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Dr. 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 express their wishes regarding medical treatment when they are unable to make decisions for themselves. This situation can arise if patients are too ill or incapacitated to communicate. In such cases, it is crucial to designate a trusted person—such as a spouse, sibling, or friend—who can make healthcare decisions on their behalf. Advance directives ensure that medical care aligns with the patient’s preferences, even in unforeseen circumstances where shared decision-making with healthcare providers is not possible.