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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 enabling individuals to specify their treatment preferences in situations where they cannot make decisions for themselves, such as being too ill or unconscious. Effective decision-making ideally occurs through collaboration between doctors and patients; however, if patients cannot communicate their wishes, doctors must rely on someone to advocate for them. Patients should identify a trusted person, like a spouse or friend, to be their representative, ensuring that their healthcare decisions align with their values and desires.