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In this tutorial, 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 specifies the medical treatments a person wishes to receive if they are unable to make decisions for themselves. This situation can arise if a patient is too ill or unresponsive to communicate with their doctor. To ensure that medical decisions align with a patient's preferences in such circumstances, it is crucial to designate a decision-maker, such as a spouse, sibling, or friend. However, if the designated person is a friend, it's important to inform healthcare providers of this choice, which is the primary reason for having an advance directive.