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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 types of medical decisions an individual would want if they are unable to communicate their wishes due to illness or incapacitation. Winger emphasizes the importance of shared decision-making between doctors and patients. However, in unexpected circumstances where patients cannot engage in discussions about their treatment, it is crucial to identify a person—such as a spouse, sibling, or trusted friend—who can make decisions on their behalf. Without clear documentation, healthcare providers may not know who to consult in these situations.