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Dr. Neil Winger, a primary care physician associated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies the medical treatment preferences of individuals who may be unable to communicate their wishes due to severe illness or injury. Ideally, shared decision-making occurs between doctors and patients; however, when patients cannot express their preferences, it becomes crucial to have someone designated to make decisions on their behalf. This designated person might be a spouse, sibling, or close friend, but it is important that healthcare providers are aware of this individual's role to ensure that patients' wishes are respected.