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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 the medical care a person desires if they become unable to make decisions for themselves. This situation can arise if a patient is too ill to communicate or is unconscious. In such cases, it's vital to identify someone, such as a spouse, sibling, or trusted friend, who can make decisions on the patient's behalf. However, doctors may not be aware of this individual unless the patient has formally designated them. Thus, having an advance directive ensures that a patient's treatment preferences are honored, even when they cannot communicate.