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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 decisions a person would want if they are unable to communicate their wishes. Such situations may arise if a patient is too sick or unresponsive, making it impossible for them to engage in shared decision-making with their doctor. It is crucial to designate someone, such as a spouse, sibling, or friend, who can be consulted by healthcare providers to make decisions on the patient's behalf. This helps ensure that treatments align with the patient's preferences, especially when they cannot express them.