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Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical treatments a person wishes to receive if they are unable to communicate their decisions. Effective shared decision-making between doctors and patients is ideal, but there are situations where patients cannot express their preferences, such as being too ill or unconscious. In such cases, it’s crucial to designate a person—like a spouse, sibling, or friend—who can make decisions on their behalf. This ensures that medical professionals know whom to consult about the patient’s wishes in difficult situations.