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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that expresses a person's wishes regarding medical treatment in situations where they cannot make decisions themselves, such as severe illness or unconsciousness. In optimal circumstances, doctors and patients engage in shared decision-making about treatment. However, emergencies may prevent such discussions, leaving doctors uncertain about patient preferences. Advance directives help clarify who should be consulted for decision-making—be it a spouse, sibling, or friend—ensuring that the patient's wishes are honored when they cannot communicate them.