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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 specifies a person's wishes for medical treatment if they are unable to make decisions for themselves. This situation may arise if a patient is too ill or incapacitated. Ideally, decisions are made collaboratively between doctors and patients; however, in emergencies where patients cannot communicate, the advance directive guides healthcare providers. It designates an individual, such as a spouse, sibling, or friend, to make decisions on the patient's behalf, ensuring that their preferences are known and respected.