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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 a person's preferences for medical decisions if they are unable to communicate due to illness or other circumstances. This situation can arise when a patient is too ill or unresponsive, making it challenging for doctors to engage in shared decision-making. To ensure that medical treatment aligns with a patient's wishes, it is crucial to designate someone—such as a spouse, sibling, or friend—who can make decisions on their behalf. However, it is important to inform healthcare providers about this designated person to guide their decisions effectively.