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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 allows individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves, such as severe illness or unconsciousness. This document plays a crucial role in shared decision-making, ensuring that treatments align with the patient’s wishes. In cases where patients are unable to communicate, advance directives help define who should be consulted for decision-making—be it a spouse, sibling, or friend—highlighting the importance of clearly identifying these individuals to avoid confusion for healthcare providers.