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Neil Winger, a primary care physician and member of the UCLA Health Ethics Center, discusses advance directives, which are legal documents that express a patient's treatment preferences when they are unable to make decisions for themselves. During optimal situations, patients and doctors engage in shared decision-making, ensuring treatments align with patient desires. However, in emergencies where patients cannot communicate—due to severe illness or unconsciousness—advance directives become crucial. They specify who should make decisions on the patient's behalf, whether it's a spouse, sibling, or friend, and help guide doctors in honoring the patient's wishes.