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Dr. Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify a person's preferences for medical treatment if they are unable to make decisions for themselves. Situations may arise where patients cannot communicate their wishes due to severe illness or incapacitation. In such cases, it’s crucial to have someone designated to make decisions on their behalf—this could be a spouse, sibling, or friend. However, it’s important to ensure that the chosen representative is known to the healthcare providers to facilitate decision-making aligned with the patient's values and preferences.