severe illness or unconsciousness. In these situations, it’s crucial to designate someone—like a spouse, sibling, or friend—who can be consulted for decision-making. Advance directives ensure that your preferences are respected even when you cannot voice them yourself.